Zerbe Aug09

Aug 30, 2009Download as PPTX, PDF0 likes223 views

1) Golden oldies techniques for psychotherapy of borderline personality disorder include addressing failures in separation-individuation and confronting self-defeating behaviors. Interpreting abandonment depression and carefully preparing for breaks in treatment are also important. 2) New mentalization-based treatment approaches employ patient education, groups, and a team approach. The goal is to develop the ability to understand one's own mind and the minds of others to regulate affect and attachment. 3) Therapists using mentalization techniques label thoughts with "I wonder if" statements, use transference tracers to keep patients in the present, and co-create safety plans to anticipate difficulties with control.

Psychotherapy of Borderline Personality:Golden Oldies and Some New HitsKathryn J. Zerbe M.D.Training & Supervising AnalystOregon Psychoanalytic CenterFormerly Jack Aron Chair in Women’s Mental Health and Psychiatric EducationProfessor of Psychiatry, OHSU

Golden OldiesFailure of Separation-Individuation in Rapprochement Subphase (Mahler, Pine, Bergman, 1975) Clinical application by Kernberg; Masterson; Rinsley; Aktar

Confront Self-defeating/self destructive behavior within and outside therapeutic dyadGolden OldiesInterpret 'Abandonment Depression;' Prepare scrupulously for weekend, vacation, between session interruptions.

Ask the patient what would be helpful and make the choice specific to that patient; Avoid 'e pluribus unum' effect.Golden OldiesGoal of treatment is to identify split object units, perceive others as whole objects. Translates into fewer rapid shifts and eventually moving beyond idealization and devaluation

Projection, Projective identification, and Psychological

Reduce and eliminate all good/ all bad splitting defense Some New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Mentalization Therapy employs patient education, groups, team approach.

Mentalization: An imaginative state of mind that recognizes mind of self and other; Subjectivity and continuity of selfSome New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Disorganized Attachment (trauma, maltreatment) leads to failure to mentalize and severe problems with affect regulation

Therapist uses 'stop, listen, look,' and 'stop, rewind, explore' techniques in sessionSome New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Label with "I wonder if... "statements

This document discusses psychotherapy approaches for treating borderline personality disorder. It separates the approaches into "Golden Oldies" and "Some New Hits." The Golden Oldies section outlines classic psychodynamic approaches focusing on issues like separation-individuation, confronting self-defeating behaviors, and interpreting abandonment depression. The New Hits section focuses on Mentalization-Based Treatment, which aims to develop a patient's ability to understand their own and others' mental states and regulate affect. The therapist uses techniques like labeling feelings, making references to transference, and co-creating a safety plan. The overall goal is to help patients move beyond idealization and devaluation of others.

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The video for this presentation is available on our Youtube channel: https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c= Providing an overview of CBT and tools and techniques suitable for licensed mental health and addictions professionals and coaches. ★★You can sign up for the live presentation or the on-demand replay to earn CEUs at: https://www.allceus.com/member/cart/index/search?q=cognitive+behavioral ★★ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unlimited Counseling CEUs for $59 https://www.allceus.com/ Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/ Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/ Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron. Pinterest: drsnipes https://www.youtube.com/user/allceuseducation Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at: View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs. AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.

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Zerbe Aug09

1. Psychotherapy of Borderline Personality:Golden Oldies and Some New HitsKathryn J. Zerbe M.D.Training & Supervising AnalystOregon Psychoanalytic CenterFormerly Jack Aron Chair in Women’s Mental Health and Psychiatric EducationProfessor of Psychiatry, OHSU

2. Golden OldiesFailure of Separation-Individuation in Rapprochement Subphase (Mahler, Pine, Bergman, 1975) Clinical application by Kernberg; Masterson; Rinsley; Aktar

3. Confront Self-defeating/self destructive behavior within and outside therapeutic dyadGolden OldiesInterpret 'Abandonment Depression;' Prepare scrupulously for weekend, vacation, between session interruptions.

4. Consider Use of Transitional Objects

5. Ask the patient what would be helpful and make the choice specific to that patient; Avoid 'e pluribus unum' effect.Golden OldiesGoal of treatment is to identify split object units, perceive others as whole objects. Translates into fewer rapid shifts and eventually moving beyond idealization and devaluation

6. Projection, Projective identification, and Psychological

7. Protection of Self and Other

8. Reduce and eliminate all good/ all bad splitting defense Some New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Mentalization Therapy employs patient education, groups, team approach.

9. Mentalization: An imaginative state of mind that recognizes mind of self and other; Subjectivity and continuity of selfSome New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Disorganized Attachment (trauma, maltreatment) leads to failure to mentalize and severe problems with affect regulation

10. Therapist uses 'stop, listen, look,' and 'stop, rewind, explore' techniques in sessionSome New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Label with "I wonder if... "statements

11. Make Use of Transference Tracers, always in the Here and Now ExamplesI can see that you were upset because I missed our Friday session

12. It's understandable to me that you might be anxious, worried, angry... when I wasn't available on Friday because when you were little you were often left alone.....Some New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)The goal is to create consistent narrative.

13. Anticipate difficulties in effortful control.

14. Co-create a safety plan.

15. Explore understanding of others, including therapist Some New HitsMentalization-Based Treatment(Fonagy, Target, Bateman)Examples You are quick to think that I was out of the office on Friday because I was bored with you. Could there be another explanation?

16. Can you see that you have made strides over the past year?

17. Today you can consider that I am going away for the weekend to l earn at a conference and are not so worried that I am angry with you.Alisvolatpropriis“She flies with her own wings”��-Motto of the State of Oregon

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Zerbe Aug09

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Zerbe Aug09