Transference-Focused-Psychotherapy

Transference - Focused Psychotherapy (TFP ) describes a long-term therapy that has been described in terms of a manual by John F. Clarkin, Frank E. Yeomans and Otto F. Kernberg, 1998.

It involves a specific psychodynamic psychotherapy (which is based on the theory of psychoanalysis ) and mainly specialized for patients with personality disorders, but also milder cases in which an actual psychoanalysis is not required. The German translation is transfer -focused psychotherapy. This means that the focus of the therapeutic work is placed on the working off of the therapeutic transmission. The psychoanalytically oriented therapy approach is highly modified and diagnostic and therapeutic concepts receive a special emphasis on the behavioral level.

The Therapy Manual

The treatment manual is based on the standards for the development of treatment manuals ( described in 1993 by Moras, 1998 by Calhoun et al. ). It contains extensive information on the treatment principles and describes the knowledge and skills that the therapist has to acquire. The aim of the manual is the reproducibility by other therapists:

The therapist should orient its principles of treatment of a conductive theory whose individual elements (strategies, tactics and techniques ) are well defined. His therapeutic work is supervised concomitantly with the help of video recordings.

This process is called " empirically -supported treatment" and also includes the control of the therapist by a " Adherence and Competence Rating Scale " (scaled questionnaires).

Target group of TFP

This psychotherapy was developed for the treatment of patients with personality disorders, their disorders after the Diagnostic and Statistical Manual of Mental Disorders (DSM -IV; American Psychiatric Association, 1994) are defined on the axis II cluster B personality disorders. This captures the shape personality disorders Borderline, Histrionic, Narcissistic and Antisocial, and " unspecified personality disorders" and the borderline personality organization.

A differentiation according to the severity of the condition being treated, the different categories: very serious disorder in narcissistic or antisocial characteristics or character pathologies, moderate disorder in histrionic or dependent traits, slight impairment in hypomanic or depressive- masochistic traits.

Basics

The Transference - Focused Psychotherapy (TFP ) is based on the theories of psychoanalysis where it refers to the object relations theory and ego psychology. Based on the theories of Margaret Mahler disturbed object relationships from childhood in the transmission can be mapped to the psychotherapist. According to the model developed by Kernberg and empirically proven concept an improvement in the field of object relations is possible if a form of therapy that focuses on working through the transmission.

While in classical psychoanalysis, the therapist gets involved in a transference relationship and the patient support so that in the regression, the TFP is working with the analysis of the transference, the ' here and now ' occurs in the.

Therapies with similar aspects

In psychodynamic therapy of borderline personality with TFP many elements have been incorporated, corresponding to the clinical experience in psychotherapy for patients with borderline pathology. For example, takes into account the psychoanalytically oriented psychotherapy of patients with borderline personality disorder ( BPD ) (modified from Waldinger, 1987), the same basic principles:

  • Development of a stable treatment framework
  • Avoid passive therapeutic attitude
  • Stop ends provide space ( "containment " )
  • Confrontational, active handling of self-destructive behavior
  • Make the connection between feelings and actions ( " acting out " )
  • Setting and maintaining boundaries
  • Perception of countertransference
  • Interventions with a focus in the "here and now"

The procedure to enter the transfer much weight, without encouraging the regression is developed by Luise Reddemann from its stationary work with traumatized borderline patients out and place in a free, nichtmanualisierter form input in the of Reddemann 's (2004) psychodynamic Imaginative trauma Therapy.

The handling of transference and countertransference is also used here in the sense of " interactive understanding " of the therapeutic relationship. About The Conference neurosis to promote targeted in a trauma therapy would even be contraindicated because unconsciously the return of burdensome memories can be conveyed to the facts of the case, which might re-traumatising effect amplified by a neutral attitude of the therapist, the self-blame tendencies of trauma patients or.

  • See also Reparenting

Effectiveness

The effectiveness of the TFP was confirmed in several meta-analyzes. Perry ( 1999) and Leichsenring and Leibing (2003) found a large effectiveness of psychodynamic psychotherapies.

Swell

  • W. Mertens ( 3rd edition 2000): Introduction to psychoanalytic therapy. Stuttgart: Kohlhammer
  • Reddemann " Psychodynamic Imaginative Trauma Therapy " Pfeiffer / Klett- Cotta (2004)
  • Reddemann refers to the concept of Zurek and Fischer 2nd edition of the magazine for " psycho-traumatology and Medical Psychology " (2003)
  • Interactional method and transmission focused psychotherapy /

Psychoanalytic interactional therapy and transference -focused psychotherapy / similarities and differences between two psychodynamic therapies for personality disordered patients / Similarities and differences of two psychodynamic treatments for patients with personality disorders / Journal Forum of Psychoanalysis / Publisher Springer Berlin / Heidelberg ISSN 0178-7667 (Print) 1437 -0751 ( online) issue Volume 20, Number 3 / September 2004 / Category depth psychology-based psychotherapy DOI 10.1007/s00451-004-0209-2 / pages 314-330 / Subject Collection behavioral research / SpringerLink Date Monday, August 23, 2004

  • Psychodynamic Psychotherapy
Psychodynamics Medical diagnosis Regression (psychology)
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