Author(s)

Wu Qiao ¹, Yang Kun ¹

Affiliation(s)

¹ Department of Psychiatry, The Third Hospital of Mianyang, Sichuan Mental Health Center, Mianyang, China

Corresponding Author

Wu Qiao

ABSTRACT

Borderline Personality Disorder (BPD) is a psychiatric syndrome characterized by disturbances in self-image, emotional dysregulation, and unstable interpersonal relationships, with its core pathological mechanism closely related to identity diffusion. Transference-Focused Psychotherapy (TFP), based on Otto Kernberg's object relations theory of personality pathology, is dedicated to integrating patients' self-representations and object relational functions through structured diagnostic assessments and systematic intervention strategies. This paper systematically elaborates the theoretical framework of TFP, the application of structured assessment tools (Structured Interview for Personality Organization-Revised, STIPO-R), and the therapeutic implementation pathway, exploring its scientific value and clinical applicability in the treatment of BPD. 

KEYWORDS

Transference-Focused Psychotherapy, Borderline Personality Disorder, Borderline Personality Organization

CITE THIS PAPER

Wu Qiao, Yang Kun, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Structured Intervention Pathway. Applied & Educational Psychology (2025) Vol. 6: 155-160. DOI: http://dx.doi.org/10.23977/appep.2025.060122.

REFERENCES

[1] Kernberg OF. Identity Diffusion in Severe Personality Disorders. Published online 2005. Accessed March 2, 2025. https://psycnet.apa.org/record/2005-04993-003
[2] Kernberg OF, Caligor E. A psychoanalytic theory of personality disorders. Published online 2005. Accessed March 2, 2025. https://psycnet.apa.org/record/2005-02797-003
[3] Clarkin JF. Conceptualization and treatment of personality disorders. Psychotherapy Research. 2006;16(1):1-11. doi:10.1080/10503300500395889 
[4] Clarkin JF, Caligor E, Sowislo JF. An object relations model perspective on the alternative model for personality disorders (DSM-5). Psychopathology. 2020;53(3-4):141-148.
[5] Sexton J, Hilton M, Benson S, Rosen A. Exploring Kernberg’s Model of Personality Functioning as a Moderator of Traits: Focus on DSM-5’s Section III Alternative Model of Personality Disorder. J Am Psychoanal Assoc. 2019;67(6):1047-1055. doi:10.1177/0003065119898772
[6] Suh EM. Culture, identity consistency, and subjective well-being. Journal of personality and social psychology. 2002;83(6):1378.
[7] McAdams DP, Trzesniewski K, Lilgendahl J, Benet-Martinez V, Robins RW. Self and identity in personality psychology. Personal Sci. 2021;2:e6035. doi:10.5964/ps.6035
[8] Fonagy P, Target M, Gergely G. Psychoanalytic Perspectives on Developmental Psychopathology. In: Cicchetti D, Cohen DJ, eds. Developmental Psychopathology. 1st ed. Wiley; 2015:701-749. doi:10.1002/9780470939383.ch18
[9] Jørgensen CR, Bøye R. How Does It Feel to Have a Disturbed Identity? The Phenomenology of Identity Diffusion in Patients With Borderline Personality Disorder: A Qualitative Study. Journal of Personality Disorders. 2022;36(1):40-69. doi:10.1521/pedi_2021_35_526
[10] Boyer MFM. Ruptures or Disruption: Identity Diffusion and the Therapeutic Relationship. Contemporary Psychoanalysis. 2022;58(4):545-578. doi:10.1080/00107530.2023.2212343
[11] Clarkin JF, Caligor E, Sowislo J, Diamond D, Yeomans F. Development and Evolution of Transference-Focused Psychotherapy (TFP): A Foundation for Expanding Treatment Applications. In: Hersh RG, De Panfilis C, eds. Implementing Transference-Focused Psychotherapy Principles. Springer Nature Switzerland; 2024:27-48. doi:10.1007/978-3-031-68062-5_2
[12] Kernberg OF. New developments in transference focused psychotherapy. The International Journal of Psychoanalysis. 2016;97(2):385-407. doi:10.1111/1745-8315.12289
[13] Hörz-Sagstetter S, Caligor E, Preti E, Stern BL, De Panfilis C, Clarkin JF. Clinician-Guided Assessment of Personality Using the Structural Interview and the Structured Interview of Personality Organization (STIPO). Journal of Personality Assessment. 2018;100(1):30-42. doi:10.1080/00223891.2017.1298115
[14] Hersh RG, Caligor E, Yeomans FE. Transference-Focused Psychotherapy (TFP) and Its Applications: Introduction to TFP and the Roles of the Structural Interview, Goal Setting, and Contracting. In: Fundamentals of Transference-Focused Psychotherapy. Springer International Publishing; 2016:1-32. doi:10.1007/978-3-319-44091-0_1
[15] Hersh RG, Petrini M, Bergonzini E, Moscara M. Using Transference-Focused Psychotherapy (TFP) Principles in the Treatment of Medical and Personality Disorder Comorbidities. In: Hersh RG, De Panfilis C, eds. Implementing Transference-Focused Psychotherapy Principles. Springer Nature Switzerland; 2024:309-335. doi:10.1007/978-3-031-68062-5_12

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