Past Issues

This overview is to discuss a management model of integrative psychotherapy for patients with DSM-IV-TX Borderline Personality Disorder (BPD), developed at a medical center in northern Taipei, Taiwan since May 2001. Based on Object relations, and Linehen’s dialectic strategy, this model is composed of supportivepsychodynamic outpatient individual psychotherapy, long-term outpatient psychodynamic- interpersonal-existential group therapy for patients, and a consultation-supervision group for therapists. Group phenomena such as refl ection process or parallel process, group themes and therapeutic factors, boundary issues, anti-group force, cyclotherapy and developmental spiral, acknowledged during the development of the model were discussed. In providing psychotherapy for BPD patients, the following suggestions may be considered: (A) Psychotherapy as continuous dialectic interaction, (B) Psychotherapeutic managements being integrative and eclectic, (C) Psychotherapy as an existential encounter, (D) Skillful pattern matching in psychotherapy.