Past Issues

Integrative Psychotherapy for Patients with Borderline Personality Disorder: A Description of a Management Model in Taiwan

Lih-Chih Jou1,2

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.
Key Word borderline personality disorder, integrative psychotherapy, psychodynamic
Editorial Committe, Taiwanese Journal of Psychiatry
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