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Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic RelaNew Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders$
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Otto F. Kernberg

Print publication date: 2004

Print ISBN-13: 9780300101805

Published to Yale Scholarship Online: October 2013

DOI: 10.12987/yale/9780300101805.001.0001

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PRINTED FROM YALE SCHOLARSHIP ONLINE (www.yale.universitypressscholarship.com). (c) Copyright Yale University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in YSO for personal use.date: 31 July 2021

The Management of Affect Storms in the Psychoanalytic Psychotherapy of Borderline Patients

The Management of Affect Storms in the Psychoanalytic Psychotherapy of Borderline Patients

Chapter:
(p.220) Chapter 14 The Management of Affect Storms in the Psychoanalytic Psychotherapy of Borderline Patients
Source:
Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic Rela
Author(s):

Otto F. Kernberg

Publisher:
Yale University Press
DOI:10.12987/yale/9780300101805.003.0014

This chapter discusses the management of affect storms in the sessions of patients with borderline personality organization and severe regression in the transference. Borderline patients often show far better control of affect during initial interviews than they are able to maintain during effective treatment. The likelihood of periods of inordinate violence of the patient's affect, and its expression in action or countertransference, requires that patient and therapist agree in advance on the conditions of the treatment that will make management of such episodes possible. These conditions must include the maintenance of a clear and stable boundary of the therapeutic setting.

Keywords:   personality disorders, affect storms, borderline personality organization, regression, transference

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