Abstract
Transference-focused psychotherapy (TFP) principles can aid clinicians in crisis management in a variety of settings. The TFP contract has multiple provisions related to expectable crises explored in advance of starting the treatment. The essential elements of severe personality disorder pathology, specifically the predominant use of splitting-based defenses, almost guarantee intermittent crises will arise during the course of treatment. TFP interventions, including the clinician’s ability to monitor the three channels of communication, “naming the actors” to manage the patient’s heightened affective state, and identification of dominant object relations dyads and their reversals, are central tools in crisis management. These TFP-informed interventions can be of use for clinicians managing crises in settings across psychiatry and medicine; TFP principles have applicability even when the clinician is required to manage crises in situations other than an extended individual treatment. Use of TFP principles in crisis management can be appreciated as central elements of good risk management.
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Hersh, R.G., Caligor, E., Yeomans, F.E. (2016). Transference-Focused Psychotherapy (TFP) Principles in Clinical Crisis Management. In: Fundamentals of Transference-Focused Psychotherapy. Springer, Cham. https://doi.org/10.1007/978-3-319-44091-0_3
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DOI: https://doi.org/10.1007/978-3-319-44091-0_3
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