Abstract
The interface between personality disorder pathology and issues related to medical conditions and medical care is complex. Patients with personality disorder diagnoses will often have co-occurring medical conditions (some directly related to the personality disorder symptoms, such as the results of self-injury), and personality disorder pathology can sometimes undermine a patient’s access to medical care, even if the medical complaints are not directly related to the personality disorder diagnosis. Transference-focused psychotherapy (TFP) has principles to guide therapists in the management of co-occurring psychiatric and medical complaints. In addition, TFP principles can be of use to clinicians in a variety of medical fields who will see patients with personality disorder pathology in their practices but will not necessarily assume responsibility for these patients’ psychiatric treatment. TFP principles in these settings can include consideration of a personality disorder diagnosis, active contracting, and monitoring of countertransference.
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Hersh, R.G., Caligor, E., Yeomans, F.E. (2016). Transference-Focused Psychotherapy (TFP) Principles in the Management of Co-occurring Medical and Personality Disorder Symptoms. In: Fundamentals of Transference-Focused Psychotherapy. Springer, Cham. https://doi.org/10.1007/978-3-319-44091-0_7
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DOI: https://doi.org/10.1007/978-3-319-44091-0_7
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