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Gabbard, G.O. Horwitz, L. Frieswyk, S. Allen, J.G. Colson, D.B. Newsom, G. Coyne, L. (1988). The Effect of Therapist Interventions on the Therapeutic Alliance with Borderline Patients. J. Amer. Psychoanal. Assn., 36:697-727.

(1988). Journal of the American Psychoanalytic Association, 36:697-727

The Effect of Therapist Interventions on the Therapeutic Alliance with Borderline Patients

Glen O. Gabbard, M.D., Leonard Horwitz, Ph.D., Siebolt Frieswyk, Ph.D., Jon G. Allen, Ph.D., Donald B. Colson, Ph.D., Gavin Newsom, M.S. and Lolafaye Coyne, Ph.D.


The authors draw attention to the problems of establishing and maintaining a therapeutic alliance in the psychotherapy of the borderline patient. They elaborate an extensive methodology designed to study the manner in which shifts in collaboration occur in response to therapist interventions. This report demonstrates how one particular borderline patient increased his ability to collaborate with the therapist in response to a transference focus in the psychotherapy. Methodological problems are noted as are directions for future research. Only a series of patients studied with this or with similar methodology will allow for a sophisticated and empirical rationale for choosing a particular form of psychotherapy for a particular kind of borderline patient.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

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