Customer Service | Help | FAQ | Report a Data Error | About
:
Login
Tip: To see papers related to the one you are viewing…

PEP-Web Tip of the Day

When there are articles or videos related to the one you are viewing, you will see a related papers icon next to the title, like this: RelatedPapers32Final3For example:

2015-11-06_09h28_31

Click on it and you will see a bibliographic list of papers that are related (including the current one).  Related papers may be papers which are commentaries, responses to commentaries, erratum, and videos discussing the paper.  Since they are not part of the original source material, they are added by PEP editorial staff, and may not be marked as such in every possible case.

 

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Fonagy, P. (1991). Thinking about Thinking: Some Clinical and Theoretical Considerations in the Treatment of a Borderline Patient. Int. J. Psycho-Anal., 72:639-656.

(1991). International Journal of Psycho-Analysis, 72:639-656

Thinking about Thinking: Some Clinical and Theoretical Considerations in the Treatment of a Borderline Patient

Peter Fonagy

INTRODUCTION

The borderline concept

Psychoanalysis and modern psychiatry take opposing approaches to the definition of borderline patients. In the North American clinical literature borderline pathology is seen as a distinct clinical syndrome characterized by impulsivity, pattern of unstable but intense relationships, inappropriate and intense anger, identity disturbance, affective instability, frantic efforts to avoid abandonment, suicidal threats, self-mutilating behaviour and chronic feelings of emptiness and boredom (APA, 1987); (Gunderson, 1984); (Gunderson et al., 1981). Clinicians, working within various psychoanalytic and psychotherapeutic frameworks, who are frequently confronted by pathology typical of borderline patients in so-called neurotic individuals are understandably reluctant to draw sharp distinctions on the basis of concepts and categories which are primarily descriptive (Bion, 1957); (Guntrip, 1968); (Klein, 1946); (Knight, 1953)(Rosenfeld, 1978). Kernberg (1967), (1975), (1985)(1988) takes an intermediate position between a purely phenomenological and a classical psychoanalytic position, preferring to conceive of borderline as a level of psychic functioning characterized by non-specific manifestations of ego weakness, shift towards primary-process thinking, identity diffusion and specific defence operations. Within this framework, borderline denotes a particular type of psychic organization which may be found in quite a broad range of personality

[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.]

Copyright © 2017, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.