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Journal of Psychotherapy Practice and Research 5: 287-306, 1996
Copyright © 1996 American Psychiatric Association, Inc.

Tailoring the Psychotherapy to the Borderline Patient

LEONARD HORWITZ PH.D.1, GLEN O. GABBARD M.D.1, JON G. ALLEN PH.D.1, DONALD B. COLSON PH.D.1, SIEBOLT FRIESWYK PH.D.1, GAVIN E. NEWSOM LSCSW1, and LOLAFAYE COYNE PH.D.1

1 Menninger Clinic, Topeka, Kansas.

Dr. Horwitz, Menninger Clinic, Box 829, Topeka, KS 66601.

Views still differ as to the optimal psychodynamic treatment of borderline patients. Recommendations range from psychoanalysis and exploratory psychotherapy to an explicitly supportive treatment aimed at strengthening adaptive defenses. The authors contend that no single approach is appropriate for all patients in this wide-ranging diagnostic category, which spans a continuum from close-to-neurotic to close-to-psychotic levels of functioning. Careful differentiations based on developmental considerations, ego structures, and relationship patterns provide the basis for the optimal treatment approach.

Submitted on November 8, 1995
Revised on June 5, 1996
Accepted on June 11, 1996






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Copyright © 1996 American Psychiatric Association