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Introspection and borderline personality disorder

Sigrid Scherpiet, Uwe Herwig, Sarah Opialla, Hanne Scheerer, Viola Habermeyer, Lutz Jäncke, Annette B Brühl
Borderline personality disorder (BPD) is associated with disturbed emotion regulation. Psychotherapeutic interventions using mindfulness elements have shown effectiveness in reducing clinical symptoms, yet little is known about their underlying neurobiology. In this functional magnetic resonance imaging (fMRI) study, 19 female BPD patients and 19 healthy controls were compared during mindful introspection, cognitive self-reflection and a neutral condition. The activation pattern in the right dorsomedial prefrontal cortex (DMPFC) in BPD patients was different from that in healthy subject when directing attention onto their emotions and bodily feelings in contrast to cognitively thinking about themselves...
September 30, 2015: Psychiatry Research
L Giustra
When beginning psychotherapists undertake the treatment of severely disturbed patients, we see a confluence of factors involving both patients and therapist which predispose to the development of predictable countertransferential responses. These have a strong impact on patient treatment as well as therapist training. Patients may bring to this process their difficulty establishing a working alliance, use of primitive ego defenses, and ambivalence about closeness. Therapists may bring their identification with patients, lack of professional identity, and limited development of introspective capacity...
January 1985: American Journal of Psychotherapy
H E Book
The resident's countertransference to his/her patient may offer essential information about certain denied processes within that patient. It may also signal the existence of countertherapeutic scotomas within the resident. This paper offers a clinically based approach for directly identifying, exploring, and utilizing the information emerging from the resident's countertransference. This approach focuses on the "only or never" phenomenon, the parallel process, and introspective curiosity as modes of identifying the existence of countertransference responses...
October 1987: American Journal of Psychotherapy
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