Psychiatry & Psychotherapy Podcast Transference Focused Psychotherapy, Borderline Personality Disorder, Narcissism, with Frank Yeomans, MD
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Feb 22, 2025 Frank Yeomans, a leading expert in Transference-Focused Psychotherapy, discusses the nuances of treating Borderline and Narcissistic Personality Disorders. He delves into object relations theory, emotional integration, and the complexities of transference in therapy. Yeomans shares clinical insights on navigating paranoia and idealization, emphasizing the importance of the therapeutic relationship. He also contrasts TFP with other psychodynamic approaches and highlights how emotional responsibility can foster personal development and stability in patients.
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Transference: Internal Images
- Transference isn't the past repeating, but activation of internalized, modified mental images.
- These images, shaped by unconscious processes, influence present perceptions, sometimes overriding reality.
Mockery or Sympathy?
- A man with borderline and narcissistic traits perceived Dr. Yeomans's tears as mockery.
- His internal representation (paranoid transference) prevailed over the external reality.
Address the Present
- Don't focus on the past; address the present transference.
- Enter the patient's projection to explore it together, fostering reflection.