Effectiveness of Tranference Focused Therapy for Borderline Personality Disorder

Dr. Frank Yeomans discusses Transference Focused Therapy and its effectiveness for borderline personality disorder.

[@sirenachantal471]

From the point of view of that kind of patient - It makes sense to be hurt by a therapist looking at the clock. Most likely, the patient was the child of someone out of control. In order to survive, the child had to be alert to the most subtle shifts to negative emotions by their elders. Also, looking at the clock especially stings after that kind of patient exposes a vulnerable, despised, and worn-raw part of themselves. I often felt this way during therapy (decades ago) but was too afraid to tell my therapist. I loved her like a really close aunt and was afraid of losing her so it was frightening to ask. One day, the curiosity was too much and I asked her if we were running out of time. She said no, but there were other things she wanted to know about me and wanted to be sure there was enough time to ask. The compassion in that reply was just so beautiful. It makes me misty just thinking about it.

[@zephyrsky__]

I could listen to him talk all day.

[@cathymartineau2423]

Rayon same for me

[@lisaj5769]

yes love him

[@FatimaLasay]

The breakthroughs I have experienced took place when AFFECT and REFLECTION took place simultanously. Even during a session where my dysregulation was so bad that I threw the chair across the room, and in-between sessions exchanging emails with my therapist, while I was hurting myself. So yes, Dr Frank Yeomans is quite right.

[@nietzschesmuse]

I love these videos they have been helping me observe my tendency to project and as I do I am more able to see my own self sabotaging or projecting my childhood traumas and fears into all around me. I find Frank Yeomans to be one of the few empathetic therapists on youtube. Usually, youtube therapists create a witch hunt as if we are responsible for our unconscious actions often not always the result of multiple generational painful traumatic experiences from sadistic parents and catharsis.

[@myrtlemaid]

!I've the view with Frank ta!king about bpd. He explains c!early a d importantly with sensitivity, respect and wisdom of his patients.

[@onlyonce1707]

I like these talks and explanations. HIs online therapy sessions not so much.

[@Sparkypoo3145]

I think there is a huge problem with therapists underestimating the impact transference can have on their patients especially if they don’t know it’s happening. It can be extremely disorienting and painful. Real transference extends beyond the therapy room. Why is there such resistance to informing patients about it and what to expect.

[@39mishy]

I really like Dr frank yeoman video and ,the way he understands and puts bpd .. I cause when a person is passed on from one mental health cliention to another .. its hard to jump to the conclusion of anything that looks like a sign of reflection .. I think there needs to be clear communication between doctor and patient .

[@lisaj5769]

this is amazing

[@Star-dj1kw]

good video.

[@katladyfromtheNetherlands]

Thats good. I hope you dont encounter too aggressive people.

[@bellakrinkle9381]

My issue has been like a first cousin to BPD...originally diagnosed a Anxiety Disorder. (Should I improvise a new label ? ) My impression of Mental Health is that all formats offer value and a combination of several approaches offers even more value. The importance is to be open as long as there is improvement. Of course every one looks for healing within a reasonable time frame. My experience is that healing cannot be rushed. For me, I started out in psychoanalysis. ..the transference was always present but it literally took me forever to understand the link.

[@jackdawcaw4514]

Agreed. Healing cannot be rushed and is so individual for so many reasons. With therapy there is always this air around it that it would be like a therapy for a physical illness. We apply the treatment and then within some set of time it is healed. But people are so complicated and it just doesn't always work like that. It has to do with the individual as such, but certainly also with their present life circumstances.

[@johnwhorfin3815]

wow, he looks different in color. :)

[@jackdawcaw4514]

I have such a conflicted feeling about this idea of bringing emotion into the room and being part of the experience of how the client interacts with others. I mean, I'm sure there are ways to sort of enlarge those feelings, but I feel that working psychodynamically I am always noticing how this individual behaves with people, checking transference and countertransference, and using that to work on their patterns. Isn't that the basis of most modern psychoanalytic and psychodynamic therapies anyway? This is what you seem to do in the relational psychoanalytic psychotherapy, it's what you do in ISTDP, it's what you do in mentalization based treatment, and it's what you do in TFP. It's really nothing new. But I also don't want to be arrogant about that belief, so I'm always left wondering: what am I missing??

[@jiminy_cricket777]

TFP is clearer in what's involved, it's manualized. That's the main difference. And it's 3 times a week in chairs rather than 4 or 5 days per week on the couch. Also, manualization I would imagine helps maintain a strong treatment frame which is especially important in effectively treating BPD.

[@cassiechowen4683]

Who is the dr?

[@ambers512]

Dr. Frank Yeomans

[@88Vicky]

He seems like a nice, knowledgeable doc; but I don't believe the TFP approach to BPD is as effective as DBT (dialectical behavior therapy).

[@theRealCrazyOne]

For me, doing DBT first, and then going into TFP has been very helpful

[@carlosandres7006]

theRealCrazyOne that's the ideal order

[@jackdawcaw4514]

@Plutonus I basically agree, but would add that it could certainly be very helpful for TFP as well, to supplement it with mindfulness and meditation practice. That would be very powerful, and it's important in DBT too. But, yes, I agree: DBT does not take the healing deep enough. My experience is that increases in mindfulness and concentration are great for noticing projections or black and white thinking and letting it go.

[@jackdawcaw4514]

@Plutonus Another thing I just noticed about another video by dr. Yeomans is that he himself describes personality to be sort of elusive and basically to just be the automatic patterns in our behaviour that tend to happen so quickly we barely notice it. Well if that is true, then what is 'personality change'? Isn't that basically breaking those automatic tendencies and making room for change through awareness? So how 'deep' is this whole TFP idea then really? Is it maybe also just a bit of marketing going on?

[@sirenachantal471]

@@jackdawcaw4514 TFP helps people who have black and white thinking - about themselves. It can help them see that the "bad" parts are good enough. That we all have weaknesses and it's a part of life. Sometimes, people even find them endearing. It's to help them see life in a less rigid way. TFP does this subtly, so that the patient doesn't freak out when their "bad" parts are exposed.

[@karenmossbryan7932]

Isn't this simply a play, then?

[@dennisryan6370]

Good Lawd,..... Somebody tell me this is all just a bad dream....

[@OdiSDuarte]

App usados formas custos valor doações falar gravar em nuvens resposta tel SMS voz alcançar estou pós mort latim!