Abstract
This article explores several approaches to treatment planning for hospitalized patients with severe borderline pathology during the early or resistant phase of treatment. It recommends an open or team formulation of the patient's psychopathology, particularly utilizing staff countertransference feelings as one method of developing an initial hypothesis about the patient's self-system. In addition, the possible harmful effects of aggressive confrontation and interpretation are stressed and suggestions made to minimize the possibility that such interventions are experienced by the patients as staff assaults.
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