Abstract

Transference-focused psychotherapy (TFP) will include more family contact than would be expected in a traditional psychoanalytic treatment. The TFP assessment process will include family involvement if the patient is dependent on family support in any significant way. The TFP therapist’s meeting with the patient and family will include psychoeducation about personality disorders and an explanation about the central tenets of TFP. Many families will benefit from a clear discussion of the uses and limitations of pharmacotherapy for personality disorder symptoms. Family involvement is a helpful risk management tool, particularly for clinicians working with patients with active suicidality. The TFP therapist will remain vigilant about expectable splitting that can occur between the family members and the members of a treatment team.

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