311: Transference-Focused Psychotherapy

Course Description

Instructors

Frank Yeomans, M.D.
Diana Diamond, Ph.D.

March 3 – May 5, 2025
Mondays, 7:00 – 8:25 pm

No class: 4/14

Course Description

Transference-Focused Psychotherapy (TFP) is an evidence-based treatment for the severe personality disorders, particularly borderline and narcissistic personality disorders. TFP builds on a psychoanalytic object relations model. TFP combines a psychoanalytic approach with structure and limit-setting. The goals of the treatment are ambitious – personality change, as reflected in modifications in patients’ defensive structure and better functioning and satisfaction in their interpersonal and work lives, as well as symptom change. After taking this course, participants will improve their ability to treat patients with severe personality disorders. Third/fourth year students combined.

Course Objectives

Upon completion of this course, the participant will be able to:
1. describe the concept of psychological structure and its relation to the specific symptoms of personality disorders organized at the borderline level

2. outline the role of identity integration in treating personality disorders organized at the borderline level

3. utilize strategies, tactics and techniques of transference-focused psychotherapy in the clinical setting

Evaluation Method

Each student’s participation in class discussion and his or her demonstration of understanding of the course objectives and reading material is assessed in a written evaluation by the instructor(s).

Schedule of Classes & Course Readings

These articles are protected under relevant copyright regulations. They are available in the New York Psychoanalytic Society & Institute Electronic Reserve for your convenience, and for your personal use.

READINGS NOT YET CONFIRMED.

I.

CLASS 1: March 3, 2025
REQUIRED READINGS

Yeomans, F.E., Clarkin, J.F., & Kernberg, O.F. (2015). Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide. Washington, DC: American Psychiatric Publishing. [Read Chapters 1 and 2]

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Yeomans, F.E., Diamond, D. (2010). Transference-Focused Psychotherapy and Borderline Personality Disorder. In J.F. Clarkin, P. Fonagy, and G.O. Gabbard (Eds.), Psychodynamic Psychotherapy for Personality Disorders: A Clinic Handbook. Washington, DC: American Psychiatric Publishing.

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Kernberg, O. (1984). Structural Diagnosis and The Structural Interview. In Severe Personality Disorders. New Haven: Yale University Press. [Read Chapter 1]

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Kernberg, O. (1984). Structural Diagnosis and The Structural Interview. In Severe Personality Disorders. New Haven: Yale University Press. [Read Chapter 2]

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II.

CLASS 2:
REQUIRED READINGS

Freud, S. (1915). Observations on Transference-Love (Further Recommendations on the Technique of Psycho-Analysis III). The Standard Edition of the Complete Psychological Works of Sigmund Freud, 12:157-171.

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III.

CLASS 3:
REQUIRED READINGS

Caligor, E., Diamond, D., Yeomans, F.E. and Kernberg, O.F. (2009). The Interpretive Process in the Psychoanalytic Psychotherapy of Borderline Personality Pathology. J. Amer. Psychoanal. Assn., 57(2):271-301.

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IV:

CLASS 4:
REQUIRED READINGS

Diamond, D., Yeomans, F.E., & Levy, K. (2011). Psychodynamic psychotherapy for narcissistic personality disorder.  In K. Campbell and J. Miller (Eds.), The Handbook of Narcissism and Narcissistic Personality Disorder: Theoretical Approaches, Empirical Findings, and Treatment, (pp.. New York: Wiley.

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Diamond, D. and Hersh, R.G. (2020). Transference-Focused Psychotherapy for Narcissistic Personality Disorder: An Object Relations Approach. Journal of Personality Disorders, 34:159-176.

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V.

CLASS 5:
SUPPLEMENTAL READINGS

Clarkin, J.F., Levy, K.N., Lenzenweger, M.F., and Kernberg, O.F. (2007). Evaluating three treatments for borderline personality disorder. American Journal of Psychiatry, 164:922-928.

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Doering, S., Hoerz, S., Rentrop, M., et al. (2010). Transference-focused psychotherapy v. treatment by community therapists for BPD: randomized controlled trial. Brit J Psychiatry, 196:389-395.

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Kernberg, O.F. (2015). Narcissistic Defenses in the Distortion of Free Association and Their Underlying Anxieties. Psychoanal Q., 84(3):625-642.

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Levy, K.N., Meehan, K.B., Kelly, K.M., et al. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74(6):1027-1040.

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Levy, K.N., Clarkin, J.F., Yeomans, F.E., et al. (2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. Journal of Clinical Psychology, 62(4):481-501.

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Radcliffe, J. and Yeomans, F. (2019). Transference‐focused Psychotherapy for Patients with Personality Disorders: Overview and Case Example with a Focus on the Use of Contracting. British Journal of Psychotherapy, 35: 4-23.

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Yeomans, F. E., Delaney, J. C., & Levy, K. N. (2017). Behavioral activation in TFP: The role of the treatment contract in transference-focused psychotherapy. Psychotherapy, 54(3), 260–266.

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VI.

CLASS 6:
REQUIRED READINGS

VII.

CLASS 7:
REQUIRED READINGS

VIII.

CLASS 8:
REQUIRED READINGS

IX.

CLASS 9:
REQUIRED READINGS