2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Borderline problems in therapy
Both the neurotic and the borderline
there are border problems.
But if for a neurotic this is a problem
sensitivity to the boundaries of your Self, then for the border guard - to the borders of the Other.
I have already written many times in my previous articles about the fundamentally different phenomenology of clients with neurotic and borderline personality organization, which I call metaphorically, as clients "I want" and clients "I need". (See my articles: "Such different therapy: the client" I want "and the client" I must "," Between the "I must" and "I want", etc.)
In this short article I want to outline some of the differences in their therapy, in particular, to point out the specifics of working with the boundaries of the Self in the above clients.
Obviously, both neurotic and borderline clients clearly have borderline problems. The only difference is that for neurotics it is a problem of sensitivity to their own boundaries, and for border guards - to the boundaries of the Other.
The challenge in therapy for both is learning to deal with boundaries. However, for each of the selected groups, this task will be solved in its own way.
For neurotically organized clients (Clients "It is necessary") in the therapeutic process, it is necessary to learn to meet the reality of their own I - its needs, desires, feelings, learn to recognize them, accept and defend the essence of their I and its boundaries as an undeniable value. And this requires a lot of sensitivity, tenderness, empathy, acceptance, experimenting with boundaries and support from the therapist.
For clients with a border personality organization (clients "I want") in therapy, it is necessary to create conditions for the appearance in their psychic reality of the Other, as other, reality I of another person, with his values, feelings, desires, experiences … Here the psychotherapist will have to work a lot "on the border of contact", actively present himself, as the Other, in therapeutic contact. In such work, it becomes relevant to use such techniques as frustration, confrontation, active presentation of the therapist with his experiences and his own boundaries, the therapist's demonstration of examples of maintaining and protecting his professional and personal boundaries in therapy.
It is necessary to build a therapeutic setting in different ways with the selected categories of clients.
For clients with borderline personality organization, it is necessary to delineate the boundaries of therapy more clearly, firmly, and sometimes even more rigidly. Here you will have to constantly monitor all possible violations of the therapeutic boundaries - omissions, delays, transfers, payments, etc. In many ways, the therapy of the borderline client will be the therapy of discovering and respecting the boundaries of another person.
For a neurotic client, this will be a therapy for opening the reality of his I, getting to know the content of my I and developing the ability to defend its boundaries. And this experience can initially be obtained in the space of a therapeutic relationship, in contact with a therapist.
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