Alfred, a 40-year-old client seamlessly portrayed by Dutch actor Henk Grashuis, is an extremely challenging client who manifests significant Axis II issues. This solitary night receptionist struggles with suicidal ideation, anger, and a sense that he has been treated unfairly by his sister and ex-girlfriend—all of which is hidden behind a brittle defensiveness that could spark a strong countertransference reaction in many therapists. Kernberg patiently conducts an initial assessment interspersed with Transference-Focused Psychotherapy techniques, including diagnostic “structural interviewing” regarding symptoms, personality, degree of identity diffusion or integration, and reality testing.
Relational, analytic, and attachment-oriented, Kernberg attends to Alfred in an engaged yet neutral way that gradually allows him to speak with less caution, reveal a desire for connection, and commit to further therapy. Relentless in his commitment to his client, Kernberg graciously offers us a substantial primer on TFP that’s sure to leave you impressed and inspired.
Note: This video is part of a series, Three Approaches to Personality Disorder. The other two titles feature CBT expert Art Freeman and DBT pioneer Marsha Linehan conducting sessions with the same client.
By watching this video, you will:
- Learn the four principles of TFP’s “structural interview” model.
- Understand how a TFP therapist assesses for personality disorders and obtains commitment to therapy.
- Identify elements of TFP style and strategy to use with your own clients.
Length of video: 4:16:00
English subtitles available
Individual ISBN-10 #: 1-60124-364-2
Individual ISBN-13 #: 978-1-60124-364-5
Group ISBN-10 #: 1-60124-365-0
Group ISBN-13 #: 978-1-60124-365-2
Otto Kernberg, MD is the Director of the Personality Disorder Institute at the New York Presbyterian Hospital, Westchester Division, and Professor of Psychiatry at the Joan and Sandford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is also Training and Supervising Analyst of the Columbia University Center for Psychoanalytic Training and Research and is the Past-President of the International Psychoanalytic Association. He has received numerous awards for his excellence in Psychiatry and has authored or coauthored over twenty books.
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CE credits: 4.25
Learning Objectives:
- List the four principles of the TFP structural interview model
- Discuss how a TFP therapist assesses for personality disorders
- Apply the core elements of the TFP model with your own clients
Bibliography available upon request
This course is offered for ASWB ACE credit for social workers. See complete list of CE approvals here
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Course Reviewed January 2024
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