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THIS PAPER HAS DEVELOPED OUT of a study I have been making of my own analytic work and the work of supervisees with some difficult patients, most of whom would be diagnosed as borderline character disorders, in order to gain a more articulated understanding of how one might do more effective therapy with such patients.1
The paper2. is divided into two sections. Part I was first presented at the VI International Forum of Psychoanalysis2. The major focus is on the therapeutic use of countertransference data in working with borderline patients. In Part II, which was written in response to questions which were raised by colleagues concerning the exclusive use of non-interpretative interventions in the case material presented, the major focus is on the possible damaging effects on the border-line patient of interpretations which aim to convey insight. Alternative interventions and strategies facilitating ego-maturational processes will be discussed.
I have been especially interested in the therapeutic leverage that might be gained from understanding the relationship between the patient's transference projections and that component of the analyst's countertransference which is generated by such projections. I