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P-923 - Going Beyond the Pathology/symptom Oriented Treatments of Borderline Personality Disorder

Published online by Cambridge University Press:  15 April 2020

Y. Ishizuka*
Affiliation:
Lifetrack/Independent Private Practice, Rye, NY, USA

Abstract

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Objective

In contrast to prevailing pathology/symptom targeted treatements, Lifetrack therapy targets underlying Borderline Personality directly, through ‘Breakthrough Intimacy’ - closeness between committed couples far greater than their previous maximum experiences, without drugs, and often within 6 months - transforming borderline personality into a positively well-adjusted personality.

Method

Lifetrack therapy works with couples (the patient, his/her partner in life) bringing them far closer than their previous maximum level, guided by their own daily self-rating on 41 parameters, that allow accurate graphic tracking via Internet of subtle changes in their personalities during each therapy session. This approach frees the therapist from transference (counter-transference) issues, which is the principal obstacle in treatment of borderline personality disorder. Working in three-way teamwork, the therapist actively helps the couple to achieve closeness far greater than their previous maximum level, overcoming waves of defense (spikes of anxiety, anger, physical-symptoms, depression, and psychosis) until it disappear by exhaustion, usually without medications, as couples undergo personality transformation.

Results

The patients typically go through four distinct stages in the process of personality transformation, with stage-IV representing complete transformation. Of the 224 BPD diagnosis confirmed patients, 34% reached stage-IV, 16% reached stage-III, and 14% reached stage-II at the time of termination. 15% improved without going through typical four stages. However, 11% remained in stage-I and 16% remained in stage-0 at the time of termination. Patients with partners did 10 times better than singles (in improvement beyond their previous maximum adjustment levels according to their self assessment).

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Copyright
Copyright © European Psychiatric Association 2012
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