Transference Focused Psychotherapy with Richard Hersh, MD-TFP Video

Video Transcription

Video Summary

In a webinar organized by the American Academy of Addiction Psychiatry, Dr. David Stifler introduces Dr. Richard Hirsch, a specialist in transference-focused psychotherapy (TFP) at Columbia University. TFP is developed for patients with borderline personality disorder (BPD) and focuses on personality pathology along a continuum of disorders. This evidence-based treatment emphasizes a structured approach, including a detailed treatment contract and structural interviews aimed at assessing personality organization. Dr. Hirsch discusses the fundamental principles of TFP, such as transference analysis, interpretation, and monitoring of countertransference.<br /><br />The seminar highlights the adaptation and application of TFP beyond extended psychotherapy, particularly in short-term acute and medical settings. The principles of TFP, which include understanding personality pathology, monitoring communication channels, and resolving affective experiences, are seen as beneficial in these settings. Moreover, TFP can serve as a risk management tool, enhancing clinical outcomes and reducing stigma around treating personality disorders.<br /><br />Dr. Hirsch also addresses applying TFP principles in pharmacotherapy, using a case vignette of a patient with co-occurring psychiatric symptoms, emphasizing diagnosis sharing and goal setting. Furthermore, the presentation handles inquiries regarding integrating TFP with other therapies, cultural sensitivity, and the importance of meaningful activity in treatment, reflecting TFP’s adaptability across different clinical scenarios. The session concludes with community appreciation and an announcement of future webinars, focusing on handling challenging patient interactions.

Keywords

Transference-Focused Psychotherapy

Borderline Personality Disorder

Personality Pathology

Structured Approach

Transference Analysis

Countertransference

Risk Management

Pharmacotherapy

Cultural Sensitivity

Clinical Outcomes

Diagnosis Sharing

Personality Disorders

	The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.		400 Massasoit Avenue Suite 108 East Providence, RI 02914 cmecpd@aaap.org Privacy	About Advocacy Membership Fellowship Education and Resources Training Events