When the Therapist Falls Asleep During Session

I dozed off for about ten seconds during a session today. Over the last 30 years, this has happened to me three times that I recall. The first time was with an elderly client, benignly psychotic but disengaged from the therapeutic process; briefly dozing made me realize I’d come to feel that I couldn’t help… Continue reading When the Therapist Falls Asleep During Session

Transference: Uses and Abuses

A visitor to the site submitted several questions about transference in response to an earlier post, and I thought they were so interesting and useful, they deserved a lengthy reply — hence today’s post. As a prelude, I’d like to say a few things about how I view the transference, which is different from the… Continue reading Transference: Uses and Abuses

Rage and Entitlement in Borderline Personality Disorder

In working with people who suffer from borderline personality disorder, you may often feel deeply hostile toward your clients; you need to use that feeling to understand their murderous rage, their inability to tolerate frustrate and their desire to take over and possess you.