The author questions the concept of a therapeutic alliance in the
psychotherapy of patients with borderline and narcissistic personality
disorders. The motivating elements in their treatment are the emerging,
sustaining transferences, which also allow the patients to appreciate the
real qualities of their therapist. As they internalize aspects of their
interactions with the therapist, including the therapist's real
characteristics that are lacking in themselves, the patients gradually
develop the capacity to work collaboratively with him or her. When a solid
therapeutic alliance is established, the patients have reached a neurotic
level of functioning.
Abstract Teaser