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Drs. Gabbard and Horowitz Reply

To the Editor: We thank Dr. Schwaber for her thoughtful letter. We agree that locating the patient"s perspective is critically important in the psychotherapy of borderline personality disorder. Indeed, finding that perspective and validating its legitimacy is a cornerstone of both mentalization-based therapy and dialectical behavior therapy. In our article, we noted that transference interpretation of borderline personality disorder only works if the road has been paved with empathic validation of the patient"s point of view. Where we differ from Dr. Schwaber is that we think there needs to be an oscillation between finding the patient"s perspective and presenting an "outside" or alternative perspective to the patient, an essential component of mentalization-based therapy.

Footnotes

The authors’ disclosures accompany the original article.

This letter (doi: 10.1176/appi.ajp.2009.09050737r) was accepted for publication in June 2009.

Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Email this article to a Colleague Similar articles in this journal Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Articles by GABBARD, G. O. Articles by HOROWITZ, M. J. Articles by GABBARD, G. O. Articles by HOROWITZ, M. J. Psychodynamic Therapy

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