Mentalisation et psychothérapie chez le patient limite

Psychotherapy of borderline patients allows us to observe that often, the intense affects, the rage and the lack of good internal objects prevent the mentalization of object relations that are confined to acting-out. Moreover, mentalization deficiency inhibits the experience of relationships with a good object in the transference, which often jeopardizes the continuation of the treatment. It is argued that these dimensions of borderline pathology can be better worked out by closely adjusting therapeutic interventions to the patient's ability to mentalise psychological experiences, particularly with regards to positive transference. We explain our view that the capacity to mentalise in the transference a relationship with a good object is an indication of structural change.