chapter  5
26 Pages

Establishing a Therapeutic Alliance

The psychotherapy of the schizoid disorder of the self rests on the foundation of treatment principles that were established by Masterson (Masterson, 1972, 1976, 1981, 1983; Masterson & Hinsley, 1975) for the successful psychotherapy of the disorders of the self. The concepts Masterson describes are fundamental organizers of the psychotherapeutic process, and apply as much to the treatment of the schizoid disorders as they do to the borderline and narcissistic disorders. They are therapeutic neutrality, the therapeutic frame and stance, the concept of transference acting out and how this must be converted to therapeutic alliance, and countertransference and countertransference acting out. Masterson has made a unique contribution to understanding these principles and implementing the techniques.