ABSTRACT

This chapter discusses the effectiveness of low-frequency Kleinian psychoanalysis in building a therapeutic process with a borderline patient. In working towards analytic contact, psychic phantasy is regarded as the core element of the transference and insight as the ongoing and evolving achievement of its working through. If the patient is able and willing to interact to some degree in these ways, a therapeutic process of analytic contact has been established. If this contact can be sustained over a period of time there is hope of learning, change, and integration, and mastery. Much more important than frequency or use of couch, this research highlights the crucial variables as free association, resistances, defences, interpretation, containment, and working through of various self object transference and phantasy states. Hopefully, these interpretations of transference, defence, and phantasy lead to a slow pattern of change and the experience of choice instead of psychic scarcity.