En integrerende kreds: Miljøterapi for borderlinepatienter

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Abstract
The problems with the acute traumatized borderline patient are described and the psychoanalytic literature is reviewed. The tendency for the patient to externalize his inner splittings thereby creating splittings in the ward staff is underlined. The author describes how projections and projective identifications are the mechanisms behind the splitting, and how this understanding can be used to reverse the process. Projected parts of the patient's self can be rendered back by the different staff members in a modified version. The preconditions are that the splittings are allowed to manifest and that the response is many-sided. It is important to avoid too early agreements on a joint attitude, as this may increase disintegration and anxiety in the patient. By means of such a mirroring process the patient is given the chance to restore his inner self and object-world and thereby to regain his vitality.

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