Borderlines like being in the 'driver's seat'. Sometimes they will take information you shared with them - and turn it against you. A main issue with BPD is severe underlying abandonment. This makes it very difficult for them to develop trusting relationships. It is almost like they have a 'developmental lag' in being able to relate. This why it is important for the therapist to be consistent, but at the same time remain neutral and non-judgmental.  Using the approach of DBT, it is often helpful to work with other therapists simultaneously in addressing BPD issues.  In this way we can dilute the intensity for one therapist to deal with the constant demands of such clients. This week's video is: Turning the Tables on the Borderline client.

Therapist or Client? It is not uncommon for clients to try and take control of therapy as a way to protect themselves. We offered a role-play to show how the therapist can interrupt client attempts to stay in control. We discussed a case example: 'Father lectures his Kids'.  In addition, we followed up with our volunteer who PROCRASTINATES.

The intent of pdxi is to take away the client's underlying sense of loneliness and isolation. When treatment is successful in doing this, behavior will shift spontaneously. In Pdxi, we try not to offer solutions to the client's problems. Rather the focus is to help the client DISCOVER his own solutions. When this happens, he is more likely to follow through on his own idea. During the video, Dr. Kaplan did a live intervention with one of the participants who volunteered to see if Pdx could help him with his PROCRASTINATION.

Cranky time with Daddy

In effort to change kid, most therapy focuses on the parents

Aren't you mocking the client?!

Is Therapist willing to challenge his own limits?

When do we need parental permission?

Video - Reid Wilson - Mirroring client

Propaganda in psychology

PDXI influences therapist to grow too.

Learning about client by imitating their mannerisms

"I'm feeling left out..."

Case study: Helping client express anger toward therapist  

Many therapists are afraid of pdxi. Interventions often do not match what they assume therapy is supposed to be. In a counter-intuitive manner, pdxi does not focus on changing behavior. While behavior does shift as a secondary effect, the actual focus of pdxi is to strengthen the therapeutic attachment and alliance. To this degree pdxi comes off as illogical. However 90% of the method is based on the work of Carl  Rogers. A live video shows the power of creating a connection without having an overt agenda for the client (Gedolia) to change. We will discuss a case of how pdxi might be used to help stop a big brother from beating up his little brother.