Greenberg

BORDERLINE

NARCISSISTIC

SCHIZOID

MAJOR FEARS

Abandonment

Smothering

Humiliation

Loss of status

Isolation, vanishing

Enslavement/engulfment

MAJOR DEFENCES

Splitting, Denial, Projection, Projective Ident-ification, Acting Out, Clinging and Distancing

Grandiosity, Devaluing, "One-mindedness", Seeking validation and mirroring

Distancing, Elaborate false self, Splitting off thinking from feeling, Use of fantasy

TRANSFERENCE

"You're my good mummy"

"You're my bad mummy"

"I hate you/Don't leave me"

Mirroring: "I am perfect"

Idealising: "You are perfect"

Twinship: "We are perfect and alike"

"You are untrustworthy and will leave me no room to be me" vs

"I fantasise you as good mother/beloved"

COUNTER-TRANSFERENCE

Need to rescue vs overwhelmed.

"Go away. Mummy's busy."

Self doubt, boredom, rage, fear of their rage, envy, narcissistic injury.

Am I trustworthy?"

Dehumanised, unseen.

Impatient at slow progress, frustrated.

VIEW OF SELF

Helpless victim

Caretaker

Unlovable

Special and entitled

Inferior and worthless

Outsider, alien

Independent and self-sufficient

Little needy baby

VIEW OF OTHERS

Potential caretakers

Someone to take care of in exchange for love

Gods or servants

Untrustworthy, Sadistic

Mother or Beloved

TYPICAL RELATIONSHIP

Co-dependent, intense pair bonding, dramatic ups and downs

Series of shallow relationships with little intimacy based on need for admiration or conquest.

Few close friends, a loner. Occasional intense relationship where allows self to be exploited in order to avoid isolation.

MAJOR THERAPEUTIC INTERVENTION

Name acting out

Verbalise instead of avoiding emotions

Provide optimum frustration

Gentle mirroring interpretations

Empathic stance

"A spoonful of sugar"

Teach self-soothing

Explain source of highs and lows

Interpret schizoid dilemma (closeness leads to enslavement, isolation leads to despair). Avoid directive comments and "mind-reading"

	BORDERLINE	NARCISSISTIC	SCHIZOID
MAJOR FEARS	Abandonment Smothering	Humiliation Loss of status	Isolation, vanishing Enslavement/engulfment
MAJOR DEFENCES	Splitting, Denial, Projection, Projective Ident-ification, Acting Out, Clinging and Distancing	Grandiosity, Devaluing, "One-mindedness", Seeking validation and mirroring	Distancing, Elaborate false self, Splitting off thinking from feeling, Use of fantasy
TRANSFERENCE	"You're my good mummy" "You're my bad mummy" "I hate you/Don't leave me"	Mirroring: "I am perfect" Idealising: "You are perfect" Twinship: "We are perfect and alike"	"You are untrustworthy and will leave me no room to be me" vs "I fantasise you as good mother/beloved"
COUNTER-TRANSFERENCE	Need to rescue vs overwhelmed. "Go away. Mummy's busy."	Self doubt, boredom, rage, fear of their rage, envy, narcissistic injury.	Am I trustworthy?" Dehumanised, unseen. Impatient at slow progress, frustrated.
VIEW OF SELF	Helpless victim Caretaker Unlovable	Special and entitled Inferior and worthless	Outsider, alien Independent and self-sufficient Little needy baby
VIEW OF OTHERS	Potential caretakers Someone to take care of in exchange for love	Gods or servants	Untrustworthy, Sadistic Mother or Beloved
TYPICAL RELATIONSHIP	Co-dependent, intense pair bonding, dramatic ups and downs	Series of shallow relationships with little intimacy based on need for admiration or conquest.	Few close friends, a loner. Occasional intense relationship where allows self to be exploited in order to avoid isolation.
MAJOR THERAPEUTIC INTERVENTION	Name acting out Verbalise instead of avoiding emotions Provide optimum frustration	Gentle mirroring interpretations Empathic stance "A spoonful of sugar" Teach self-soothing Explain source of highs and lows	Interpret schizoid dilemma (closeness leads to enslavement, isolation leads to despair). Avoid directive comments and "mind-reading"