Navigating Countertransference in Borderline Personality Disorder: — A Narrative Review

Nur Hasanah Nurmirafudin and Afidatul Hanim Binti Abdul Razak
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Nur Hasanah Nurmirafudin: Psychiatry and Mental Health Department, International Islamic University Malaysia
Afidatul Hanim Binti Abdul Razak: Psychiatry and Mental Health Department, International Islamic University Malaysia

International Journal of Research and Innovation in Social Science, 2025, vol. 9, issue 4, 3943-3948

Abstract: Borderline Personality Disorder (BPD) is frequently linked with intricate and intense countertransference (CT) responses, which, if unrecognised or mishandled, could jeopardize therapeutic efficacy and the solidity of the therapeutic alliance. This narrative review critically examines current literature on countertransference in the treatment of BPD, focusing on its manifestations, contributing factors, and clinical implications. It underscores the importance of therapists’ self-awareness, supervision, and the integration of structured therapeutic frameworks such as Transference-Focused Psychotherapy (TFP) and Mentalization-Based Therapy (MBT) in managing CT. Adequate management of countertransference not only protects therapists’ emotional well-being but also heighten the therapeutic alliance and improves patient engagement. This review highlights the necessity of addressing countertransference to optimize psychotherapy for individuals with BPD and suggests directions for future research in this area.

Date: 2025
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