

Borderline Desire
Borderline Desire
Book • 1996
In this clinical paper, Bollas explores the dynamics of desire and destructiveness in borderline patients, drawing on clinical vignettes and psychoanalytic theory.
He examines how primitive defenses and unmet developmental needs shape patients’ relational patterns and therapeutic challenges.
Bollas emphasizes the analyst’s receptivity to unconscious communications and the importance of understanding non-verbal and pre-symbolic expressions.
The paper contributes to the literature on working with patients who are difficult to reach by highlighting subtle clinical signals and therapeutic stance.
It remains influential for clinicians seeking nuanced approaches to severe character and relational disorders.
He examines how primitive defenses and unmet developmental needs shape patients’ relational patterns and therapeutic challenges.
Bollas emphasizes the analyst’s receptivity to unconscious communications and the importance of understanding non-verbal and pre-symbolic expressions.
The paper contributes to the literature on working with patients who are difficult to reach by highlighting subtle clinical signals and therapeutic stance.
It remains influential for clinicians seeking nuanced approaches to severe character and relational disorders.
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Recommended in the episode description as relevant reading on clinical practice with difficult-to-reach patients.

A Candidate Engages Patients Who are 'Difficult to Reach' with Pamela Polizzi, LCSW (New York)


