Terminating a therapeutic relationship can be a challenging phase with patients suffering from borderline personality disorder. Despite the critical importance of the termination phase, the proportion of psychotherapy literature devoted to the demands and challenges of this phase is small. This paper describes a mentalization-based approach to detect and intervene against such challenges. It is proposed that termination challenges, while operating through overlapping and interactive mechanisms, can be attributed to (1) patient factors, (2) therapist factors, and (3) therapeutic relationship factors. The paper has clinical implications and suggests that the aim of enhancing mentalizing capacities should include mentalizing the often complicated and mixed feelings associated with separation and loss of the therapeutic relationship. To facilitate this process, we propose the use of a “termination formulation”, in which patients’ outcomes and future goals are recapitulated in the termination phase of mentalization-based therapy.

中文翻译：

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终结的能力：终止基于心理化的边缘型人格障碍疗法

对于患有边缘型人格障碍的患者，终止治疗关系可能是一个具有挑战性的阶段。尽管终止阶段至关重要，但致力于该阶段需求和挑战的心理治疗文献的比例很小。本文描述了一种基于心理化的方法来检测和干预此类挑战。有人提出，终止挑战虽然通过重叠和交互机制起作用，但可归因于 (1) 患者因素、(2) 治疗师因素和 (3) 治疗关系因素。该论文具有临床意义，并建议提高心理化能力的目标应该包括心理化与分离和失去治疗关系相关的复杂和复杂的感觉。