Transitional objects, transitional phenomena, and transitional relatedness are concepts that can be helpful both in clarifying normal aspects of development and in understanding individuals with borderline personality disorder. Valued objects of childhood and the mature interests of adulthood are useful in providing soothing comfort and feelings of self enhancement. Individuals with borderline personality disorder may use childhood transitional objects or pathologic transitional phenomena to soothe or comfort themselves. Nurse therapists can learn to both recognize these types of phenomena and apply this awareness in their therapeutic interactions to help explore traumatic past events, current insecurities, and new self-soothing methods, and thereby enhance treatment efficacy.
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References
1.
Adler, G. (1993). The psychotherapy of core borderline psychopathology. American Journal of Psychotherapy, 47, 194-205.
2.
Adelman, S. A. (1985). Pills as transitional objects: A dynamic understanding of the uses of medication in psychotherapy. Psychiatry, 48, 246-253.
3.
Arkema, P. H. (1981). The borderline personality and transitional relatedness. American Journal of Psychiatry, 138, 172-177.
4.
Benedek, D., & Labbate, L. (1995, May). Bedside stuffed animals and borderline personality disorder. Paper presented at the meeting of the American Psychiatric Association, Miami, FL.
5.
Cooper, S., & Adler, G. (1990). Toward a clarification of the transitional object and self-object concepts in the treatment of the borderline patient. Annual of Psychoanalysis, 18, 133-152.
6.
Cooper, S., Perry, J., & Hoke, L. (1985). Transitional relatedness and the borderline personality disorder. Psychoanalytic Psychology, 2, 114-128.
7.
Eagle, M. N. (1984). Recent developments in psychoanalysis: A critical evaluation. Cambridge, MA: Harvard University Press.
8.
Fintzy, R. T. (1971). Vicissitudes of the transitional object in a borderline child. International Journal of Psycho-Analysis, 52, 107-114.
9.
Giovacchini, P. L. (1984). The psychoanalytic paradox: The self as a transitional object. Psychoanalytic Review, 71(1), 81-104.
10.
Greenacre, P. (1969). The fetish and the transitional object. Psychoanalytic Study of the Child, 24, 144-163.
11.
Greben, S. (1988). The place of transitional objects in the psychotherapeutic relationship. In P.C. Horton, H. Gerwirtz & K. J. Kreutter (Eds.), The solace paradigm: An eclectic search for psychological immunity (pp. 427-448). Madison, CT: International Universities Press, Inc.
12.
Hickey, B. A. (1983). Transitional relatedness and engaging the regressed borderline client. Journal of Psychiatric Nursing and Mental Health Services, 21(2), 26-30.
13.
Horton, P. C. (1976). The psychological treatment of personality disorder. American Journal of Psychiatry, 133, 262-265.
14.
Horton, P. C., Louy, J. W., & Coppolillo, H. P. (1974). Personality disorder and transitional relatedness. Archives of General Psychiatry, 30, 618-622.
15.
Jacobson, J. (1988). Speculations on the role of transitional objects in eating disorders. Archives of Psychiatric Nursing, 2, 110-114.
16.
Johansen, K. (1983). Single case study: Transitional experience of a borderline patient. The Journal of Nervous and Mental Disease, 171(2), 126-128.
17.
Kafka, J. S. (1969). The body as transition object: A psychoanalytic study of a self-mutilating patient. British Journal of Medical Psychology, 42, 207-212.
18.
Kahne, M. J. (1967). On the persistence of transitional phenomena into adult life. International Journal of Psycho-Analysis, 48, 247-258.
19.
Kernberg, O. (1975). Borderline conditions and pathological narcissism. New York, NY: Jason Aronson Inc.
20.
Mahler, M. S. (1986). On the first three subphases of the separation-individuation process. In P. Buckley (Ed.), Essentialpapers on object relations (pp. 222-232). New York, NY: University Press. (Original work published 1972.)
21.
Modell, A. H. (1963). Primitive object relations and the predisposition to schizophrenia. International Journal of Psycho-Analysis, 44, 282-292.
22.
Morris, H., Gunderson, J. G., & Zanarini, M. C. (1986). Transitional object use and borderline psychopathology. American Journal of Psychiatry, 12, 1534-1538.
23.
Rinsley, D. B. (1977). An object-relations view of borderline personality. In P. Hartocollis (Ed.), Borderlinepersonality disorder: Thbe concept, the syndrome, the patient (pp. 47-70). New York, NY: International University Press Inc.
24.
Sansone, R.A., Fine, M.A., & Mulderig, J.K. (1991). An empirical examination of soothing tactics in borderline personality disorder. Comprehensive Psychiatry, 32, 431-439.
25.
Sebastian, L. (1991). Promoting object constancy: Writing as a nursing intervention. Journal of Psychosocial Nursing, 29(1), 21-23.
26.
Silk, K. (1995, May). Transitional objects and borderline personality. Paper presented at the meeting of the American Psychiatric Association, Miami, FL.
27.
Silver, D., Glassman, E., & Cardish, R. (1988). The assessment of the capacity to be soothed: Clinical and methodological issues. In P.C. Horton, H. Gerwirtz &K. J. Kreutter (Eds.), 7Te solaceparadigm: An eclectic search for psychological immunity (pp. 91-119). Madison, CT: International Universities Press, Inc.
28.
Sugarman, A., & Kurash, C. (1982). The body as a transitional object in bulimia. International Journal of Eating Disorders, 1(4), 57-67.
29.
Tolpin, M. (1971). On the beginnings of a cohesive self: An application of the concept of transmuting internalization to the study of the transitional objects and signal anxiety. Psychoanalytic Study of the Child, 26, 316-351.
30.
Turner, J. (1983). Transitional objects: Some developmental considerations. The Journal of The Melanie Klein Society, 1(1), 51-64.
31.
Winnicott, D. W. (1986). Transitional objects and transitional phenomena: A study of the first not-me possession. In P. Buckley (Ed.), Essential papers on object relations (pp. 254-271). New York, NY: University Press. (Original work published 1953.)
