Object relations development and psychotherapy dropout in borderline outpatients.

Used Rorschach object relations measures to identify patterns of object representations in borderline outpatients that would distinguish those at risk for premature termination from those likely to continue in expressive psychodynamic psychotherapy. Existing data from the Borderline Psychotherapy Research Project (O. Kernberg et al, 1989) were used. Ss were 12 women, aged 21–39 yrs, with borderline personality disorder. Ss who dropped out showed a predominance of narcissistic themes in their Rorschach responses at the outset of treatment, as scored by the Rorschach Separation-Individuation Scale (S-I Scale), and produced almost 4 times as many narcissism as rapprochement themes on the S-I Scale as Ss who continued treatment. Overall findings lend support to the salience of developmental themes related to separation-individuation within the population of borderline patients. (PsycINFO Database Record (c) 2011 APA, all rights reserved)