Psychoterapy of the Borderline Adult. Masterson, James, MD.Sintese por Andre Barreto. Introducao. Pequeno historico de como o conceito de Limitrofe se tornou um conceito substancial na pratica psicoterapeutica. Antes dos anos 70, estas disfuncoes eram erroneamente tratadas como neuroses caracteristicas da fase edipiana, ou entre a neurose e a psicose.Descricao de casos.pag.3. Reward from regression, Withdraw from individuation.Review of the literature.pag.13. Frosch: The problem is the self-non self differentiation., of maintaining differentiation. Loss of self x loss of object.pag.18. / Kernberg s Theory of normal development. 4 estagios .pag.20./ Margareth Mahler and the role of the libidinal availability of the mother.pag.23.Masterson s approach. Papel da mae no desenvolvimento normal da crianca.pag.29 a 33./ Papel do pai: pag.34 a 37./ O que acontece de errado neste desenvolvimento: Mae: pag.37./ os 6 cavaleiros do apocalipse: Depressao, raiva, medo, culpa ( reacao introjetada da mae em relacao a crianca, agora e internalizada e direcionada contra a propria pessoa). , vazio e vacuo (O feeling good que vai se erotizar e romantizar na fase edipiana nao se desenvolve- The mother s negative attitudes that leaves the patient devoid, or empty, of positive, supportive introjects)) ,passividade e desesperanca.. Pag.38 a 42. Defesas contra esses sentimentos (de abandono).pag.42. Fixacao na fase de aproximacao.pag.43./ Papel do pai, que reforca o problema.pag.44.Descricao sintomatica do problema ao longo da vida: Infancia, adolescencia e adulto.pag.48 a 50. Stress de separacao:51 a 54. stress de individuacao.50. Masterson: Adolescent Borderline: The adolescent is caught between the past and the future, between childhood and adulthood, just as the infant is caught between a symbiotic relationship and autonomy.Page 48. Strugggle for independence and an intensified, anxious urge to remain under the maternal protection.Masterson: Adult borderline: Difference between borderline state and clinical borderline syndrome. Borderline state is adapted to a life style that conceals his avoidance of individuation. He takes jobs beneath his potencial while living near from the person to whom he is clinging.Pag.50.Individuation stress:Events that signalize normal progress in life: Leaving home for school, going away to camp, to college, graduating from college, starting a career, getting married, becoming a parent, being promoted at work.50.Separation Stress: Threat to the clinging relationship. Death, divorce, etc.Split defense: Kernberg: 4 estagios de desenvolvimento das imagens de self-objeto boas( libidinally gratifing or rewarding) e mas (frustrating and painfull pychophisiological states). During stage 4 ( entre 20 e 30 meses de idade), good and bad self images coalesce into an integrated self-concept. Affects become integrated. Good and bad inside me x good and bad inside mammy. Pathologic persistence of the primitive defense of splitting. Failure of development of an integrated self-concept, development of contradictory character traits in relation to contradictory ego states, resulting in chaotic interpersonal relationships.Page 22.Split defense, part 2: Superego integration suffered as a result of failure of the guiding function of an integrated ego identity with persistent contradiction between exaggerated ideal self images and extremely sadistic all-bad superego forerunners.Defesa do Split ego . WORU, RORU..pag.57-58. Personalidade bipartida nao integrada, que normalmente e suplantada pela integracao do ego, no processo normal de desenvolvimento.: Uma boa(Libidinal/RORU) e outra ma(distante