IJSP Number 1, 2019

37 Beyond all of these causes which refer in a great extent to the therapist, a large range of disorders brought by the clients in therapy can become major causes of the therapeutic relation’s dysfunction with these clients. The clients’ inner universe with major disorders can significantly affect the therapeutic relationship Clients with severe personality disorders and implicitly behaviour ones, will create and recreate during therapies, multiple crisis situations and the relations between the two of them, therapist and client will suffer a lot, often being interrupted or questioned during these challenges. Borderline personality disorder (BPD) is for sure the best example in this direction. First of all, these clients are very unease in their universe and the dominant feature is the ambivalence, which will determine contradictory attitudes on the client’s side, that the therapist -it is necessary to know / to be able to premeditate and to face them. So, these clients severely confront a strong, emotional instability, intense emotions and among them fury is prevalent, always being on the verge of threatening the therapeutic relationship or to interrupt therapy. Therapists who work with such clients live a continuous challenge. The coordinators of the paper work named “Severe Personality Disorders”- B. van Luyn, S. Akhtar, W. J. Livesley mention that these clients “generate strong transfer reactions” [3]. Therapists become related to these clients, accusers and, not being objective anymore, they re-put these ones in a contact with the old negative patterns of their life [8]. The mentioned authors refer to the fact that the patients with borderline disorders generate the same countertransfer reactions in their therapists, regardless of the therapeutic approach and that’s why many therapists avoid this category of clients, proving strong negative feelings of fear, repulsion and resentments. This fact is often underlined by the suicide inclination of these clients or by holding over with suicide [9]. In the same frame of severe disorders we meet the narcissist personality disorder (NPD). The therapeutic relationship is a difficult one, also in their case; they have an aggressive and even violent potential when their dissatisfaction reaches a high rate. First of all, the attitude of these clients is a reluctant one, the one which opposes to change. Working with them means to face the ambivalence and their „fight for power” also. Most patients “doubt the therapist’s quality, they are arrogant or expect a preferential treatment” [10]. The therapist will set and hardly maintain an emotional connection and this fact can generate anxiety in the therapist, which will reflect in the relationship between the two of them. The patients’ behaviours of the with a passive- aggressive (negative) personality disorder is or can also be a challenge for many therapists, as this is characterized, among others, by a conflict with the authority, the therapist being in this case „the authority”.