This text investigates the complex interpersonal dynamics inherent in the clinical treatment of patients diagnosed with borderline personality disorder. Authors David L. Dawson and Harriet L. MacMillan utilize their clinical expertise to examine the specific challenges practitioners face when managing the therapeutic alliance. The book presents a structured framework for navigating the intense emotional transference and countertransference that often characterize these clinical interactions, aiming to improve patient outcomes through stabilized relationship management.

Clinicians and students of psychotherapy frequently cite this work as a practical resource for managing the high-intensity nature of borderline personality disorder treatment. Experts highlight the text for its clear, clinical focus on the relational mechanics that often dictate the success or failure of therapeutic interventions.