This article reviews and integrates the previous articles anser centra
l concerns facing the field about the treatment of Patients with borde
rline personality disorder Since borderline is a heterogenous category
, various authors hare isolated treatment-relevant subgroups. One appr
oach to structuring treatment with these impulsive and chaotic patient
s is to begin with an explicit treatment contract. The choice of treat
ment tactics and techniques is related to the types of outcomes concep
tualized by the various orientations. Finally, the therapist training
needed to work with this patient population is examined.