Book excerpt: Object relations theory has been useful in understanding borderline personality disorder, and from this theoretical orientation have emerged effective approaches to its treatment. However, treatment based on the object relations model has tended to emphasize only the structural and technical facets of the psychotherapy enterprise, i.e., the frame of therapy, therapeutic neutrality, and interventions strategies, etc. In Another Chance to Be Real, Donald and Deanda Roberts argue that the incorporation of attachment theory and research enhances the effectiveness of treatment by expanding the clinical focus to include relational and process factors.