O uso de métodos empíricos para formulação de caso: a contribuição do CCRT na avaliação de uma paciente borderline / The use of empirical methods for case formulation: the contribution of CCRT to the assessment of a borderline pacient

A formulação psicodinâmica é uma narrativa descritiva sobre a natureza e a etiologia dos problemas psíquicos do paciente que serve para orientar o tratamento e nortear a avaliação da mudança. Neste artigo, apresenta-se Core Conflictual Relationship Theme (Tema Central de Conflitos nos Relacionamentos; CCRT) CCRT e ilustra-se a sua aplicabilidade para sistematizar a formulação psicodinâmica de caso. Para isso, foram analisadas as três sessões iniciais de uma psicoterapia de uma paciente com transtorno de personalidade borderline. Discute-se as vantagens da aplicação do CCRT para sistematizar a formulação diagnóstica no contexto do ensino, da pesquisa e da prática clínica. Este estudo integra um projeto maior "A personalidade borderline e seu impacto nos processos de vinculação e mudança em psicoterapia psicanalítica", aprovado pelo Comitê de Ética em Pesquisa (CEP 14/184).(AU)

The psychodynamic formulation is a descriptive narrative about the nature and etiology of the patient's psychological problems that serves to guide the treatment and guide the assessment of change. In this article, Core Conflictual Relationship Theme is presented (CCRT) CCRT and its applicability to systematize the psychodynamic formulation of the case is illustrated. For this, the initial three sessions of psychotherapy of a patient with borderline personality disorder were analyzed. The advantages of applying the CCRT to systematize the diagnostic formulation in the context of teaching, research and clinical practice are discussed. This study is part of a larger project "The borderline personality and its impact on the processes of attachment and change in psychoanalytic psychotherapy", approved by the Research Ethics Committee (CEP 14/184).(AU)

La formulación psicodinámica es una narración descriptiva sobre la naturaleza y etiología de los problemas psicológicos del paciente que sirve para guiar el tratamiento y guiar la evaluación del cambio. En este artículo, se presenta el tema de relación de conflicto central (CCRT) CCRT y se ilustra su aplicabilidad para sistematizar la formulación psicodinámica del caso. Para esto, se analizaron las tres sesiones iniciales de psicoterapia de un paciente con trastorno límite de la personalidad. Se discuten las ventajas de aplicar el CCRT para sistematizar la formulación diagnóstica en el contexto de la enseñanza, la investigación y la práctica clínica. Este estudio es parte de un proyecto más amplio "La personalidad límite y su impacto en los procesos de apego y cambio en la psicoterapia psicoanalítica", aprobado por el Comité de Ética de Investigación (CEP 14/184).(AU)

Fear of Flying (fear of losing control): a case discussion

The paper examines the philosophy and technique of the Intensive Short Term Dynamic Psychotherapy(ISTDP) developed through empirical, video recorded research by Habib Davanloo, from 1960’s to 1990’s[1].It is rooted in classical psychoanalysis and focuses on uncovering unconscious mental processes. Yet, itis comprehensive and efficient to remove symptoms and demonstrate long lasting changes in patients inshort time. In ISTDP, experience of core emotions from the past are the transformative vehicle and thetherapist uses very active ways to unlock the unconscious and thereby bring about a lasting change in thepatient. ISTDP, has a very promising future and is being practiced across the world and has earnedrecognition for being scientific and a ‘here and now’ experiential therapy that brings about lasting changes.ISTDP defines each of these terms—feeling, anxiety, and defense—differently (triangle of conflict) and theunderstanding results in techniques and approaches that can often lead to a more rapid and effective level ofchange. The paper examines the vignette of a 29 years old woman, who developed a fear of flying. Her fearwas rooted in her childhood trauma of being abandoned and her repetitive pattern of abandoning her currentrelationships. Insights into her pattern using the ISTDP therapy, helped her to understand her panic attacksand her fear of flying was markedly reduced. Her relationships improved and she was able to see her internalconflicts and how it affected her marriage