Handling suicidal crises in psychodynamic psychotherapy: A process case study.
J Clin Psychol
; 75(5): 846-858, 2019 05.
Article
en En
| MEDLINE
| ID: mdl-30817004
The core characteristics of patients with a borderline personality disorder (BPD) affect the therapeutic relationship and frequently lead psychodynamic therapists to adapt interventions to manage crises. This study aims to increase knowledge of how such crises affect the therapeutic process. Using her therapist's notes, combined with the Psychotherapy Process Q-Set, we studied the therapeutic process of the first 44 therapy sessions of a female BPD patient with many depressive-like symptoms, including a disruptive period that included hospitalization. We found marked differences between different phases of therapy (before a crisis, acute disorganization, hospitalization, and back to the consulting room). The analysis suggests that a crisis and hospitalization may occur without necessarily damaging the therapeutic process. The therapist's ability to tolerate aggression, to explore and contain suicide wishes and behaviors, and to flexibly adapt techniques to patient needs, are among the therapeutic attitudes and behaviors that can help restore an effective psychodynamic process.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Suicidio
/
Trastorno de Personalidad Limítrofe
/
Procesos Psicoterapéuticos
/
Trastorno Depresivo
/
Psicoterapia Psicodinámica
/
Hospitalización
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Clin Psychol
Año:
2019
Tipo del documento:
Article
País de afiliación:
Brasil
Pais de publicación:
Estados Unidos