Long-term psychodynamic psychotherapy features of borderline personality disorder
Abstract
We analyzed the communication features of 12 patients with borderline personality disorder during long-term psychodynamic psychotherapy. A high sensitivity in the relationships between patients and a psychotherapist and also sudden patients’ mental changes during analytical sessions were revealed. These features are considered to be the possible traps for a psychotherapist in a way making a therapy rather difficult. Regression states arising in patients during analytical sessions which reach the level of «basic deficiency» are described. In these cases the therapy’s efficiency proved to be connected with psychotherapist’s ability for psychological regress to the patients’ mental level. We substantiated the necessity of the psychotherapist for being ready to form a countertransference which includes a response to emergence of different alters in the dissociate patients’ states.
About the Authors
T. P. Korolenko
Novosibirsk State Medical University
Russian Federation
Russian Federation
T. A. Shpiks
Novosibirsk State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Korolenko T.P., Shpiks T.A. Long-term psychodynamic psychotherapy features of borderline personality disorder. Journal of Siberian Medical Sciences. 2018;(3):20-30. (In Russ.)
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