关键词: alliance/therapeutic alliance grief mental imagery narcissistic personality disorder personality disorders

Mesh : Female Humans Adult Personality Disorders / psychology Psychotherapy / methods Narcissism Grief

来  源:   DOI:10.1002/jclp.23514

Abstract:
Experiential techniques can be used to address maladaptive interpersonal patterns in patients with personality disorders (PDs) as long as they are delivered minding about the therapeutic relationship. We present the case study of Laura, a 38-year-old woman presenting with covert narcissism, generalized anxiety disorder, depression, and complicated grief treated with metacognitive interpersonal therapy. Laura initially refused to engage in any experiential work out of fear of being judged and abandoned by her therapist. To navigate this therapeutic obstacle, the therapist focused on exploring and eventually repairing early alliance ruptures. Thereafter, Laura engaged in experiential work, which helped her address her narcissistic interpersonal patterns. After 2 years, Laura\'s symptoms and narcissistic problematic behaviors decreased. This case study can help us understand how experiential techniques can be successfully used in PD psychotherapy as long as attention to the therapy relationship is paid.
摘要:
经验技术可用于解决人格障碍(PD)患者的适应不良的人际关系模式,只要他们关心治疗关系。我们介绍劳拉的案例研究,一个38岁的女人表现出秘密的自恋,广泛性焦虑障碍,抑郁症,元认知人际疗法治疗复杂悲伤。劳拉最初拒绝从事任何体验式工作,因为害怕被治疗师评判和抛弃。为了导航这个治疗障碍,治疗师专注于探索并最终修复早期联盟破裂。此后,劳拉从事体验式工作,这帮助她解决了自恋的人际关系模式。两年后,劳拉的症状和自恋问题行为减少。这个案例研究可以帮助我们了解经验技术如何在PD心理治疗中成功使用,只要注意治疗关系。
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