Abstract：
Understanding and processing life experiences are essential in the treatment of personality disorders to promote personal recovery and psychological wellbeing. In this qualitative case report, drafted in co-creation between the client, clinical psychologist, and art therapist, individual treatment consisted of two psychotherapeutic interventions, \"An Empowering Story\" and life-story-focused art therapy, in 12 parallel sessions for 24 weeks. Hilda, 68 years of age, had been diagnosed with an unspecified personality disorder and various traits of borderline personality disorder. She experienced emotional exhaustion following long-term mental health problems rooted in a traumatic early childhood. This affected her ability to manage her emotions and social relations, resulting in the sense that her life had no meaning. Hilda was invited to reconstruct her life experiences, divided into the past, turning point, and present/future, in a written and a painted life story. This allowed for the integration of traumatic as well as positive memories, enhanced self-compassion, and meaning making. She developed self-reflection and integration of internal conflicts leading to a better emotional balance and self-understanding. Art therapy emphasizes bottom-up regulatory processes, while narrative psychology supports top-down regulatory processes. The combined approach effectively integrated bottom-up, experiential, sensory experiences with top-down, cognitive emotion-regulation processes. The results suggest that psychotherapeutic interventions involving a multi-pronged, complementary, and thus more holistic approach can support personal recovery in personality disorders.
摘要：
理解和处理生活经历对于治疗人格障碍以促进个人康复和心理健康至关重要。在这份定性案例报告中，在客户之间共同创作中起草的，临床心理学家，艺术治疗师，个体治疗包括两种心理治疗干预措施，“赋权故事”和以生活故事为中心的艺术疗法，在24周的12次平行会议中。希尔达,68岁,被诊断出患有未指明的人格障碍和各种边缘性人格障碍。在长期的心理健康问题植根于创伤的早期童年后，她经历了情绪疲惫。这影响了她管理情绪和社会关系的能力，导致她的生活毫无意义。希尔达被邀请去重建她的生活经历,分为过去，转折点,和现在/未来，在一个书面和绘画的生活故事。这允许整合创伤和积极的记忆，增强自我同情，和意义制作。她发展了自我反省和内部冲突的整合，从而实现了更好的情感平衡和自我理解。艺术疗法强调自下而上的监管过程，而叙事心理学支持自上而下的监管过程。组合方法有效地整合了自下而上，经验,自上而下的感官体验，认知情绪调节过程。结果表明，心理治疗干预涉及多管齐下，互补,因此，更全面的方法可以支持人格障碍的个人康复。
