[Application of a context-oriented model for the planning of psychotherapy].
Since clinical experience has shown that creating a therapeutic setting with borderline or psychotic patients is extremely difficult the Department of Psychoanalysis and Psychotherapy at Vienna University Hospital has developed a method of treatment designed to increase the possibilities to work with this group of patients. This procedure is conceptualised as "context oriented model exploration in psychotherapy planning" COMEPP. Initially the context is explored in which the psychotherapeutic model should be implemented which has so far failed for different reasons. Following this a setting is created in which the therapeutic team and the patient(s) can constructively and creatively reflect on alternative therapeutic models. A clinical case illustrates the problems and the basic structure of COMEPP in a schematic and condensed form.
Leithner
K
K
Universitätsklinik für Tiefenpsychologie und Psychotherapie, Wien, Osterreich. katharina.leithner@akh-wien.ac.at
Schuster
P
P
Katschnig
H
H
Etzersdorfer
E
E
Fischer
M
M
Jandl-Jager
E
E
Presslich-Titscher
E
E
Schmidt
K
K
Voracek
M
M
D001317:Austria; D001883:Borderline Personality Disorder / Q000628:therapy*; D003663:Decision Trees; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D011575:Psychoanalytic Therapy / Q000379:methods*; D012017:Referral and Consultation