Context-Oriented Model Development in Psychotherapy Planning ('COMEPP'): a useful adjunct to diagnosis and therapy of severe personality disorders.
OBJECTIVE
Pathogenous interpersonal (e.g. interfamilial) relationships and reference styles can compromise treatment efforts in severely disturbed (i.e. psychotic or borderline) patients. The integration of family- and individual-centred starting points may be useful in establishing interdisciplinary treatment concepts in these patients. Context-Oriented Model Development in Psychotherapy Planning (COMEPP) represents a diagnostic and therapy planning process, integrating both systemic and psychoanalytic conceptualizations.


METHODS
COMEPP is exemplified by the case of a young man with psychotic personality disorder who had previously been unresponsive to pharmacological and psychological treatment.


RESULTS
After psycho-dynamical conflicts (i.e. primitive projective processes from the patient's mother to her son) had been elucidated during the COMEPP process, a sufficient treatment setting could be established.


CONCLUSIONS
COMEPP provides a psychotherapeutical approach to treatment planning on case-specific premises and may serve as an adjunct to concomitant pharmacological and psychological treatment strategies in so-called 'therapy refractory' patients.
Fischer-Kern
M
M
Department of Psychoanalysis and Psychotherapy, University Hospital of Vienna, Vienna, Austria. melitta.fischer@akh-wien.ac.at
Leithner
K
K
Hilger
E
E
Löffler-Stastka
H
H
Schuster
P
P
D000328:Adult; D005196:Family Therapy; D006801:Humans; D008297:Male; D008960:Models, Psychological; D010347:Patient Care Planning; D010554:Personality Disorders / Q000175:diagnosis* / Q000628:therapy*; D011575:Psychoanalytic Therapy