[Psychotherapy of trauma-related borderline pathology].
Borderline pathology originating from trauma is characterized by increasingly severe borderline and comorbid symptoms, poor psychosocial function, and poor prognosis in comparison with borderline patients who have never undergone such traumatic experiences. Instead of psychodynamic therapy, other forms of psychotherapy, such as cognitive-behavioral approaches are offered helping to stabilize the patient's life and improve his or her ways of coping with stressors. Trauma recovery depends on appropriate timing and careful preparation, where the patient first must learn to trust the therapist and gain some ego-strength. Failure to be properly prepared can lead to the escalation of former self-destructive defenses once used against the trauma. Typical transference-counter-transference dynamics can be conceptualized as episodes in a drama involving four principal characters: a victim, an abuser, an idealized rescuer, and a betrayer mother. Role enactments oscillate in various complementary pairings between patient and therapist during the course of therapy.
Kuritárné
Ildikó Szabó
IS
Debreceni Egyetem Pszichológiai Intézet Személyiség- és Klinikai Pszichológiai Tanszék. kszaboildi@freemail.hu
D001883:Borderline Personality Disorder / Q000523:psychology* / Q000628:therapy*; D015897:Comorbidity; D003379:Countertransference; D004532:Ego; D006801:Humans; D010553:Personality Development; D011575:Psychoanalytic Therapy / Q000379:methods; D011613:Psychotherapy / Q000379:methods*; D011615:Psychotherapy, Group; D012381:Role Playing; D013315:Stress, Psychological / Q000150:complications*; D017741:Survivors; D014167:Transference, Psychology