Rupturas da Aliança Terapêutica: um estudo de caso malsucedido em psicoterapia psicanalítica com paciente borderline

Patricia  Dotta; Luan Paris  Feijó; Fernanda  Barcellos Serralta

doi:10.22235/cp.v14i2.2321

Autores/as

Patricia Dotta Universidade do Vale do Rio dos Sinos https://orcid.org/0000-0003-3089-2348
Luan Paris Feijó Universidade do Vale do Rio dos Sinos https://orcid.org/0000-0002-7587-3987
Fernanda Barcellos Serralta Universidade do Vale do Rio dos Sinos https://orcid.org/0000-0003-4602-6495

DOI:

https://doi.org/10.22235/cp.v14i2.2321

Palabras clave:

rupturas, alianza terapéutica, psicoterapia, investigación de procesos, Trastorno de Personalidad Limítrofe

Resumen

Este trabajo tiene como objetivo comprender los procesos de ruptura de la Alianza Terapéutica (AT) de un caso de psicoterapia psicoanalítica (PP) interrumpida realizada con un paciente con Trastorno de Personalidad Borderline (TPB). Se trata de un estudio de caso sistemático, el caso contempla 15 sesiones de PP, un paciente con quejas de impulsividad y dificultades de relación y su terapeuta. Las sesiones fueron grabadas en vídeo y transcritas. La identificación de las rupturas en la AT fue hecha por el Rupture Resolution Rating System. Se encontraron 100 rupturas de la AT, de estas 69% son rupturas de evitación y 31% de confrontación. Han sido verificadas 30 contribuciones del terapeuta para las rupturas. Las rupturas de evitación son más sutiles y de difícil identificación, presentándose en mayor frecuencia que las de confrontación en el tratamiento. Ante los pacientes con TPB los terapeutas deben desarrollar habilidades para hacer intervenciones con foco sobre la AT. Se destaca la necesidad de otros estudios que busquen replicar la investigación en otros casos de éxito y fracaso terapéutico.

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