FACTORS INVOLVED IN THE INTERRUPTION OF A PSYCHOANALYTIC PSYCHOTHERAPY OF A BORDERLINE PATIENT: A SYSTEMATIC CASE STUDY
DOI:
https://doi.org/10.22235/cp.v11i2.1342Keywords:
therapeutic process, psychoanalytic psychotherapy, borderline, case studyAbstract
Systematic and naturalistic case studies offer an opportunity to understand processes that promote therapeutic change from the deep analysis of the therapist-patient interactions. Similarly, they provide help for understanding processes that do not achieved their therapeutic goals. The aim of this study is to integrate technical, therapeutic process variables and therapeutic alliance measures to understand a therapeutic process that resulted in premature discontinuation. Method: systematic and naturalistic case study conducted from a Tool for Evaluating Psychoanalytic Sessions (IASP), Therapeutic Cycles Model (TCM), Psychotherapy Process Q-Set (PQS) and Working Alliance Inventory - observational version (WAI-O). Results: It was found that the variables are not presented in a linear fashion, revealing the complexity of psychotherapy. It was found that the patient was unengaged with the therapeutic process and there was evidence of ruptures of the therapeutic alliance. Three sessions were not adhered to the psychoanalytic technique. Implications of the findings and limitations of the study are discussed.
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