FATORES ENVOLVIDOS NA INTERRUPÇÃO DE UMA PSICOTERAPIA PSICANALÍTICA COM UMA PACIENTE BORDERLINE: UM ESTUDO DE CASO SISTEMÁTICO

Paula von Mengden Campezatto; Fernanda Barcellos Serralta; Luísa Fernanda Habigzang

doi:10.22235/cp.v11i2.1342

Authors

Paula von Mengden Campezatto Faculdade de Psicologia, Universidade do Vale do Rio dos Sinos.
Fernanda Barcellos Serralta Faculdade de Psicologia, Universidade do Vale do Rio dos Sinos.
Luísa Fernanda Habigzang Faculdade de Psicologia, Universidade do Vale do Rio dos Sinos. Programa de pos graduação em Psicologia, Pontifícia Universidade Católica do Rio Grande do Sul.

DOI:

https://doi.org/10.22235/cp.v11i2.1342

Keywords:

therapeutic process, psychoanalytic psychotherapy, borderline, case study

Abstract

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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