Therapeutic collaboration in a comfort zone: a non-improved borderline patient psychotherapy case study (Colaboración terapéutica en una zona de confort: estudio de un caso de psicoterapia de un paciente borderline que no experimentó mejoría)

The quality of dyad interaction seems crucial to the client's decision to drop out of psychotherapy. To characterize the client's lack of change and the patterns of therapeutic collaboration in a dropout of psychodynamic therapy for Borderline Personality Disorder (BPD), we used the Therapeutic Coll...

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Publicado en:Estudios de Psicologia Vol. 43; no. 3; pp. 639 - 666
Autores principales: Ryttinger, Raquel, Serralta, Fernanda, Pires, Nuno, Basto, Isabel, Melo, Gysele, Ribeiro, Eugénia
Formato: Artículo
Publicado: Sage Publications Inc. Nov2022
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2022
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        10.1080/02109395.2022.2132750
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        atl: Therapeutic collaboration in a comfort zone: a non-improved borderline patient psychotherapy case study (Colaboración terapéutica en una zona de confort: estudio de un caso de psicoterapia de un paciente borderline que no experimentó mejoría)
      aug:
        au:
          Ryttinger, Raquel
          Serralta, Fernanda
          Pires, Nuno
          Basto, Isabel
          Melo, Gysele
          Ribeiro, Eugénia
        affil:
          Centro de Investigaciones en Psicología, Universidad de Minho
          Estudos Integrados em Psicoterapia Psicanalítica- ESIPP
          Instituto Superior de Trabajo Social de Porto, Centro de Investigación Lusíada en Trabajo Social e Intervención Social (CLISSIS)
          Instituto Universitario da Maia- ISMAI
      su:
        Psychotherapy patients
        Zone of proximal development
        Borderline personality disorder
      sug:
        subj:
          Psychotherapy patients
          Zone of proximal development
          Borderline personality disorder
      keyword:
        assimilation of problematic experiences
        dropout
        personality disorder
        process study
        therapeutic collaboration
        abandono
        asimilación de experiencias problemáticas
        colaboración terapéutica
        estudio del proceso
        trastorno de personalidad
        assimilation of problematic experiences
        dropout
        personality disorder
        process study
        therapeutic collaboration
        abandono
        asimilación de experiencias problemáticas
        colaboración terapéutica
        estudio del proceso
        trastorno de personalidad
      ab: The quality of dyad interaction seems crucial to the client's decision to drop out of psychotherapy. To characterize the client's lack of change and the patterns of therapeutic collaboration in a dropout of psychodynamic therapy for Borderline Personality Disorder (BPD), we used the Therapeutic Collaboration Coding System (TCCS) to assess collaborative work and the Assimilation of Problematic Experiences Scale (APES) to rate client change. The software GridWare was used to characterize patterns of therapeutic collaboration and the R software to describe the client's change. The dyad worked in a comfort zone for the client, with the therapist supporting the client's problematic perspective and the client responding with Safety. The APES results showed that the client did not change, remaining in control through avoidance of thinking and discussing his problematic experience. Our results challenge the potential impact of therapists' interventions on BPD clients' comfort zones, suggesting that too much focus on their Therapeutic Zone of Proximal Development's actual level might not be productive.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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