Analytical Work with a Teenager Close-Up (A Case Study)

1447

Abstract

Three psychoanalytical sessions of a teenager with symptoms of borderline personality disorder (BPD) are described. BPD is interpreted as an independent syndrome, characterized by a specific background, which needs certain strategies of psychological assistance. Characteristics of this syndrome and related psychological defense mechanisms are described. Strategy, tactics and technique of consulting are based on the goal — to enhance the quality of client’s adaptation to reality, which is not identical to the experience acquired in the family. Theoretical basis of consulting is object relations theory; the idea of containment is regarded as a determinant of overcoming primitive defenses and reconstruction of integral perception of reality by borderline personality.

General Information

Keywords: adolescents, borderline personality disorder, analytical work, object relations theory, defense mechanisms

Journal rubric: History, Archive

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2016240109

For citation: Sorin А.V. Analytical Work with a Teenager Close-Up (A Case Study). Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2016. Vol. 24, no. 1, pp. 130–150. DOI: 10.17759/cpp.2016240109. (In Russ., аbstr. in Engl.)

References

  1. Bion U.R. Nauchenie cherez opyt perezhivaniya: per. s angl. [Learning from experi- ence]. Moscow: «Kogito-Tsentr», 2008. 128 p. (In Russ.).
  2. Vinnikott D.V. Piglya: Otchet o psikhoanaliticheskom lechenii malen’koi devochki: per. s angl. [The piggle: An account of the psychoanalytical treatment of a little girl]. Moscow: Nezavisimaya firma «Klass», 1999. 176 p. (In Russ.).
  3. Kernberg O.F. Tyazhelye lichnostnye rasstroistva: Strategii psikhoterapii: per. s angl. [Severe personality disorders: Psychotherapeutic strategies]. Moscow: Nezavisima- ya firma «Klass», 2014. 464 p. (In Russ.).
  4. Klyain M. Psikhoanaliticheskie trudy: v VII t. T. I. «Razvitie odnogo rebenka» i dru- gie raboty 1920—1928 gg. [Psychoanalytical works. «The Development of a Child» and other works 1920—1928]. Izhevsk: ID «ERGO», 2008. 374 p. (In Russ.).
  5. Klyain M. Psikhoanaliticheskie trudy: v VII t. T. II. «Lyubov’, vina i reparatsiya» i drugie raboty 1929—1942 gg. [Psychoanalytical works. «Love, Guiltand and Repara- tion» and other works 1929—1942]. Izhevsk: ID «ERGO», 2007. 386 p. (In Russ.).
  6. Klyain M. Psikhoanaliticheskie trudy: v VII t. T. V. «Edipov kompleks. Raboty 1945—1952 gg. [Psychoanalytical works. «Oedipus Complex in the Light of Early Anxi- eties» and other works 1945—1952]. Izhevsk: ID «ERGO», 2009. 312 p. (In Russ.).
  7. Klyain M. Psikhoanaliticheskie trudy: v VII t. T. VI. «Zavist’ i blagodarnost’» i dru- gie raboty 1955—1963 gg. [Psychoanalytical works. «Envy and Gratitude» and other works 1955—1963]. Izhevsk: ID «ERGO», 2010. 320 p. (In Russ.).
  8. Mak-Vil’yams N. Psikhoanaliticheskaya diagnostika: ponimanie struktury li- chnosti v klinicheskom protsesse: per. s angl. [Psychoanalytic diagnosis: Under- standing personality structure in the clinical process]. Moscow: «Klass», 1998. 480 p. (In Russ.).
  9. Menovshchikov V.Yu. Chto takoe psikhologicheskoe konsul’tirovanie na samom dele: v internete i bez nego? [What is psychological counseling in reality: in the In- ternet or without it?]. Psikhologicheskoe konsul’tirovanie onlain [Online Counseling], 2012, no. 1, pp. 44—66.
  10. Rodzhers K.R. Konsul’tirovanie i psikhoterapiya. Sluchai Gerberta Braiena: per. s angl. [Counseling and Psychotherapy: Newer Concepts in Practice]. Moscow: IOI, 2015. 185 p. (In Russ.).
  11. Rozhdestvenskii D.S. Pogranichnaya lichnost’ [Borderline Personality]. St. Peters- burg: B&K, 2006. 160 p.
  12. Churkin A.A., Martyushov A.N. Kratkoe rukovodstvo po ispol’zovaniyu MKB-10 v psikhiatrii i narkologii [Brief guide to application of ICD-10 in psychiatry and narcology]. Moscow: Triada—Kh. 232 p.
  13. Diagnostic and Statistical Manual (4rd Edition) (DSM-IV). Washington, D. C: Amer. Psychiatric Press, 1994. 866 p.
  14. Fordham M. Notes on the Transference. Technique in Jungian Analysis. In M. Ford- ham (еd.). L.: Karnac Books, 1989, pp. 105—111.
  15. Fordham M. Countertransference. Technique in Jungian Analysis. In M. Fordham (еd.). L.: Karnac Books, 1989, pp. 130—137.
  16. Fordham M. Some Idiosyncratic Behaviour of Therapist. Journal of Analytical Psy- chology, 1978. Vol. 23, no. 2, pp. 123—129.
  17. Kernberg O.F. Borderline personality organization. Journal of the American Psycho- analytic Association, 1967. Vol. 15, no. 3, pp. 641—685.
  18. Kernberg O.F. Severe Personality Disorders: Psychotherapeutic Strategies. New Haven, CT: Yale Univ. Press, 1984. 396 p.
  19. Likerman M., Urban E. The roots of child and adolescents psychotherapy in psy- choanalysis. In Lanyado M., Horne A. (eds.). The Handbook of Child and Adoles- cents Psychotherapy. L.: Routledge, 2010. P. 19—30.
  20. Linehan M.M., Heard H., Armstrong H.E. Naturalistic follow-up of a behavioral treatment for chronically suicidal borderline patients. Arch. Gen. Psychiat, 1993. Vol. 50, no. 2, pp. 971—974.
  21. Paris J., Zweig-Frank H., Guzder H. The role of psychological risk factors in recov- ery from borderline personality disorder. Comprehensive Psychiatry, 1993. Vol. 34, no. 6, pp. 410—413.
  22. Stone M.H. Individual psychotherapy with victims of incest. Psychiatry Clinic N. Amer, 1989. Vol. 12, no. 2, pp. 237—256.
  23. Urban E. Fordham, Jung and the Self: a re-examination of Fordham’s contribu- tion to Jung’s conceptualisation of the self. Journal of Analytical Psychology, 2005. Vol. 50, no. 5, pp. 571—594.
  24. Waddell M. Inside Lives: Psychoanalysis and the Growth of the Personality. L.: Kar- nac Books, 2002. 288 p.
  25. Winnicott D.W. Ego Distortion in Terms of True and False Self. The Maturational Processes and the Facilitating Environment: Studies in the Theory of Emotional De- velopment. London: The Hogarth Press and the Institute of Psycho-Analysis, 1965, pp. 140—152.
  26. Zanarini M.C., Gunderson J.G. Childhood experience of borderline patients. Com- prehensive Psychiatry, 1990. Vol. 30, no. 1, pp. 18—25.

Information About the Authors

Аnton V. Sorin, PhD in Psychology, Assistant Professor on the Chair of Educational Psychology and Pedagogy, Department of Psychology, Lomonosov Moscow State University, Moscow, Russia, e-mail: sorintowa@list.ru

Metrics

Views

Total: 3623
Previous month: 38
Current month: 13

Downloads

Total: 1447
Previous month: 7
Current month: 2