Self-Organizing Therapeutic Systems in Outpatient Therapy of Borderline Patients with Substance Use Disorders

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Abstract

Using a clinical case of three brothers, we discuss a spontaneous, self-organizing family system framework that prevents withdrawal from therapy and acting-out of the borderline clients diagnosed with alcohol dependence. This multi-family framework includes several family members and rests on the symbiotic and co-dependent relational patterns between the clients and their mothers. We discuss the positive and negative aspects of this framework and options for changing it.

General Information

Keywords: alcohol dependence, borderline personality disorder, psychotherapy, family system, genogram

Journal rubric: Case study

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2019270411

For citation: Shustov A.D., Shustov D.I., Tuchina O.D., Shustova S.A. Self-Organizing Therapeutic Systems in Outpatient Therapy of Borderline Patients with Substance Use Disorders. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2019. Vol. 27, no. 4, pp. 165–174. DOI: 10.17759/cpp.2019270411. (In Russ., аbstr. in Engl.)

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Information About the Authors

Alexander D. Shustov, Postgraduate Student, V. Serbsky Federal Medical Research Centre for Psychiatry and Narcology, Moscow, Russia, e-mail: sashashustov777@mail.ru

Dmitri I. Shustov, Doctor of Medicine, Professor, Professor, Head of Psychiatry Department, I.P. Pavlov Ryazan State Medical University, Ryazan, Russia, ORCID: https://orcid.org/0000-0003-0989-6598, e-mail: dmitri_shustov@mail.ru

Olga D. Tuchina, Researcher, Moscow Research and Practical Centre for Narcology of the Department of Public Health, Moscow, Russia, ORCID: https://orcid.org/0000-0002-0683-9080, e-mail: shtuchina@gmail.com

Svetlana A. Shustova, PhD in Medicine, Docent, Associate Professor, Psychophysiology Department, I. P. Pavlov Ryazan State Medical University, Ryazan, Russia, e-mail: sv_shustova@mail.ru

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