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Counseling Psychology and Psychotherapy
2019. Vol. 27, no. 4, 165–174
https://doi.org/10.17759/cpp.2019270411
ISSN: 2075-3470 / 2311-9446 (online)

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

OpenAlex citations: 0

OpenAlex trends: Psychotherapy Techniques and Applications, Personality Disorders and Psychopathology, Attachment and Relationship Dynamics

Information about the work in OpenAlex

Number of citations: 0

Topics

Psychotherapy Techniques and Applications

This cluster of papers focuses on the therapeutic alliance in psychotherapy research, exploring its relation to psychotherapy outcome, evidence-based practice, and psychological interventions. The papers cover topics such as patient feedback, attachment theory, and the efficacy of psychotherapy, drawing from meta-analytic reviews and empirical studies.

Number of works: 174418  |  Total number of citations: 1838381

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Personality Disorders and Psychopathology

This cluster of papers focuses on the psychopathology, diagnosis, and treatment of Borderline Personality Disorder (BPD). It explores the dimensional alternative to traditional nosologies, prevalence, comorbidity, and the effectiveness of therapies such as Dialectical Behavior Therapy and Mentalization-Based Treatment. The research also delves into the neurobiological correlates, emotion dysregulation, and personality traits associated with BPD.

Number of works: 54946  |  Total number of citations: 1058603

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Attachment and Relationship Dynamics

This cluster of papers explores theoretical developments in attachment theory, focusing on the dynamics of adult attachment, parent-child attachment, marital quality, interpersonal processes, emotion regulation, and the role of social support in intimate relationships. It covers a wide range of topics related to attachment and relationships from infancy to adulthood.

Number of works: 94990  |  Total number of citations: 1769131

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Work details in OpenAlex

Article type: scientific article

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

Published

For citation: Shustov, A.D., Shustov, D.I., Tuchina, O.D., Shustova, S.A. (2019). Self-Organizing Therapeutic Systems in Outpatient Therapy of Borderline Patients with Substance Use Disorders. Counseling Psychology and Psychotherapy, 27(4), 165–174. (In Russ.). https://doi.org/10.17759/cpp.2019270411

© Shustov A.D., Shustov D.I., Tuchina O.D., Shustova S.A., 2019

License: CC BY-NC 4.0

References

 

Information About the Authors

Alexander D. Shustov, Psychiatrist-Psychotherapist, Psychiatrist-Narcologist, Hospitalnaya 10, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0003-4088-5109, 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, Russian Federation, 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, Russian Federation, ORCID: https://orcid.org/0000-0002-0683-9080, e-mail: shtuchina@gmail.com

Svetlana A. Shustova, Candidate of Science (Medicine), Docent, Associate Professor, Psychophysiology Department, I. P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation, e-mail: sv_shustova@mail.ru

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