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Counseling Psychology and Psychotherapy
2019. Vol. 27, no. 4, 165–174
doi: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

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, LLC 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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