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Counseling Psychology and Psychotherapy

Publisher: Moscow State University of Psychology and Education

ISSN (printed version): 2075-3470

ISSN (online): 2311-9446

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

License: CC BY-NC 4.0

Started in 1992

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Self-Organizing Therapeutic Systems in Outpatient Therapy of Borderline Patients with Substance Use Disorders 147

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

Shustov D.I.
Doctor of Medicine, Head of Psychiatry Department, I.P. Pavlov Ryazan State Medical University, Ryazan, Russia
e-mail: dmitri_shustov@mail.ru

Tuchina O.D.
Researcher, Research & Clinical Department, Moscow Research and Practical Centre for Narcology of the Department of Public Health, Moscow, Russia
e-mail: shtuchina@gmail.com.

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

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.

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

Column: Case study

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

For Reference

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