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Impoverished dialogical relationship patterns in paranoid personality disorder
Giampaolo Salvatore1, Giuseppe Nicolò, Giancarlo Dimaggio
1The Centro di Psicoterapia Cognitiva-Training school in cognitive psychotherapy Associazione di Psicologia Cognitiva (APC), via Ravenna 9/c 00161, Rome, Italy.
American Journal of Psychotherapy
|December 24, 2005
Summary
Patients with paranoid personality disorder (PPD) exhibit limited inner dialogue patterns, with a self perceived as inadequate and others as hostile. This impacts behavior and therapy outcomes.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- The self is conceptualized as multiple interacting facets engaged in an inner dialogue.
- The nature of this dialogue shapes the interpretation of events.
Observation:
- Patients with paranoid personality disorder (PPD) display impoverished dialogical relationship patterns.
- Internal representations include a few, repetitive characters: an inadequate self and hostile others.
- The inner dialogue is stereotyped, consistently resulting in the self feeling attacked.
Findings:
- PPD is characterized by a limited and repetitive inner dialogue.
- The self-perception in PPD is often inadequate or hostile.
- External representations are predominantly hostile, humiliating, and threatening.
Implications:
- These dialogical patterns influence patient behavior and the course of psychotherapy.
- Therapeutic strategies are needed to address these patterns and prevent patient drop-out.
- Understanding these patterns can lead to more effective treatment for PPD.