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Dynamic Clamp Methods to Investigate Impaired Neuronal Excitability Associated with Autism
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The slippery slope: touch in dynamic psychiatry.

Richard Brockman1

  • 1Department of Psychiatry, Columbia University, College of Physicians and Surgeons. rb37@columbia.edu

The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry
|October 7, 2008
PubMed
Summary

A seven-year psychodynamic therapy for borderline personality disorder, characterized by chronic depression and paranoia, reached a turning point through an unexpected physical contact. This event led to significant shifts in transference and the patient

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Area of Science:

  • Psychology
  • Psychiatry
  • Psychotherapy

Background:

  • This case study details a seven-year psychodynamic therapy.
  • The patient presented with chronic depression, suicidality, and paranoia.
  • The patient exhibited classic Borderline Personality Disorder (BPD) traits.

Observation:

  • The therapeutic relationship was initially austere.
  • A pivotal moment involved unexpected physical contact.
  • This contact occurred within a blocked treatment phase.

Findings:

  • Integration of the physical contact experience marked a turning point.
  • A subtle yet significant change in transference was observed.
  • The patient's core paranoid structure showed modification.

Implications:

  • Physical contact can be a catalyst for change in severe personality disorders.
  • Transference dynamics can be profoundly altered by unexpected therapeutic events.
  • Psychodynamic approaches may facilitate core structural changes in BPD.