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Case presentation: long-term treatment.

Myron L Glucksman1

  • 1Clinical Professor of Psychiatry, New York Medical College, Valhalla, NY, USA. glucksmanmd@optonline.net

Psychodynamic Psychiatry
|September 5, 2013
PubMed
Summary
This summary is machine-generated.

This case study highlights the effectiveness of long-term psychodynamic psychotherapy and pharmacotherapy for complex psychiatric conditions. It demonstrates significant improvement in a patient with chronic posttraumatic stress disorder, borderline personality disorder, and recurrent major depression.

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Case Study

Background:

  • This study details a 14-year treatment of a female patient with severe, life-threatening psychiatric conditions.
  • Diagnoses included Chronic Posttraumatic Stress Disorder (CPTSD), Borderline Personality Disorder (BPD), and Recurrent Major Depression.

Observation:

  • The patient exhibited self-mutilating behavior (cutting) and suicidal ideation, requiring repeated hospitalizations.
  • Childhood sexual abuse by her father (ages 6-14) was identified as a primary etiological factor, leading to repressed guilt and rage.

Findings:

  • Psychodynamic psychotherapy and pharmacotherapy led to a transformation of the patient's negative transference into a positive therapeutic alliance.
  • The patient gained insight into her self-punishing behaviors and shifted from a negative self-perception to one of self-worth.

Implications:

  • Long-term, integrated treatment is crucial for managing complex and severe psychiatric disorders.
  • Successful therapeutic relationships can facilitate the internalization of healing qualities and promote significant personality restructuring.