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Handling suicidal crises in psychodynamic psychotherapy: A process case study
Aline Alvares Bittencourt1, Eduarda Duarte de Barcellos1, Fernanda Barcellos Serralta1
1Department of Psychology, Universidade do Vale do Rio dos Sinos (UNISINOS), São Leopoldo, Brazil.
Journal of Clinical Psychology
|March 1, 2019
Summary
Therapeutic crises in borderline personality disorder (BPD) do not necessarily derail treatment. Effective psychodynamic therapy involves therapist flexibility and containment of patient aggression and suicidality.
Area of Science:
- Psychology
- Psychiatry
- Psychotherapy
Background:
- Borderline personality disorder (BPD) presents unique challenges to psychodynamic therapy.
- Patient crises frequently necessitate adaptation of therapeutic interventions.
Observation:
- This study analyzed 44 therapy sessions of a female BPD patient with depressive symptoms.
- Therapy phases included pre-crisis, acute disorganization, hospitalization, and post-hospitalization.
Findings:
- Significant differences in the therapeutic process were observed across distinct phases.
- Therapeutic crises and hospitalization did not inherently damage the psychodynamic process.
Implications:
- Therapist's capacity for containing aggression and suicidal ideation is crucial.
- Flexible adaptation of techniques supports the restoration of effective psychodynamic therapy for BPD.
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