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[Psychotherapy with dyssocial patients]
1Psychiatrische Universitätspoliklinik, Basel.
Schweizer Archiv Fur Neurologie Und Psychiatrie (Zurich, Switzerland : 1985)
|January 1, 1995
Summary
Psychotherapy for dissocial personality disorder is challenging due to lack of motivation and acting out. However, therapists can achieve success by managing countertransference and accepting modest improvements in these patients.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Dissocial personality disorder presents unique challenges in psychotherapy.
- Therapists often face skepticism and difficulties in treating these patients.
Purpose of the Study:
- To explore the obstacles and possibilities in psychotherapy for dissocial personalities.
- To address therapist-patient dynamics, including rejection and acting out.
Main Methods:
- Clinical observation of therapeutic interactions.
- Analysis of countertransference issues in treating dissocial personalities.
Main Results:
- Lack of conventional motivation is expected in dissocial personalities.
- Patients' acting out and devaluation of therapy create significant challenges.
- Therapists' countertransference reactions, including reduced ambitions, are common.
Conclusions:
- Psychotherapy for dissocial personalities is possible despite perceived obstacles.
- Therapists must adapt expectations and manage countertransference for successful outcomes.
- Accepting minor improvements is crucial for therapeutic progress.