Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.14195/1647-8606_57-2_5 |
Resumo: | While the traditional model emphasises conceptual and rational processing, this study highlights experiential processes in the practice of cognitive behaviour therapy. The study aims to identify therapeutic opportunities in impasses during a difficult treatment. A qualitative case study method examines the treatment of a 38 year old, female client with Borderline Personality Disorder (BPD). Three vignettes illustrate specific challenges: (1) flight and avoidance patterns hinder Socratic questioning; (2) logical disputation does not convince the client on an emotional level; and (3) interpersonal problems inherent in the disorder interfere in the therapist‑‑client relationship. The analysis of the therapist‑client relationship aids in overcoming gridlocks that are frequent with borderline clients, and allows the integration of more experiential strategies in the therapeutic process. As a suggestion for practice, a stronger emphasis on emotional and interpersonal work is due, besides the traditionally emphasized cognitive interventions. |
id |
RCAP_9afce71f41c6e880a9b0e9ed65d93a6d |
---|---|
oai_identifier_str |
oai:impactum-journals.uc.pt:article/2315 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patientRelação terapêutica na terapia cognitivo‑‑comportamental: Desafios e possibilidades com uma paciente borderlinedesafios terapêuticosprocessos vivenciaisrelação terapêuticaperturbação borderline da personalidadetreatment challengesexperiential processtherapist‑‑client relationshipborderline personality disorderWhile the traditional model emphasises conceptual and rational processing, this study highlights experiential processes in the practice of cognitive behaviour therapy. The study aims to identify therapeutic opportunities in impasses during a difficult treatment. A qualitative case study method examines the treatment of a 38 year old, female client with Borderline Personality Disorder (BPD). Three vignettes illustrate specific challenges: (1) flight and avoidance patterns hinder Socratic questioning; (2) logical disputation does not convince the client on an emotional level; and (3) interpersonal problems inherent in the disorder interfere in the therapist‑‑client relationship. The analysis of the therapist‑client relationship aids in overcoming gridlocks that are frequent with borderline clients, and allows the integration of more experiential strategies in the therapeutic process. As a suggestion for practice, a stronger emphasis on emotional and interpersonal work is due, besides the traditionally emphasized cognitive interventions.Considerando que o modelo tradicional enfatiza o processamento conceptual e racional, este trabalho chama a atenção para processos vivenciais na prática cognitivo‑‑comportamental. O objetivo é identificar oportunidades para intervenções vivenciais num tratamento difícil. Utilizou‑‑se como método o estudo de caso qualitativo, examinando‑‑se o tratamento de uma cliente com perturbação borderline da personalidade (PBP), de 38 anos de idade. Escolheram‑‑se excertos que ilustram desafios no trabalho cognitivo‑‑comportamental, a saber: (1) padrões de fuga e evitamento dificultam o questionamento socrático; (2) a disputa lógica não convence a cliente a nível emocional; e (3) problemas interpessoais, inerentes ao distúrbio, interferem no relacionamento com a terapeuta. A análise da relação terapeuta‑‑cliente ajuda na superação de impasses típicos com clientes com PBP, como também possibilita integrar estratégias mais vivenciais no processo terapêutico. A implicação para a prática clínica consiste em valorizar o trabalho emocional e interpessoal no processo terapêutico, além do trabalho cognitivo tradicionalmente enfatizado.Imprensa da Universidade de Coimbra2015-07-07info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.14195/1647-8606_57-2_5https://doi.org/10.14195/1647-8606_57-2_5Psychologica; Vol. 57 No. 2 (2014); pp. 95-109Psychologica; Vol. 57 N.º 2 (2014); pp. 95-1091647-86060871-465710.14195/1647-8606_57-2reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://impactum-journals.uc.pt/psychologica/article/view/1647-8606_57-2_5https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_57-2_5/1514Direitos de Autor (c) 2015 Psychologicainfo:eu-repo/semantics/openAccessMachado, Adriane Aires CruvinelVandenberghe, Luc2023-05-31T13:59:30Zoai:impactum-journals.uc.pt:article/2315Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:57:30.709612Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient Relação terapêutica na terapia cognitivo‑‑comportamental: Desafios e possibilidades com uma paciente borderline |
title |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient |
spellingShingle |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient Machado, Adriane Aires Cruvinel desafios terapêuticos processos vivenciais relação terapêutica perturbação borderline da personalidade treatment challenges experiential process therapist‑‑client relationship borderline personality disorder |
title_short |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient |
title_full |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient |
title_fullStr |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient |
title_full_unstemmed |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient |
title_sort |
Therapeutic relationship in cognitive behaviour therapy: Challenges and possibilities with a borderline patient |
author |
Machado, Adriane Aires Cruvinel |
author_facet |
Machado, Adriane Aires Cruvinel Vandenberghe, Luc |
author_role |
author |
author2 |
Vandenberghe, Luc |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Machado, Adriane Aires Cruvinel Vandenberghe, Luc |
dc.subject.por.fl_str_mv |
desafios terapêuticos processos vivenciais relação terapêutica perturbação borderline da personalidade treatment challenges experiential process therapist‑‑client relationship borderline personality disorder |
topic |
desafios terapêuticos processos vivenciais relação terapêutica perturbação borderline da personalidade treatment challenges experiential process therapist‑‑client relationship borderline personality disorder |
description |
While the traditional model emphasises conceptual and rational processing, this study highlights experiential processes in the practice of cognitive behaviour therapy. The study aims to identify therapeutic opportunities in impasses during a difficult treatment. A qualitative case study method examines the treatment of a 38 year old, female client with Borderline Personality Disorder (BPD). Three vignettes illustrate specific challenges: (1) flight and avoidance patterns hinder Socratic questioning; (2) logical disputation does not convince the client on an emotional level; and (3) interpersonal problems inherent in the disorder interfere in the therapist‑‑client relationship. The analysis of the therapist‑client relationship aids in overcoming gridlocks that are frequent with borderline clients, and allows the integration of more experiential strategies in the therapeutic process. As a suggestion for practice, a stronger emphasis on emotional and interpersonal work is due, besides the traditionally emphasized cognitive interventions. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-07-07 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.14195/1647-8606_57-2_5 https://doi.org/10.14195/1647-8606_57-2_5 |
url |
https://doi.org/10.14195/1647-8606_57-2_5 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_57-2_5 https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_57-2_5/1514 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2015 Psychologica info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2015 Psychologica |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Imprensa da Universidade de Coimbra |
publisher.none.fl_str_mv |
Imprensa da Universidade de Coimbra |
dc.source.none.fl_str_mv |
Psychologica; Vol. 57 No. 2 (2014); pp. 95-109 Psychologica; Vol. 57 N.º 2 (2014); pp. 95-109 1647-8606 0871-4657 10.14195/1647-8606_57-2 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799131648550240256 |