边缘型人格障碍
反移情
心理学
感觉
心理治疗师
联盟
人格
自杀意念
临床心理学
上瘾
定性研究
精神科
毒物控制
人为因素与人体工程学
医学
社会心理学
医疗急救
社会学
法学
社会科学
政治学
作者
Ayna B. Johansen,Shedeh Tavakoli,Ingerid Elgesem Bjelland,Mark A. Lumley
标识
DOI:10.1177/1049732315618659
摘要
This qualitative case study explored one client’s recovery from borderline personality disorder, trauma, and problem gambling. The client attended 18 months of integrative treatment and was followed for 5 years. The study included 106 data points of both client and therapist data. We identified three phases to treatment. First, alliance formation and normalization appeared as mechanisms, and the client experienced dependence. Second, working alliance and countertransference appeared as mechanisms, and the client experienced reduced gambling and suicidal ideation. Third, external controls and increased opportunity appeared as mechanisms, and “moving into the world” was the client experience. The findings give preliminary support to a phase-based constructivist treatment including trauma assessment to normalize self-feelings, countertransference work to support motivation for restraint, and case management principles to support continuity of change efforts.
科研通智能强力驱动
Strongly Powered by AbleSci AI