Recenzija, Prikaz slučaja

INTEGRATIVE TREATMENT OF PERSONALITY DISORDER. PART I: PSYCHOTHERAPY

Mirjana Divac Jovanovic ; Department of Psychology, Faculty of Media and Communications, Belgrade, Serbia
Dragan Svrakic ; Department of Psychiatry, Washington University School of Medicine in St Louis, St Louis, USA

Sažetak

In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality,
which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms
borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as
synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a
positive feedback modulation of their respective effects. We argue that pharmacotherapy and psychotherapy of personality disorder
complement each other. Pharmacological control of disruptive affects clears the stage, in some cases builds the stage, for the
psychotherapeutic process to take place. In turn, psychotherapy promotes integration of personality fragments into more cohesive
structures of self and identity, ultimately establishing self-regulation of mood and anxiety. We introduce our original method of
psychotherapy, called reconstructive interpersonal therapy (RIT). The RIT integrates humanistic-existential and psychodynamic
paradigms, and is thereby designed to accomplish a deep reconstruction of core psychopathology within the setting of high structure.
We review and comment the current literature on the strategies, goals, therapy process, priorities, and phases of psychotherapy of
borderline disorders, and describe in detail the fundamental principles of RIT.

Ključne riječi

personality disorder; borderline personality; psychotherapy; integrative treatment; reconstructive interpersonal therapy

Hrčak ID:

178588

URI

https://hrcak.srce.hr/178588

Datum izdavanja:

20.3.2017.

Posjeta: 2.288 *