RESUMO
El presente artículo constituye la segunda parte de dos artículos dedicados a la psicoterapia relacional del trastorno límite de personalidad. En el artículo se describen los métodos relacionales de tratamiento y las distintas dimensiones en la relación terapéutica que ayudan a reintegrar los aspectos escindidos o disociados de la personalidad, entre ellas la implicación del terapeuta, la sintonía con el paciente, la indagación multidimensional de la experiencia de éste, el abordaje relacional de la transferencia y la contratransferencia. El objetivo del tratamiento es reparar los aspectos deficitarios del self, mejorar la contención de los afectos, estabilizar las relaciones afectivas y reducir la impulsividad mediante la resolución del sistema relacional escindido del paciente (AU)
The current article is the second part of two devoted to relational psychotherapy in borderline personality disorders. The relational methods of treatment are described and also different dimensions of therapeutic relationship that help to reintegrate split or dissociated fragments of personality, among others therapist involvement, attunement to the patient, multidimensional inquiry and a relational approach to transferential and counter transferential reactions. The goal or treatment is to repair deficits of self experience, to improve emotional regulation, to establish affective relationships and to reduce impulsiveness by means of integration of the split relational system of the patient (AU)
Assuntos
Feminino , Humanos , Masculino , Psicoterapia Racional-Emotiva , Psicoterapia Racional-Emotiva/métodos , Transtorno da Personalidade Borderline/genética , Transtorno da Personalidade Borderline/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/patologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Relações Médico-Paciente/ética , Qualidade de Vida/psicologia , Transtornos de Estresse Traumático Agudo/patologia , Medo/psicologia , Psicoterapia Racional-Emotiva/educação , Psicoterapia Racional-Emotiva/ética , Transtorno da Personalidade Borderline/complicações , Transtorno da Personalidade Borderline/metabolismo , Transtorno do Deficit de Atenção com Hiperatividade/classificação , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Transtornos de Estresse Traumático Agudo/psicologia , Ego , Medo/fisiologiaRESUMO
For all the problems and challenges inherent in a multiple-treater setting, there are great advantages in being part of a treatment team. Colleagues provide a holding and containing function for each other in the treatment of these extraordinarily difficult patients. Marcus observed that "the problem with the sickest patients is that the affects are uncontainable by a single individual. The affects are more easily containable by the group, because at any one moment some members are not under direct threat and, therefore, can maintain an observing ego" (p 251). The different treatment relationships offer the borderline patient numerous opportunities to internalize new modes of object relatedness through the process of reintrojecting what they have projected into others. The cumulative effect of a group of caring professionals who are doing their best to process and understand what is happening can be highly therapeutic.
