Estruturas de interação no tratamento psicodinâmico de uma paciente com Transtorno de Personalidade Borderline

Suzana Catanio dos Santos Nardi; Luan Paris Feijó; Aline Alvares Bittencourt; Fernanda Barcellos Serralta; Silvia Pereira da Cruz Benetti

doi:10.12804/revistas.urosario.edu.co/apl/a.9224

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Interaction Structures in the Psychodynamic Therapy of a Patient with Borderline Personality Disorder

DOI: https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.9224

Metáfora del ser humano (Zoé Romero Rodríguez)

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Published: Feb 1, 2023

Issue: Vol. 41 No. 1 (2023): Avances en Psicología Latinoamericana

Section Artículos

Keywords: Borderline Personality Disorder factor analysis psychotherapeutic process

Authors

Suzana Catanio dos Santos Nardi
Universidade do Vale do Rio dos Sinos

Luan Paris Feijó
Universidade La Salle

Aline Alvares Bittencourt
Estudos Integrados de Psicoterapia Psicanalítica

Fernanda Barcellos Serralta
Estudos Integrados de Psicoterapia Psicanalítica

Silvia Pereira da Cruz Benetti
Universidade Federal do Rio Grande do Sul

Abstract

Interaction structures are repetitive patterns of interaction between therapist and patient, even if they are not conscious of it. In empirical research, they help to understand how the process of change in psychotherapy is established. In this sense, the current research used 68 sessions of psychoanalytic psychotherapy in a young patient with Borderline Personality Disorder (BPD) to identify the interaction structures and their correlation with different moments of treatment. The sessions were recorded on video and later encoded through the Psychotherapy Process Q-Set (PQS) by pairs of judges trained in Q-Sort methodology. A factor analysis of the Q-type of main components was performed based on these data, which indicated four interaction structures. Factor 1: Collaborative; factor 2: Resistance; factor 3: Alliance/Rupture; and factor 4: Support/Encornment. The structures indicated the interaction became a work of maintenance of the collaborative interaction through an empathic position of the therapist, focused on recognizing the patient’s internal states. Despite the collaborative work, resistance also appeared as a repetitive pattern. The therapist became more directive with more structured interventions questioning the patient, thus, contributing to the development of the capacity of mentalization. Implications for the psychotherapeutic process and indications for future studies are presented to contribute to the comprehension of the treatment of patients with BPD in psychodynamic psychotherapy.

Author Biographies

Suzana Catanio dos Santos Nardi, Universidade do Vale do Rio dos Sinos

Graduated in Psychology at the University of Vale do Rio dos Sinos (1993), specialization in Psychoanalytic Orientation Psychotherapy (IPSI). Master in Psychology from the Universidade do Vale do Rio dos Sinos (2011), PhD in Clinical Psychology from the Universidade do Vale do Rio dos Sinos (2018) and Sandwich PhD from the Instituto Milenio para la Investigación en Depressión y Personalidad - MIDAP (Chile), (2017). She was a PROSUP/CAPES fellow. Associate member of the Society for Psychotherapy Research (SPR - Latin American Chapter). Investigations are directed to marital aggressors and research in psychotherapy with borderline patients. Expert, acting in cases in the Family Courts and Juvenile Courts. She works in private practice with psychotherapy with children, adolescents, adults, psychodiagnostic evaluation and for personnel selection. Volunteer Psychologist of the "Mapa do Acolhimento" for the Confrontation of Violence against Women. Currently teaching at the University Center UNIDEAU-Bagé.

Luan Paris Feijó, Universidade La Salle

Doctoral student in Psychology at the University of Vale do Rio dos Sinos (2018-2021), Master in Clinical Psychology at the University of Vale do Rio dos Sinos (2017), Specialist in Psychoanalytic Theory at Dom Alberto College (2019) and in Neuropsychopedagogy at Leonardo da Vinci University Center (2017) and Bachelor in Psychology at Cesuca - Inedi College (2015). Currently he is a clinical psychologist in private practice, conducts consulting in psychoanalytically oriented psychotherapy and psychological assessment/psychodiagnosis. Associate member of the Society for Psychotherapy Research (SPR - Latin American Chapter) and Effective Member of the Brazilian Society of Psychology (SBP). He has experience in the Psychology area, studying mainly the following themes: psychoanalytic theory, information and communication technologies in psychotherapy, psychological evaluation/psychodiagnosis.

Aline Alvares Bittencourt, Estudos Integrados de Psicoterapia Psicanalítica

Psychologist, Master in Clinical Psychology from UNISINOS, doctoral candidate in Clinical Psychology from UNISINOS, Psychotherapist specialized in Psychotherapy with Psychoanalytical Orientation at ESIPP- Estudos Integrados de Psicoterapia Psicanalítica. She works in private practice and is a teacher and supervisor in the Specialization course in Psychoanalytical Psychotherapy at ESIPP. She also works as a supervisor and professor in the internship in Clinical Psychology. She teaches study groups for professionals and students about S. Freud's work and coordinates the Scientific and Research Center at the same institution.

Fernanda Barcellos Serralta, Estudos Integrados de Psicoterapia Psicanalítica

She holds a bachelor's degree in Psychology from the Pontifical Catholic University of Rio Grande do Sul (1992), a master's degree in Psychology from the Pontifical Catholic University of Rio Grande do Sul (1997) and a doctorate in Medical Sciences: Psychiatry from the Federal University of Rio Grande do Sul (2010). He has training in Psychoanalytic Psychotherapy (IEPP) and is a Specialist in Clinical Psychology (CFP). Currently she is an adjunct professor II at the Universidade do Vale do Rio dos Sinos, acting as a researcher in the Graduate Program in Psychology. She is coordinator of the Laboratory for Studies in Psychotherapy and Psychopathology (LAEPSI), a study group focused on the investigation of processes and results in psychodynamic psychotherapies with specific clinical groups. Currently, he concentrates interests in the following themes: process of change; technical factors and the therapeutic relationship; online psychotherapy; personality disorders. She is past president of the Latin American Chapter of the Society for Psychotherapy research (SPR), having participated in the managing committee of this society between 2016 and 2018.

Silvia Pereira da Cruz Benetti, Universidade Federal do Rio Grande do Sul

She has a degree in Psychology from the Federal University of Rio Grande do Sul (1980), a master's degree in Education from the Federal University of Rio Grande do Sul (1986), a doctorate in Child and Family Studies - Syracuse University (1999) , having done a Senior Internship at the University of Zurich (2014). Professor at the University of Vale do Rio dos Sinos in the period from 2000 to 2018, acting as professor in the PPG in Clinical Psychology. Productivity Scholar at CNPq, level 2, between 2012-2018. Has experience in Psychology, with emphasis on Therapeutic Intervention, working mainly on the following topics: adolescence, sexuality, psychoanalytic psychotherapy and psychic processes in traumatic situations.

How to Cite

Nardi, S. C. dos S., Feijó, L. P., Bittencourt, A. A., Serralta, F. B., & Benetti, S. P. da C. (2023). Interaction Structures in the Psychodynamic Therapy of a Patient with Borderline Personality Disorder. Avances En Psicología Latinoamericana, 41(1). https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.9224

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