Taking care of a real self - description of the psychotherapeutic process of a patient with narcissistic personality disorders in the field of dance/movement psychotherapy

Introduction: Dance/movement psychotherapy (DMT) is a psychotherapeutic trend that belongs to the approaches that involve working with the body. Thinking about a wider perspective, DMT belongs to the group of action-oriented psychotherapies. It assumes that the person, while moving, can show his/her emotional states. Additionally, it can lead to development and personal integration. The goal is to deepen awareness. Psychotherapy with dance and movement is practiced among psychotic patients, patients suffering from neurotic or personality disorders, and as a method of personal development. The aim of the work is to describe the psychotherapeutic process of an individual client in the field of dance/movement psychotherapy as a method in which dance leads to development and personal integration. Material and method: Working with a client, Beata, took place in a strictly defined setting. Meetings took place once a week in the same office during 55 minutes. They were of an individual nature. First, Beata was diagnosed according to the DSM-5 [1] and ICD-10 [2] classification, which was supplemented with the PDM-2 diagnosis [3]. During the therapeutic work, the phenomena of transference and countertransference were taken into account, the patient’s behavior was interpreted according to John Bowlby’s attachment theory and mentalization. During practicing DMT it is important to take care of Authentic Movement method, observation of movement using the Laban Bartenieff Movement System (LBMS) method and the Kastenberg Movement Profile (KMP). Results: The changes that DMT psychotherapy started to bring were observed both in the client’s movement and in the verbal layer. The client has acquired the ability to observe her feelings and needs. This influenced her perception of announcement heard from different people and the decisions she made. The DMT therapy with Beata is not over yet, which makes it possible to take a deeper look at topics related to therapeutic goals. Conclusions: Dance/movement psychotherapy has proved to be an effective method of working with patients with personality disorders psychopathology of the narcissistic type. This method makes it possible to build a sense of the patient’s boundaries and needs, and to strengthen self-esteem. Sessions seem to be very helpful in integrating inner life, feelings and experience. In addition, it helps in dealing with the internal tension of patients and gives the opportunity to expand ranges of movement. In the verbal part, it is possible to discuss the problems that the client carries within himself, which cause him fear, anxiety and other unpleasant emotions.

NEGATIVE EFFECTS OF PSYCHOTHERAPY: PHENOMENOLOGY, SYSTEMATICS, CLASSIFICATIONPHENOMENOLOGY, SYSTEMATICS, CLASSIFICATION

В статье приводятся сведения о негативных эффектах, отмечающихся в процессе психотерапевтического взаимодействия. Рассматриваются традиционные представления о причинах развития негативных по следствий психотерапии. Обосновывается авторская точка зрения на причины и факторы, влияющие на динамику появления и развития негативных эффектов. Подробно описывается систематика и классификация нежелательных проявлений психотерапевтического процесса. Обс уждаются принципы эффективной профилактики и коррекции осложнений психотерапии. Делаются выводы о необходимости специальной подготовки специалистов психотерапевтов в данной сфере. The article provides information about the negative effects observed in the process of psychotherapeutic interaction. The article deals with traditional ideas about the reasons for the development of negative conseinteraction. The article deals with traditional ideas about the reasons for the development of negative consequences of quences of psychotherapy. The author's point of view on the causes and factors influencing the dynamics of the appearance and developmenpsychotherapy. The author's point of view on the causes and factors influencing the dynamics of the appearance and development of t of negative effects is substantiated. The systematics and classification of undesirable manifestations of the psychothnegative effects is substantiated. The systematics and classification of undesirable manifestations of the psychotherapeutic process erapeutic process are described in detail. The principles of effective prevention and correction of complications of psychotherapy are discusseare described in detail. The principles of effective prevention and correction of complications of psychotherapy are discussed. d. Conclusions are made about the need for special training of psychotherapists in this area. Conclusions are made about the need for special training of psychotherapists in this area.

PREDICTORS OF THE EFFECTIVENESS OF PSYCHOTHERAPY IN THE CONTEXT OF OBJECTIFICATION OF THE PSYCHOTHERAPEUTIC PROCESS

Объемы и темпы доказательных исследований психотерапии таковы, что теоретическое осмысление полученных данных существенно отстает от накопленных фактических сведений. Экспоненциальный количественный рост доказательных исследований сопровождается, на наш взгляд задержкой методического их обеспечения.

O JOGO DRAMÁTICO EM SUPERVISÃO: DO DESENVOLVIMENTO DO PAPEL DO PSICOTERAPEUTA AO PROCESSO PSICOTERAPÊUTICO DO PACIENTE

From the relationship with the patient emerge feelings, doubts, fantasies, and fears that eventually escape from the inner world of a therapist. These are obstacles that often reflect blockages and fears, which also limit the release of the patient’s spontaneity. The article discusses the supervision with psychodramatic techniques as an element in the training and development of the therapist’s role, reporting a case study in the psychotherapeutic scope. Its objective is to highlight the dramatic game as a possibility of recognizing personal aspects of the supervisee that interfere in the psychotherapeutic process and the spontaneous-creative strategy of his interventions, integrating knowledge to the experiential dimension. The study concluded that the supervisee felt professionally safer, also recognizing the significant importance of the supervisor in this process.

Can we learn on Psychotherapeutic Process Dimensions with Single Case Study?

Relational psychoanalysis states that an adequate management of the intersubjective processes displayed in psychotherapy are essential to promote effective change. The analysis about some variables of the therapist and patient and the complex and co-determined interaction between them, give us new perspectives on the therapeutic process. This analysis leads us to question some topics and consider from a new view the therapist's functions and the patient's roles within the therapeutic process. A group of researchers in Spain, Argentine, Mexico and Germany have worked along a decade (1997-2008) in the Salamanca-Barcelona-Madrid Project on Psychotherapy Process Research. This project, an study conducting single case research (´The Publicist´ case), along the main phases of complete treatment (up to 200 recorded sessions), have given us the opportunity to adquire a better knowledge on therapeutic process, through the content analysis of sessions and with qualitative data using a wide variety of procedures. In this paper we are presenting relevant results concerning some inferences on therapeutic process along the whole treatment and their phases. Crossing all the studied dimensions, we propose a comprehensive model of change observed in the case object of study, considering all the approaches, both from quantitative and qualitative methods and process dimensions, both the contributions of the therapist and the patient to psychotherapeutic process. Results are discussed in the light of recent perspectives on active use of counter-transference as a therapist’s tool to improve the psychoanalytic psychotherapy process, controlling negative aspects of countertransference collusions.

Proffering Connections: Psychologising Experience in Psychotherapy and Everyday Life

Conversation analytic research has advanced understanding of the psychotherapeutic process by understanding how psychotherapy is organised over time in and through interaction between clients and therapists. This study progresses knowledge in this area by examining how psychological accounts of experience are progressively developed across a range of helping relationships. Data include: (1) approximately 30 h of psychotherapy sessions involving trainee therapists; (2) approximately 15 h of psychotherapy demonstration sessions involving expert therapists; and (3) approximately 30 h of everyday conversations involving close friends or family members. This article reports an analysis of techniques that are used to bring together two experiences that were discussed separately, to proffer a candidate connection between them. This proffering of candidate connections was recurrently used in psychotherapy. If confirmed by a client, a proffered connection could be used to develop a psychological account of a client’s experiences, which could then warrant some psychological intervention. In contrast, the proffering of connections was observed in only one of the everyday conversations included in the current study, where it was used to develop psychological accounts of experience. This shows that although proffering candidate connections is an everyday interactional practice, it appears to be used with greater frequency in psychotherapy, to advance its specific institutional aims.

A Angústia Existencial como Disposição Afetiva Fundamental para a Prática Psicoterápica

Anguish is a fundamental concept in the phenomenological-existential clinic. This affective disposition has in Martin Heidegger's work a privilege over other dispositions, since it, in its ontological character, is the engine of human existence. This paper aims to understand anguish as revealing the truth of Being-there in the psychotherapeutic process, based on the contributions of philosopher Heidegger and his commentators, especially exponents of phenomenological-existential psychology. Questions such as "What is the truth of Being-there?" And "What does anguish reveal about this truth?" Guided the construction of this work. The study is characterized as a qualitative research, whose methodology is bibliographic research. The results indicated that anguish reveals the truth of Being-there. What we call the truth is the essence of this being: having to be. It points to its ontological character of openness, its possibilities, its own power-being, freedom and the unveiling of the meaning of Being. Finally, the ontological anguish, not restricted to the psychotherapeutic process, moves Being-there and reveals possibilities that, by their very nature. through care makes its uniqueness possible. Thus, it is essential for the psychotherapist to understand distress, facilitating the patient's appropriation and accountability of what it reveals. Palavras-chave : Anguish; Heidegger; Truth; Being-there; Psycotherapy.

Θεραπευτικές παρεμβάσεις και σημαντικές ενδοσυνεδριακές στιγμές στη συστημική οικογενειακή ψυχοθεραπεία

The purpose of this study was to investigate the psychotherapeutic process in family integrative systemic therapy that lead to therapeutic change. More specifically, the study investigated the relation between therapist interventions and in-session good moments at different phases of therapy. The sample consisted of five families with good therapeutic outcome at three different stages of therapy - beginning, middle, and ending. Results indicated the appearance of specific good moments and therapist’s interventions at different stages of therapy, as well as significant correlations between therapist interventions and client good moments. This study sheds light on the complex processes of systemic family therapy and the variables that contribute to good therapy outcome.