Center for Metacognitive Interpersonal Therapy, Rome, Italy.
Department of Clinical and Health Psychology, School of Health in Social Science, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.
J Clin Psychol. 2023 Jul;79(7):1656-1669. doi: 10.1002/jclp.23514. Epub 2023 Mar 27.
Experiential techniques can be used to address maladaptive interpersonal patterns in patients with personality disorders (PDs) as long as they are delivered minding about the therapeutic relationship. We present the case study of Laura, a 38-year-old woman presenting with covert narcissism, generalized anxiety disorder, depression, and complicated grief treated with metacognitive interpersonal therapy. Laura initially refused to engage in any experiential work out of fear of being judged and abandoned by her therapist. To navigate this therapeutic obstacle, the therapist focused on exploring and eventually repairing early alliance ruptures. Thereafter, Laura engaged in experiential work, which helped her address her narcissistic interpersonal patterns. After 2 years, Laura's symptoms and narcissistic problematic behaviors decreased. This case study can help us understand how experiential techniques can be successfully used in PD psychotherapy as long as attention to the therapy relationship is paid.
经验性技术可以用于解决人格障碍（PD）患者的适应不良的人际模式，只要在关注治疗关系的情况下进行。我们介绍了一个案例研究，案例的主角是劳拉，一个 38 岁的女性，患有隐性自恋、广泛性焦虑症、抑郁症和复杂悲痛，接受了元认知人际治疗。劳拉最初因为害怕被她的治疗师评判和抛弃而拒绝进行任何体验性工作。为了解决这个治疗障碍，治疗师专注于探索并最终修复早期的联盟破裂。此后，劳拉开始进行体验性工作，这帮助她解决了她的自恋型人际模式。两年后，劳拉的症状和自恋问题行为减少了。这个案例研究可以帮助我们理解，只要关注治疗关系，体验性技术就可以成功地用于 PD 心理治疗。
