D'Ascenzo Iolanda, Vilaregut Anna, Zurdo Verónica, Torras Sonia, Cartujo Ignacio Bolaños
Escuela de Terapia Familiar Sant Pau, Servicio de Psiquiatría, Hospital de Sant Pau, Barcelona, Spain.
Departamento de Personalidad, Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Fam Process. 2024 Dec;63(4):2176-2194. doi: 10.1111/famp.13052. Epub 2024 Sep 10.
Managing the Therapeutic Alliance is often complex when it comes to the treatment of borderline personality disorder (BPD), but the alliance is crucial for the success of the therapy. Combined individual and family interventions have been shown to be very useful in treating of these cases. This study has two objectives. First, to describe how the family therapeutic alliance facilitates therapeutic change through family psychotherapy for families with a member diagnosed with BPD. Second, to analyze how the therapeutic change achieved through combined individual and family systemic relational psychotherapy affects the individual functioning of the patient with BPD. This single case study used the System of Observation of Family Therapy Alliances (SOFTA-o) to analyze the therapeutic alliance, along with two semi-structured clinical interviews, one at the beginning and one at the end of therapy. Results show a dynamic and positive evolution of the therapeutic alliance throughout the therapeutic process and how this alliance facilitated therapeutic change, both reducing the symptomatology of the patient with BPD and improving family communication and functioning. Results contribute to highlighting the importance of including family therapy as an intervention unit in protocols for patients with BPD.
在边缘型人格障碍（BPD）的治疗中，管理治疗联盟往往很复杂，但该联盟对治疗的成功至关重要。已证明个体和家庭联合干预在治疗这些病例中非常有用。本研究有两个目标。第一，描述家庭治疗联盟如何通过为有BPD诊断成员的家庭进行家庭心理治疗来促进治疗改变。第二，分析通过个体和家庭系统关系心理治疗相结合所实现的治疗改变如何影响BPD患者的个体功能。这项单病例研究使用家庭治疗联盟观察系统（SOFTA-o）来分析治疗联盟，并进行了两次半结构化临床访谈，一次在治疗开始时，一次在治疗结束时。结果显示治疗联盟在整个治疗过程中呈现动态且积极的发展，以及该联盟如何促进治疗改变，既减轻了BPD患者的症状，又改善了家庭沟通与功能。结果有助于凸显将家庭治疗作为BPD患者治疗方案中的一个干预单元的重要性。
