Dynamic Patterns in the Voices of a Patient Diagnosed with Borderline Personality Disorder, and the Therapist throughout Long-Term Psychotherapy

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dc.contributor.authorMellado, Augusto
dc.contributor.authorMartinez, Claudio
dc.contributor.authorTomicic, Alemka
dc.contributor.authorKrause, Mariane
dc.date.accessioned2024-03-06T15:37:09Z
dc.date.available2024-03-06T15:37:09Z
dc.date.issued2022
dc.description.abstractThis case study identified the subjective change in a patient diagnosed with Borderline Personality Disorder (BPD) by analyzing the dynamic patterns that emerged during discursive interaction with her therapist during a successful long-term psychotherapy. A qualitative analysis was conducted by applying the Model of Analysis of Discursive Positioning in Psychotherapy (MAPP), tracking voices and the personal positions of the patient and therapist in all sessions. Subsequently, dynamic patterns were identified and the hypothetical attractors were defined (i.e., the most stable patterns in the interaction of voices) using the Space State Grid (SSG) technique. Five sessions (representing the initial, middle and final stages) were selected to describe the trajectory of the patient's subjective change. These sessions highlight the presence of different attractors and depict the intersubjective interaction that developed during the process. The results suggest a process of subjective transformation from a monological to a dialogical dimension, a change supported by therapeutic interaction based on propositional and reflective discursive aspects; a transition from a state of dissociation of the patient to a reorganization of her subjectivity. The most relevant characteristics of this process as an emergent quality of psychotherapy and its relation to the patient's positive outcomes are discussed.
dc.description.funderNational Fund for Research and Development in Health (Fundo Nacional de Investigacion y Desarrollo en Salud)
dc.description.funderNational Research and Development Agency (Agencia Nacional de Investigacion y Desarrollo de Chile) -Millennium Science Initiative Program/Millennium Institute for Research on Depression and Personality
dc.fechaingreso.objetodigital2024-09-27
dc.format.extent18 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1080/10720537.2022.2082606
dc.identifier.eissn1521-0650
dc.identifier.issn1072-0537
dc.identifier.pubmedidMEDLINE:34927594
dc.identifier.urihttps://doi.org/10.1080/10720537.2022.2082606
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/84263
dc.identifier.wosidWOS:000807040700001
dc.information.autorucFacultad de Ciencias Sociales; Krause Jacob, Mariane; S/I; 58559
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final96
dc.pagina.inicio81
dc.revistaPSYCHOTHERAPY RESEARCH
dc.rightsacceso restringido
dc.subjectVoices and personal positions
dc.subjectsubjective change trajectory
dc.subjectdynamic patterns
dc.subjectattractors
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleDynamic Patterns in the Voices of a Patient Diagnosed with Borderline Personality Disorder, and the Therapist throughout Long-Term Psychotherapy
dc.typeartículo
dc.volumen15
sipa.codpersvinculados58559
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;06-03-2024
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