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Psihijatrija danas
2011, vol. 43, iss. 1, pp. 65-82
article language: Serbian
document type: Paper

Modified psychodynamic psychotherapy of personality disorders: Dilemmas and challenges
Lečić-Toševski Dušicaa, Divac-Jovanović Mirjanab
aMedicinski fakultet, Beograd + Institut za mentalno zdravlje, Beograd
bUniversity Singidunum

e-mail: dusica.lecictosevski@eunet.rs

Project

Temperament and structure of personality disorder symptoms (MESTD - 175013)

Abstract

Personality disorders represent diagnostic and therapeutic challenge to experts. While structural diagnostics is relatively simple (longitudinal evaluation, primitive defense mechanisms, ego-syntonic and alloplastic symptoms), the treatment of these disorders is frequently connected with pessimism and nihilism. The treatment of personality disorders should be multidimensional, continuous, multimodal and integrative. The most frequent modalities are individual, group, family, combined and partner therapy (with medication in decompensation phases). Even though psychotherapy of personality disorders confronts us with the limitations of our skill, offers little gratification, unfolds slowly, often in intervals, and poses a particular challenge in terms of counter-transference feelings, it provides the possibility of learning and individuation, not only to the patient but to the therapist as well. The article presents modified psychodynamic psychotherapy of personality disorders, with several case vignettes.

Keywords

personality disorders; borderline personality disorder; psychodynamic psychotherapy; treatment stages

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