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Psihijatrija danas
2011, vol. 43, br. 1, str. 65-82
jezik rada: srpski
vrsta rada: članak

Modifikovana psihodinamska psihoterapija poremećaja ličnosti - dileme i izazovi
Lečić-Toševski Dušicaa, Divac-Jovanović Mirjanab
aMedicinski fakultet, Beograd + Institut za mentalno zdravlje, Beograd
bUniverzitet Singidunum, Beograd

e-adresa: dusica.lecictosevski@eunet.rs

Projekat

Temperament i struktura simptoma poremecaja licnosti (MPNTR - 175013)

Sažetak

Poremećaji ličnosti predstavljaju dijagnostički i terapijski izazov za stručnjake. I dok je strukturalna dijagnostika relativno jednostavna (longitudinalna procena, primitivni mehanizmi odbrane, ego-sintoni i aloplastični simptomi), lečenje ovih poremećaja neretko je praćeno pesimizmom i nihilizmom. Terapija poremećaja ličnosti treba da bude multidimenzionalna, kontinuirana, multimodalna i integrativna. Najčešći modaliteti su individualna, grupna, porodična, kombinovana i partnerska terapija (uz čestu primenu medikacije). Iako nas psihoterapija poremećaja ličnosti suočava sa ograničenjima naše veštine, daje malo gratifikacija, odvija se sporo, često sa prekidima, i predstavlja poseban izazov za kontratransferna osećanja, ona daje mogućnost neprekidnog učenja i individuacije ne samo pacijentu već i terapeutu. U ovom radu prikazana je modifikovana psihodinamska psihoterapija poremećaja ličnosti sa vinjetama nekoliko slučajeva.

Ključne reči

poremećaji ličnosti; granični poremećaj ličnosti; psihodinamska psihoterapija; faze terapije

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