Abstracts
Résumé
Dans cet article, les auteurs discutent du travail thérapeutique auprès des personnes qui ont un trouble de personnalité limite, une démarche qui présente des difficultés particulières dans la relation thérapeutique. Ils présentent le cas d’une patiente et décrivent une impasse thérapeutique engendrée par l’exacerbation d’un attachement insécure/désorganisé. Les auteurs discutent des stratégies de résolution élaborées en lien avec la théorie de l’attachement et la compréhension des enjeux transférentiels et contre-transférentiels.
Abstract
In this article, the authors discuss the obstacles in the therapeutic relationship with patients with Borderline Personality Disorder because of problematic transference. They present the case of a patient and describe a therapeutic impasse triggered by an exacerbated insecure/disorganized attachment. They discuss strategies to resolve the therapeutic deadlock elaborated according to the attachment theory formulation and the understanding of transference issues.
Resumen
En este artículo los autores discuten el trabajo terapéutico con personas que sufren de un trastorno de la personalidad límite, misión que presenta dificultades particulares en la relación terapéutica. Presentan el caso de una paciente y describen un callejón terapéutico sin salida engendrado por la exacerbación de un apego insguro/desorganizado. Los autores discuten las estrategias de resolución elaboradas en relación con la teoría del apego y la comprensión de las problemáticas transferenciales y contratransferenciales.
Resumo
Neste artigo, os autores discutem sobre o trabalho terapêutico junto a pessoas que sofrem de um transtorno de personalidade limite: uma abordagem que apresenta dificuldades singulares na relação terapêutica. Eles apresentam o caso de uma cliente e descrevem um impasse terapêutico gerado pela intensificação de um apego inseguro/desorganizado. Os autores discutem sobre estratégias de resolução elaboradas em relação à teoria do apego e à compreensão das preocupações transferenciais e contra-transferenciais.
Appendices
Bibliographie
- Bakerman-Kranenburg, M. J., Van Ijzendoom, M. H., 2009, The first 10,000 Adult Attachment Interviews : distribution of adult attachment representations in clinical and non-clinical groups, Attachment and Human Development, 11, 3, 223-263.
- Bartels, A., Zeki, S., 2004, The neural correlates of maternal love and romantic love, Neuroimage, 21, 1155-1166.
- Betan, E., Heim, A. K., Conklin, C. Z., Westen, D., 2005, Counter-transference phenomena and personality pathology in clinical practice : an empirical investigation, American Journal of Psychiatry, 162, 890-898.
- Bowlby, J., 1988, A Secure Base : Clinical Applications of Attachment Theory, Routledge, London.
- Bretherton, I., 1992, The origins of attachment theory, John Bowlby and Mary Ainsworth, Developmental Psychology, 28, 759-775.
- Farina, B., Liotti, G., 2005, Two therapists for one patient : the attachment theory as a framework for co-therapies in borderline patients treatments, Clinical Neuropsychiatry, 2, 5, 260-269.
- Fonagy, P., 2003, The development of psychopathology from infancy to adulthood, Infant Mental Health Journal, 24, 212-239.
- Fonagy, P., Gergely, G., Jurist, E., Target, M., 2004, Affect Regulation, Mentalization and the Development of the Self, Other Press, New York.
- Fonagy, P., Bateman A., 2006, Progress in the treatment of borderline personality disorder, British Journal of Psychiatry, 188, 1, 1-3.
- Jeammet, P., 2008, Du bébé à l’adolescent : les chemins de la destructivité, Bébés-ados : crises et chuchotements, Éditions Érès, Paris.
- Gabbard, G. O., 1999, Counter-transference issues in psychiatric treatment, American Psychiatric Press : Review of Psychiatry, 18, APPI, Washington.
- George, C., Kaplan, N., Main, M., 1985, Adult Attachment Interview, unpublished manuscript, University of California, Berkeley.
- Glickhauf-Hugues, C., Chance, C., 1995, Answering clients’ questions, Psychotherapy, 32, 3, 375-380.
- Gunderson, J. G., 1996, The borderline patient’s intolerance of aloneness : insecure attachments and therapist availability, American Journal of Psychiatry, 153, 6, 752-758.
- Gunderson, J. G., 2009, Borderline Personality Disorder : Ontogeny of a diagnosis, American Journal of Psychiatry, 166, 5, 530-539.
- Maltsberger, J. T., Buie, D. H., 1974, Counter-transference hate in the treatment of suicidal patients, Archives of General Psychiatry, 30, 625-633.
- Rutter, M, Kreppner, J, Sonuga-Barke, E., 2009, Emanuel Miller lecture : Attachment insecurity, disinhibited attachment, and attachment disorders : where do research findings leave the concepts ? Journal of Child Psychology and Psychiatry, 50, 5, 529-543.
- Stern, A., 1948, Transference in borderline neurosis, Psychoanalytical Quarterly, 17, 48, 527-528.