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Constructivist Simultaneous Treatment of Borderline Personality Disorder, Trauma, and Addiction Comorbidity

A Qualitative Case Study

Bibliographic Data

ID4725606
AuthorsAyna B Johansen (0009-0003-4652-9284, University of Oslo, corresponding author), Shedeh Tavakoli (0000-0001-5662-0944, Northeastern Illinois University, Chicago, USA), Ingerid Bjelland (0000-0003-1113-8323, University of Oslo), Ingerid Elgesem Bjelland (0000-0002-5432-0275, University of Oslo), Mark Lumley (Wayne State University, Detroit, Miami, USA), Mark A Lumley (0000-0001-7095-8378, Wayne State University)
Year2017
Volume27
Issue2
Pages236-248
Publication date2017-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732315618659
PMID26701963
OpenAlexW2220428184
LanguageEN
Citations received1
References cited53

This qualitative case study explored one client's recovery from borderline personality disorder, trauma, and problem gambling. The client attended 18 months of integrative treatment and was followed for 5 years. The study included 106 data points of both client and therapist data. We identified three phases to treatment. First, alliance formation and normalization appeared as mechanisms, and the client experienced dependence. Second, working alliance and countertransference appeared as mechanisms, and the client experienced reduced gambling and suicidal ideation. Third, external controls and increased opportunity appeared as mechanisms, and "moving into the world" was the client experience. The findings give preliminary support to a phase-based constructivist treatment including trauma assessment to normalize self-feelings, countertransference work to support motivation for restraint, and case management principles to support continuity of change efforts

Addiction · Alliance · Borderline personality disorder · Countertransference · Feeling · Medical emergency · Personality · Poison control · Psychiatry · Psychotherapist · Qualitative research · Suicidal ideation · Clinical Psychology · Human Factors and Ergonomics · Medicine · Personality Disorders and Psychopathology · Psychology · Psychotherapy Techniques and Applications · Social Psychology · Transactional Analysis in Psychotherapy

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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