A Case Study of a Complex Case of Borderline Personality Disorder

Revista Griot

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Title A Case Study of a Complex Case of Borderline Personality Disorder
Un Caso Complejo de Trastorno Límite de Personalidad
 
Creator Martínez-Taboas, Alfonso
 
Subject
Borderline personality disorder, traumatic experiences, evidence-based psychotherapies, reparative therapies
psicología clínica y psicoterapia
Trastorno límite de personalidad, experiencias traumáticas, psicoterapias basadas en evidencia, terapias reparativas.
 
Description Individuals with a diagnosis of Borderline Personality Disorder (BPD) usually presents many challenges at the moment of offering some type of effective treatment. For example, these clientsusually presents comorbidities, prolonged abusive and traumatic histories, and a severe symptomatology that typically reveals a fragile ego-state, emotional dysregulation, and a tendency to report constant and repetitive interpersonal conflicts, especially in intimate relationships. The case of Camilo presented a wide plethora of clinical complications that were recalcitrant to previous treatment by four different clinical psychologists. One of the peculiarities of this case is that Camilo evidenced an ego-dystonic homosexuality that was previously treated by a psychologists using a “reparative therapy” that only deepened his anguish and confusion. In the case of Camilo, the development of a strong therapeutic alliance permitted to uncover some traumatic experiences that configured his conceptualization of himself as a gay man. Additionally, some evidence-based treatments for BPD were utilized, with the result that Camilo slowly but consistently began to experiment different new forms of perceiving his past, his future and himself. At the conclusion of his treatment, Camilo embraced positively some challenges and was functioning with additional strengths and resiliency.
El Trastorno Límite de Personalidad (TLP) es uno que usualmente presenta retos particulares al momento de ofrecer un tratamiento efectivo a estos/as clientes. Los retos se manifiestas por un perfil muy comórbido con condiciones físicas y mentales, historiales extensos de abuso y maltrato, y una sintomatología severa que se refleja en un yo-interno frágil, desregulación emocional y una tendencia a tener relaciones interpersonales tormentosas. El caso de Camilo presentaba toda una amalgama de complicaciones serias y profundas, las cuales se mantenían intratables a pesar de haber acudido anteriormente a cuatro psicólogos/as. Una de las peculiaridades del caso consistió en que el cliente mostraba una homosexualidad ego-distónica y adicional había sido tratado anteriormente con una terapia “reparativa” la cual le ocasionó mucha desconfianza hacia los servicios de salud mental. El caso revela que fortaleciendo una alianza terapéutica, se llegaron a auscultar ciertas experiencias traumáticas que matizaban su historia de vida. Adicional, se utilizaron, de una manera consistente, ciertos modelos terapéuticos basados en la evidencia que permitieron que paulatinamente Camilo desarrollara una visión de la vida y de sí mismo que fuera más balanceada y que le permitiera percibir todas las fortalezas que él poseía.
 
Publisher Universidad de Puerto Rico, Recinto de Río Piedras
 
Contributor
no aplica
 
Date 2017-12-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Estudio de Caso Clínico

 
Format application/pdf
text/html
application/epub+zip
 
Identifier http://revistas.upr.edu/index.php/griot/article/view/8782
 
Source Revista Griot; Vol. 10, Núm. 1 (2017); 3-14
Revista Griot (Etapa IV - Colección completa); Vol. 10, Núm. 1 (2017); 3-14
1949-4742
 
Language spa
 
Relation http://revistas.upr.edu/index.php/griot/article/view/8782/11390
http://revistas.upr.edu/index.php/griot/article/view/8782/11401
http://revistas.upr.edu/index.php/griot/article/view/8782/11399
 
Rights Copyright (c) 2017 Alfonso Martínez-Taboas
http://creativecommons.org/licenses/by-nc-sa/4.0
 

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