دانلود رایگان ترجمه مقاله تجارب آغازین روان درمانی تحلیلی کارکردی با مراجع دچار اختلال شخصیتی (نشریه APA 2012)

گام های اولیه در FAP: تجارب آغازین روان درمانی تحلیلی کارکردی با مراجع دچار اختلال شخصیتی و وسواس فکری و عملی

First Steps in FAP: Experiences of Beginning Functional Analytic Psychotherapy Therapist with an Obsessive-Compulsive Personality Disorder Client

F1398

Abstract

Practicing Functional Analytic Psychotherapy (FAP) for the first time can seem daunting to therapists. Establishing a deep and intense therapeutic relationship, identifying FAP’s therapeutic targets of clinically relevant behaviors, and using contingent reinforcement to help clients emit more functional behavior in the therapeutic relationship all present significant challenges. This article describes a first-time FAP therapy conducted with a client meeting criteria for obsessive-compulsive personality disorder and also presenting features of borderline personality disorder. The case illustrates how a first-time FAP therapist can meet these challenges and make use the supervision relationship as an aid.

1 Introduction

Functional Analytic Psychotherapy (FAP, Kohlenberg & Tsai, 1991) is a therapy that promotes intense and curative therapeutic relationships and invites therapists to use their own in-the-moment private experience in the service of fostering such relationships. This invitation can feel challenging to therapists first considering using FAP. The present article presents a first-time FAP therapy, conducted by the first author and supervised by the second author. The client met criteria for obsessivecompulsive personality disorder with borderline personality traits and sought help for marital difficulties. It is intended as an exploration and illustration of the challenges of a first time FAP therapist and how FAP supervision can help meet some of these and contribute to therapy moving forward.

LUCIANA Luciana1 is a 36 years old twice-married woman with three children, a 13 years-old daughter from a first marriage and two young children (3 years and 18 months old) from her second marriage. She herself was adopted at 8 months. Her first marriage to a successful lawyer lasted three years. She met her second husband four years ago and, after her third pregnancy, stopped working to look after her children. Luciana sought therapy because she was not sure whether she should leave her husband toward whom she felt persistent anger and distrust. She reported having suffered all her life and wanting to feel better. She hoped therapy could help free her from the distrust and anger she felt in all her close relationships.