Motive-Oriented Psychotherapeutic Relationship Facing a Patient Presenting with Narcissistic Personality Disorder: A Case Study

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Serval ID
serval:BIB_BE71F8D3DD2F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Motive-Oriented Psychotherapeutic Relationship Facing a Patient Presenting with Narcissistic Personality Disorder: A Case Study
Journal
Journal of Contemporary Psychotherapy
Author(s)
Kramer Ueli, Berthoud Laurent, Keller Sabine, Caspar Franz
ISSN
1573-3564
ISSN-L
0022-0116
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
44
Pages
71-82
Language
english
Abstract
Motive-oriented therapeutic relationship (MOTHER), a prescriptive concept based on an integrative form of case formulation, the Plan Analysis (PA) method (Caspar, in: Eells (ed.), Handbook of psychotherapy case formulations, 2007), has shown to be of particular relevance for the treatment of patients presenting with personality disorders, in particular contributing to better therapeutic outcome and to a more constructive development of the therapeutic alliance over time (Kramer et al., J Nerv Ment Dis 199:244–250, 2011). Several therapy models refer to MOTHER as intervention principle with regard to borderline and Narcissistic Personality Disorder (NPD) (Sachse et al., Clarification-oriented psychotherapy of narcissistic personality disorder, 2011; Caspar and Berger, in: Dulz et al. (eds.), Handbuch der Borderline-Störungen, 2011). The present case study discusses the case of Mark, a 40-year-old patient presenting with NPD, along with anxious, depressive and anger problems. This patient underwent a seven-session long pre-therapy process, based on psychiatric and psychotherapeutic principles complemented with PA and MOTHER, in preparation for further treatment. MOTHER will be illustrated with patient–therapist verbatim from session 4 and the links between MOTHER and confrontation techniques will be discussed in the context of process-outcome hypotheses, in particular the effect of MOTHER on symptom reduction.
This research was supported by SNSF and funded by Grant No: 100014_134562/1.
Open Access
Yes
Create date
06/12/2013 13:44
Last modification date
21/11/2022 8:12
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