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- Title
Case report Context-Oriented Model Development in Psychotherapy Planning (‘COMEPP’): a useful adjunct to diagnosis and therapy of severe personality disorders.
- Authors
Fischer‐Kern, M.; Leithner, K.; Hilger, E.; Löffler‐Stastka, H.; Schuster, P.
- Abstract
Fischer-Kern M, Leithner K, Hilger E, Löffler-Stastka H, Schuster P. Context-Oriented Model Development in Psychotherapy Planning (‘COMEPP’): a useful adjunct to diagnosis and therapy of severe personality disorders. Acta Psychiatr Scand 2004: 109: 235–238. © Blackwell Munksgaard 2004. Pathogenous interpersonal (e.g. interfamilial) relationships and reference styles can compromise treatment efforts in severely disturbed (i.e. psychotic or borderline) patients. The integration of family- and individual-centred starting points may be useful in establishing interdisciplinary treatment concepts in these patients. Context-Oriented Model Development in Psychotherapy Planning (COMEPP) represents a diagnostic and therapy planning process, integrating both systemic and psychoanalytic conceptualizations. COMEPP is exemplified by the case of a young man with psychotic personality disorder who had previously been unresponsive to pharmacological and psychological treatment. After psycho-dynamical conflicts (i.e. primitive projective processes from the patient's mother to her son) had been elucidated during the COMEPP process, a sufficient treatment setting could be established. COMEPP provides a psychotherapeutical approach to treatment planning on case-specific premises and may serve as an adjunct to concomitant pharmacological and psychological treatment strategies in so-called ‘therapy refractory’ patients.
- Subjects
INTERPERSONAL relations; SOCIAL psychology; PEOPLE with mental illness; BORDERLINE personality disorder; PERSONALITY disorder treatment; PATIENTS
- Publication
Acta Psychiatrica Scandinavica, 2004, Vol 109, Issue 3, p235
- ISSN
0001-690X
- Publication type
Book Review
- DOI
10.1111/j.1600-0447.2003.00285.x