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- Title
Le cinéphile : réflexions sur le traitement d'un trouble de personnalité schizoïde.
- Authors
Gamache, Dominick; Diguer, Louis
- Abstract
While treatment of personality disorders in general is often described as difficult and filled with many obstacles, knowledge is still limited regarding the specific treatment challenges for DSM's Cluster A individuals. The purpose of this paper is to explore these challenges, as illustrated by the case study of a schizoid patient who underwent psychodynamic therapy for over a year. Deep and unconscious interpersonal fears that complicated treatment, and how these fears had to be taken into account in therapeutic interventions, will be explored. Strong countertransference reactions, especially those evoked by long silences and constant management of optimal therapeutic distance, will also be discussed. This paper also proposes some reflections on the limitations of DSM's conceptualization of the schizoid personality disorder, and how a dynamic understanding of relational fears and ambivalence in these patients may be crucial to treatment.
- Subjects
COUNTERTRANSFERENCE (Psychology); FEAR; CLASSIFICATION of mental disorders; PSYCHODYNAMIC psychotherapy; SCHIZOTYPAL personality disorder; SUBCONSCIOUSNESS; THERAPEUTICS
- Publication
Sante Mentale au Quebec, 2012, Vol 37, Issue 1, p135
- ISSN
0383-6320
- Publication type
Article
- DOI
10.7202/1012649ar