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Context‐Oriented Model Development in Psychotherapy Planning (‘COMEPP’): a useful adjunct to diagnosis and therapy of severe personality disorders
Author(s) -
FischerKern M.,
Leithner K.,
Hilger E.,
LöfflerStastka H.,
Schuster P.
Publication year - 2004
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2003.00285.x
Subject(s) - psychotherapist , context (archaeology) , compromise , psychology , adjunct , personality disorders , interpersonal communication , personality , clinical psychology , psychoanalysis , social psychology , paleontology , social science , linguistics , philosophy , sociology , biology
Objective: 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. Method: COMEPP is exemplified by the case of a young man with psychotic personality disorder who had previously been unresponsive to pharmacological and psychological treatment. Results: 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. Conclusion: 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.