Patrones relacionales y conflictos en una paciente con depresión en un proceso terapéutico breve a través del OPD-2
Date
2023-06-14
Journal Title
Journal ISSN
Volume Title
Publisher
Pontificia Universidad Católica del Perú
Abstract
La presente investigación es un estudio sistemático de caso único de una paciente con
sintomatología depresiva en un proceso de psicoterapia psicoanalítica breve. Se tuvo como
objetivo identificar y describir los patrones relacionales y los conflictos internos, cómo se
relacionan entre sí ambos Ejes y la sintomatología depresiva. El material clínico estuvo
constituido por los episodios relacionales de las tres primeras sesiones, se aplicó el método
CCRT-LU-S para su identificación; y a partir de ellos, se procedió a conceptualizar el Eje II
Relación y Eje III Conflicto del OPD-2. Los resultados evidencian, tres patrones relacionales
disfuncionales en la consultante, que incluyen la necesidad de sobre adaptarse, de contenerse
y al mismo tiempo, de apoyarse, aferrarse y reprochar o culpar, tendiendo a percibir que el otro
la descuida o abandona. Por otro lado, también se descalificaba al percibir una exigen cia de
parte de los otros. Los conflictos giran en torno a una ambivalencia en su relación con los
demás. Los conflictos más significativos fueron Deseo de protección y cuidado versus
autonomía y Auto valoración.
The present investigation is a systematic study of a single case of a patient with depressive symptomatology in a process of brief psychoanalytic psychotherapy. The objective was to identify and describe relational patterns and internal conflicts, how both Axes and depressive symptomatology are related to each other. The clinical material consisted of the relational episodes of the first three sessions, the CCRT-LU-S method was applied for their identification; and from them, we proceeded to conceptualize the Axis II Relationship and Axis III Conflict of the OPD-2. The results show three dysfunctional relational patterns in the consultant, which include the need to over-adapt, to hold back and at the same time, to lean on, hold on and reproach or blame, tending to perceive that the other neglects or abandons her. On the other hand, she also disqualified herself when she perceived a demand from others. The conflicts were related with an ambivalence in their relationship with others. The most significant conflicts were Desire for protection and care versus Self-sufficiency and Selfassessment.
The present investigation is a systematic study of a single case of a patient with depressive symptomatology in a process of brief psychoanalytic psychotherapy. The objective was to identify and describe relational patterns and internal conflicts, how both Axes and depressive symptomatology are related to each other. The clinical material consisted of the relational episodes of the first three sessions, the CCRT-LU-S method was applied for their identification; and from them, we proceeded to conceptualize the Axis II Relationship and Axis III Conflict of the OPD-2. The results show three dysfunctional relational patterns in the consultant, which include the need to over-adapt, to hold back and at the same time, to lean on, hold on and reproach or blame, tending to perceive that the other neglects or abandons her. On the other hand, she also disqualified herself when she perceived a demand from others. The conflicts were related with an ambivalence in their relationship with others. The most significant conflicts were Desire for protection and care versus Self-sufficiency and Selfassessment.
Description
Keywords
Psicoterapia breve, Psicoanálisis, Depresión mental