시작하는 정신치료자의 경계선 성격장애 치료를 위한 좋은 정신과적 관리와 정신역동적 정신치료의 통합

• Published in: 정신분석, 32(3) pp. 74 - 88
• Main Author: 이창훈
• Format: Journal Article
• Language: Korean
• Published: 한국정신분석학회 01.07.2021
• Subjects: 정신과학
• ISSN: 1226-7503; 2383-7624
• DOI: 10.18529/psychoanal.2021.32.3.74

Many psychotherapists have experienced limitations in the treatment of borderline personality disorder (BPD). Symptoms of BPD patients sometimes worsened when they were treated with traditional psychoanalytic approaches. Consequently, most psychotherapists have suggested modifications of psychoanalytic methodologies. Over 10 years period, a group of patients whom the psychiatric residents have treated with the psychodynamic psychotherapy for training has moved onto the group of BPD from the one of neurotic disorder. The author perceived that a clear and simple guideline, modified from the traditional psychoanalytic approaches is needed for the psychiatric residents and fresh psychotherapists for initiating treatment of BPD patients with psycho- dynamic psychotherapy. Good psychiatric management (GPM) is a manualized psychotherapeutic approach with goals for pri- mary and general management of BPD. It has been proven that GPM resolves the pre-existing misbelief and stigma of BPD and proposes a pragmatic and eclectic methodology to help the therapists treat their BPD patients with a more active, optimistic, and positive attitude. The author has suggested in this article GPM can be integrated into the psychodynamic psychotherapy for BPD in terms of the methodology for modifying the psychodynamic psychotherapy treatment approach for BPD. This article includes the principles of the modified psychodynamic psychotherapy as a form of integrating GPM. It will be a guideline for the psychiat- ric residents and fresh psychotherapists for initiating treatment for BPD patients with psychodynamic psychotherapy. KCI Citation Count: 0