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Yıl:2018; Cilt: 5; Sayı: 2>> Özet
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Ayna Klinik Psikoloji Dergisi; 2018;5(2):43-58
Sınır (Borderline) Kişilik Bozukluğu: Bir Vaka Çalışması
Y Bozdağ, ÖY Alkar
Yıldırım Beyazıt Üniversitesi, Ankara
Sınır kişilik bozukluğu, genel olarak kişilerarası ilişkilerde süreğen bozulmayla beliren duygulanımda dengesizlik ve birtakım dürtüsellik örüntülerinin eşlik ettiği bir sendrom olarak tanımlanmaktadır. Bu çalışma, sınır (borderline) kişilik bozukluğu örüntüsü gösteren D. isimli danışanın 15 seans sonunda ele alınan vaka formülasyonu ve psikoterapide süpervizyon sürecini içermektedir. D., 37 yaşında, lise mezunu, orta boylu, hafif kilolu, kendine bakımı yerinde bekar bir anne olup temizlik görevlisi olarak çalışan bir kadındır. Çalışmanın ilk bölümünde danışanın demografik bilgileri, önceki tedavisi, aile ve sosyal yaşantısı, eğitim ve iş hayatı öyküsü, kendisinin ifade ettiği zayıf ve güçlü yönleri gibi bilgiler ayrıntılı olarak sunulmuştur. Ardından terapist ile danışan arasında kurulan ilişki, psikoterapi süreci ve bilişsel davranışçı terapi kapsamında ilişkili psikolojik test ve değerlendirme bulguları çerçevesinde yararlanılan teknikler tedavi stratejisi olarak ele alınmıştır. Son olarak, kişilik değerlendirmesi bölümünde bu değerlendirmenin danışan üzerinde nasıl bir etkisinin olduğu, terapi aşamalarının ve gelişmelerin incelenmesi, danışanın elde ettiği kazanımlar ve terapi kapsamında uzun vadede ele alınması gereken noktalar tartışılmıştır. Böylece bir sınır kişilik bozukluğu vakasının özelliklerinden yola çıkılarak bozukluk ve psikoterapi süreci hakkında farklı bir bakış açısı sunmak amaçlanmıştır.
Borderline Personality Disorder: A Case Example
Borderline personality disorder can be defined as a syndrome with an imbalance in feelings which generally appears with problems in interpersonal relations and impulsivity patterns. This study includes a case formulation and supervision process in psychotherapy at the end of the fifteen sessions of a client named D. who indicates borderline personality disorder pattern. D.. is a 37 years old, high school graduated single mother who is of medium height and weight, well cared and works as a cleaner. In the first part of the study, demographic information, previous treatments, family and social life, education and work life, strengths and weakness of the client, as she declared, has been presented in a detailed way. Then, the relationship between therapist and client, psychotherapy process and the techniques which are benefited as a part of the relevant psychological tests and evaluation of findings within the context of cognitive behavior therapy have been undertaken as a treatment strategy. Finally, in the personality assessment section, it was discussed how this assessment has an effect on the client, examining stages of the therapy and developments, the client's achievements, and the points that need to be addressed in the long run in the context of therapy. Thus, it is aimed to provide a different perspective on the disorder and the pspsychotherapy process from the characteristics of a borderline personality disorder.

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