Национальный психологический журнал (Jun 2020)

Without feeling? I am not there! On human’s reaching out for life

  • Alfried Längle

DOI
https://doi.org/10.11621/npj.2020.0204
Journal volume & issue
Vol. 2, no. 38
pp. 39 – 53

Abstract

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Background. As a rule, something complicated and threatening to a person is associated with borderline disorder, something that even psychotherapists sometimes cause concern and an ambivalent attitude. Therefore, an understanding of the internal processes of a borderline disorder is especially important, as it reduces fears and promotes better interaction with people who live with this disorder. The Objective of is to phenomenologically uncover the core of borderline, to present the psychotherapeutic methods of working with borderline patients. Design. The disorder is described on the level of symptoms in an overview and is understood as a relationship disorder both inwardly as well as outwardly. A phenomenological approach to the specific suffering of Borderline patients reveals, in the depth of this impulsive, intense and unstable personality, an unendurable pain connected to the inner loss of self. The phenomenon of Borderline proves to be a fundamental being split accompanied by a split experience of the world. In this tension, the rearing up becomes comprehensible as a psychodynamic struggle essential for survival. Due to the painfulness and threat of these lacking and injured ego-structures this dynamic can only slowly be dismantled in therapy and replaced by increasing personal behavior. Finally, main features of treatment of the specific problems of Borderline happening are presented. Conclusion. A professional approach allows breaking this destructive circle and offer patients (and their families) development prospects. This is the greatest task of psychotherapy. Such work can be a source of in-depth experience for the therapist that can be gained through successful therapy.

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