The difficult patient in combined therapy: A case study

• Main Author: Peter Praper
• Format: Article
• Language: English
• Published: Slovenian Psychologists' Association 2002-02-01
• Series: Psihološka Obzorja
• Subjects: ego-pathology; psychotherapy; combined therapy; case study
• Online Access: http://psiholoska-obzorja.si/arhiv_clanki/2002_1/praper.pdf

After the shift of the psychotherapeutic treatments towards the patients with ego-deficits and severe pathology, combined therapy is considered to be one of most important innovations of the last decade – to be correct – in the USA, while Europe still hesitates to explore this possibility. The term Combined therapy indicates individual (mostly developmental analytic) and group (mostly group-analytic) psychotherapy, led by the same therapist. The presented case study includes the carefully examined therapeutic process of a severe shizoid patient. The process was controlled by constant supervision, including both: the patient's changes and reactions of the group, the transference and countertransference phenomena, advantages and difficulties, as well as the outcome.