The article proposes the formulation of a clinical case. Maria, sent by her general practitioner fo observation, has a borderline personality disorder co-morbid with a paranoid personality disorder. The patient is taken care of in a public facility for a psychotherapeutic process based on a cognitive-behavioral approach. She is treated pharmacologically in private with a mood stabilizer. The author outlines the therapeutic process: the acceptance, the assessment, the dynamics of the failure and maintenance factors of the disease. He defines the objectives of the intervention and the work to achieve in relation also to the most recent developments in cognitive therapy and in particular to LIBET (Life themes and plans Implications of biased Beliefs: Elicitation and Treatment) and the meta-cognitive therapy and the interpersonal cycles. The author also highlights the critical issues that affect both the therapeutic alliance and the therapeutic work centered on the dysfunctional interpersonal cycles, on the metacognition deficit and on dysfunctional life plans.
Keywords: Cognitive-Behavioral Therapy; Borderline Personality Disorder; Paranoid Personality Disorder; Metacognition; Dysfunctional Interpersonal Cycles; Life Themes and Plans Implications of Biased Beliefs: Elicitation and Treatment.