Click here to download

Quando tutto sembra essere contro te: un caso di disturbo paranoide di personalità
Journal Title: QUADERNI DI PSICOTERAPIA COGNITIVA 
Author/s: Elena Bilotta 
Year:  2013 Issue: 33 Language: Italian 
Pages:  11 Pg. 115-125 FullText PDF:  128 KB
DOI:  10.3280/QPC2013-033008
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


When everything seems to be against you: a case of paranoid personality disorder Marta is a young woman, a failing student and a worker. She is living together with her native family. The problems she presented were characterized from the very beginning by a leitmotif: a deep sense of persecution and injustice. Although we had some relational difficulties in the early phases of therapy, we overcame them with time. We managed to identify some of Marta’s recurrent thoughts, and we were able to link them up to the different situations she used to live, with the main aim of helping her to read her interior emotional states and to overcome her metarepresentational difficulties. Socratic dialogue and functional analysis were the main therapeutic instruments used, together with a particular and specific attention to the interpersonal cycles. Some personal consideration about the difficulties and the progresses made during the therapy are presented, together with a classic formulation of the case and the description of the different stages of the therapeutic process.
Keywords: Paranoid personality disorder, interpersonal cycles, metarepresentative deficit.

  1. American Psychiatric Association (2000). Manuale diagnostico e statistico dei disturbi mentali, IV-TR edizione. Milano: Masson. Bagby R.M., Parker J.D.A., Taylor G.J. (1994). The twenty-item Toronto Alexithymia scale – I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38: 23-32.
  2. Beck A.T., Epstein N., Brown G., Steer R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56: 893-897.
  3. Beck A.T., Steer R.A., Brown G.K. (1996). BDI-II, Beck depression inventory: manual. 2d ed. Boston: Harcourt Brace.
  4. Bressi C., Taylor G.J., Parker J.D.A., Bressi G., Brambilla V., Aguglia E., Allegranti I., Bongiorno A., Giberti F., Bucca M., Todarello O., Callegari C., Vender S., Gala C.,
  5. Invernizzi G. (1996). Cross validation of the factor structure of the 20-item Toronto Alexithymia Scale: An Italian multicenter study. Journal of Psychosomatic Research, 41: 551-59.
  6. Derogatis L.R. (1975). The SCL-90-R. Baltimore: Clinical Psychometric Research.
  7. Mazzi F., Morosini P., De Girolamo G., Guaraldi G.P. (2003). SCID II: Intervista clinica strutturata per i disturbi dell’Asse II del DSM-IV. Firenze: Giunti O.S.
  8. Mancini F. (2000). Il contributo della psicologia cognitiva allo studio dei processi psicopatologici. Invited paper al Congresso: Il Futuro della Psicoterapia, Milano, 20-22 ottobre.
  9. Millon T. (1999). Personality – Guided Therapy. New York: John Wiley & Sons.
  10. Nicolò G., Nobile M.S. (2003). Il Modello del disturbo paranoide di personalità. In: Dimaggio G., Semerari A., a cura di, I disturbi di personalità. Modelli e trattamento. Roma-Bari: Laterza, pp. 360-393.
  11. Nicolò G. (2003). Il trattamento del disturbo paranoide di personalità. In: Dimaggio G., Semerari A., a cura di, I disturbi di personalità. Modelli e trattamento. Roma-Bari: Laterza, pp. 394-432.
  12. Parker G., Tupling H., Brown L.B. (1979). A parental bonding instrument. British Journal of Medical Psychology, 52: 1-10.
  13. Sarno I., Preti E., Prunas A., Madeddu F. (2011). SCL-90-R: Symptom Checklist 90 R.
  14. Versione Italiana Validata e Standardizzata. Firenze: Giunti O.S.
  15. Wells A. (1999). Trattamento cognitivo dei disturbi d’ansia (edizione italiana a cura di Claudio Sica). Milano: McGraw-Hill.

Elena Bilotta, in "QUADERNI DI PSICOTERAPIA COGNITIVA" 33/2013, pp. 115-125, DOI:10.3280/QPC2013-033008

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content