Posted by Pfinstegg on January 6, 2003, at 20:23:59
In reply to Thanks, posted by dougie on December 28, 2002, at 19:49:12
The code names "interactive" or "relational" applies to a type of psychotherapy which has become quite important over the last decade. It may be easier to say what it is not: it de-emphasizes traditional insight-oriented approaches, and also does not utilize techniques such as suggestion or guidance much. The basic idea behind it is that people with personality disorders, i.e., narcissistic, borderline, passive-aggressive, etc. got that way because of abnormalities in the development of their relationships to their parents in both the attachment and separation phases, and that the way out is to experience a new, healthier relationship with the therapist which will help the patient mature in his interpersonal relationships, as he would have done as a child if conditions had been more favorable. This would mean both becoming able to be attached and trusting, and also being able to individuate and separate. Many of these therapists now believe that patients with personality disorders really have abnormalities in their neurophysiological development as a result of excessive childhood stress. However, they also think that these are at least partially reversible using the kind of therapy I have mentioned, and, of course, often medications as well, especially at the beginning of treatment. Medications which seem to work particularly well for BPD include Zyprexa and Prozac in combination- these often enable a person to make a strong start in therapy, and may or may not be needed long-term.
This is about all I know about it. I think Stephen Mitchell is the psychiatrist who first used the term "relational"- he has written several books which are worth reading. For an excellent view of the neurophysiological aspects of childhood neglect and abuse, look up Charles Nemeroff of Emory University, who has several review articles on Google.
Pfinstegg
poster:Pfinstegg
thread:106027
URL: http://www.dr-bob.org/babble/20030106/msgs/134755.html