Erzählen in psychodynamischen Psychotherapien

Habermas, Tilmann; Fesel, Daniel

doi:10.1007/s00278-021-00555-w

Cited by 1 publication

(2 citation statements)

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“…This may result in a construction of the life story in which the patient is portrayed as not being agentic or responsible but instead views him-or herself as a passive victim of circumstances. Therefore, psychodynamic work aims at helping the patient create a life story in which they perceive themselves as agentic and responsible for their lives ( 32 ).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, significant others, such as family members, may also co-author narratives and influence the development of narrative identity (29)(30)(31). Despite narrative identity changing over time, an intense examination of narratives regarding past experiences through psychotherapy may also lead to changes in narrative identity: A therapist may be perceived as a "special" co-author, who influences the change on narratives more intensively with the use of different technical means (32). For example, theoretical assumptions from psychoanalytic ego psychology suggest, that neurotic defense-related distortions may lead to narratives being incomprehensible, implausible, or contradictory (33).…”

Section: Introductionmentioning

confidence: 99%

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The development of narrative identity in the psychodynamic treatment of avoidant personality disorder: A case study

Timberlake

Fesel

2023

Front. Psychiatry

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Avoidant personality disorder (AvPD) is characterized by feelings of shyness, inadequacy, and restraint in intimate relationships and has been associated with a disturbance in narrative identity, which is the internalized and evolving story of past, present, and future experiences. Study findings have indicated that an improvement in overall mental health through psychotherapy may increase narrative identity. However, there is a lack of studies incorporating not only the examination of narrative identity development before and after psychotherapy but also within psychotherapy sessions. This case study examined the development of narrative identity in short-term psychodynamic psychotherapy treatment of a patient with AvPD, using therapy transcripts and life narrative interviews before, after, and 6 months following treatment termination. Narrative identity development was assessed in terms of agency, communion fulfillment, and coherence. Results showed that the patient’s agency and coherence increased over the course of therapy, whereas communion fulfillment decreased. At the six-month follow-up, agency and communion fulfillment increased, whereas coherence remained stable. The results of this case study suggest that the patient’s sense of narrative agency and ability to narrate coherently improved after undergoing short-term psychodynamic therapy. The decrease of communion fulfillment during psychotherapy and later increase after termination suggests that the patient became more aware of conflictual patterns in their relationships, therefore realizing that their wishes and desires were not being fulfilled in their current relationships. This case study displays the possible impact short-term psychodynamic therapy may have by helping patients with AvPD develop a narrative identity.

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Section: Introductionmentioning

confidence: 99%