Читать книгу Schema Therapy for Borderline Personality Disorder - Hannie van Genderen - Страница 28

T:

How are you doing?

P:

(in an angry voice) Bad.

T:

Why is that, did something bad happen?

P:

No, I did something stupid and now everything is ruined.

T:

So, things are not going well with you?

P:

No, I'm hopeless and now I'm bothering you as well.

When the punitive parent is present, Little Nora cowers away and is difficult to reach.

While in this mode, the patient will punish herself by purposely denying herself enjoyable things or by ruining them. She will also punish herself by hurting herself or attempting to end her life. She provokes punishment everywhere, even from her therapist. She refuses to aid in her own recovery by spurning activities that would promote healthy improvement. This often results in a premature end to the therapy.

When the patient is in this mode, the objective of the therapy involves extinguishing the unhealthy rules and behaviors and replacing them with more adequate rules and norms.