W artykule autorka prezentuje specyficzne elementy procesu
terapeutycznego osób, u których współistnieją cechy organicznego
uszkodzenia mózgu. Omawia ograniczenia psychoterapii
wynikające z tej organiczności w postaci: zaburzeń pamięci,
zaburzeń myślenia, zaburzeń emocji, osadzenia w korzyściach
wtórnych tego rodzaju pacjentów. Przedstawia również sposoby
ich minimalizowania.
abstract in English:
It is considered that patients with symptoms of organic disorders are not very susceptible
to psychotherapeutic methods of treatment. Specific traits of their functioning - memory,
thinking and emotional disorders - to a large extent make it difficult for these patients to
gain insight into their experience and functioning, as well as consequences of these in
social relations. These patients have a tendency to reduce the world to well-understood
(by them) stereotypes and schemas, caused by their incomplete psychic possibilities and
this stands in contradiction with the aims of the therapy, which are to enrich the number
possibilities of behaving. The therapy may be also difficult due to the ambivalence towards
the possibility of improvement due to secondary gains from the fact of being ill. Difficulty
in adaptation (also to the situation of therapy) arising from the stiff cognitive processes of
the patients, make it essential for the therapist to be maximally open and flexible in choosing
the methods of acting. Realistic, limited aims of therapy allow to avoid frustration
in both participants of the therapeutic relationship, which in turn benefits the atmosphere
of the sessions and their effectiveness.