Depresif Özellikler Taşıyan Bir Danışanın Psikoterapi Sürecinde Terapötik Çerçevenin Rolü

Year 2019, Volume: 6 Issue: 3, 334 - 361, 01.10.2019

İlknur Dilekler

https://doi.org/10.31682/ayna.580497

Cited By: 1

Abstract

Psikoterapi uygulamasının genel iskeleti ve yapısal özelliklerini oluşturan terapötik
çerçevenin farklı yönlerine ve kendine özgü işlevlerine yönelik çeşitli bakış açıları
mevcuttur. Bu olgu çalışması, hem terapötik çerçevenin uygulamadaki görüngülerine
dair bir örnek sunmayı, hem de kavramın depresif özellikler taşıyan bir danışanın
psikoterapi süreci boyunca duygusal ihtiyaçları ve zihinsel temsillerinin anlaşılmasındaki
rolünü ele almayı amaçlamaktadır. Danışan, depresif duygulanım ve ilişkisel çatışma
sorunları ile psikoterapiye başvurmuştur. Psikoterapi süreci terapistin klinik psikoloji
lisansüstü eğitimi kapsamında yürütülmüş, genel olarak nesne ilişkileri kuramı
doğrultusunda ve özel olarak terapötik çerçeve kavramı açısından detaylı olarak
kavramsallaştırılmıştır. Bu bağlamda, ilişkisel çatışmaları devam ettiren mekanizmaların
ve gelişimsel özelliklerin psikoterapi ilişkisi içinde aktarım ve karşı aktarım yoluyla
anlaşılması önemli bulunmuştur. Ayrıca kültürel etmenlerin gerek terapötik çerçevenin
işlevleri, gerekse aktarım-karşı aktarım ilişkisi üzerindeki olası etkileri tartışılmıştır.
Sonuç olarak bu olgu örneğinde içsel ve kişilerarası sınırların değerlendirilmesi, uygun
müdahale yollarının planlanması ve danışanın şikâyetleriyle ilişkili ilişkisel zorlukların
anlaşılmasında terapötik çerçevenin özellikle kapsayıcılık ve dış gerçeklik işlevlerinin ön
plana çıktığı görülmüştür. 

Keywords

olgu çalışması, terapötik çerçeve, nesne ilişkileri teorisi, aktarım-karşı aktarım

Thanks

Bu çalışmanın bir kısmı “19th Ulusal Psikoloji Kongresi: Barış ve Psikoloji” adlı kongrede poster bildiri olarak sunulmuştur. Sunulan olgu ile yürütülen psikoterapi çalışması için süpervizyon aldığım Dr. Canan Büyükaşık Çolak, Doç. Dr. Deniz Canel Çınarbaş ve Prof. Dr. Faruk Gençöz’e teşekkür ederim.

The role of Therapeutic Frame in Psychotherapy Process of a Client with Depressive Features

Abstract

Constituting the main framework and structural features of psychotherapy, therapeutic
frame is studied from various perspectives in terms of its different aspects and functions.
This case study aimed both to illustrate the practices of therapeutic frame and to discuss
the role of therapeutic frame in understanding the emotional needs and internal
representations of a depressive client. The case was presenting with depressive mood and
a number of relationship conflicts. Psychotherapy process was conducted during clinical
psychology education of the therapist in accordance with object relations theory
framework. Concepts of transference and countertransference were also integrated in
this context in order to examine the relational patterns and developmental
characteristics. The effects of possible cultural factors on therapeutic frame’s functions
and transference-countertransference dynamics were also discussed. All in all, the
assessment of interpersonal and intrapersonal boundaries, planning the interventions,
and elaborating on the presenting problems in psychotherapy are concluded to be closely
related to the therapeutic frame’s functions of containment and external reality for this
case example.

Keywords

case study, therapeutic frame, object relations theory, transference-countertransference

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