„Psychotherapy works… but not in my case”. A case study of change process during long-term client contribution oriented integrative psychotherapy
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Katedra Psychoterapii i Psychologii Zdrowia KUL
Submission date: 2017-10-21
Final revision date: 2017-11-07
Acceptance date: 2017-11-08
Publication date: 2018-01-04
Corresponding author
Krzysztof Mariusz Ciepliński   

Katolicki Uniwersytet Lubelski Jana Pawła II, Al. Racławickie 14, 20-950 Lublin, Polska
Psychoter 2017;182(3):43-55
Psychotherapy is a method of treatment for mental disorders of empirically varied effectiveness. . In some patients clinical improvement does not occur. Research on psychotherapy should be focused on recognition of determinants of success and failure in treatment. The goals of the study are: 1) a description of the process and results of long-term client contribution oriented integrative psychotherapy with patient suffering from obsessive-compulsive disorders (OCD), who had enduring difficulties in beneficial participation in psychotherapy; 2) a psychological analysis of change mechanisms and factors influencing the improvement.

Material and Methods:
Case study of psychotherapy process

An example of clinical effectiveness of the therapeutic interventions based on referring to the patients’ experiences of self-effective involvement in psychotherapy and provoking such experiences A positive coincidence between patient’s experiences of shaping the process of therapy and the results of treatment was recognized. Psychological analysis of change mechanisms was done from the integrative perspective.

The recognition and intentional activation by the therapist the patient’s personal potential for change can increase effectiveness of psychotherapy of persons with enduring obsessive-compulsive disorders, eating and depressive disorders

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