Effect of socio-cultural factors in therapeutic intervention
Comorbidity and presence of family dysfunction in personality disorders, namely borderline personality disorder have been found commonly with bipolar affective disorder clients. Dialectic behaviour therapy (DBT) though has shown efficacy in treatment of such conditions, at times due to the socio-cul...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Academy Publisher
2020-04-01
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| Series: | Open Journal of Psychiatry and Allied Sciences |
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| Online Access: | https://www.ojpas.com/get_file.php?id=33809403&vnr=810018 |
| _version_ | 1818060127846006784 |
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| author | Vasundharaa S Nair Febna Moorkath Mysore Narasimha Vranda |
| author_facet | Vasundharaa S Nair Febna Moorkath Mysore Narasimha Vranda |
| author_sort | Vasundharaa S Nair |
| collection | DOAJ |
| description | Comorbidity and presence of family dysfunction in personality disorders, namely borderline personality disorder have been found commonly with bipolar affective disorder clients. Dialectic behaviour therapy (DBT) though has shown efficacy in treatment of such conditions, at times due to the socio-cultural differences of the models adopted from the western concept, there is a felt difficulty in the formulation of the therapeutic model making it necessary to collaborate with other models for smoother formulation and improvement in the overall functioning in the clients. A 21-year-old female of bipolar affective disorder with emotionally unstable personality disorder traits was referred to a psychiatric social worker for assessment and plan of intervention inclusive of DBT and family-focused therapy (FFT). Twenty sessions, each lasting for one hour were conducted with the client and family, each on an inpatient basis to (1) Assess and grade the problems in hierarchy, (2) Understand the socio-cultural constructs in sessions, (3) Teach DBT concepts and relaxation techniques to ameliorate stress and help her to improve the relationship and dynamics with her family through FFT. At the time of discharge, the client had improved nearly 30%, and the client and family were more confident in facing social situations, emotional dysregulation, interpersonal issues, distress tolerance goals which has been explained in the context of the socio-cultural factors focusing on alliance, institutions, expectations, and cultural adaptation involved in therapy and the involvement it had in the therapeutic process. |
| first_indexed | 2024-12-10T13:27:29Z |
| format | Article |
| id | doaj.art-e66a6e79da8147c09e5f753f4d32867f |
| institution | Directory Open Access Journal |
| issn | 2394-2053 2394-2061 |
| language | English |
| last_indexed | 2024-12-10T13:27:29Z |
| publishDate | 2020-04-01 |
| publisher | Academy Publisher |
| record_format | Article |
| series | Open Journal of Psychiatry and Allied Sciences |
| spelling | doaj.art-e66a6e79da8147c09e5f753f4d32867f2022-12-22T01:47:07ZengAcademy PublisherOpen Journal of Psychiatry and Allied Sciences2394-20532394-20612020-04-01111263010.5958/2394-2061.2020.00006.3Effect of socio-cultural factors in therapeutic interventionVasundharaa S Nair0Febna Moorkath1Mysore Narasimha Vranda2Department of Psychiatric Social Work, NIMHANS, Bangalore, IndiaDepartment of Psychiatric Social Work, NIMHANS, Bangalore, IndiaDepartment of Psychiatric Social Work, NIMHANS, Bangalore, IndiaComorbidity and presence of family dysfunction in personality disorders, namely borderline personality disorder have been found commonly with bipolar affective disorder clients. Dialectic behaviour therapy (DBT) though has shown efficacy in treatment of such conditions, at times due to the socio-cultural differences of the models adopted from the western concept, there is a felt difficulty in the formulation of the therapeutic model making it necessary to collaborate with other models for smoother formulation and improvement in the overall functioning in the clients. A 21-year-old female of bipolar affective disorder with emotionally unstable personality disorder traits was referred to a psychiatric social worker for assessment and plan of intervention inclusive of DBT and family-focused therapy (FFT). Twenty sessions, each lasting for one hour were conducted with the client and family, each on an inpatient basis to (1) Assess and grade the problems in hierarchy, (2) Understand the socio-cultural constructs in sessions, (3) Teach DBT concepts and relaxation techniques to ameliorate stress and help her to improve the relationship and dynamics with her family through FFT. At the time of discharge, the client had improved nearly 30%, and the client and family were more confident in facing social situations, emotional dysregulation, interpersonal issues, distress tolerance goals which has been explained in the context of the socio-cultural factors focusing on alliance, institutions, expectations, and cultural adaptation involved in therapy and the involvement it had in the therapeutic process.https://www.ojpas.com/get_file.php?id=33809403&vnr=810018borderline personality disorderbipolar disorderdialectical behaviour therapyfamil therapy |
| spellingShingle | Vasundharaa S Nair Febna Moorkath Mysore Narasimha Vranda Effect of socio-cultural factors in therapeutic intervention Open Journal of Psychiatry and Allied Sciences borderline personality disorder bipolar disorder dialectical behaviour therapy famil therapy |
| title | Effect of socio-cultural factors in therapeutic intervention |
| title_full | Effect of socio-cultural factors in therapeutic intervention |
| title_fullStr | Effect of socio-cultural factors in therapeutic intervention |
| title_full_unstemmed | Effect of socio-cultural factors in therapeutic intervention |
| title_short | Effect of socio-cultural factors in therapeutic intervention |
| title_sort | effect of socio cultural factors in therapeutic intervention |
| topic | borderline personality disorder bipolar disorder dialectical behaviour therapy famil therapy |
| url | https://www.ojpas.com/get_file.php?id=33809403&vnr=810018 |
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