Polish Psychiatric Association Editorial and Publishing Committee, Archives of Psychiatry and Psychotherapy, 4(19), p. 22-31, 2017
DOI: 10.12740/app/80167
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Aim of the studyclassify specific psychotherapeutic targets significant for the dynamic of the patients clinical and psychological features in the course of psychotherapy.Subject or material and methods150 patients with 3 forms of neurotic disorders were studied with The Symptom Checklist-90) – SCL-90; Ways of coping questionnaire (WCQ) (R. Lazarus, S. Folkman, 1988), Gießen personality test, Personality differential semantic test.ResultsAt the first stage of individual personality-oriented (reconstructive) psychotherapy, the main targets concerned the characteristics of psychotherapeutic relationships; at the second stage, the main targets concerned "personality-situation-disease" causation and the domain of self-understanding and self-attitude; at the third stage, the problem-decisive and behavioral focus of interventions prevailed. These characteristics of the content of individual personality-oriented (reconstructive) psychotherapy were successful according to the positive trends of clinical-and-psychological and personal characteristics of patients.Discussionchanges in personality questionnaires values mostly indicate an improvement in patients’ interpersonal functioning, while these changes concern specific factors of different types of neurotic disorders: inadequate self-esteem – in the hysterical type, determination and volitional quality – in the obsessive-phobic type, hyper-control and hyper-responsibility – in the neurasthenic type.ConclusionsSymptomatic condition, personal characteristics and characteristics of protective and coping behavior in all patients with neurotic disorders have undergone a positive trend in the course of individual personality-oriented (reconstructive) psychotherapy – there was a significant decrease in subjective intensity of symptoms, their diversity and severity of distress; there were improvements in interaction with others and increase in behavioral adaptability; self-esteem became more adequate.