Case Formulation Under Supervision With A Cognitive Behavioral Approach Histrionic Personality Organization: A Case Report
DOI:
https://doi.org/10.5281/zenodo.20364405Keywords:
Cognitive Behavioral Therapy, Histrionic Personality Patterns, SupervisionAbstract
The aim of this study was to examine the case formulation, interpersonal relationship patterns, and therapeutic intervention process of a client with histrionic personality patterns within the framework of Cognitive Behavioral Therapy (CBT) conducted under supervision. The study was carried out using a qualitative case report design, and data were obtained through clinical observations, session notes, client narratives, and cognitive behavioral interventions implemented throughout eight psychotherapy sessions conducted with regular group supervision. Findings revealed that the client demonstrated intense approval-seeking interpersonal patterns, dramatization tendencies, reassurance-seeking behaviors, abandonment sensitivity, and dependent relationship dynamics, while early childhood experiences such as emotional invalidation, a distant maternal relationship, and physical trauma contributed to the development of maladaptive core beliefs including “I am worthless,” “I am unlovable,” and “I will be abandoned.” During the therapy process, interventions including cognitive restructuring, behavioral activation, emotion regulation, psychoeducation, and interpersonal boundary work were implemented; however, the client’s low level of insight, avoidance of therapeutic homework, and strong need for external validation limited therapeutic progress. As a result, it is considered that psychotherapy processes involving histrionic personality patterns require structured therapeutic boundaries, regular supervision support, and schema-focused interventions, and future studies are recommended to examine personality pathology through longer-term and comparative psychotherapy approaches involving different therapeutic modalities.
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