STUDYING ADDICTIVE SPLITTING IN THE PROCESS OF PROVITAL INTERVIEWING OF ALCOHOL-DEPENDENT PATIENTS WITH COMORBID PERSONALITY DISORDERS
One of the many approaches to psychotherapy of addicted patients is taking into account the phenomenon of “addictive splitting of the personality” into the Addictive and Normative parts of the self. The Addictive self and the Normative self possess different systems of thinking, emotional-cognitive connections and behavioral patterns. The purpose of this study was to try to determine the presence and, possibly, the nature of addictive ambivalence by analyzing “psychotherapist-patient” dialogues recorded during provital motivational interviewing. In accordance with the goals and objectives of the study, 25 “psychotherapist-patient” dialogues with patients in the stage 2 of alcohol dependence admitted to hospital treatment were analyzed. It was revealed that intrapersonal splitting of the borderline personalities does not significantly affect the frequency of negative or positive statements of patients, and the distribution of ambivalent statements in the groups reflects more likely the addictive splitting phenomenon with which addiction specialists are used to work. It is proved that the study of patients' ambivalent statements regarding the prospects of changing dependent behavior can be carried out by analyzing the text of the interview by various specialists, highlighting different types of statements that themselves can represent psychotherapeutic “targets”. When diagnosing an increased frequency of negative statements about the prospects for changing addictive behavior, it is recommended to evaluate them not only from the point of view of motivation and the presence of the phenomenon of denial, but also from the point of view of the increased danger of manifestations of auto-aggressive behavior.