Giancarlo Dimaggio, Giampaolo Salvatore, Cristina Azzara & Dario Catania
Centro di Psicoterapia Cognitiva, Rome, Italy

E-mail:terzocentro@iol.it

 

REWRITING SELF-NARRATIVES, CHANGE IN DIALOGICAL PATTERNS, AND INCREASE IN META-COGNITIVE MONITORING:
A SINGLE-CASE ANALYSIS

 

The analysis of a clinical case will serve to show how a patient put together her set of narratives using the tool of Self-Investigation. It will further be demonstrated how the set changed after six months as expressed in a second Self-Investigation. Finally we will describe the process by which this change took place, through the qualitative microanalysis of the diaries written by the patient during psychotherapy and the description of what was simultaneously happening to the therapeutic relationship. It emerges that the patient's negative emotions diminished in intensity and that dependent characters, suffering from guilt feelings, gave way (in the texts) to narratives in which the self acts independently and without feeling it is harming others if it accomplishes its own objectives. The psychotherapy has fostered patient's meta-cognitive monitoring skills and the patient has created a new character: the observer. This new perspective allows greater freedom of choice, a critical detachment from actions undertaken and the possibility of being free of negative emotions when reflecting on things.