Una bussola per la comprensione delle dinamiche di coppia: il metodo per la formulazione del piano della coppia (MFPC)

Control-Mastery Theory (CMT) is a cognitive-psychodynamic theory of psychological functioning and psychopathology (Gazzillo, 2016; Weiss, 1993), empirically validated by the San Francisco Psychotherapy Research Group (1986). A central tenet of CMT is that people who seek for psychotherapy are guided by an unconscious plan (Silberschatz, 2005, 2008; Weiss, 1993). Such unconscious plan provides for the realization of healthy and pleasant goals and the disconfirmation of the pathogenic beliefs that have developed as a consequence of childhood traumatic experiences and which hinder the patient in his adaptation efforts. Even in everyday life people test their pathogenic beliefs and intimate relationships, thanks to the stability and the emotional involvement that they imply, represent an ideal context for the partners to try to disconfirm their respective pathogenic beliefs (Zeitlin, 1991), hoping to receive different responses from those received by their traumatic caregivers. When this does not happen, the couple develops negative experiences and symptoms, which may encourage partners to seek for a psychotherapeutic treatment. We hypothesize that not only individuals but also couples are guided by an unconscious plan at the beginning of the therapy and the aim of our work is to provide guidelines for the Formulation of the Couple’s Plan. The couple's plan includes goals, obstructions, individual and couple traumas, vicious circles such as the matching of pathogenic beliefs of both partners that generate dysfunctional patterns, virtuous circles which guarantee members of the couple to feel safe in the relationship, and finally the insights. The formulation of each component will be explained with the help of a clinical case and the results of the self-report measures used - the Interpersonal Guilt Rating Scale-15 (IGRS-15, Gazzillo et al., 2017) and the Pathogenic/Problematic Beliefs Scale (PBS; Silberschatz, 2016) - will be reported. The couple's plan represents a method of assessment and intervention in the work with conjugal and parental dyads, which is useful both to the therapist - especially to the young therapist - to orientate himself in the clinical work, both to the researcher, to understand the dysfunctional dynamics underlying individual and dyadic suffering.