A psychological game is a repetitive, unconscious pattern of self destructive behaviour played out in a relationship.
In my view it is better to view self harm as a fluid, changing form of psychopathology rather than a static one reason form of pathology.
We have all our fancy theories and techniques but for this type of client it’s just that simple. The person feels a connection with the therapist and that is what really counts.
For example the passive aggressive person often has unintegrated anger. They dislike their anger, so they reject it, but it keeps coming back in their communications with others in a passive form.