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A Kleinian approach to group psychotherapy.

This article presents clinical material from a group that is now in its seventh year. The clinical material illustrates an aspect of the working through of depressive anxieties. The theoretical framework for understanding the material and my interventions is Bion's application of Klein's ideas. The clinical vignettes show how a group struggles with the split between good and bad characteristic of the paranoid-schizoid position (Ps) and the more integrated view of objects as both good and bad, characteristic of the depressive position (D). This more integrated view carries with it the capacity for both love and hate. One member's early memory of cruelty mobilizes other members' guilt toward their objects as well as their reparative wishes.

Adult↗

Acting out in group therapy: avoiding authority struggles.

Acting out is the indirect expression of a feeling, wish, or thought through action rather than in words, and is a frequent occurrence in group therapy. Acting out may take obvious forms such as lateness or premature termination, or it may be more subtle, such as rambling, withholding, or avoiding specific affects. Working through occurs as the group confronts the acting-out behavior with curiosity and concern rather than pressure or criticism. When group members themselves address acting out, they are more likely to avoid power struggles with authority figures than when the clinician enforces the rules.

Acting Out↗

The psychoanalytic group situation.

This article explores the theoretical and clinical underpinnings of a specific form of group-centered psychotherapy. In this modality, the nature of the phenomena developing in the clinical situation are related to the prevailing levels of the therapeutic regression occurring in the group. It is suggested that the most regressive phenomena tend to be experienced as groupwide phenomena with individual members assuming the position of part objects, whereas lesser degrees of regression center on the experience of whole-object relations. Five dimensions of the therapeutic situation are explored: regression, the group as a setting, the nature of anxiety, the creation of objects, and symbolization. This model allows for a differentiated exploration of therapist-centered and peer-centered transferences. A session is discussed in detail.

Adult↗

The model-scene in group psychotherapy with chronic psychotic patients.

According to Lichtenberg (Lichtenberg, Lachman, & Fosshage, 1992), the model-scene is a scene imagined by the patient and the therapist that recalls the emotional content of a pattern of a relationship, which the patient has repeatedly experienced with a caregiver. In chronic psychotic patients, mechanisms of splitting, projection, and emotional self-mutilation make it particularly difficult to understand the archaic structures of interaction that maintain an influence on present behavior and internal emotional experience. The model-scene may be a useful instrument to integrate fragmented and dispersed mental elements. The authors describe their experience in an analytically oriented therapy group that was carried out in an institutional setting. The technique was based on the creation of model-scenes, starting from the relationships of individual members in the group.

Adult↗

Different patterns of change in narratives of men and women during analytical group psychotherapy.

Narratives of men and women concerning their interactions with other people were evaluated before and during analytically oriented group psychotherapy using the Core-Conflictual-Relationship-Theme (CCRT) method (Luborsky & Crits-Cristoph, 1990). Relationship patterns of men and women developed differently during therapy. Some gender stereotypes persisted, others changed. During therapy the proportion of negative responses in the narratives increased in the men. Change in the narratives was not related to change in self-reported symptoms. For group treatments, the results suggest that the gender of the patients has to be taken into account. Knowledge of different developmental patterns for men and women in groups can be important in regard to the expectations of therapists and their countertransference.

Adult↗

Psychosomatic aspects of cancer: an overview.

An overview of research on the psychosomatic aspects of cancer indicated that earlier psychoanalytic interpretations which focused on intrapsychic elements have given way to considerations of rehabilitation of victims of cancer and assistance with the complex emotional reactions of patients to terminal disease and of patients' families both to the disease and to death.

Adult↗

The empirical foundations of psychoanalytic approaches to psychological testing.

The view that psychoanalytic approaches to psychological testing lack empirical foundations is disputed by systematically examining the ways in which psychoanalytic theory expands the sources of data available to the psychological tester at each step in the assessment process. The contention is made that it is unscientific to restrict the concept of what constitutes scientific rigor to formal experimentation with statistical analysis.

Humans↗

The sexual significance of the axillae.

The present paper will review the existing material on the relationships between the axillae and sexuality, present examples of the relationship from clinical practice, everyday life, art, anthropology, mythology, and literature, and consider the relevant human and primate physiological knowledge.

Anthropology↗

The psychology of colonialism: sex, age, and ideology in British India.

It is becoming more and more obvious that colonialism--as we have come to know it during the last two hundred years--cannot be identified with only economic gain and political power. In Manchuria, Japan consistently lost money, and for many years colonial Indochina, Algeria and Angola, instead of increasing the political power of France and Portugal, sapped it. This did not make Manchuria, Indochina, Algeria or Angola less important as colonies. Nor did it disprove the point that economic gain and political power are important motives in a colonial situation. It only showed that colonialism could be characterized by the search for economic and political advantage without concomitant real economic or political gains, and sometimes even with economic or political losses. This essay argues that the first differentia of colonialism is a state of mind in the colonizers and the colonized, a colonial consciousness which includes the sometimes unrealizable wish to make economic and political profits from the colonies, but other elements, too. The political economy of colonization is of course important, but the vulgarity and insanity of colonialism are principally expressed in the sphere of psychology. The following pages will explore some of these psychological contours of colonialism in the rulers and the ruled and try to define colonialism as a shared culture which may not always begin with the establishment of alien rule in a society and end with the departure of the alien rulers from the colony. The example I shall use will be that of India, where a colonial political economy began to operate seventy-five years before the full-blown ideology of British imperialism became dominant, and where thirty years after the formal ending of the raj, the ideology of colonialism is still triumphant in many sectors of life.

Cultural Characteristics↗

The use of dreams in couples therapy.

Spouses and family members communicate in complex, highly developed patterns which are largely out of awareness (Wynne 1961; Martin 1976; Cavenar 1979; Satir 1964). The therapist's grasp of these patterns of unconscious relatedness is essential to effective couples therapy or family therapy. This becomes a basis for interventions designed to help change those patterns destructive to a mutually satisfying relationship. A dream which one member of a couple presents in the setting of conjoint therapy is an important moment in which unconscious communication becomes manifest. Awareness and effectiveness can be enhanced when a therapist emphasizes the interpersonal dimension of the dream rather than treating it as a purely intrapsychic event. We examine meanings and uses of dreams shared in the context of couples psychotherapy, via literature review, clinical examples, and discussion. We suggest an approach which highlights interpersonal dimensions of dream-sharing and incorporates a concept of unconscious resonance.

Adult↗

Relationship schema formulation: role-relationship models and intrapsychic conflict.

Recurrent maladaptive interpersonal relationship patterns are a central characteristic of the personality disorders and the main focus in dynamic, cognitive, and family psychotherapies. In dynamic formulations the emphasis is on examining conflict in terms of opposing wishes, fears, and defenses. Such formulations can take place at various levels of information, involving ideas, emotions, self and objects. This paper presents a system for formulating intrapsychic conflicts at the level of person schemas (Horowitz 1988a). It uses units called Role-Relationship Models (RRM).

Adult↗