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At least 1,531 records · Page 85Linked to original sources
PubMed1994

Failures in group psychotherapy: the therapist variable.

Failures in group psychotherapy are well-known to practitioners in the field. The author contends that the unresolved, irrational fears of the therapist, in particular the fear of abandonment and the fear of engulfment, are major contributors to failures in group psychotherapy. Clinical vignettes are used to illustrate the impact these fears of the therapist have on patients at the initial, middle, and end phases of therapy. The author suggests ways to recognize the potential for failure and recommends several methods by which therapists can help themselves diminish failure in group psychotherapy.

Adult↗
PubMed1995

The nequipos' collusion with the patient's family of origin in analytic group psychotherapy.

When the analytic group is led by individuals paired for educational reasons, that is, by a supervisor and his or her student, the difficulty in conducting the group becomes magnified. Such teams are called nequipos and it is hypothesized that they will not function optimally until the latter phases of their development. The authors describe the mistakes they made as early phase nequipos in their treatment of one patient in group psychotherapy.

Adult↗
PubMed1995

Etiology and management of anger in groups: a psychodynamic view.

The author postulates that theoretical explanations of the etiology of anger and aggression inform the group therapist's interventions. Four psychodynamic schools of thought--drive theory, ego psychology, object relations theory, and self psychology--are discussed. Choice of the best-suited theory to increase understanding may vary according to the particular patient and/or set of group circumstances. A pitfall to be avoided is forcing any given individual, event, or process into a specific school of thought. In the group, special issues related to anger exist: the therapist's vulnerability to narcissistic injury if made the focus of anger, the increased intensity and force of anger that can be mustered in a group, and the safety afforded patients as they, outnumbering the therapist(s), express anger.

Anger↗
PubMed1995

Working with anger in groups: a modern analytic approach.

The development of Modern Psychoanalytic psychotherapy with schizophrenic and borderline patients is briefly traced, and the major themes of the treatment approach that derived from that early work are discussed with attention to their application in group therapy. These themes include the concepts of the narcissistic defense, narcissistic transference, joining or reinforcing defenses, emotional communication, and a shift away from the classical psychoanalytic emphasis on interpretation and insight to a strategy of helping the patient put all his or her thoughts and feelings into language in a constructive manner. These principles are discussed in connection with three kinds of problems involving anger in therapy groups: members' anger destructively turned against their own egos, anger expressed toward the leader within a negative transference, and anger destructively expressed toward others in the group. Lastly, consideration is given to the group leader's anger and its expression within the group. Some contrasts are made between the Modern Analytic approach and the classical Freudian position as well as Kohut's self psychology.

Anger↗
PubMed1996

Separation and individuation in the group leader.

Psychodynamic group therapy, by definition, offers group members an opportunity to revisit some of the earliest developmental stages. The authors argue that conflicts around separation and individuation are stimulated with each beginning and ending of an intimate group. The leader of that group is similarly challenged around these primary conflicts. The question of group contagion, difficulties around the capacity to be alone, and the problems of projective identification are explored as they have an impact on leaders in a group. Case examples are offered to illustrate leadership problems along these dimensions.

Adult↗
PubMed1997

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↗
PubMed1997

An object relations perspective on couples group therapy.

This article presents a couples group therapy treatment approach that uses analytic object relations concepts such as transference/countertransference, projective identification, containment, and the holding environment. Object relations theory is seen as the most useful theory with which to view couple interaction because it is based on a two-person psychology and focuses on the impact of relational systems on the development of the person. This includes the idea that the person grows within the attachment to another person. Group therapy is seen as a more effective treatment approach because the group is a resilient holding environment that provides an avenue in which projective identifications can be understood and contained, power can be redefined, isolation of the couple can be decreased, and the couple's responses can become more versatile. The model described is illustrated with clinical vignettes from an open-ended couples group.

Adult↗
PubMed1997

The pivotal group member: a study of treatment-destructive resistance in group therapy.

This article defines the pivotal group member (PGM) and highlights the differences between the PGM and other central figures in group therapy. Whereas central figures adopt predictable roles that serve therapeutic functions, the PGM produces a treatment-destructive atmosphere within the group, one that shrouds the group in feelings of heaviness and hopelessness. The PGM dynamic can only occur in a three-way collusion among the group, the therapist, and one special member. When not properly addressed, this situation can contribute to the stagnation and possible dissolution of the group. Thus, the PGM provides a key to understanding the perils of unrecognized emotional undercurrents and their consequences.

Adult↗
PubMed2000

The group as selfobject: brief psychotherapy with women.

This article applies the theory of self psychology, which was developed by Heinz Kohut, to brief group psychotherapy. The article discusses the significance of the group as an expanded selfobject for individuals who do not have appropriate, available selfobjects in their environment. The article addresses the rationale for developing a 12-week women's group from a self-psychological perspective and illustrates key theoretical concepts in the beginning, middle, and end phases with group process. The role of the therapist in each phase of group development is emphasized.

Adult↗
PubMed1982

Identification of patient-generated feelings in security personnel.

Several authors have pointed out that the recognition of feelings aroused by patients in health professionals can be useful in the delivery of patient care. The general hospital setting provides an in vivo research laboratory for studying the awareness of patient-generated feelings. A questionnaire designed to help categorize and quantify the feelings experienced by security personnel (N = 28 males) while working with patients at the Massachusetts General Hospital indicated that security personnel experience a wide variety of emotions as a result of their contact with patients. Fear, anxiety, and helplessness were reported by the majority. The preponderance of negative affects identified confirms the stressful nature of their work.

Adult↗
PubMed1972

On sudden death.

Explore the source record for details and available documents.

Adult↗
PubMed1981

Alcohol abuse and the borderline patient.

Effective treatment of the alcohol-abusing borderline patient involves knowledge of two pathological processes. Alcoholism treatment methods and theory can have a profound effect upon the approach used with such patients, helping the therapist deal with the patient in a way that is respectful of his strengths and weaknesses. This paper describes how a knowledge of alcoholism treatment can be used in psychoanalytic psychotherapy, which is defined as the application of analytically-derived insights into motivations and resistances. Treatment of the alcoholism and the psychiatric disorder are best begun together at the outset of therapy, each method assisting the other.

Adult↗
PubMed1982

The fantasy residue: an antitherapeutic force on the psychiatric inpatient service.

This paper will attempt a model of organizational behavior to the study of the origin, perpetuation, and rectification of certain antitherapeutic forces (Sacks and Carpenter 1974) on inpatient services, which I shall call the ward's "fantasy residue." The fantasy residue consists of the enduring antitherapeutic patterns of dealing with patients that have become normative for a given ward and evolve from irrational staff responses to a variety of stresses in the absence of appropriate corrective administrative actions. Because they originate in irrational responses to complicated situations of patient management or staff relations, these forces can be called "fantastical." Because they tend to flourish and remain active long after the specific conditions which gave rise to them changed or cease to exist, they are "residual." Hence, the name "fantasy residue." Once established, the fantasy residue can persist either as unacknowledged maladaptive responses in the ward's milieu or as openly espoused, presumedly valid "methods of treatment." In either case, the ward staff an its leaders lose sight of both the irrational base and antitherapeutic consequences of these attitudes and actions. In this sense, a ward's fantasy residue is analogous to a person's ego syntonic character resistances and correction requires a process of confrontation, recognition, and facilitation of objective self-scrutiny among staff and patients.

Countertransference↗