Transference reactions in conjoint therapy: A view from an observation group

Summary This paper reports on conjoint therapy conducted with the individual therapists of two of the group's members observing the group sessions. The development of the transference reactions of all group members are highlighted and suggestions are made regarding the most useful methods of handling these transference reactions to help create a mutative experience for the members of the group.The author wishes to thank Dr. Judith Isaac for her comments and editorial assistance throughout the preparation of this paper.     

Transference occurs across group boundaries

Transference occurs when a perceiver's representation of a significant other is activated and applied to a new target person (Andersen & Chen, 2002). Extending past research, it was hypothesized that transference occurs even when a target person possesses a core feature—namely, group membership status—that is inapplicable to the relevant significant-other representation. Supporting this, transference led perceivers to make representation-consistent memory and evaluation judgments about a target—regardless of whether the target's political (experiment 1) or ethnic (experiment 2) group membership was the same or different from that of the relevant significant other. Moreover, in experiment 2, perceivers undergoing transference involving a positively evaluated significant other behaved more positively toward the target even when the target was from an ethnic out-group. The results represent initial evidence of transference processes occurring across group boundaries. Implications for transference and the reduction of out-group bias are discussed.     

Starting a therapy group in a suicide prevention and crisis center.

This report outlines the experience of one center in establishing a group therapy program, discussing the "readiness" of the center, reservations of the governing board, qualifications and number of group leaders, composition of the group, time-place-duration of meetings, "open" versus "closed" structure, vagaries of obtaining participants, integration with the 24-hour telephone crisis service, problems of confidentiality, and dealing with the suicide of a group member.     

Dissociation, psychopathology, and abusive experiences in a nonclinical Latino university student group

A variety of clinical and experimental data suggest that many individuals who report abusive and traumatic experiences also report a wide array of dissociative and other psychopathological symptoms. In this study, 198 Puerto Rican undergraduate students participated in a study to examine the possible relationship between different types of traumatic experiences and the self-report of dissociative experiences, depressive symptoms, and general psychopathology. Another aspect of this study was the examination of the psychometric properties of the Dissociative Experiences Scale (DES) in a Latino sample. Results supported the hypothesis that those individuals who reported frequent and severe traumatic experiences were also the most likely to experience psychological malaise and scored higher on the DES. Of interest was the finding that the psychometric characteristics of the DES are consistent with those reported in the United States and other countries. The authors conclude that individuals with a marked history of trauma and abuse are more likely to use dissociative defenses as a coping response.     

Transference,countertransference and responsibility: Their role in therapy and consultancy

The thrust for this paper lay in the author's experience as a psychotherapist (using broadly psycho-analytic methodologies), and as an Organisation Development Consultant working with individuals and groups in organisations where issues of transference and counter-transference relationships remain uncovered. The paper further explores transference from the point of view of its manifestation as the ghost in the machine in mundane relationships that becomes amplified in the authority relationship of therapy or consultancy. The paper then looks at the crucial issues in counter-transference—in particular issues of responsibility, power and humanity in the relationship. In the concluding section we suggest a taxonomy in order to explore situations in which transference and counter-transference can be benevolent or malevolent.In all, the ideological thrust of the paper is that, from the therapists/consultants' positions, they have, in a hermeneutic sense, to accept their own humanity and take responsibility for it (through the process of the counter-transference) in the therapeutic encounter.     

Infant-led innovations in a mother-baby therapy group

A mother-baby therapy group for mothers and infants in their first year who are experiencing difficulties is described. In a literature review no comparable group where the infants are seen as members in their own right has been found. Themes in the mothers' material are outlined, followed by the infants' evolving interactive and internal processes. Some therapeutic factors, in particular interactions between the infants and interventions on the part of the therapists, are then illustrated with clinical material. Some infant-led innovations are described, such as the way the infants' activity is used as a basis for making ‘group as a whole’ interpretations, and in particular how the therapists' actions towards the infants have come to be viewed as a non-verbal form of interpretation. The role of attuned play in direct work with infants is discussed further.     

A world between realities: an exploration of therapeutic group culture and transitional phenomena in a long-term psychotherapy group.

In long-term, open-ended psychotherapy groups in which there are inevitable, yet potentially disruptive changes in membership, therapeutic group culture can become particularly important in sustaining a group's sense of cohesion. This article focuses on how transitional phenomena, as defined by D. W. Winnicott, and representational play serve as vehicles for establishing therapeutic group culture in a preadolescent girls' group. Applications of both transitional phenomena and therapeutic group culture to group stage development, as outlined by Garland, Jones, and Kolodny (1970), will also be explored.     

Management of a dying patient in group therapy

In the last few years there has been an increased interest in the psychosocial aspect as well as in the therapeutic needs of the dying patient. Although much has been written about the treatment of the dying patient, most of these works were done in the individual setting, either with out-patients or with hospitalized patients. However, relatively little attention has been paid to the treatment and management of the dying patient in a group therapy setting. In this paper the authors describe their experience in working with a dying patient in an ongoing therapy group. The effect on the group, on the individual patient and on the therapist are discussed. Moreover, the conflicting needs of the individual patients versus those of the remaining group members are discussed and compared to similar reports from the group therapy literature.