Therapist Self Disclosure in Group Psychotherapy from an Intersubjective and Self Psychological Standpoint

The history of therapist self disclosure is traced from the early struggles of Ferenczi and Burrow to its valued, yet still ambivalent, contemporary status. The symmetry of self disclosure by therapist and group members is differentiated from the parity of their different roles and responsibilities. Using a case example, the process is discussed through which a therapist's self disclosure fosters task-appropriate satisfaction of selfobject needs as it also helps group members articulate and loosen archaic selfobject binds. The therapy group is described as a transitional space within which a therapist's disclosure offers members an intersubjective bridge to the therapist as well as a model for members' own active participation in the group's work.     

Self Psychology, Dreams and Group Psychotherapy: Working in the Playspace

This paper presents one leadership style within a self-psychological approach to working with dreams in group psychotherapy. It stresses an empathic attunement, the creation of safety, and an experience-near playful relationship. Playful is not used lightly here. It is used in the spirit of Winnicott's intermediate space where a mother suspends questions of what is real or not real and what is me and not me. Freud's analogy to a playspace forms a metaphor for the creation of a special atmosphere in a group, or for that matter in individual work as well, that encourages exploration, risk taking, and vulnerability. Working with dreams in this playspace deepens the curative process, not only for the dreamer, but for the entire group.     

Phases of Group Development: A View from Self Psychology

This paper delineates four phases of group development from the standpoint of self psychological theory. The author contends that a stable sense of groupself develops over time and that the groupself has a distinct number of phases, each of which has a therapeutic impact on members. The individual patient's selfobject experiences include a relationship to the group-as-a-whole, a transference state of which the leader is but one part. Thus, rather than dilute the transference, group analysis offers a unique opportunity to help the individual experience him or herself within a selfobject matrix that extends beyond the dyad. Group analysis leads to a strengthening of the self, especially as it enables the self to experience itself as part of a group identity, which provides alter-ego selfobject experiences, as well as a sense of acceptance within a larger community. This paper attempts to clarify how different selfobject experiences may be highlighted within the groupself at different stages of group development.     

Difficult Terminations in Group Therapy: A Self Psychologically Informed Perspective

In group therapy, terminations that are neither planned nor anticipated are sometimes referred to as difficult. This complex issue of difficult terminations is used as a vehicle to challenge the prevailing, though often unspoken, assumption that the goal of the group therapist is to keep the members in the group. The author presents the notion that the leader needs to maintain a balance between the group as a treatment context, and the goal of that context. The goal of group-as-treatment context is to provide for the therapeutic needs of each individual patient in the group. Self psychology provides a basis for redefining the therapy group as a treatment context. A specific rationale, goal, and process of that redefinition is presented along with illustrative case material. With this understanding, unanticipated terminations can be as readily accepted and understood as ones that are planned. All terminations are viewed as further opportunities to understand how a patient defines his or her sense of self, sense of other, and sense of self with other.     

Dealing with Masochistic Behavior in Group Therapy from the Perspective of the Self

The self psychological understanding of masochism differs from traditional views in that it perceives masochistic behaviors as maladaptive attempts to experience vitalization, greater self-esteem and self-cohesiveness. Motivational systems theory may be especially useful in understanding the purposes served by masochistic behavior. Masochistic behavior in interpersonal relations is of particular importance to group therapy. Such behavior serves to maintain a relationship with the object as well as to gain selfobject experiences. Exhibitionism appears to be a prominent aspect of the behavior of individuals acting masochistically in group therapy. The group leader has the responsibility of establishing and maintaining an empathic atmosphere among the group members so that the individual engaging in self destructive behavior, as well as other members, can hear and understand their own and each other's subjective experiences.     

Hatred in Group Therapy: A Rewarding Challenge

Hatred is a powerful affective experience that can be disruptive to the work of a therapy group, yet it may also enhance a member's capacity to deal with strong affects. This paper explores a particular aspect of hatred, the hate directed at one member of a cotherapy team. An effort is made to explore the experience from an intersubjective and motivational systems perspective, focusing primarily on the therapist and one patient. The impact of the cotherapy relationship is also considered, as well as the whole group's capacity to contain and work with this powerful affective response. The way that the group managed this explosive situation speaks to the power of group therapy in healing and transforming its members.     

Confrontation Group Psychotherapy with Gifted, Dually Diagnosed, and Self-Destructive Adolescents in a Residential Setting

An adolescent mutation has proliferated since the late 1960s who has been immune to traditional therapeutic and educational approaches. It takes a new breed of group leader to work with this difficult-to-treat youth, who either self-medicates abusing psychoactive substances and/or takes prescribed and potent psychotropic medication. Innovative and humanistic treatment techniques are needed to convince an unconvinced youth to use, rather than abuse, superior intellectual and artistic abilities.     

Leadership and Regressive Small Group Processes: A Case Study

The psychoanalytic literature of regressive group and intergroup processes is reviewed briefly and selectively to derive principles of effective, working group leadership. These principles are applied to a case study of the leadership provided by Terje Larsen to the unique work group of Palestinians, Israelis, and Norwegians who produced the 1993 Oslo Peace Accords.     

Trauma, Shame, and Group Psychotherapy: A Self Psychology Perspective

This paper attempts to define trauma from a self psychology/intersubjective perspective and explores shame as a basic aspect of trauma. Self psychologically oriented group therapy is examined as an effective treatment modality for dealing with issues of shame as well as the after effects of trauma.     

The Social Psychology of Groups and Group Psychotherapy: One View of the Next Century

Will fields that study groups in general, such as social psychology, and fields that use groups to achieve therapeutic goals, such as group psychotherapy, move toward unification in the future or will they drift apart? One possible future assumes that these two approaches to groups will become better integrated as (a) societal changes increase individuals' reliance on groups; (b) research and theory on group processes become more sophisticated; and (c) basic and applied researchers work together more closely in examining groups. Such unification requires, however, changes in the training, outlook, and procedures used by both practitioners and researchers.     

初中生同伴群体交往与自我同一性发展研究

使用社会认知地图(SCM)与自我同一性状态客观测量的标准化同卷(EOM-EIS-II),对初中生群体交往与自我同-性发展的关系进行研究,结果发现:(1)初中生普遍存在群体归属需要,绝大多数人都认为自己从属于一个或多个群体.(2)群体类型不影响自我同-性发展,班级内不同群体类型间,个体的自我同-性状态不存在显著差异.(3)群体内的个体地位影响自我同-性发展,处于群体中不同地位的个体.其自我同-性状态存在显著差异.     

中国领导心理与行为实证研究二十年进展

国内领导心理和行为的实证研究在过去20年间取得了很大进展,研究领域主要包括特质研究、行为和风格研究、权变研究与新领导理论研究四个方面。该文提出,重视在不同类型和发展阶段的组织情境中分析领导的机制,把焦点由领导者个体转移到互动的领导过程,强化中国文化下的本土化研究,加强实验室方法、追踪研究和质性研究,是今后领导心理与行为研究的重要趋势。     

Distinguishing Between the Facilitating and the Self-Serving Charismatic Group Leader

Winnicott informed us about the components of the facilitating environment. Kohut warned us to differentiate between the charismatic leader, who looks for enfeebled followers to further his own grandiose ambitions, and the idealizable leader whose actions are based on a sense of values. Findings from attachment theory and neurobiology indicate how specific developmental issues make for a perfect fit between the self-serving charismatic leader and those who have been deprived of attuned interactive regulation and secure attachment in early childhood. This article attempts to integrate the above ideas for application to group dynamics in therapeutic, supervisory, training, and institutional groups.     

Psychoanalytic Psychotherapy for Severely Disturbed Borderline Patients: Observations on the Supervision Group of Psychotherapists

The authors describe the role of a supervision group of psychotherapists within a wider therapeutic field for severely disturbed borderline patients. The group concentrates on the transference and countertransference, seen according to Racker’s distinction between concordant and complementary identifications. The implications of the prevalence of the complementary identifications over the concordant identifications of the therapists to their patients and the resulting regression to primitive defense mechanisms can be counterbalanced by the group’s integrative functioning as receiver (1) of a variety of information about the patient, (2) of the therapist’s attempt to understand and synthesize, and (3) of the therapist’s countertransference reactions to his patient. The major discrepancies between the various conceptions of the borderline patients’ psychic world and the appropriate therapeutic technique to be applied are also discussed, as well as the way the group filters the information and integrates the therapeutic thought. It might be said, therefore, that, in the “inpatient” phase of the individual psychotherapy, the group of psychotherapists functions, for the patient and the treatment, in a synthesizing context, as it provides the therapist with a space of integration for his split-off part of self and object representations, which the therapist makes use of for his patient.*Members of the Athens University Project for Borderline Patients’ research team consisting of psychoanalysts and psychotherapists, Eginition Hospital, 74 Vas Sophias Avenue, Athens 11528, Greece.Maria Chatziandreou, M.D., is a member of the Hellenic Psychoanalytical Society.Haris Tsani, M.D., is a candidate of the Hellenic Psychoanalytical Society.Nikos Lamnidis, M.D., is a candidate of the Hellenic Psychoanalytical Society.Claire Synodinou, Ph.D., is a member of the Paris Psychoanalytical Society and an associate professor at Panteion University, Athens.Grigoris Vaslamatzis, M.D., is a training analyst of the Hellenic Society of Psychoanalytic Psychotherapy and an associate professor of psychiatry at Athens University.Address correspondence to: Maria Chatziandreou, M.D., 1-3, Skippi Street, 11525 Athens, Greece.     

团体心理咨询对提高大学生自信心的效果研究

本研究探讨了团体心理咨询在提高大学生自信心方面的作用。我们精心设计了团体心理咨询活动的过程,并在活动前后用五种量表对团体成员进行了测量。通过分析量表测量结果及其他定性研究方法,我们发现：（１）团体心理咨询可以有效地提高大学生的自信心。（２）团体心理咨询在发展性目标上也是有效的。本研究结果对今后的团体心理咨询研究及其应用具有一定的参考价值。     

Issues of Power, Control, and Status in Group Interaction: From Ferenczi to Foucault

Examination of the issues of power, control, and status in human interaction is made from the works of Kafka, Ferenczi, and Foucault. Ferenczi's confusion of tongues theory as a model is used to describe the dynamics of charismatic group leadership in training group for analyst group candidates.     

Raising Fees in Group Therapy: Some Ethical and Clinical Implications

Of all money matters in group psychotherapy, one of the most neglected in the literature is the issue of raising the fees. The premise of this paper is that there are ethical and clinical considerations to group fee increases. One consequence of the lack of attention to the subject of raising of fees is that many neophyte group leaders do not learn about its complexity. It will be argued that the raising of fees is not merely a straightforward matter of informing groups about an impending change in the amount of money that they will pay but rather, it is a knotty, emotionally charged issue with both realistic and subjective components for members and leaders alike. Further, it will be argued that the issue of raising fees in group therapy is dissimilar, in significant ways, from raising fees in individual treatment. When leaders use subjective criterion to decide an increase, then the group process may be disrupted. Suggestions for reform will be offered.     

Structural models of psychotherapy groups and their effect on inpatients with borderline personality disorders: Patients' perceptions

This research compares the way in which various group structural models affect self-understanding, interpersonal relationships and catharsis in hospitalized patients with borderline personality disorders. Each of the models is characterized by a different combination of group focus and leadership style. Three psychotherapy groups were chosen as paradigms: the dynamic psychotherapy group; the therapeutic games group, and psychodrama group. Sixty three inpatients with borderline personality disorders participated in the study. The one-way ANOVA yielded significant differences between the group models. Results of the post-hoc t-test showed that the dynamic and the games groups were perceived by the patients as more beneficial than psychodrama.     

Building Bridges: Teresa of Avila and self psychology

Utilizing concepts from self psychology, the author demonstrates the ways in which God functioned as a selfobject for Teresa of Avila. In addition, parallels are drawn between the spiritual journey as described by Teresa of Avila and the psychotherapeutic journey. Building bridges between the psychological and spiritual realms of experience can greatly increase our understanding of each, and enable us to help our clients become more integrated, whole persons.     

The Effect of Intra- and Intergroup Leadership on Group Goal Attainment in a North-South Gaming Simulation

This research investigated the role of leadership functions in a context of intergroup negotiation by using a simulation game of inter-regional conflict and cooperation (SIRC²). As a part of their social psychology course, 151 undergraduate students participated. It was hypothesized that there are four leadership factors in an intergroup context: in-group performance, in-group maintenance, out-group negotiation performance, and out-group relation maintenance. According to a factor analysis, however, the functions of in-group performance and out-group performance merged into the same category and could not be differentiated independently. Moreover, this research provided evidence that opportunities for intergroup communication and the amount of resources available to each group can facilitate these leadership functions. This study also found links between leadership functions and group outcomes. In a group with members who were homogeneous and facing common survival problems, the in-group/out-group performance function facilitated the achievement of the group goal. On the other hand, in a group with members with different roles, and who were self-sufficient for survival, the in-group maintenance function facilitated the achievement of the group goal. Moreover, in the intergroup context, the out-group relationship maintenance function was also important for group goal attainment. These results were interpreted using the path–goal theory and Fiedler's contingency theory.