Group Activities to Promote Early Rehabilitation in an Acute Psychiatric Ward: A Relationship-Based Approach Focusing on Movies

Our Psychiatry Institute has a long-standing tradition of providing training in the importance of relational and emotional skills and helping relationships. Here we describe techniques that are routinely used on our psychiatric ward (Maggiore della Carità Hospital, Novara, Italy) to promote early rehabilitation of acute psychiatric inpatients. We focus on the Cinema group, which is typical of our approach to informal, therapeutic group activity. Targeting social and relational issues as adjunct to treatment as usual is useful in acute settings and can begin at an early stage of hospitalization. Our intervention is designed to improve patients’ coping strategies, relational and communication skills, and overall quality of life.     

领导情绪智力对团队绩效和员工态度的影响——公平氛围和权力距离的作用

本研究共收集了74个工作团队的数据, 探讨了领导情绪智力对团队层面绩效(任务绩效、利他行为)和态度(满意度、团队承诺)的影响、公平氛围的中介作用以及团队权力距离的调节作用。研究结果表明：领导的情绪智力对团队绩效和态度均有显著的正向影响; 程序公平氛围中介了领导情绪智力对团队任务绩效和利他行为的影响, 交互公平氛围中介了领导情绪智力对团队任务绩效、满意度和团队承诺的影响; 团队权力距离调节了领导情绪智力和交互公平氛围的关系, 该调节关系通过交互公平氛围的中介作用影响团队任务绩效、满意度和团队承诺。     

Difficult Days: The Continuing Evolution of Relational Group Analysis: Discussion of “Taking the Sting Out: Manifesting Aggression and Containing Difficult States in a Relational Group Psychotherapy”

Raufman’s paper is located in the ongoing integration of relational concepts into the world of group analysis. Raufman’s difficult days of therapeutic impasse in her group are regarded as emblematic of the theoretical bind that she and other group analysts find themselves in, caught between older, more classically based theory that inheres in much group therapy and theory and the recent embrace of relational concepts. An alternate reading of the group enactment is offered from the perspective of an unobtrusive relational group analyst with a focus on the conductor’s negative capability and capacity to companion the group’s organic psychological language and idiom in a process of enactive co-narration. It is suggested that when Raufman killed the wasp, the group finally found the vitalizing, enlivening, and companioning object in the leader, that it had been seeking all along.     

Divided groups need leadership: A study of the effectiveness of collective identity,dual identity,and intergroup relational identity rhetoric

Reducing intergroup conflict is a significant leadership challenge. Leaders can alleviate conflict by promoting a collective, dual, or intergroup relational identity, but they should avoid provoking subgroup identity distinctiveness threat. Drawing on intergroup leadership theory, we conducted an experiment (N = 184) examining evaluations of a leader who promoted a dual, collective, or intergroup relational identity under low or high subgroup identity distinctiveness threat. We hypothesized that identity distinctiveness threat would improve evaluations of a leader promoting an intergroup relational identity, and worsen evaluations of a leader promoting a collective identity. Although a leader promoting a dual identity is typically preferred to one promoting a collective identity, we expected a leader promoting dual identity to receive worse evaluations than a leader promoting an intergroup relational identity. These hypotheses were supported, providing additional support for intergroup leadership theory and demonstrating the utility of employing intergroup relational identity rhetoric.     

Truth and falsity in group

The universal tension and juxtaposition between truth seeking and truth evasion are explored in a contemporary relational context, drawing on Bion 's later ideas on group. Bion's key idea of "psi," or psychic evasiveness, refocuses group theory, supplementing intra- and inter-psychic perspectives with sociopolitical analysis. To some extent the psychotherapy group exists as a political "Establishment" and thus corresponds to psi. Using three illustrative case examples, the nature and nurture of truth evasion is considered, along with the purposes it serves and the forms it may take. The therapist must maintain a disruptive-creative influence on group process, but like other group members, he or she instead may accept and promote falsity. Whereas the therapist ensures the integrity of the culture, the members, and not solely the therapist, break up old relational patterns and experiment with new ones. Dynamic, evolving groups aid the leader in life-affirming truth-seeking, eventually challenging establishment tendencies and exposing falsity.     

Leader endorsement in social dilemmas: Comparing the instrumental and relational perspectives

This chapter examines the role of leadership in overcoming social dilemmas within groups. First, based on prior theorising and research we present two alternative perspectives on leader endorsement in social dilemmas, an instrumental and a relational perspective. Next, we systematically compare these perspectives in a series of experiments investigating leadership in social dilemmas created within small groups in the laboratory. The results of our studies suggest that when their personal identity is salient, group members more strongly endorse leaders who are perceived to be instrumental in solving the freerider problem. In contrast, when a social identity is salient, members more strongly endorse leaders who fulfil their relational needs. Based on these findings we propose a differential needs model of leader endorsement in social dilemmas.     

A modern psychoanalytic approach to caregiver support groups

Caregiver support groups traditionally focus on education, reduction of social isolation, and supportive sharing. However, the support group literature has increasingly reflected an interest in the emotional effects of caregiving. While some authors promote the therapeutic value of supporting defenses against painful feelings, others have documented the value of encouraging their expression in groups. This paper is based on the author’s experience in co-leading an Alzheimer’s family support group, using a modern psychoanalytic approach which encourages the full expression of the caregivers’ emotional experience. Using emotional communication to explore resistances to intimacy and aggression in groups, the author demonstrates how the interplay of co-leadership and Modern Psychoanalytic theory and techniques promotes group cohesion and encourages maturational growth in group members. This model is also prescribed as an antidote to leader “burnout,” a not uncommon phenomenon for leaders of such emotionally charged groups. Private Practice, New York, New York.     

Der Gruppenfragebogen (GQ-D)

An investigation of the psychometric properties of the German version of the Group Questionnaire (GQ; Krogel 2009) is described. The GQ is a self-report instrument economically enabling the assessment of helpful aspects of relationships within small groups. Due to the limited length of the questionnaire it provides a tool of monitoring bonding to the group, the quality of the working relationship as well as negative aspects during group treatment. One advantage of the GQ is that it measures relationships on three different relational levels (group members, group leader and the group as a whole). Following a test of the multidimensional structure of the GQ-D using data from a multisite study (N=438) with structural equation models, the GQ-D was validated using other process measures. The GQ-D proved to be an objective, valid and reliable measure to assess relevant therapeutic relationships within groups.     

Vulnerability,Affect, and Depth in Group Psychotherapy

This paper describes the importance of a clinical focus on affect and narcissistic vulnerability in the deepening of therapeutic process. An experience of the analyst's emotional availability and understanding is also essential to mutative change. The case material illustrates how such a focus, within a relational context that includes the analyst's own vulnerability, can lead to change.     

Forging Connections in Group Psychotherapy Through Right Brain-to-Right Brain Emotional Communications. Part 1: Theoretical Models of Right Brain Therapeutic Action. Part 2: Clinical Case Analyses of Group Right Brain Regressive Enactments

ABSTRACT

Part 1: Theoretical Models of Right Brain Therapeutic Action. The first part of this article on the central role of the right brain in group psychotherapy offers evidence-based theoretical models of therapeutic action cocreated by the group members and the group leader. It describes how recent advances in interpersonal neurobiology and neuropsychoanalysis allow for a deeper understanding of the underlying nonverbal right brain change mechanisms beneath the words in individual psychotherapy. It then expands this model to the group context, specifically focusing on the theoretical constructs of cohesion, attachment, transference-countertransference dynamics, and implicit affect regulation, all of which are right brain functions. Part 1 concludes with a discussion of the fundamental role of these right brain mechanisms in synchronized group regressions and reenactments of attachment trauma that allow for new beginnings in emotional and relational development. Part 2: Clinical Case Analyses of Group Right Brain Regressive Enactments. The second part of this article offers case examples and commentary on working with early dysregulated attachment histories and the affect blunting defense of dissociation. Clinical vignettes demonstrate how the group reenacts attachment dynamics in transient regressions into an earlier stage of preverbal development, outside of the domain of language. Such emotionally shared regressions of attachment trauma, rupture, and repair allow the group members and leader to companion each other into and out of enactments. In this manner, regulated reenactments of preverbal emotional experiences potentially allow the cohesive group to expand adaptive right brain capacities to regulate and communicate a broader range of affectively charged subjective self states, thereby cocreating new ways of being with others.     

Listening Perspectives for Emotional-Relatedness Memories

When considering memory, it is as important to relinquish the distinctions of Platonic triadism—cognition, emotion, and motivation—as it is to abandon Cartesian dualism. Calling on contemporary infant research and neuroscience, the author asserts there is no memory save emotional memory. The human mind as given to us to know can be seen as springing from early-learned patterns of emotional relatedness that are retained in the personality and expressed in later significant interpersonal relationships, including the therapeutic one.

Influenced by the current relational movement on psychotherapy theory and practice, six trends in modern psychoanalytic thinking constitute a paradigm shift in the direction of listening for emotional-relatedness memory patterns brought by both participants into the interpersonal field of psychotherapy and psychoanalysis. Four listening perspectives are suggested for systematically framing different types of relatedness possibility patterns as they emerge in the course of the therapeutic engagement. Of special interest is the earliest “organizing” relational experience that manifests in therapy as two participants move toward interpersonal connection, only to have one or the other break or rupture the developing intimacy. To illustrate how primal patterns of flight, fight, and flee emerge in the transference–countertransference matrix, clinical examples are given. This paper illustrates how the relational paradigm stands on new philosophical, epistemological, and interactional ground when relatedness perspectives are used for listening and responding to (i.e., for framing) various levels of relational complexity possibility.     

Emotional engagement in the context of development and spirituality research

An awareness of spirituality and religion is increasingly being integrated within development theory and practice in order to recognise the way that many people approach community development. There are significant implications for researchers and their methodological practice that arise in paying attention to this area of development studies, particularly with regard to spiritual aspects of emotional engagement for researchers. This paper explores some of those implications from an analysis of my participatory research into geographies of development and spirituality. Two community groups with self-identified Christian spiritualities took part: a Melanesian settlement in Fiji and a women’s church-based group in rural Tanzania. I argue that emotional engagement and spiritual engagement are implicitly connected and demonstrate how attention to emotional knowledge provides valuable insight within this area of research. In particular, I illustrate how a relational approach to emotional knowledge, inspired by the philosophic and psychoanalytic work of Luce Irigaray, is particularly suited to approaching human and spiritual relationships and resonates with key concerns within participatory and community development. Paying particular attention to the concept of fidelity and the spatiality of subjectivity within her work, this paper illustrates the challenge from Luce Irigaray’s work regarding the relational framing of emotional knowledge and the transformational potential implicit within all research relationships.     

Emotional Intelligence: An Opportunity for Occupational Therapy

Emotional intelligence theory developed within the psychology and business fields and is described as an ability to monitor emotions and to use the information to guide thinking and problem solving. Emotional intelligence skills are needed by occupational therapy practitioners to support therapeutic use of self, promote client-centered care, and foster communication skills within the workplace. A scenario illustrates how emotional intelligence supports the therapeutic use of self during a clinical interaction. The Mayer Salovey Caruso Emotional Intelligence Test is introduced as a resource for occupational therapy practitioners to measure and develop therapeutic relationship skills based upon emotional intelligence research.     

Making the Intangible Tangible: Using Expressive Art During Termination to Co-Construct Meaning

In this article, a creative termination activity grounded in relational-cultural theory is presented. In addition to providing a means for summarizing the counseling experience, this activity promotes relational development in the midst of client termination. Following implementation of the activity, the client and counselor are provided tangible, co-constructed gifts that are symbolic of the therapeutic relationship and relational growth. The authors provide a rationale for how this intervention promotes self-awareness, outline directions for implementation, and provide a case illustration to demonstrate how counselors can help promote relational closure and solidify clients’ therapeutic gains.     

上下级之间应该存在何种关系?上下级关系图式

以往上下级关系研究大多聚焦于关系的实然特征, 缺乏对关系应有特征或模式的探讨。上下级关系图式是个体对上下级之间关系应有模式或特征的内隐认知, 这种内隐认知有助于揭示上级与下属之间的互动过程, 并为促进上级和下属的积极心理与行为提供理论启示。经过对文献的系统梳理, 将上下级关系图式与内隐关系理论、追随力认知图式、关系自我和关系认同等概念进行区分。个体传统性和现代性、依恋风格、领导行为以及文化因素能够预测上下级关系图式; 上下级关系图式能影响领导的态度与行为、下属忠诚、下属工作绩效、角色外行为、领导评价(道德领导)以及上下级关系评价; 移情的社会认知模型、泛家族主义、社会学习理论、信息加工理论解释了上下级关系图式的前因后果。未来可以从识别预测因素、拓展后果研究以及挖掘作用机制等方面推动上下级关系图式的研究。     

Polyamory: Experiences of Power from Without,from Within,and in Between

This article highlights the ways in which cultural, relational, and therapeutic power can affect polyamorous relationships and the therapeutic process. In therapy, focusing on the power narratives that polyamorous partners might experience can aid in challenging mononormativity while creating space for a variety of relational orientations. Power processes are presented as occurring on three levels: social discourse (without), relational meaning-making (within), and therapeutic practice (in between). A case study is used to evaluate these processes and implications are provided for clinicians working with polyamorous families.     

领导人际情绪管理和员工建言的关系：有调节的中介效应分析

近年来,领导人际情绪管理（LIEM）作为一种管理和调节下属消极情绪的领导行为正逐渐受到学界关注。本研究通过问卷调查,搜集了314份员工和领导的配对数据。研究结果显示：领导人际情绪管理积极影响员工建言行为;下属信任在领导人际情绪管理和员工建言行为间起到部分中介作用;权力距离对下属信任的中介效应起到调节作用。     

A child's experience of parental depression: encouraging relational resilience in families with affective illness

In this article, we describe an approach that parents with affective illness can use to foster the emotional resilience of their children. Building on current research that emphasizes the need to formulate concepts of risk and resilience in terms of family or relational processes, we propose that affectively ill parents can promote resilience in their children by helping them express the affect they experience as a result of parental illness-related behavior. Risk and resilience are conceptualized in terms of a family's ability to process emotion or affect: a family's need to constrict affect is a risk factor, while the family's ability to elaborate affect encourages relational resilience. An object relations model is used to discuss the ways in which encouraging this elaboration of affect, especially negative affect, contributes to resilience in children. We describe ways in which a preventive intervention helps to increase parents' emotional responsiveness to their children. Using extensive narrative data from followup interviews with families and children, constriction and expansion of emotion in children concerning affectively ill parents are documented, by multiple interviewers, over a span of more than 5 years.     

Psychotherapy Training Process as a Group Experience: A Hermeneutic-Constructivist Perspective

This article focuses on the training of hermeneutic constructivist psychotherapists and aims to point out those aspects that make the group such a privileged place for the construction of the professional role. It hypothesized that the group, as a closed and transitory context, can promote an openness to the exploration of different alternatives and the experimentation of the professional role. The article concentrates especially on applying the psychotherapy group theory of G. A. Kelly to the group training of hermeneutic constructivist psychotherapists, describing this process through the experience cycle (Kelly, 1995) in the perspective of a transformative experience. Starting from the basic theories behind the therapeutic process, illustration will follow of the training procedure formulated to allow working with the group within a context of relationships that favor learning and experimentation of new roles. The various phases of group therapeutic training will then be illustrated. These have been formulated to enable working within the group in a relational context that favors the role of therapist construction, coming from the elaboration of certain areas of the personal system and from experimentation and the elaboration of this new role itself.     

Differentiation of Self and Dyadic Adjustment in Couple Relationships: A Dyadic Analysis Using the Actor‐Partner Interdependence Model

Bowen's multigenerational theory provides an account of how the internalization of experiences within the family of origin promotes development of the ability to maintain a distinct self whilst also making intimate connections with others. Differentiated people can maintain their I‐position in intimate relationships. They can remain calm in conflictual relationships, resolve relational problems effectively, and reach compromises. Fusion with others, emotional cut‐off, and emotional reactivity instead are common reactions to relational stress in undifferentiated people. Emotional reactivity is the tendency to react to stressors with irrational and intense emotional arousal. Fusion with others is an excessive emotional involvement in significant relationships, whilst emotional cut‐off is the tendency to manage relationship anxiety through physical and emotional distance. This study is based on Bowen's theory, starting from the assumption that dyadic adjustment can be affected both by a member's differentiation of self (actor effect) and by his or her partner's differentiation of self (partner effect). We used the Actor‐Partner Interdependence Model to study the relationship between differentiation of self and dyadic adjustment in a convenience sample of 137 heterosexual Italian couples (nonindependent, dyadic data). The couples completed the Differentiation of Self Inventory and the Dyadic Adjustment Scale. Men's dyadic adjustment depended only on their personal I‐position, whereas women's dyadic adjustment was affected by their personal I‐position and emotional cut‐off as well as by their partner's I‐position and emotional cut‐off. The empirical and clinical implications of the results are discussed.