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The authors examine the nature of the relationship between the group members and the group therapist and discuss the reasons underlying therapeutic frame failure. It is argued that competing viewpoints concerning the nature of the therapeutic relationship in group therapy have eventuated in problems in articulating a generally accepted frame definition. The authors propose a formulation of the frame for long-term groups that embraces therapist anonymity, total confidentiality, and neutrality. Finally, instances of frame violation are viewed as stemming from the therapist's need for objects, the attempt to forestall various types of transference, and the need to provide an avenue for the therapist's narcissism. Clinical material is used to illustrate group members' responses to therapist-induced frame failures.  相似文献   

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HELM STIERLIN  M.D.  Ph.D. 《Family process》1973,12(2):111-125
Fantasies, when shared in groups, have special meaning and functions. These meaning and functions vary with the types of groups under study. In this paper, I consider families to be groups in which fantasies are typically shared and utilized. These family groups can. Be compared with other groups. Such comparison, I shall try to show, casts into relief the differing theoretical and therapeutic implications of different types of shared group fantasies.  相似文献   

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Freud's technical papers, "The Dynamics of Transference" in particular, established most of the basis for a century of clinical psychoanalytic work. A contemporary reading of that paper illustrates both the power of the original presentation and how far we have come. Close readings are given of crucial passages, including retranslations where Strachey's English arguably distorts Freud's language or intent. More broadly, Freud's conclusions are examined to reveal correspondences with current thinking or its foreshadowing. Although Freud drove toward unifying conclusions, he at the same time described a disparate array of clinical phenomena. The paper's central points are situated historically, both in Freud's evolution and in the subsequent evolution toward the pluralistic clinical theory of today. Freud encountered many of the challenges we face, noting them in ways both clinically useful and fruitful for other theorists. The use of the paper's central tenets is traced historically, showing how ideas that provide a radical, liberating, and facilitating guide for analysts can over time devolve into hackneyed rules. Finally, it is noted how transference phenomena are increasingly being discussed as a specific type of dyadic human experience. The task in the coming century is to develop theory and vocabulary for comprehending these phenomena and integrating them with Freud's intrapsychic concepts.  相似文献   

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Abstract

Although what transpires in group therapy is not gossip per se–except perhaps when absent or former members are discussed–listening to group interaction through an understanding of the dynamics of gossip can contribute to a greater appreciation of group dynamics and group leadership as well as enlarge therapeutic space. After examining the interpersonal dynamics of gossip, this paper discusses six ways in which an understanding of these dynamics can inform group leadership and shed light on group psychotherapy. Central features of gossip that appear in group interactions are explored: These include projection, displacement, self-esteem regulation, clarification of motivation, unself-consciousness, social comparison and bonding, avoidance of psychic pain, and making the ego-syntonic dystonic. The lively use of imagination in the mature phase of group therapy is conceived of as the time when the darker side of human nature–imagined gossip harnessed for therapeutic purposes–can be welcomed in and processed in a kind, playful, and compassionate manner.  相似文献   

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