Psychic development and the group analytic situation

Psychic development can be viewed as the emergence and establishment of coherency which is an aspect of organization. This paper discusses the concept of coherency and reviews some early developmental processes in the mother/infant interaction that establish coherency. The development of the matrix of the analytic group is viewed as the establishment and development of group coherency. Finally, the link between the development of individual coherency and group coherency is outlined.Dr. Malcolm Pines is a Consultant Psychotherapist at Tavistock Clinic, founder member of the Institute of Group Analysis (London), member of the British Psychoanalytical Society, and Past President of the International Association of Group Psychotherapy.     

The unconscious ego-ideal and analytic group psychotherapy

The theoretical position of this paper is that the essential character of the ego-ideal, a part of superego functioning, is unconscious, universal, and functions automatically. Precursors to superego development and ego-ideal formation begin at early preoedipal levels, and derivations in adult behavior contain primitive aspects. Ego-ideal is perfectionistic and impossible to obey;therefore, projection of this phenomenon as well as its activity leads to disappoinment, anger, anxiety, depression and despair. Pseudomoral injunctions frequently rationalize and disguise early primitive aspects of unconscious superego development and ego-ideal formation. These points are illustrated by clinical material, showing the therapeutic action in the group which leads to a modification of this critical, self-defeating aspect of adult functioning.Copyright, 1987, Washington Square Institute for Psychotherapy and Mental Health, which published this paper in No. 14 of the Group Psychotherapy Monograph Series, after the paper had been presented at the Fourteenth Annual Conference of the Group Psychotherapy Department, and presented by invitation at the ninth congress of the International Association of Group Psychotherapy, Zagreb, Yugoslavia, August 1986.Dr. Edwards was formerly an Associate Supervisor and Faculty Member in the Group Department at the Postgraduate Center for Mental Health.     

A contribution to the understanding of the role of the superego in dreams: Further development of an approach to dreams in analytic group psychotherapy

Seven dreams from patients in three different groups are presented to illustrate the author's ego-psychological approach to dreams in group under varying conditions as well as to emphasize particular concepts regarding the role of the superego in the dream. This paper demonstrates how the author addresses group process, individual functioning and the dream simultaneously within the context of an ongoing therapeutic process. The first section of the paper points out that theoretical contributions towards an understanding of the dream, since its original position of importance, have been almost nonexistent. The author believes the significance of the superego throughout the analytic process as well as in theory has been underestimated.Dr. Edwards is an Associate Supervisor and Faculty Member at the Postgraduate Center for Mental Health in the Group Department. She is also a Training and Supervising Analyst at the National Institute for the Psychotherapies, a Training Analyst at the Institutes of Religion and Health and the Blanton-Peale Graduate Institute, and a Lecturer and Guest Faculty at the New York University Postgraduate Medical School.     

Conflict of interest in biomedical research: a view from Europe

In this paper I address the conflict of interest (CoI) issue from a legal point of view at a European level. We will see that the regulatory framework that exists in Europe does state the need for the independence of ethics committee involved in authorisation of research and clinical trials. We will see that CoI is an element that has to be closely monitored at National and International level. Therefore, Member States and Newly Associated States do have to address CoI in the authorisation process of research and clinical protocols of biomedicine. The opinions here expressed are personal and do not commit the European Commission. An earlier version of this paper was delivered at a Conference on Conflict of Interest and Its Significance in Science and Medicine, 5–6 April, 2002, Warsaw, Poland. The author is a Scientific Officer in the Programme Science and Society dealing with ethics and science (Unit C.3).     

Brief crisis group psychotherapy versus the initial sessions of long-term group psychotherapy: An exploratory comparison

An attempt was made to specify the therapist behaviors characteristic of the brief crisis group (BCG) approach, to assess how patients experience BCG on dimensions of session impact and group climat, and to describe the changes possible from BCG on measures of outcome by contrasting this modality with the initial sessions of traditional long-term therapy groups in a preexperimental design. Data obtained from four eight-session BCGs and three beginning long-term groups (LTG) were used for analyses. Patients were administered the Session Evaluation (SEQ) and Group Climate (GCQ) Questionnaires at the end of each group session. Two judges sat in on each session and coded the types of therapist interventions using the Therapist Behavior Categories (TBC) system. Aspects of self-esteem and symptomatology were assessed as indices of change over the 8-week period in a pre-post fashion. Therapists in BCG evidenced a distinct pattern of interventions during midpoint group sessions (sessions 3–6), placing a greater emphasis on challenging patient perceptions and providing information than their LTG counterparts. The therapists' use of self as an issue in BCG increased as termination approached and apparently served a more limited function than in LTG. Patients in BCG reported a more rapid development of a working group and experienced greater session benefit. Patients in BCG also reported lower levels of conflict and avoidance and a greater decrease in these resistance behaviors. As expected, BCG patients reported substantially greater improvement on most outcome dimensions at the end of the 8-week period. Results are considered as clarifying the approach to and impact of BCG psychotherapy.An earlier version of this paper was presented at the 15th Annual Meeting of the Society for Psychotherapy Research, Lake Louise, Alberta, June 19–23, 1984.     

Training in group-analytic psychotherapy in Europe

Group-analytic psychotherapy focuses on the making and maintaining of close, emotionally fulfilling relationships. Its practitioners attempt to fuse an individual and a whole-group perspective, and seek to provide the enabling conditions for freer communication between group members. The group-analytic approach is widely used in the United Kingdom, and many experiential groups on psychotherapy training courses are conducted on group-analytic lines. The Institute of Group Psychotherapy in London recognizes eight one-year courses in England and Scotland specifically oriented to group-analytic theory and methods. These courses provide an introduction to group psychotherapy to over 300 professionals of varied backgrounds every year. There are also two courses in the United Kingdom that provide a full training in group-analysis and group-analytic psychotherapy, and 11 courses on the continent of Europe. The number of courses is growing and there is now a European Group-Analytic Training Network providing formal links between them. Results of a postal survey indicate that few (10%) attenders at a one-year course have a negative response and that many (85%) recommend the course to colleagues. The efficiency and therefore reduced cost of group teaching and the incorporation of a group experience may be contributing factors to the increasing demand for this type of training.This paper is based on a presentation at an Open Session on Training in Group Psychotherapy: The Quest for a Viable Model at the American Group Psychotherapy Association Annual Meeting, Boston, February 1990. This paper represents the author's own views and is not an official statement of the Institute of Group Analysis [London]. However, members and staff of the Institute have made helpful contributions to the author in preparing it. He is especially grateful for the assistance of Mrs. Liesel Hearst (Chairperson, Overseas Training Sub-Committee, Institute of Group Analysis, London), Dr. Keith Hyde (Convenor, Manchester Course in Group Psychotherapy), Fr. Jim Christie (Convenor, Glasgow Course in Group Psychotherapy), and Dr. Vivienne Cohen (Chairperson, Training Committee, Institute of Group Analysis, London, in preparing this paper. The questionnaire study was conducted with the assistance of the Training Section of the North-Western Regional Health Authority.     

Outcome in short-term group psychotherapy

This study examines the effectiveness of planned dynamic short-term group psychotherapy in a health maintenance organization setting. The groups, conducted by experienced short-term psychodynamically trained therapists, focused on common life-stage issues. A pretest/posttest design was employed; group participants completed a battery of self-report measures before, after, and 4–6 months after treatment. Group participants made statistically (and clinically) significant positive changes on the majority of change measures. They saw themselves as improved on target problems, became far less symptomatic, and reported considerable growth in interpersonal functioning.     

Countertransference in group psychotherapy

This paper attempts to up-date our understanding of countertransference in the therapy group setting. After a brief review of some of the psychoanalytic and the group psychotherapy literature dealing with countertransference, the paper points out the vulnerability of the group therapist and presents examples of possible countertransferential situations, such as stereotyped roles, reactions to external aspects of patients, and therapists' insecurities. It concludes by suggesting ways in which group therapists can become more sensitive to their countertransferences.     

The relationship between parent-youth interaction and delinquency in group homes

Interactions between the youths and group home parents in 10 group homes were directly observed during a 2-hour session in each home. These observations were compared to questionnaire measures of the youths' self-reported delinquency while in the group home, and their evaluation of the group home program. The results indicated that over the 10 homes there was a strong inverse correlation between mean self-reported delinquency and the average amount of time youths spent taking to (r _s =–.95)and in proximity to (r _s =–.81)their group home parents. Talking to group home parents also showed a positive correlation with the youths' evaluation of their group home program. Similar trends were found when the correlations were computed over individual youths, although the magnitudes were reduced. These data may have implications for our understanding of the relationship between parenting behaviors and delinquency, as well as for the improvement of group-home treatment programs.This research was supported by Grant MH20030 and by a postdoctoral research fellowship (Grant MH15200, awarded to the first author) from the National Institute of Mental Health (Center for Studies in Crime and Delinquency). These grants were made to the Bureau of Child Research and the Department of Human Development, University of Kansas. The authors wish to thank Susan Whitely for her statistical consultation, and Jay Atwater, Carol Cramer, and Lynette Forbes for their help in the data analysis. Appreciation is also extended to the many teaching-parents whose cooperation made the research possible.     

Connectivity and generalized cliques in sociometric group structure

By using the concepts of antimetry andn-chain it is possible to define and to investigate some properties of connectivity in a sociometric group. It is shown that the number of elements in a group, the number of antimetries, and the degree of connectivity must satisfy certain inequalities. Using the ideas of connectivity, a generalized concept of clique, called ann-clique, is introduced.n-cliques are shown to have a very close relationship to the existence of cliques in an artificial structure defined on the same set of elements, thus permitting the determination ofn-cliques by means of the same simple matrix procedures used to obtain the clique structures. The presence of two or morem-cliques, wherem is the number of elements in the group, is proved to mean an almost complete splitting of the group.     

The impact of race and ethnicity on transference and countertransference in combined individual/group therapy

Interracial group psychotherapy is workable. Psychodynamics get cathected onto race; as this paper will show, the group process elicits feelings about racial and ethnic differences with greater intensity than in individual therapy. Analysis of race/ethnicity can be both problematic and growth enhancing for treatment. The process of identifying conscious and unconscious feelings and thoughts of race/ ethnicity can stimulate major resistance, which can engender difficulties in maintenance of a working alliance. However, the working through of these feelings/thoughts may have a catalytic effect and lead to a more rapid unfolding of core psychodynamic issues. Case material from a multi-racial/multi-ethnic therapy group illustrate these issues.The author wants to thank Drs. Nina Fieldsteel, Bob Addison, and Judith Caligor for their support and critical commentary, and Helene Kylen for her editorial assistance. An earlier version of this paper was presented in 1986 at Culture, Race, and Ethnicity in Group and Family Therapy, sponsored by Eastern Group Psychotherapy Society, New York University, and the University of Puerto Rico.     

The developing ego in group psychotherapy

Analytic group psychotherapy offers the potential for developing ego functions and enhancing identity formation. The nature of the interaction in group psychotherapy forces participants to deal with their perception of reality and revise their perceptions. After a brief review of the literature, focusing on the theoretical basis and ego development in analytic group psychotherapy, the paper discusses the following ego functions and gives an example of each: adaptation to reality, judgment, drive control, object relations (relationships with others), thought process and communication, defenses, affect differentiation, autonomy, mastery-competence, regulation of self-esteem, and frustration tolerance. The paper concludes with an example of assessing ego functions from a clinical vignette taken from one group psychotherapy session.     

Resistance in group psychotherapy

The authors view resistance generally as healthy and a sign of a more or less intact ego. A brief review of the psychoanalytic literature and the group therapy literature presents resistance as a mechanism that closes off aspects of the internal and external world seen as potentially dangerous. Patient resistances are identified as coming from cultural values, fear of strangers, fear of regression, and resentment toward the therapist. Clinical vignettes of group patients and group interaction are presented. Finally, resistance of therapists and indications of such resistance are also explored.     

Medication dynamics in group psychotherapy

The use of medications in insight-oriented groups has not been adequately investigated. We report a group in which the anxiolytic buspirone appeared to be associated with attractiveness to the group in the face of impending therapists' termination. We feel that in this group, medications became a variable associated with group cohesiveness, served as a vehicle for the expression of group dynamics, and as an indicator of regression within the group. These observations suggest that, under certain circumstances, medications may become an important variable in the process and expression of group dynamics.They would like to thank Myron Pisetsky, M.D., for reading the original draft of this paper, and are also indebted to Daniel O'Neil, Ph.D., for his input.     

Intra‐group interaction and the development of norms which promote inter‐group hostility

Research suggests there is more inter‐group discrimination when rewards rather than punishments are distributed between groups (the positive‐negative asymmetry effect). This study investigated whether intra‐group interaction and the obstruction of in‐group advancement moderate this finding. Participants were twice asked to divide monetary resources—individually (pre‐consensus) and in interactive groups (consensus). Results confirmed that there was more discrimination when rewards were allocated. Although this replicates the PNAE overall, there were two moderators. First, there was no asymmetry when the out‐group obstructed in‐group advancement: obstruction was sufficient to legitimise punishment. Second, after group interaction the PNAE reversed so that there was more discrimination when punishments were administered. The severity of discrimination was contingent upon group norms that endorsed inter‐group hostility. It is argued that norms changed as a function of group interaction, and so did patterns of discrimination. The results suggest that the intra‐and inter‐group context combined to cause in‐group favouritism to slide towards inter‐group hostility. Copyright © 2007 John Wiley & Sons, Ltd.     

Acting out in group psychotherapy

Acting out is a common occurrence in group psychotherapy. After a brief review of relevant psychoanalytic and group psychotherapy literature, this paper presents various kinds of acting out by the individual group members and the handling of such acting out by the therapist, discusses acting out by the group as a whole, and gives a brief overview of acting out by the group therapist. Specific examples are given of acting out and ways of dealing with it.     

Effects of information about group members on young children's attitudes towards the in‐group and out‐group

Research shows that being a member of a group is sufficient to instigate more positive attitudes towards the in‐group than an out‐group in young children. The present study assessed whether children's intergroup attitudes during the middle childhood years are moderated by additional information about in‐group and out‐group members, as proposed by Aboud's (1988) socio‐cognitive theory (ST). To a minimal group 6‐, 8‐, and 10‐year‐old children (N=159) were assigned, and received information, or no information, about the interests and activities of the in‐group and out‐group members. Results indicated that the in‐group was always rated more positively than the out‐group, and that the in‐group's ratings were unaffected by either the in‐group or out‐group information. In contrast, out‐group ratings were affected by out‐group information, but only when there was no information available about the in‐group. The implications of the findings for ST, and for social identity development theory, are discussed.     

Multiculturalism and group status: The role of ethnic identification,group essentialism and protestant ethic

The present research, which was conducted among ethnic minority (N = 109) and majority (N = 649) adolescents in the Netherlands, examined the endorsement of multiculturalism in relation to ethnic ingroup identification, perceived group essentialism and protestant ethic ideology. The results revealed that ethnic minorities were more in favour of multiculturalism than Dutch participants. Furthermore, ethnic identification, group essentialism and protestant ethic were independently related to multiculturalism. However, these relations were all moderated by ethnic group status. High ethnic identification, essentialist beliefs about minority groups, and protestant ethic were related to lower endorsement of multiculturalism among the majority group. In contrast, high ethnic identification and essentialist beliefs about one's own ethnic minority group were related to stronger endorsement of multiculturalism among the minority groups, but not protestant ethic. Perceived essentialism of the majority group showed no effects. It is concluded that social psychology is able to make a valuable contribution to issues related to the management of cultural diversity. Copyright © 2004 John Wiley & Sons, Ltd.     

Help yourself by helping others: The joint impact of group member organizational citizenship behaviors and group cohesiveness on group member objective task performance change

This paper examines how a group member's individual‐targeted citizenship behavior (OCBI) and organization‐targeted citizenship behavior (OCBO) interact with a salient group‐level contextual variable, group cohesiveness, to foster positive change for that group member, starting with job self‐efficacy change, and followed by objective task performance change. Over a span of 6 months, we engaged in multilevel, multisource, multistage data collection and surveyed 587 members in 83 work groups. Our results indicate that a group member's OCBI, in comparison with OCBO, is more positively related to his or her job self‐efficacy change. Group cohesiveness was found to attenuate the relationship between a group member's OCBI and job self‐efficacy change, and conversely, to accentuate the relationship between a group member's OCBO and job self‐efficacy change. Furthermore, a group member's job self‐efficacy change mediated the interactive effects of the group member's OCBI and group cohesiveness (as well as the group member's OCBO and group cohesiveness) on his or her objective task performance change.