Examining Relationships Between Physicians and Their Patients: A Psychoanalytic Model

This is a study of a group of physicians' reflections about their communication with patients. Using an applied psychoanalytic framework for self-inquiry in groups, the authors summarize their findings and provide a model for others to use. They describe their method of conducting and studying three physician groups. The authors identify six essential dynamics within groups and illustrate the dynamics with examples of physician reflections. They summarize further their observations about the composition, dominant themes, and phases of development for each group. The intent of the self-inquiry groups—to clarify physicians' habits and thought patterns about patients—is upheld in the report's conclusion, in which the authors report participants' evaluation of their learning experience. Recommendations are made for analysts to apply the model in work with general physicians.     

The Etiology of Individual-Targeted Intolerance: Group Stereotypes and Judgments of Individual Group Members

Virtually all scientific writing on attitudes toward political unorthodoxy in the United States focuses on group-targeted tolerance, or the question of whether Americans are willing to extend constitutional rights and freedoms to groups outside the political mainstream. Less is known about the etiology of individual-targeted tolerance, or the question of whether Americans are willing to tolerate the exercise of constitutional rights and freedoms by individuals who belong to unpopular groups. This paper examines the sources of attitudes toward individuals belonging to disliked and stereotyped political groups—in particular, the extent to which political tolerance judgments about gay and racist targets are influenced by attributes of those targets that are either consistent or inconsistent with group stereotypes. In line with expectations, an empirical analysis showed that individuals exhibiting attributes inconsistent with their group's stereotype (whether neutral with respect to stereotypic beliefs or directly challenging them) are tolerated more than those with stereotype-consistent attributes. Because members of political outgroups can control the timing of disclosing their group membership, they have the power to determine whether and to what extent stereotypic beliefs associated with their group will influence the reactions they provoke. This analysis confirms that the impact of stereotypic beliefs on tolerance varies as a function of timing of group membership revelation, although the direction of this interaction depends on the intensity of dislike for the group of which the individual target is a member.     

The Politicisation of Group Analysis in the 21st Century

At a time of uncertainty and rapid change, little can be predicted with any confidence. We can however note the point reached in dialectical historical processes and recognise the conflicts and contradictions pushing in different directions. We can consider developments in politics, culture, personal relationships and psychotherapy as major dimensions of the context within which we continue to work and which, in the course of our work, we are called on to address.     

Chaos, Group Psychotherapy, and the Future of Uncertainty and Uniqueness

This paper explores the application of chaos theory, a new non-linear dynamical theory, to the understanding of psychotherapy groups. Two features of psychotherapy groups that have been insufficiently described or explained, uncertainty and uniqueness, are considered in the light of the chaos theory notion that groups proceed through periods of order and disorder. The recommendation is made that chaos theory be explored further as the field moves into the millennium and a hundred years of its own existence.     

Large Group Intervention to Encourage Dialogue Between Directors and Workers in the Context of Organizational Ambiguity

In the postmodern era the entire sphere of employment is undergoing changes that create feelings of ambiguity. These changes are reflected in the use of defense mechanisms such as splits between management and employees, and alienation and dissociation. Occupational social workers are also experiencing insecurity. Although their function is to assist individuals and the organization during crises, they are not able to detach themselves from their experiences. It is more difficult for them resort to bridging and dialogue in order to ameliorate feelings of anxiety. This article will describe how a large group intervention can provide practical experience that raises self-awareness and facilitates coping with organizational ambiguity.     

The Once and Future Group: Vicissitudes of Belonging

During this century, group therapy has seen extraordinary development and elaboration, with ramifications along a number of axes. Acknowledging that current thinking increasingly recognizes the inherent social nature of human beings, this paper contrasts the growing personal isolation and anonymity which today's growing technocracy represents with the ubiquity and importance of groups in modern society. These are seen as offering, if properly appreciated, the potential for resolution of some contemporary social ills.     

The Shadow of the Group in the Dawn of the 21st Century: The Journey from Varniai

The future of group psychotherapy is seen in the context of social and historical links which demonstrate a pervasive ambivalence about groups, leading to idealisation, fear, and attack on the group. The author's personal history, paralleled by literary references, forms a backdrop to the debate. The concept of the Anti-Group is presented as a binding principle that in its therapeutic application represents the hope of recognition and transformation.     

抑郁的团体心理治疗

本文研究了团体心理咨询在治疗大学生的抑郁症方面的效果。我们采用的治疗形式是团体心理咨询 ,治疗方法是认知行为疗法 (包括理性情绪疗法 ) ,被试是四名大学生。我们对团体活动的效果采用了多种方法进行评估 ,结果发现 ,团体心理治疗可以有效地减轻大学生的抑郁程度。活动中我们取得了一定的经验 ,但同时也发现了一些问题 ,值得我们做进一步的研究     

The Iatrogenic Effects of Group Intervention for Antisocial Youth: Premature Extrapolations?

Group intervention for antisocial youth has received harsh criticism in recent years. This paper reviews relevant research focused on the influence of contact with delinquent peers on the development of antisocial activity. Also reviewed are studies reporting outcomes of group intervention for antisocial youth. Although a few studies have found iatrogenic effects for group intervention with antisocial youth, the majority have not. Well-developed models of group intervention have produced substantial reductions in youth antisocial activity. We describe one such program, a family-style residential program based on behavioral learning principles, and review outcomes of this program. We conclude that treatment of antisocial youth in groups is feasible and can be effective in reducing delinquent behavior.