Contemporary theories of group psychotherapy: a systems approach to the group-as-a-whole.

The author discusses how subgroups represent the basic focus of the systems-centered group therapist. Particular attention is given to boundary issues and to how therapy takes place by facilitating the process of discriminating, communicating, and integrating perception of differences in the apparently similar and similarities in the seemingly different. Communication occurs at the boundaries between systems at all levels of the hierarchy: the group, the subgroup, and its members. Clinical vignettes are provided to illustrate important process issues, such as work with difficult patients, levels of intervention, and group resistance and defense.     

Developing the group mind through functional subgrouping: linking systems-centered training (SCT) and interpersonal neurobiology

This article introduces the systems-centered concept of the "group mind" by linking systems-centered thinking and interpersonal neurobiology, building on Siegel's definition of mind as the process of regulating the flow of energy and information. Functional subgrouping, the systems-centered group method for resolving conflicts, discriminates and integrates the flow of energy and information within and between group members, subgroups, and the group-as-a-whole, thus potentiating survival, development, and transformation. This article uses the interpersonal neurobiological framework to discuss functional subgrouping as a tool for developing the group mind: considering how functional subgrouping facilitates emotional regulation, creates a secure relational context, and potentiates neural integration.     

从智力的三元理论到成功智力:是对IQ的再次超越吗?

本文以智力的约定性为立论,把超越界定为智力的约定性的广度、深度和效度的大幅度提高。将斯腾伯格对智力的研究放到智力理论研究的历史过程中,对斯腾伯格的三元智力理论及成功智力理论对IQ的超越做了分析。指出传统IQ是学业差异约定,三元智力是多元权变约定,成功智力是人生成功约定,后者都是对前者的超越,成功智力是对IQ的再次超越。最后尝试性地提出智力约定性的“树”的隐喻。本文对智力理论的研究和教育实践有参考价值。     

Systems-centered supervision

The systems-centered (SCT) approach to supervision frames the dynamics of both groups and individuals as isomorphic systems. In this chapter, the SCT supervisory experience, its goals, and its approach to transference and countertransference are addressed; the orientation of the seven questions that structure the SCT supervisory process are identified; and the thinking that is required to answer them is discussed. SCT supervisees locate their supervision issues in the context of the phases of system development; consider interventions as hypotheses that can be tested in the therapeutic context; and provide feedback to all parties about the validity of the theory of living human systems, the reliability of its systems-centered practice, and the accuracy of the therapist's hypotheses about the isomorphic dynamics of the systems of member, subgroup and group as a whole. Illustrations are taken from tape recordings of supervisory sessions.     

Symposium: A discussion of the videotapes of a difficult group

Three conference participants (Drs. Yvonne Agazarian, Louis Ormont and Saul Tuttman), each an experienced group therapist employing distinctly different styles and theoretical frames, react to a videotape of a Difficult Group and offer their respective critique and suggestions. The material was originally presented before an audience at the Eastern Group Psychotherapy Association Annual Conference (1985) in New York City. The audience first saw the videotape at the conference and then observed the interaction among panelists. This material was submitted for publication because: 1) issues of contrasting technique and theory are heightened by a concrete comparison of different clinicians' reactions to the same material; 2) the serious task of coping with a group of difficult patients is of concern to all group therapists who are faced with such challenges; 3) the circumstances, in which patients who feel needy and neglected chronically put pressure on the therapists, occur with frequency; at the same time, 4) the therapists are also under stress in that their supervisors and evaluators are scrutinizing their work. All of this makes for a fascinating and difficult dynamic situation. Finally, 5) examining this group material resulted in a lively exchange which was stimulating and interesting to both audience and participants.Yvonne Agazarian, Ed.D., is in private practice in Philadelphia, Pennsylvania.     

Group-as-a-whole systems theory and practice

Group-as-a-whole systems theory is presented and applied to the practice of group psychotherapy. The individual and the group are conceptualized as two isomorphic systems in a hierarchy of living systems. The basic component of the group-as-a-whole is its subgroups, which exist independent of individuals whose subgroup memberships may change while subgroups remain stable. Subgroups come together around similarities and separate on differences, and contain differences for the group-as-a-whole to integrate in relationship to primary and secondary goals. The primary goals of system survival and maturation take precedence over the secondary goals, which relate to the environment. Goal achievement and individual change is explained as a function of group dynamics. In a therapy group, the dynamics of each phase of group-as-a-whole development serve as a major therapeutic force. Within each member, salient developmental issues are aroused, which resonate with the issues that the group is in the process of mastering. The task of the group-as-a-whole therapist is to facilitate the developmental process at both the group and the individual level. Therapeutic interventions are designed to facilitate the discrimination and integration of information at the boundaries between systems and subsystems: within the individual member system (intrapersonal) and between individual member systems (interpersonal), within the group-as-a-whole system, within subgroups, between subgroups, and between all systems in the relevant hierarchy and their environments.     

Systems-Centered Therapy: A Protocol for Treating Generalized Anxiety Disorder

The systems-centered short-term therapy protocol was adapted and applied in three single case studies with generalized anxiety disorder (GAD) patients in a ten-session individual treatment over a two week period. All three subjects showed substantial improvement and no longer met diagnostic criteria post-treatment. Changes were maintained at follow up both six months and one year later. These results are promising and suggest the importance of further research on SCT as a viable, alternative treatment for generalized anxiety disorder.     

Systems-centered® group psychotherapy: putting theory into practice

Systems-centered therapy (SCT) is derived from a theory of living human systems and practiced in individual and group therapy. Excerpts from an inpatient group illustrate how SCT norms, particularly functional subgrouping and the hierarchy of defense modification, are introduced within the first few minutes of an SCT group. The importance of modifying roles is also discussed, as is the significance of system hierarchy, isomorphy, and energy as applied in the practice of SCT.     

Discussions on the large group

At the heart of this article are dialogues with three distinguished large group leaders: Patrick de Mare, Earl Hopper and Lionel Kreeger. They address, with Yvonne Agazarian, some of the major issues in leading large groups: terror and chaos, projective identification, annihilation anxiety, and the impact of size, structure, and boundary management on the potential for change and transformation in the large group. Also discussed are the twin heritage of both psychodynamic and sociological theory and the influence of psychoanalysis, basic assumption theory, information theory, general systems theory, and field theory on the current understanding of large group as the context for therapeutic change. The authors also introduce a theory of living human systems, which views the large group as one system in a hierarchy of isomorphic systems and identifies the subgroup as the fulcrum for change. From this systems-centered perspective, changing the structure and function of communication within subgroups simultaneously changes both the large group and the individual subgroup members.FAGPA is a consulting affiliate of Friends Hospital and maintains a private practice in Philadelphia. Dr. Agazarian has spent the last 30 years developing the theory of living human systems and systems-centered group and individual therapy.Frances B. Carter, M.S.S., is a consulting affiliate of Friends Hospital and maintains a private practice in Philadelphia.