Co-leader termination in an outpatient alcohol treatment group |
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Authors: | Leslie Smith Ph.D. Dr. Marsha Vannicelli Ph.D. |
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Affiliation: | (1) Appleton Outpatient Clinic, Appleton Treatment Center, McLean Hospital, 02178 Belmont, MA |
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Abstract: | The termination of a co-leader from a long-term therapy group for alcoholic outpatients is described over a seven-week period from the initial termination announcement to the first week following the co-leader's departure. The authors highlight salient themes and defensive maneuvers that appear as the group struggles with the difficult task of termination. Attempting initially to flee from the impending loss, the group defends with pseudomature responses and veiled hostility. These are followed by themes of abandonment and loss. The group leaders' initial collusion with the group's denial of loss is described, along with leader tactics to facilitate the group's termination work. Finally, the meaning of a group farewell gift is discussed in terms of both its implicit communications and as a form of resistance. |
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