Interpretive work in milieu groups

Interpretive work in milieu psychotherapy groups aims to bring concealed and hidden material to the fore so that it can be discussed openly. A host of clinically important issues thrive in the milieu, about which the patients are fully aware, but are unable to discuss. Two types of interventions are described whose goal is to overcome resistance to discussion; they are clarifying interpretations and making a parallel statement. Clarifying statements help patients understand their experience in the milieu; they are interpretive when they bring avoided material into the open. In those instances where resistance to discussion is great, the subject first appears in metaphor, is worked with, and then emerges in a displaced form. Working indirectly with metaphor and displaced material can serve to overcome transference resistance. The therapist then need only ask a direct question or make a statement in order for the avoided material to emerge. The combination of working with displaced material followed by a question or statement that is framed in terms of that theme has an interpretative function.