The history of large group phenomena in relation to group analytic psychotherapy: The story of the median group

This paper presents a history of the large group approach in relation to Foulkesian group analytic psychotherapy, including the nature of this approach in relation to Foulkesian principles. Much of the theory reflects Foulkes's attitude, but there are also clear distinctions made, notably a new stance in our thinking about groups as a result of the increase in size (i.e., a membership of about 20), the introduction of the cultural dimension which this increase entails, and the question of what happens after the resolution of Kleinian, oedipal and familial conflicts has been achieved in psychoanalysis and small groups, no-tably what happens once “exile” has been achieved. The approach presented proposes to handle the frustration and hate that these conflicts engender in the form of negative or antilibidinal energies, and their transformation into psychic energy, through dialogue leading from hate to the establishment of koinonia, or impersonal fellowship, and of microcultural influences which promote rather than inhibit communication. Being neither small nor large, a group of about 20 members has become known as a “median” group.