The Janus face in group psychotherapy

Combined therapy offers the practitioner a rich data field for observation and research. Seeing the same patient in the group and in individual analytic therapy raises certain questions such as how differently does the patient present him- or herself, what does the difference or lack of difference mean, and is it prognostically meaningful. Based on ego theory, the author hypothesized that different therapeutic environments ought to evoke different levels of response. This adaptive quality was thought to be prognostically significant and indicative of a greater possibility for structural change. A small clinical sample showed a tendency in that direction.