Commonsense about Psychoanalysis by Rudolph Wittenberg

Obstacles are described that constrain or block the full implementation of Yalom's model of inpatient group psychotherapy. These obstacles include situational constraints that are imposed by the temporal, spatial, and organizational structures of many treatment settings, and attitudinal constraints that consist of therapist and patient resistances to the implications and demands of the model. Recommendations are provided that have proven useful for overcoming these obstacles. They address such issues as: (1) patient confusion with here-and-now focus, (2) tendencies toward therapist-centered interaction, (3) the apparent irrelevance of interactional groups for many patient presenting problems, (4) insufficient time to accomplish interactional goals, and (5) the inability of patients to engage in group processing.