| Abstract: | The treatment of choice for traumatized and difficult patients is psychoanalysis or psychoanalytical therapy followed by intensive group analysis for an unlimited period of time. The group is able to help the analyst make therapeutic use of inevitable difficulties in countertransference processes. Also, traumatized and difficult patients are likely to create the basic assumption of Incohesion: Aggregation/Massification, and to personify the roles associated with it. These processes can be used in order to provide such patients with appropriate therapeutic attention involving both containment and holding, and interpretation. Extensive clinical data from psychoanalysis and group analysis are used to illustrate both this clinical approach and the author's theory of Incohesion. |
