Separation and individuation in the group leader.

Psychodynamic group therapy, by definition, offers group members an opportunity to revisit some of the earliest developmental stages. The authors argue that conflicts around separation and individuation are stimulated with each beginning and ending of an intimate group. The leader of that group is similarly challenged around these primary conflicts. The question of group contagion, difficulties around the capacity to be alone, and the problems of projective identification are explored as they have an impact on leaders in a group. Case examples are offered to illustrate leadership problems along these dimensions.

T-groups (training groups) in psychiatric residency programs: facts and possible implications.

The authors studied T-groups offered in psychiatric residency programs in the United States in 1992. A 32-item questionnaire was sent to the residency training directors of 297 psychiatric programs and 34% responded. Results of the questionnaire are presented and their possible implications are discussed. These include: (1) programs that offer T-group value it as indicated by the time allotted to it, the quality of the T-group leaders, and the objectives within the residency program it seeks to accomplish; (2) 45% of respondents not offering T-groups cite negative attitudes toward T-groups (theirs or their residents) as a reason for this decision; (3) T-group, often equated with psychodynamic process, may have suffered the same recent deemphasis as has the teaching of psychodynamic psychotherapy; (4) and T-group, by its very nature, has educational as well as therapeutic features, a combination that creates tensions with regard to the T-group contract, especially the items having to do with confidentiality and attendance. The authors suggest group therapy will be a primary treatment modality in the coming years of economic constraint. They also recommend making a case to residency training directors for T-group and its inclusion in psychiatric curricula.

Character change in group therapy.

The treatment of character pathology in group therapy becomes ever more relevant in the current climate of health care delivery with the mounting awareness of the importance of the long-term treatment needed for such problems. This article reviews the psychodynamic meanings of character pathology and addresses the specific ways that psychodynamic group therapy is suited to its treatment. Clinical examples are offered to illustrate how the resolution of character difficulties occurs in group therapy.

Psychodynamic group psychotherapy.

The author provides an overview of critical factors in the working phase of group psychotherapy from the perspective of psychodynamic theory. The discussion is organized around a clinical vignette to illustrate various types of intervention such as past, here and now, future; individual, interpersonal, group as a whole; in group--out of group; affect-cognition; and understanding--corrective emotional experience. The critical "windows into the unconscious," transference, counter-transference, and free association, are also discussed in terms of the clinical example. The author concludes his article with a few thoughts about the future of psychodynamic theory in relationship to group treatments.

Treating persons with ARC and AIDS in group psychotherapy.

The authors describe a range of critical issues that are common within homogeneously composed groups for patients suffering from Acquired Immunodeficiency Syndrome (AIDS) and AIDS Related Complex (ARC). They examine the need for these patients to understand their physical symptomatology, to reconsider life's priorities, and to confront their ethical and moral dilemmas. The authors also highlight special effects, unique group atmosphere and process, and the nature of the group contract that is essential for these patients.

Making society's groups more therapeutic.

This paper represents the author's Presidential Address to the American Group Psychotherapy Association, delivered at the annual meeting on February 11, 1988, in New York. The author poses a challenge: What can we teach society about how to make our groups more healing and productive? He suggests certain guidelines relating to effective communication, empathic understanding, willingness to assume responsibility, and, most importantly, recognition that groups exist for the individuals who comprise them. For groups to function well, individuals must play their role and sacrifice themselves for the good of the whole; yet for groups to function well, the needs of the individual must never be lost.

The impact of object relations theory on psychodynamic group therapy.

Object relations theory is seen as a conceptual framework that adds to the classical Freudian structural theory. The synchrony between the two theories is manifest in psychodynamic group psychotherapy. This paper explores the convergence of these theories, emphasizing concepts from object relations theory and focusing on three major aspects as they appear in therapy groups: the evolution of the transference neurosis, group membership as a transitional phenomenon, and group therapy for the resolution of ego-syntonic character pathology. Examples of patients emerging from schizoid to paranoid and then to depressive positions of ego organization illustrate the concepts.

Cross-sex supervision for cross-sex therapy.

The female supervisor can help the male therapist in training to overcome problems in cross-sex therapy by presenting herself as a role model, providing relevant literature, and sharing her own experiences as a woman and as a professional. By enabling the male trainee to identify safely with a woman in a position of relative power, she can help him to deal with the intrinsic limitations of empathy and with other problems, such as "countertransference deafness," that may block his work with female patients.