Kotani H
Division of Education at International Christian University in Tokyo.
Int J Group Psychother. 1999 Jan;49(1):93-104. doi: 10.1080/00207284.1999.11490947.
Psychoanalytic psychotherapy is not well developed in Japan (Kotani, 1996). Until recently, group psychotherapy in particular has not been well received by patients or clinicians. Cultural difficulties in using group psychotherapy with Japanese patients have now been overcome and a theory of systematic intervention techniques has been developed. The basic dynamic factors of group psychotherapy such as culturally embedded aspects of social and personality structure are analyzed in this article. Culture-bound psychodynamic characteristics of Japanese patients as activated and worked through in the group process are first described with case illustrations. A systemic hypothesis linking cultural and psychodynamic structure is then delineated and the focal points of interventions are explained in terms of the field dynamics of social structure and boundary dynamics of personality structure.
精神分析心理治疗在日本发展并不完善（小谷，1996）。直到最近，团体心理治疗尤其未受到患者或临床医生的欢迎。目前，在对日本患者使用团体心理治疗时所面临的文化难题已被克服，并且已经形成了一套系统的干预技术理论。本文分析了团体心理治疗的基本动力因素，例如社会和人格结构中文化嵌入的方面。首先通过案例说明来描述日本患者在团体治疗过程中被激活并得到解决的与文化相关的心理动力特征。然后阐述了一个将文化与心理动力结构联系起来的系统假设，并从社会结构的场域动力学和人格结构的边界动力学角度解释了干预的重点。
