Ganzarain R
School of Medicine, Emory University, Atlanta, GA.
Int J Group Psychother. 1992 Apr;42(2):205-23. doi: 10.1080/00207284.1992.11490686.
The author shows how object relations group therapy focuses on primitive defense mechanisms that shape the group-entity image or "basic assumptions group." Such primitive defense mechanisms as splitting, projective identification, omnipotent denial, projection, and introjection are the mental resources to protect the endangered self and the threatened objects from the fantasized imminent destruction. Object relations group psychotherapy addresses those defenses and the underlying psychotic anxieties, offering members opportunities to search for other ways to respond to their primitive fears. The author introduces two extensive clinical vignettes to illustrate how object relations group methods are different from other group-centered psychoanalytic techniques. He concludes by commenting on future theoretical refinements and on the problems in the professional practice of this modality.
作者展示了客体关系团体治疗如何聚焦于塑造团体实体形象或“基本假设团体”的原始防御机制。诸如分裂、投射性认同、全能否认、投射和内摄等原始防御机制是保护濒危自我和受威胁客体免受幻想中迫在眉睫的毁灭的心理资源。客体关系团体心理治疗针对这些防御机制及潜在的精神病性焦虑,为成员提供机会去探寻应对其原始恐惧的其他方式。作者引入两个详尽的临床案例来阐释客体关系团体方法与其他以团体为中心的精神分析技术有何不同。他最后对未来的理论完善以及这种治疗方式在专业实践中存在的问题进行了评论。