Hopper Earl
Int J Group Psychother. 2005 Jan;55(1):87-113.
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.
对于受过创伤的难缠患者，首选的治疗方法是精神分析或精神分析治疗，随后进行不限期的强化团体分析。团体能够帮助分析师在反移情过程中利用不可避免的困难进行治疗。此外，受过创伤的难缠患者可能会形成“缺乏凝聚力：聚集/大众化”的基本假设，并将与之相关的角色人格化。可以利用这些过程为这类患者提供适当的治疗关注，包括容纳、支持和解释。来自精神分析和团体分析的大量临床数据用于说明这种临床方法以及作者的缺乏凝聚力理论。
