Lipsius S H
George Washington University School of Medicine, Washington, DC.
Int J Group Psychother. 1991 Jul;41(3):313-27. doi: 10.1080/00207284.1991.11490660.
The development of combined individual and group psychotherapy is split between the "separationists" and the "integrationists" with regard to therapists' handling of the interface between the individual and group sessions. To bridge the impasse, a high-benefit--low-risk series of guidelines is offered for therapists that includes techniques for analyzing patients' "cross-references" to the other component modality. The four guidelines provide for a harmonious balance that preserves the confidentiality of the individual sessions vis-à-vis the group, while enhancing the group interaction rather than draining it. The therapist guidelines maximize patient initiative in integrating parts of the self expressed in the individual and group sessions, while employing the least intrusive methods necessary to best integrate the processes into a unified combined modality.
在治疗师处理个体治疗与团体治疗之间的衔接问题上，个体与团体相结合的心理治疗发展出现了“分离派”和“整合派”的分歧。为打破僵局，本文为治疗师提供了一系列高收益、低风险的指导方针，其中包括分析患者对另一治疗方式“交叉参照”的技巧。这四条指导方针实现了一种和谐的平衡，既能保护个体治疗相对团体治疗的保密性，又能增强而非削弱团体互动。治疗师指导方针最大限度地发挥了患者在整合个体治疗和团体治疗中所表达的自我各部分的主动性，同时采用最不具侵入性的方法，以最佳方式将这些过程整合为统一的综合治疗方式。
