Salvendy J T, Joffe R
University of Toronto.
Int J Group Psychother. 1991 Oct;41(4):465-80. doi: 10.1080/00207284.1991.11490675.
This article alerts us to consider depression as a relatively frequent cause of impasse in the course of group psychotherapy. The authors recommend the combined use of antidepressant medication along with group psychotherapy when such depression is confirmed independently outside the group. Common obstacles and pitfalls preventing successful combined treatment are reviewed; the depressive logjam is differentiated from common resistance; and profiles of responders versus nonresponders are described. A rationale of the combined treatment, its results, and implications for group therapists are all delineated.
本文提醒我们，要将抑郁症视为团体心理治疗过程中导致僵局的一个相对常见的原因。作者建议，当在团体之外独立确诊存在此类抑郁症时，可将抗抑郁药物与团体心理治疗联合使用。文中回顾了妨碍联合治疗取得成功的常见障碍和陷阱；区分了抑郁僵局与常见的阻抗；并描述了治疗有反应者与无反应者的特征。阐述了联合治疗的基本原理、其效果以及对团体治疗师的启示。
