Tunnell G
New York University Medical Center.
Int J Group Psychother. 1991 Oct;41(4):481-98. doi: 10.1080/00207284.1991.11490676.
AIDS has a unique set of characteristics that makes group psychotherapy more complex than with other populations: (1) the threat of an early death, (2) a highly variable course of illness, and (3) stigma related to the illness and to the preexisting lifestyles of most patients. The specific ways in which the three factors seriously interfere with establishing and maintaining group cohesion are discussed, and clinical guidelines are suggested. In addition, a model for understanding and working with these and other issues in group psychotherapy, based on Erik Erikson's interpersonal theory of development, is presented. Finally, particular countertransferential difficulties are discussed in relation to the heightened emotionality common to AIDS psychotherapy groups.
艾滋病具有一系列独特的特征，这使得团体心理治疗比针对其他人群时更为复杂：（1）早逝的威胁；（2）病情发展高度多变；（3）与该疾病以及大多数患者先前生活方式相关的污名。本文讨论了这三个因素严重干扰团体凝聚力建立和维持的具体方式，并提出了临床指导原则。此外，还介绍了一种基于埃里克·埃里克森人际发展理论来理解和处理团体心理治疗中这些及其他问题的模型。最后，针对艾滋病心理治疗团体中常见的情绪高度波动，讨论了特殊的反移情困难。
