Kimmel L H
Department of Veteran Affairs Medical Center, Bronx, NY.
Arch Psychiatr Nurs. 1991 Apr;5(2):91-8. doi: 10.1016/s0883-9417(05)80022-6.
This article develops the concept of elastic boundaries within a supportive model of group therapy for elderly patients with chronic medical and psychiatric illnesses in a Veterans Affairs Medical Center outpatient service. The rationale for deviating from established group boundaries in therapist and patient behavior is discussed in relation to group goals and Veterans Affairs culture. Systems issues in an external decision-making environment is explained as a negative influence. Vignettes are liberally shared to demonstrate how elastic boundaries as a concept developed within the group.
本文提出了在退伍军人事务医疗中心门诊服务中，针对患有慢性疾病和精神疾病的老年患者的团体治疗支持模型内弹性边界的概念。文章结合团体目标和退伍军人事务文化，讨论了在治疗师和患者行为中偏离既定团体边界的理由。外部决策环境中的系统问题被解释为一种负面影响。文中大量分享了案例，以展示弹性边界这一概念是如何在团体中形成的。
