Ettin M F
Int J Group Psychother. 1989 Jan;39(1):35-57. doi: 10.1080/00207284.1989.11491147.
Group psychotherapy evidenced a growth spurt in the decade of the 1930s and prior to World War II. Following upon the pioneering efforts of the psychoeducators (Pratt, Marsh, Lazell) and the writings of the early analysts (Freud, Adler, Dreikurs, Burrow), the next wave of practitioners and theorizers popularized and expounded the use of the group treatment modality in hospitals, clinics, and private practice. A review of the seminal ideas and efforts of Jacob Moreno, Louis Wender, Paul Schilder, Lauretta Bender, Alexander Wolf, and Samuel Slavson continues the historical overview begun earlier in this journal (Ettin, 1988). In a continuing effort to call up the wisdom of the past in the service of the work of the present, the emphasis in this paper will be on practical application. Representative quotes will be embedded in the text to capture the tenor of the times, and special attention will be given to (1) theoretical underpinnings such as the proposed advantages, curative variables, and therapy goals of a group treatment; (2) the basic logistics of practice, including optimum group size, composition, membership and exclusion criteria, and length, frequency, and structure of the meetings; and (3) technical considerations, such as the role of the therapist and the techniques, procedures, and processes of the ongoing group endeavor, as well as the interface between individual and group sessions. In conclusion, it will be argued that group psychotherapy matured just in time to respond to the pressing need for efficient mental treatment mandated by the coming of the Second World War.
团体心理治疗在20世纪30年代以及第二次世界大战之前的十年里迅速发展。继心理教育工作者(普拉特、马什、拉泽尔)的开创性努力以及早期分析师(弗洛伊德、阿德勒、德雷库尔斯、伯罗)的著作之后,下一波从业者和理论家将团体治疗模式在医院、诊所和私人执业中的应用进行了推广和阐述。回顾雅各布·莫雷诺、路易斯·温德、保罗·席尔德、洛蕾塔·本德、亚历山大·沃尔夫和塞缪尔·斯拉夫森的开创性思想和努力,延续了本刊早期开始的历史概述(埃廷,1988年)。为了继续努力汲取过去的智慧以服务于当下的工作,本文将重点放在实际应用上。文中将嵌入代表性的引语以捕捉当时的主旨,并将特别关注:(1)理论基础,如团体治疗的假定优势、治疗变量和治疗目标;(2)实践的基本安排,包括最佳团体规模、组成、成员资格和排除标准,以及会议的时长、频率和结构;(3)技术考量,如治疗师的角色以及正在进行的团体治疗工作的技术、程序和过程,以及个体治疗和团体治疗环节之间的衔接。总之,有人会认为团体心理治疗刚好及时成熟,以应对第二次世界大战带来的对高效心理治疗的迫切需求。