Beeber A R
State University of New York Health Science Center, Syracuse.
Hosp Community Psychiatry. 1988 May;39(5):537-42. doi: 10.1176/ps.39.5.537.
Because of rapid patient turnover and periodic therapist rotations, inpatient psychotherapy groups with open membership can sometimes appear to be forever beginning or forever ending. Described here is a model of group process that identifies four distinct stages of group development experienced by open-ended groups. Each of the four stages--called rebeginning, subgrouping, work phase, and termination--is characterized by attention to a particular boundary issue. In stages 1 to 3, the group members gradually move from establishing the group's separateness from other hospital systems to establishing alliances with the therapist and with each other to developing mutually supportive relationships. When several members are discharged, the group enters stage 4, during which it renews its efforts to fortify its external boundary. Therapeutic interventions appropriate to each stage of group development are discussed.
由于患者周转迅速且治疗师定期轮换，成员开放性的住院心理治疗小组有时似乎永远在开始或永远在结束。本文描述了一种小组进程模型，该模型确定了开放性小组经历的四个不同的小组发展阶段。这四个阶段——称为重新开始、形成子群体、工作阶段和结束阶段——每个阶段都以关注一个特定的边界问题为特征。在第1至3阶段，小组成员逐渐从确立小组与其他医院系统的分离，到与治疗师及彼此建立联盟，再到发展相互支持的关系。当几名成员出院时，小组进入第4阶段，在此期间它会再次努力强化其外部边界。文中还讨论了适合小组发展各阶段的治疗干预措施。
