Franzoi Isabella Giulia
Department of Psychology, University of Turin, Turin, Italy.
Front Psychol. 2024 Dec 16;15:1471057. doi: 10.3389/fpsyg.2024.1471057. eCollection 2024.
Occupational and/or environmental exposure to asbestos can lead to clinical manifestation of a variety of diseases, including malignant mesothelioma (MM), a rare cancer with a particularly high incidence rate in areas with a long history of asbestos processing. This paper aims to describe brief psychoanalytic groups (BPGs), which is an intervention model aimed at MM patients and their families in the early stages of the disease, shortly after diagnosis. The BPG model comprises 12 weekly sessions of 1 h each, co-led by two psychoanalytically oriented psychotherapists who are trained in working with cancer patients and their families and in the specifics of the BPG setting. Reflections in this paper on the BPGs will attempt to trace the voice of the group in clinical material, paying attention to its horizontal unfolding as a melodic development over time and its vertical unfolding as a harmonic interweaving between the different individual voices, which, even when opposed to each other, can find a generative interlocking of meaning. In the BPG, then, it is possible to set in motion transformations that allow one to embrace the different and diverse affective colorations of experience, evolve toward a thinking that is capable of incorporating intense emotions related to death and grief, follow healthier paths of interaction on an intrapsychic and interpersonal level, and find traces of one's own vitality.
职业性和/或环境性接触石棉可导致多种疾病的临床表现，包括恶性间皮瘤（MM），这是一种罕见的癌症，在有长期石棉加工历史的地区发病率特别高。本文旨在描述简短精神分析小组（BPGs），这是一种针对MM患者及其家属在疾病早期、诊断后不久的干预模式。BPG模式包括每周12次、每次1小时的 sessions，由两名接受过与癌症患者及其家属合作培训以及BPG设置细节培训的精神分析取向心理治疗师共同主持。本文对BPGs的思考将试图在临床材料中追寻小组的声音，关注其作为随时间的旋律发展的横向展开以及作为不同个体声音之间的和声交织的纵向展开，即使这些声音相互对立，也能找到意义的生成性连锁。在BPG中，那么就有可能启动转变，使人们能够接受体验的不同和多样的情感色彩，朝着能够纳入与死亡和悲伤相关的强烈情感的思维发展，在心理内部和人际层面遵循更健康的互动路径，并找到自身活力的痕迹。
