McMahon N, Links P S
Can J Psychiatry. 1984 Aug;29(5):385-9. doi: 10.1177/070674378402900504.
Therapists who are of the opinion that the cotherapy relationship has minimal therapeutic value, fail to understand the potential of this type of therapy. Cotherapy, in group psychotherapy, is a unique form of therapy with specific implications for therapeutic intervention. This paper will present three hypotheses developed from clinical observations which encourage a re-examination of traditional group perspectives. First, the authors believe that the development of the cotherapy relationship effects the development of group process. Second, the authors hypothesize that the pairing of the cotherapy relationship is paralleled by the pairing of group participants and finally that pairing in group psychotherapy is positive and can be utilized as an intervention technique. Although, traditionally, pairing has been viewed as an obstacle to group process, this paper presents the premise that pairing in group psychotherapy should be considered as a positive and necessary occurrence for cotherapy intervention. Six phases of cotherapy development are illustrated to show how the complex aspects of the cotherapy relationship impacts upon the developmental stages of group process. The clinical implications of this perspective may be the beginnings of new therapeutic horizons for cotherapists.
那些认为协同治疗关系的治疗价值微乎其微的治疗师，未能理解这种治疗方式的潜力。在团体心理治疗中，协同治疗是一种独特的治疗形式，对治疗干预有着特定的意义。本文将提出基于临床观察得出的三个假设，这些假设促使人们重新审视传统的团体观点。首先，作者认为协同治疗关系的发展会影响团体进程的发展。其次，作者假设协同治疗关系的配对与团体参与者的配对是并行的，最后，团体心理治疗中的配对是积极的，可被用作一种干预技术。尽管传统上配对被视为团体进程的障碍，但本文提出的前提是，团体心理治疗中的配对应被视为协同治疗干预中积极且必要的现象。文中阐述了协同治疗发展的六个阶段，以展示协同治疗关系的复杂方面如何影响团体进程的发展阶段。这一观点的临床意义可能是协同治疗师开启新治疗视野的开端。
