Lellau E, Gladbach B
Psychiatr Prax. 1981 Aug;8(3):100-3.
First of all, the author underlines that the article is concerned with a specific of institutional advisory service, namely, the subconscious/part played by the mutual co-operation of the members with each other and with the clients of an institution. He classifies his statements into three sectors: first of all, in comments on group analysis; secondly, in comments on the "induced phenomenon of spontaneity in the group"; and, "thirdly, in a description of the intrapsychic, interpersonal and institutionalized forms of defence. One of his theses is: In the same manner as the individual is made up of many and partly contradictory aspects in his life and is nevertheless experienced as a unit, an institution can likewise be considered as a unit. This would also show clearly the great importance which must be attached to the participation of each individual member of an institution in one or several well-functioning working teams in order to fully mobilize the resources available in every institution. This leads us to consider the actions of the members of the institution as reflecting the behavior of the clients. Consequently, all opinions voiced by members of the institution must be taken seriously, even if they are not in line with conventional opinions, as reflections of the overall institutional body. We must conclude therefrom that our aim "to help the mentally diseased patient" can be achieved more successfully, with less frictionally conditioned loss of energy, the more we succeed in taking these various aspects seriously and in not suppressing them below the threshold of consciousness, and rather in understanding them as far as possible via a frank discussion of opposing viewpoints.
首先，作者强调本文关注的是机构咨询服务的一个特定方面，即机构成员之间以及成员与机构客户之间相互合作所发挥的潜意识作用。他将自己的论述分为三个部分：首先，关于团体分析的评论；其次，关于“团体中自发产生的诱导现象”的评论；第三，对心理内部、人际和制度化防御形式的描述。他的一个论点是：正如个体在生活中由许多部分相互矛盾的方面组成，但仍被体验为一个整体一样，一个机构同样可以被视为一个整体。这也将清楚地表明，机构中每个成员参与一个或几个运作良好的工作团队是多么重要，以便充分调动每个机构可用的资源。这使我们认为机构成员的行为反映了客户的行为。因此，机构成员表达的所有意见都必须认真对待，即使它们与传统意见不一致，因为它们反映了整个机构的情况。我们必须由此得出结论，我们“帮助精神病患者”的目标能够更成功地实现，以更少的因摩擦而导致的能量损失，我们越是成功地认真对待这些不同方面，不将它们压制在意识阈值以下，而是通过坦率讨论对立观点尽可能地理解它们。
