Kibel H D
Am J Psychiatry. 1981 Jan;138(1):74-80. doi: 10.1176/ajp.138.1.74.
The author reviews the history of the literature on inpatient group psychotherapy. Key observations of early workers--the central role of the group leader, the experiential benefits of the group, and the relationship to the milieu--have not resulted in wide application of this form of therapy because of limitations of previous conceptual models. The model presented draws on concepts of general systems and object relations theory. General systems theory explains how the small therapy group symbolically reflects the dynamic process of the psychiatric unit. Object relations theory provides a unique understanding of the central regulatory function of the therapist and the beneficial effects of the group. The author provides clinical illustrations of these points.
作者回顾了住院患者团体心理治疗的文献历史。早期研究者的主要观察结果——团体领导者的核心作用、团体的体验性益处以及与环境的关系——由于先前概念模型的局限性,并未导致这种治疗形式的广泛应用。所提出的模型借鉴了一般系统理论和客体关系理论的概念。一般系统理论解释了小型治疗团体如何象征性地反映精神科病房的动态过程。客体关系理论对治疗师的核心调节功能和团体的有益效果提供了独特的理解。作者提供了这些观点的临床例证。