Winer J A, Ornstein E
University of Illinois at Chicago.
Int J Group Psychother. 1994 Jul;44(3):313-32. doi: 10.1080/00207284.1994.11490756.
The authors present a model of psychiatric inpatient community meetings run as large group interpretive psychotherapy. They developed this model in part from Gill's notion that patients attach plausible meanings to therapist behavior based on the patient's characteristic and stereotypical ways of experiencing relationships. The model provides a framework for the description of 11 clinically derived "unconscious relational configurations" that can frequently be detected as organizing "relational themes" of community meetings. The authors present two clinical vignettes in which staff detect these themes and interpret them together with the defenses against them. They then discuss the prominent negative affective valence that characterizes the "unconscious relational configurations."
作者提出了一种作为大型团体解释性心理治疗开展的精神科住院患者社区会议模式。他们部分基于吉尔的观点开发了该模式，即患者会根据自身体验人际关系的特征性和刻板方式，为治疗师的行为赋予看似合理的意义。该模式为描述11种临床上得出的“无意识关系构型”提供了一个框架，这些构型常常能被检测到，作为社区会议“关系主题”的组织形式。作者给出了两个临床案例，其中工作人员检测到这些主题，并连同针对它们的防御机制一起进行解释。然后，他们讨论了表征“无意识关系构型”的显著负面情感效价。
