Ball S
Psychological Managed Care Consultants, Brooklyn Heights, NY 11201.
Soc Work. 1994 Jan;39(1):109-15.
This article examines the creation of a gay affirmative group model that focuses on the unique social, developmental, and psychoeducational needs of lesbian and gay clients who attend psychiatric day treatment. The author discusses how these clients' psychosocial potential can be maximized in a group that addresses issues related to their sexual orientation, including their double stigmatization as both mental patients and homosexuals. The following modifications of traditional group interventions are illustrated: (1) the tolerance of primitive interpersonal styles; (2) the encouragement of differentiation; and (3) the need for a structured, nonconfrontational approach. These principles, which lead to enhanced group safety and cohesion, are contrasted with those of a more traditional "coming-out" group. Overcoming resistance and homophobia among staff and other clients is outlined, as is establishing the group as an integral component of a gay-sensitive treatment structure in a mental health agency.
本文探讨了一种针对男同性恋者的支持性团体模式的创建，该模式聚焦于接受精神科日间治疗的女同性恋和男同性恋患者独特的社会、发展及心理教育需求。作者讨论了如何在一个解决与他们性取向相关问题的团体中，将这些患者的心理社会潜能最大化，这些问题包括他们作为精神病人和同性恋者所遭受的双重污名化。文中阐述了对传统团体干预措施的以下调整：（1）容忍原始的人际风格；（2）鼓励分化；（3）需要一种结构化的、非对抗性的方法。这些能提高团体安全性和凝聚力的原则，与更为传统的“出柜”团体的原则形成了对比。文中概述了克服工作人员和其他患者中的抵触情绪及恐同症的方法，以及将该团体确立为心理健康机构中对同性恋者敏感的治疗结构的一个组成部分的方法。
