Kretsch R A, Benyakar M, Gurevitch M
Department of Psychotherapy, Tel Aviv University, Ramat Aviv, Israel.
Isr J Psychiatry Relat Sci. 1995;32(3):184-93.
In some situations, when two spouses participate in the same psychotherapeutic group, we find that the group, in order to function, threatens the individual and the couple "envelope." As a result, defenses become rigid and the therapeutic process is blocked, as illustrated by two clinical vignettes. Based on this approach, the characteristics of couples for whom participation in a couple group is contraindicated are conceptualized. In order to prevent the formation of a process in which defenses are hardened, leading to the blocking of therapy, and to exploit the positive potential found in the therapeutic group, an alternative model is proposed in which the spouses are treated in two sub-groups simultaneously.
在某些情况下,当夫妻双方参加同一个心理治疗小组时,我们发现,为了使小组发挥作用,它会威胁到个体和夫妻的“边界”。结果,防御机制变得僵化,治疗过程受阻,如下两个临床案例所示。基于这种方法,明确了不适合参加夫妻小组治疗的夫妻的特征。为了防止形成防御机制僵化导致治疗受阻的过程,并利用治疗小组中发现的积极潜力,提出了一种替代模式,即配偶双方同时在两个子小组中接受治疗。