Leszcz M, Goodwin P J
Department of Psychiatry, University of Toronto School of Medicine.
Int J Group Psychother. 1998 Apr;48(2):245-73. doi: 10.1080/00207284.1998.11491538.
Group psychotherapy has become an important modality of intervention in contemporary psychooncology. This article reviews and describes the rationale and foundations for group psychotherapy for women with metastatic breast cancer. It emerges from a replication study of an earlier study performed by Spiegel (Spiegel, Bloom, Kraemer & Gottheil, 1989), which demonstrated that participation in structured group psychotherapy resulted in improved psychosocial adjustment and a significant survival effect on women with metastatic breast cancer. Other intervention studies, psychosocial effects of psychosocial interventions, as well as psychosocial variables associated with the course of illness, are described. The contribution of existential considerations in psychotherapy is also articulated as a component of the group-supportive expressive intervention. Clinical illustrations, emerging from ongoing treatment groups, are used to demonstrate theoretical concepts.
团体心理治疗已成为当代心理肿瘤学中一种重要的干预方式。本文回顾并描述了针对转移性乳腺癌女性患者进行团体心理治疗的基本原理和基础。它源自对Spiegel（Spiegel、Bloom、Kraemer和Gottheil，1989年）早期研究的一项重复研究，该研究表明，参与结构化团体心理治疗可改善转移性乳腺癌女性患者的心理社会适应状况，并产生显著的生存效应。文中还描述了其他干预研究、心理社会干预的心理社会效应以及与疾病进程相关的心理社会变量。存在主义因素在心理治疗中的作用也被阐述为团体支持性表达干预的一个组成部分。文中运用了正在进行治疗的团体中出现的临床实例来阐释理论概念。
