Stone W N
Department of Psychiatry, University of Cincinnati College of Medicine, Ohio 45229, USA.
J Psychother Pract Res. 1998 Summer;7(3):208-16.
A dynamic group treatment model for chronically ill persons allowing them to determine the frequency of attendance empowers the members and potentiates group development. This format respects patients' needs for space as represented by missed meetings. In this context, absences are formulated as self-protective and self-stabilizing acts rather than as resistance. In an accepting, supportive environment, members can be helped to explore affects and gain insight into their behaviors. A clinical example illustrates patients' examination of the meaning of missing and attending sessions, with particular focus on intensity of involvement, autonomy, and control. In the process of testing the therapist and group, members show capacity to gain insight into recent in-group and extra-group behaviors.
一种针对慢性病患者的动态团体治疗模式,允许他们自行决定参加治疗的频率,这赋予了成员权力并促进了团体发展。这种模式尊重患者因错过会议所体现出的对空间的需求。在这种情况下,缺席被视为自我保护和自我稳定的行为,而非抵触行为。在一个接纳、支持的环境中,可以帮助成员探索情感并深入了解自己的行为。一个临床实例展示了患者对错过和参加治疗环节意义的审视,特别关注参与的强度、自主性和掌控力。在测试治疗师和团体的过程中,成员表现出对近期团体内外行为进行深入理解的能力。