Tantillo M
Department of Psychiatry, University of Rochester Medical Center, USA.
Int J Group Psychother. 1998 Oct;48(4):477-98. doi: 10.1080/00207284.1998.11491568.
This article explains how the psychology of women can inform group treatment by translating relational theory (RT) into practice within a short-term outpatient bulimia group. First, the article provides a brief overview of a relational understanding of women's psychological development, the etiology and maintenance of bulimia nervosa, and group psychotherapy. Then, clinical vignettes illustrate the application of RT in practice through discussion of four main healing factors at work in the different stages of the group. Through promoting validation, self-empathy, mutuality, and empowerment, the leader helps group members identify and change relational patterns that have kept them connected with food and disconnected from themselves and others. The goal of treatment is to help members move toward mutually empathic and empowering relationships inside and outside the group.
本文阐述了女性心理学如何通过在短期门诊贪食症治疗小组中将关系理论（RT）付诸实践，为团体治疗提供指导。首先，文章简要概述了对女性心理发展、神经性贪食症的病因及维持因素的关系性理解，以及团体心理治疗。然后，临床案例通过讨论在小组不同阶段起作用的四个主要治愈因素，说明了RT在实践中的应用。通过促进确认、自我共情、相互性和赋权，领导者帮助小组成员识别并改变那些使他们与食物保持联系、与自己及他人脱节的关系模式。治疗的目标是帮助成员在小组内外建立相互共情和赋权的关系。
