Complex Dilemmas in Group Therapy

Pathways to Resolution

Lise Motherwell, Joseph J. Shay, Lise Motherwell, Joseph J. Shay

• Publisher: Routledge
• Year: 2014
• Print ISBN:
  9780415712408
• eBook ISBN:
  9781134662296
• Topic: Psychology
• Subtopic: Mental Health in Psychology
• Index: Psychology

Group work presents the therapist with many situations, considerations, and, ultimately, decisions that are unique to the practice of group psychotherapy. The second edition of Complex Dilemmas in Group Therapy includes advice and insights from more than fifty of the most eminent group therapists in the world and is edited by two leading thinkers and practitioners in the field. In its pages clinicians will find expert guidance on some of the most difficult situations group therapists face, and they'll come away from the book with a host of practical strategies for facilitating their work as well as deeper and broader understanding of the overarching ideas that underpin the practice of successful group therapy.

Index

abandonment issues, 101–102; around termination, 115–116; fear of abandonment, 104; of group by therapist, 215–216; with loss of therapist, 221; therapist’s feelings of, 105

Abernathy, A. D., 227

Abraham, K., 72

Abraham’s concept of psychoanalysis, 72

absence: of member, 188–189; of therapist, 187

abuse, sexual, see trauma groups

action-thought activities, 77

addiction, see substance abuse issues

addiction theories, 155

affairs between group members, 61–67

Agazarian, Y. M., 5, 9, 30, 32, 226

aggression: containment of, 90; from group members, 49; role of, 57; toward maternal figure, 72–73

agreements, see contracts/agreements

Alcoholics Anonymous (AA), 143–144, 145, 151–152, 159, 160

alcohol use/alcoholism, see also substance abuse issues: Albert the alcoholic (clinical example), 43–44; alcoholics as difficult patients, 43–44; contracts specific to, 145–146; controlled drinking model, 155, 163, 169; criteria for disorders (DSM-5), 165; drivers of, 160, 166; Harvard studies on, 165; Victorian Adolescent Health Cohort study, 166

Aledort, S. L., 136, 140

allies, finding, 28

Alonso, A., 38, 43, 55, 57, 66, 137, 226, 227

ambivalence: about self-discovery, 173; manifestations of, 16–17

American Psychological Association, 177

An, P. G., 38

analysis of group, 20–21, 64, 110

analytic theories: Abraham’s concept of psychoanalysis, 72; countertransference in, 111; countertransference in Jungian, 110; Freudian psychoanalysis, 72, 110, 124–125; group-analytic/relational theories, 57; Lacanian, 124–125; Modern Analytic group approach, 167; psychoanalytic model, 8, 64, 72, 145; task of therapist in, 216

anger: addressing, 48; benign tolerance of members’, 87; bringing group’s anger to the therapist, 91; displacing, 105; engagement of angry groups, 164; fighting among members as substitute for, 130; ...

Table of contents

• Cover Page
• Half Title page
• Title Page
• Copyright Page
• Dedication
• Contents
• Editors
• Contributors
• Preface
• Section I Boundary Issues
• Creating the Group Envelope
• Sizing Up the Group
• Show Me the Money
• All for One and One for Some?
• Section II Difficult Patients
• Treating Difficult Patients in Groups
• Murderous Mary and Ruthless Ruthie
• All About Adam
• Getting Our Affairs in Order
• Section III Complex Defenses
• Unraveling Projective Identification and Enactment
• Axis II Had Me Spinning
• Why Won't They Come on Time?
• Serial Scapegoating
• Section IV Powerful Therapist Reactions
• Containing and Using Powerful Therapist Reactions
• Legally Incompetent?
• Fear and Loathing
• Tolerating the Intolerable
• Section V Substance Abuse Issues
• Managing Substance Abuse Issues in Groups Not Specifically for Substance Abusers
• Am I Enough?
• Talking to Myself
• I'll Take the High Road
• Section VI Extraordinary Leadership Challenges
• Extraordinary Events in Group Therapy
• Does the Group Mind if I Eat My Bagel Now?
• Is Nothing Private Anymore?
• Talking About Grave Matters
• Is There an Afterlife?
• Section VII Conclusion
• Index