scholarly journals Case formulations in mentalization-based group therapy

Author(s):  
Sigmund Karterud

Ideally, the assessment phase of patients who are referred to mentalization-based treatment (MBT) should conclude with a mentalization- based case formulation. The structure and content of such case formulations are described. Their aim are: i) to enhance treatment alliance and ii) to provide some structure to the treatment process through suggesting privileged themes related to emotions, relational patterns and mentalizing. MBT is a conjoint kind of psychotherapy, integrating individual and group therapies. Case formulations has belonged to the tradition of individual psychotherapy, while being mostly ignored by group therapists. The question is: are case formulations also relevant for group psychotherapy? How can they be properly introduced while not disturbing the group processes? The theme is discussed through a clinical vignette that illuminates typical therapeutic challenges in dynamic group psychotherapy with borderline patients. The author concludes with some suggestions for clinical structure, process and research.

1968 ◽  
Vol 114 (508) ◽  
pp. 323-328 ◽  
Author(s):  
M. G. Gelder ◽  
I. M. Marks

The results of a comparative trial of desensitization and psychotherapy for phobias have been reported (Gelder, Marks and Wolff, 1967). Desensitization was found to have a rapid and rather specific effect on phobic symptoms, which was followed by improvement in social adjustment. During group and individual psychotherapy, phobias and other symptoms changed more slowly and social adjustment often improved without any corresponding improvement in phobias. At the end of the investigation the phobias of 14 of the original 26 psychotherapy patients had shown no worthwhile improvement. Six months later, another follow-up showed that 5 had improved further, leaving 9 still unimproved. It was decided to try the effects of desensitization with these patients, particularly in view of a finding by Lazarus (1961) that desensitization helped patients who had not responded to a very brief form of group psychotherapy. As Lazarus worked with volunteer subjects rather than psychiatric patients, and as his “group therapy” averaged only eight weeks, his finding required confirmation before it could be applied to psychiatric patients.


1992 ◽  
Vol 25 (4) ◽  
pp. 449-462 ◽  
Author(s):  
David A. Winter

This article provides a brief description of repertory grid technique and the measures which can be derived from it which may be of value to the investigator of group therapy. It reviews the technique `s application in this area of research, with particular reference to studies of group therapy outcome, studies of the prediction of therapeutic change and studies of the group process.


2018 ◽  
Vol 52 (2) ◽  
pp. 204-217 ◽  
Author(s):  
Mário David

A group analyst has an enormous influence over the group dynamics (the ‘matrix’) and this derives from his or her ‘identity or group analytic attitude’ which has been developed through training, practice and group analytic supervision. Each group analyst must develop personal attributes and also affective/cognitive capabilities required to become a ‘good enough group analyst’. Throughout group therapy sessions, specific dimensions appear related to each group analyst. These are of particular importance for a good evolution of group processes, pertaining to his ‘presence’ face-to-face with the group and to his personal ‘style’.


1983 ◽  
Vol 28 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Ronald J. Dyck ◽  
Hassan F.A. Azim

The present study examined consumer satisfaction with services provided in a Psychiatric Walk-In Clinic in order to determine not only general levels of satisfaction but also whether or not differences in satisfaction exist between different user groups. Although levels of reported satisfaction were generally high, group psychotherapy patients reported being significantly less satisfied than patients who had been assessed at the clinic or who were in individual psychotherapy. None of the demographic variables including previous psychiatric experience, diagnosis and patient visits were related to satisfaction. These data were discussed in terms of program development.


1972 ◽  
Vol 17 (4) ◽  
pp. 331-332
Author(s):  
John B. Reckless

Videotape is factually accurate but expensive. If used to replay in a group session it interferes with group process, whereas still photographs and audiotapes are inexpensive, unobtrusive and simple to add to the standard psychotherapeutic learning experience. The technique stands as a viable accessory to group therapy treatment.


2019 ◽  
Vol 15 (2) ◽  
pp. 206
Author(s):  
G. Paul Blimling

In this article, I respond to the insightful commentaries by Karen Riggs Skean (2019), by Richard Harrison (2019), and by Ben Adams (2019) on my hybrid case study of "James," a survivor of chronic relational trauma (Blimling, 2019). These commentaries have stimulated me to think further about the impact of music on my individual psychotherapy work, both with James and with subsequent clients, and specifically with regard to its impact on my approach to group psychotherapy work. In addition, these commentaries have raised particular issues that I respond to, including, (a) constructive criticism by Skean and Harrison regarding the potential further use of "metaprocessing" and the developments made in Accelerated Experiential Dynamic Psychotherapy (AEDP) since I completed the Case of James; (b) Skean’s perceptive point explaining how an individual therapist can take a personal passion—like music or literary writing or bicultural identity—and use it to enhance his or her enlivened presence in therapy with a client; and (c) Adams’ thesis that music and psychotherapy both have their origins in the shamanistic practices of our hunter-gatherer ancestors, suggesting that the combination of psychotherapy and music is a kind of return to our very roots.


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