Some problems with treatment: destructive enactments in combined therapy

International Journal of Group Psychotherapy
Bennett E Roth

Abstract

Abstract The aim and hope of combined therapy is that the arrangement of group and individual treatment affords greater therapeutic effect because of its psychic interactions. For some patients, the modalities together may lead to promising, if often complex, analysis through an open flow of information between the two modalities. However, the two cases I present illustrate problems that may arise in combined treatment. In these two cases, the interaction between the modalities may have prevented important working through and caused an irreparable breach in the therapeutic alliance. The interdependence among complex enactments, my countertransference, and the respective groups' transferences was emotionally complex. In this paper I describe various forms of these enactments, explore some ideas about why enactments occurred, and discuss their impact on the treatment of these patients.

References

Jan 1, 1991·Journal of the American Psychoanalytic Association·J T McLaughlin
Jul 13, 2000·The International Journal of Psycho-analysis·D Boesky
Sep 25, 2004·International Journal of Group Psychotherapy·Bennett Roth

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