Focused group analytic psychotherapy : an integration of clinical experience and research

목차 (Table of Contents)

• CONTENTS
• Preface = xi
• Abbreviations = xv
• PART I Introduction = 1
• 1 Introduction = 3
• A word about groups = 3
• Definition = 3
• Early systematic exploration of groups = 3
• Book contents = 4
• What is group psychotherapy? = 5
• Classification of group therapies = 5
• Short history of groups = 7
• Psychodynamic groups = 7
• Group analysis = 8
• S.H. Foulkes = 8
• Group analytic theories and concepts = 9
• Views on the human being and on mental disorders = 11
• Definition of group analysis = 12
• Objectives of group analysis = 12
• Are the similarities between psychodynamic groups greater than the differences? = 12
• Group psychotherapy in Norway : a history = 13
• Training in psychodynamic group therapy and group analysis = 14
• Group therapy in Norway : a survey = 14
• PART II Focused Group Analytic Psychotherapy = 17
• 2 Focused Group Analytic Psychotherapy (FGAP) = 19
• A brief description of the treatment = 19
• Main features of FGAP = 20
• The framework = 22
• Time limitation = 22
• Theoretical background = 23
• The three dimensions of the group format = 26
• Focus and objectives, individually and for the group = 29
• Similarities and differences between FGAP and GA = 30
• 3 Who can benefit from Focused Group Analytic Psychotherapy? = 33
• Important conditions for benefiting from FGAP = 34
• An interest in learning about oneself and others = 34
• Help to explore ambivalence toward group psychotherapy = 35
• An established treatment focus = 36
• Personal resources = 36
• Personality traits and ego functions = 38
• 4 Evaluation of patient suitability for Focused Group Analytic Psychotherapy = 45
• Overview = 45
• Information from interviews and questionnaires = 46
• Types of interviews = 47
• The clinical interview = 47
• The psychodynamic interview = 48
• The diagnostic interview = 51
• Clinical assessment of level ofpersonality organization (STIPO) = 52
• Questionnaires, patient self-report (psychometry) = 57
• Measuring interpersonal problems (Inventory of Interpersonal Problems) = 58
• What do the numbers mean? = 59
• What do the different sub-scales represent? = 59
• Use of IIP-C in the FGAP evaluation = 61
• Clinical diagnosis = 61
• Psychodynamic case formulation = 64
• Areas to be covered in a psychodynamic case formulation = 64
• Clinical ("surface ") phenomena = 65
• Precipitating factors (stressors) = 65
• Predisposing factors (vulnerability) = 66
• Personality = 67
• Psychodynamic hypothesis = 76
• An overall evaluation = 68
• Treatment focus = 69
• Clinical example 1 - Mary, 39 years = 69
• Clinical example 2 - Steve, 28 years = 70
• 5 Establishing and composing the group - introducing the demonstration group = 72
• Some patients need extra preparation = 72
• Contract between patient and therapist = 78
• Overall group objectives = 79
• Demonstration group = 80
• Group composition guidelines = 81
• Discussion of the composition of the demonstration group = 83
• 6 The group process = 85
• The process of Focused Group Analytic Psychotherapy = 86
• Group analytic views on the therapy process = 86
• Group-specific group factors = 87
• The therapy process is formed by several elements = 88
• What do patients and therapists bring to the therapy? = 88
• Interaction and multidimensional response (feedback) = 90
• Therapeutic factors = 91
• Therapeutic alliance, group cohesion = 93
• Groups developmental phases (stages) = 94
• Opening (engagement, 2-4 sessions) = 95
• Differentiation (2-4 sessions) = 96
• Interpersonal work (8-12 sessions) = 97
• Termination (2-3 sessions) = 98
• 7 The therapist in Focused Group Analytic Psychotherapy (FGAP) = 101
• Leadership role in FGAP : responsibilities and tasks = 101
• The therapist as leader and authority = 103
• Challenges for the FGAP therapist = 104
• Higher level of activity = 104
• Work in the here-and-now mode and within the treatment focus = 104
• Less time to repair ruptures of the therapeutic alliance = 105
• Focus on group structure and boundaries = 105
• Greater attention to termination = 106
• The stance of the psychodynamic therapist. Objective perception or transference? = 106
• The balance of support and interpretation (confrontation) = 108
• Guidelines for interventions in FGAP = 109
• Therapist observation = 110
• Therapist reflection = 110
• Is the time ripe for an intervention? = 111
• Therapist interventions : overview = 112
• Examples of specific types of interventions in FGAP = 114
• In the differentiation phase = 117
• When should one interpret on the individual level? = 118
• When should one not interpret individually? = 119
• PART III Clinical quality assurance - Research - Supervision = 123
• 8 Clinical quality assurance - evaluation of therapy outcomes and process = 125
• Why evaluate? = 126
• We do not know enough about whether and why patients change = 126
• Therapists have blind spots = 126
• Evaluations can increase the impact of therapy = 127
• Are there any disadvantages of using measures? = 128
• Use of questionnaires in psychodynamic psychotherapy = 128
• Principles for selecting outcome measures in psychotherapy = 129
• What to evaluate? = 129
• Methods for planning and monitoring process and outcome of FGAP = 129
• Choice of outcome measures = 130
• Choice of process measures = 131
• Procedures for data collection = 131
• How to present a questionnaire to a patient? = 131
• Time-points and procedures for data collection = 131
• Discussion of the results with patients = 132
• Interpretation and discussion of results = 133
• Note = 134
• 9 Empirical research on group psychotherapy = 135
• Research on group psychotherapy = 135
• Why is research on groups so difficult? = 136
• Group structure = 138
• Patient variables = 138
• Therapist variables = 138
• Use of co-therapists = 139
• Therapeutic factors = 140
• Outcome research On group psychotherapy = 141
• Psychodynamic short-term groups = 143
• Our practice-based clinical research (background for FGAP) = 144
• The effectiveness of long-term group analysis - a naturalistic study = 144
• Short-term and long-term group analytic therapy - who needs what' = 145
• The typical patient = 145
• Patients with and without a personality disorder = 146
• Change of interpersonal problems (I1P-C sub-scales) = 146
• Change in self-concept = 147
• Process research = 147
• Group relationships, cohesion and alliance = 147
• Cohesion and outcome in FGAP = 148
• The development of group climate in short-term and long-term therapy = 148
• Research challenges in the cohesion-outcome relationship = 149
• Group Questionnaire (OQ-GQ Norwegian) = 149
• 10 Supervision in Focused Group Analytic Psychotherapy (FGAP) = 151
• What is supervision? = 151
• Purpose / definition = 151
• Differentiating supervision from other types of learning = 152
• Why do candidates need supervision? = 153
• Growing interest in psychodynamic time-limited group psychotherapy = 154
• Training in psychodynamic group psychotherapy, including supervision = 154
• Who needs supervision in FGAP? = 155
• Establishing the supervisory situation = 156
• Contract between supervisor and candidate = 156
• How does the supervision take place? = 157
• Advantages and disadvantages of individual and group supervision = 159
• What happens in the supervision session? = 159
• How and when does a supervisor intervene? = 160
• Frequency and duration of sessions = 163
• Examples of supervisory problems (FGAP) = 163
• Countertransference reactions. Clinical example = 164
• Notes = 165
• Afterword = 167
• Appendix = 168
• Appendix 1 = 168
• Appendix 2 = 196
• Appendix 3 = 196
• References = 200
• Index = 217