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A psychotherapeutic approach to task-oriented groups of severely ill patients.

This paper presents a conceptual approach for leading various types of groups of chronically mentally ill patients. Although these groups may have a concrete, task-oriented purpose, with skillful leadership they also function as psychotherapy groups. The developmental deficits in ego functions, object relations, and social skills that severely impair such groups can be compensated by non-interpretative actions of the therapists. The group leader must actively work to provide for the structure, stability, and safety of the group when group members are unable to provide these for themselves.

Adult↗

[Group treatment of psoriasis with the duo formula].

Group treatment for and by psoriasis patients was the subject of a trial. For 12 sessions over a period of 3 months, a fellow sufferer as co-helper cooperated with a professional specialist as co-worker according to the so-called duo formula. When the results were compared with those in a control group, the patients showed a change in the dimensions examined, as well as in their illness behaviour and insight into the value of problem-solving in groups. Therefore, it is recommended that dermatologist/co-helper teams be instructed for group treatment of chronic skin diseases, because this method stimulates self-activity in patients.

Adult↗

Collaboration between therapists in the simultaneous treatments of a father and son with disorders of masculine identity formation.

A chronically depressed, middle-aged man with numerous intermittent psychotherapies since adolescence, sought treatment for difficulties provoked by his corrupt, former boss. Because of inadequate fathering, he had been unable to consolidate his identity as a man and a father, which inhibited the development of masculine and paternal identity in his oldest son. This patient enacted and worked through massive resistance to experiencing the idealized, paternal transference so lacking in his relationship with his own father; thereby enhancing his son's development and aiding his own separation from his mother and his wife. But this upset the family equilibrium and angered the wife, as she could no longer protect and control her husband and son, thereby enacting her transference to her alcoholic father. The psychotherapists' close collaboration helped elucidate this family's complex, interwoven psychopathology. Simultaneous treatment with collaboration thus contributed to the separation and individuation of father, mother, and son and facilitated later resolution of their oedipal conflicts.

Adult↗