Complex Dilemmas in Group Therapy: Pathways to Resolution
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Edited by two of the field's leading practitioners and containing the work of more than two dozen experienced group therapists, this casebook provides a comprehensive look at the issues and problems unique to group therapy.
Group therapy presents the mental health professional with a unique set of problems and considerations. But while the issues that arise in a group setting and the kinds of decisions that need to be made are often quite unlike those encountered in individual therapy, the existing literature provides neither the inexperienced therapist nor the seasoned clinician with much guidance about how to address these complex problems.
Complex Dilemmas in Group Therapy rectifies the situation. The book is divided into seven sections, each devoted to a specific theme such as boundaries, enactments, projective identification, destructive group dynamics, and time-limited group therapy. After an overview of the given theme, each section includes three complex clinical dilemmas that fall under that rubric, and the responses of two seasoned clinicians to those dilemmas. Concluding each section is an extended theoretical discussion of the ways in which ideas about the particular topic have changed over time. This text is designed to appeal to both early-career group therapists and more experienced clinicians, and practitioners at all levels will find it an important resource for this growing therapeutic field.
Part 1: Boundary Issues. Overview. Barbara Cohn, Creating the Group Envelope. S. Haut, J. Pasternak, Dilemmas. Sizing Up the Group. E.J. Cooper; Steven Krugman, Show Me the Money. D. Hawkins, V. Schermer,
All for One and One for Some? Part 2: Difficult Patients. Overview. J. Scott Rutan, Treating Difficult Patients in Group. Dilemmas. A. Alonso, H. Swiller, Angry Angela and Controlling Connie. A. Cohen, E. Shapiro, All About Adam. E. Hopper, S. Cohen, Getting Our Affairs in Order. Part 3: Complex Defenses. Overview. R. Weber, Unraveling Projective Identification and Enactment. Dilemmas. H. Dublin, K. Ulman, Axis II Had Me Spinning. A. Gelber, M. Vannicelli, Will the Real Expert Please Stand Up? D. Altfeld, B. Buchele, Serial Scapegoating. Part 4: Destructive Forces. Overview. M. Nitsun, Destructive Forces in Group Therapy. Dilemmas. Y. Agazarian, W. Stone, Cuckoo Interrupted. N. Fieldsteel, A. Joyce, Does Anyone Want Group? R. Billow, J. Gans, A Sinking Depression. Part 5: Powerful Therapist Reactions. Overview. E. Counselman, Containing and Using Powerful Therapist Reactions. Dilemmas. S. Barlow, S. Taylor, M. Giraldo, Legally Incompetent? B. Helfmann, R. Klein, Fear and Loathing. A. Elfant, H. Bernard, Tolerating the Intolerable. Part 6: Self Disclosure. Overview. Joel C. Frost, How Far Should I Go? Dilemmas. S. Emerson, G. Spielberg, Breaking Up the Family or the Fantasy? M. Kranzberg, M. Sharpe, If I Did It, Why Can't You? B. Frankel, B. Smith, Sharing At the Exit. Part 7: Time-Limited Group Therapy. Overview. T. Powers, Working With the Clock Ticking. Dilemmas. R. Ganzarain, W. Piper, Stand By Your Stance. P. Enders, A. Horne, Manage My Stress. H. Riess, M. Sorensen, Containing Contagion.
Lise Motherwell, Ph.D., Psy.D., is Associate in Psychology at Massachusetts General Hospital, an Instructor at Harvard Medical School, and Director of the Dynamic Group Therapy Training Program at Massachusetts General Hospital. She is past Secretary-Treasurer and past President of the Board of the Northeastern Society for Group Psychotherapy Foundation. She has written many articles and presented extensively on group therapy.
Joseph Shay, Ph.D., has been a Clinical Psychologist in the Harvard Medical School system for more than 25 years, and a practicing group therapist for over 30 years. Dr. Shay is Director of Training at 2 Brattle Center in Cambridge, MA and currently sits on the Board of the Northeastern Society for Group Psychotherapy Foundation. His recently co-edited book, Odysseys in Psychotherapy was feature as the main selection of the Behavioral Science Book Service in 2000
Y.M. Agazarian, Research Institute in Philadelphia. A. Alonso, Harvard Medical School and Massachusetts General Hospital. D.A. Altfeld, Cornell University Medical Center and the New York University Medical Center. S. H. Barlow, Brigham Young University in Provo, Utah. H. Bernard, New York University School of Medicine. R.M. Billow, Adelphi University. B.J. Buchele, Greater Kansas City Psychoanalytic Institute and private practice in Kansas City. A. Cohen, Harvard Medical School. S. Cohen, Harvard Medical School and Massachusetts Mental Health Center. B.R. Cohn, Columbia University and St. Luke's Roosevelt Hospital Center in New York City. E. J. Cooper, University of California School of Medicine at San Francisco. E.F. Counselman, Harvard Medical School and Massachusetts General Hospital. H.S. Dublin, private practice and Institute for Clinical Social Work of Chicago. A.B. Elfant, private practice in State College, Pennsylvania. S.J. Emerson, private practice, Cambridge, Massachusetts and Boston Institute for Psychotherapy. P.L. Enders, Massachusetts General Hospital and Harvard Medical School. N. Fieldsteel, Massachusetts General Hospital and Harvard Medical School. B. Frankel, Adelphi University and Derner Institute. J.C. Frost, Harvard Medical School. J. Gans, Harvard Medical School and Massachusetts General Hospital. R. Ganzarain, Emory University, Atlanta. A.H. Gelber, private practice, Phoenix, Arizona. M. Giraldo, private practice, McLean, VA and Washington School of Psychiatry. S. Haut, private practice, Boston and Concord, Massachusetts. D.M. Hawkins, private practice, Chapel Hill, North Carolina and University of North Carolina at Chapel Hill. B. Helfmann, Short Hills Associates in Clinical Psychology. E. Hopper, private practice, London. A. Horne, University of Georgia. A.S. Joyce, University of Alberta. R.H. Klein, Yale School of Medicine, New Haven, Connecticut. M.B. Kranzberg, private practice, Dallas, Texas. S. Krugman, Massachusetts General Hospital. M. Nitsun, Camden and Islington Mental Health National Health Service Trust and private practice at the Group Analytic Practice and University College, London. J. Pasternak, private practice, Houston, Texas. W.E. Piper, University of British Columbia. T.A. Powers, University of Massachusetts, Dartmouth. H. Riess, Harvard Medical School and Massachusetts General Hospital. J. Scott Rutan, Boston Institute for Psychotherapy. V.L. Schermer, private practice, Philadelphia, Pennsylvania. E.L. Shapiro, Massachusetts General Hospital, Harvard Medical School, and private practice, Lexington, Massachusetts. M. Sharpe, member of the Institute of Group Analysis, London. B.L. Smith, private practice, Boston and Concord, Massachusetts. M. Sorensen, Northeastern Society for Group Psychotherapy. G. Spielberg, Institute for Contemporary Psychoanalysis, Los Angeles. W.N. Stone, University of Cincinnati College of Medicine. H.I. Swiller, Mount Sinai School of Medicine. S.M. Taylor, private practice, Chicago, Illinois and Northwestern University. K. Ulman, Harvard Medical School, Massachusetts General Hospital. M. Vannicelli, Harvard Medical School and Massachusetts School of Professional Psychology. R. Weber, Massachusetts General Hospital's Center for Psychoanalytic Studies and the Center for Group Therapy.
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