小组分析与以心理化为基础的小组疗法之间的关系

S. Karterud, Gordon Gunnarsen, M. Kongerslev, Lenka Staun, Ulrich Schultz-Venrath
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摘要

在这篇文章中,我们描述并反思了以心理化为基础的团体治疗(MBT-G)的起源及其与团体分析的关系。心理治疗的最初环境是深受团体分析思想影响的日间心理治疗医院。越来越多的边缘型患者提出了挑战,这引发了理论和治疗上的创新,从而将 MBT-G 与传统的团体分析法区分开来,后者做出了不同的回应,例如加强了与强调先天破坏性驱动力的客体关系理论的联系。从那时起,这两种方法之间的对话在英国很少,但在挪威和德国等地却更具建设性。我们认为,在基本群体动力学方面,MBT-G 需要群体分析能力,而群体分析需要心智化理论的振兴。我们呼吁在这两种方法之间开展对话。作者分属两个阵营,并参考了挪威、英国、丹麦和德国的经验。
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On the relationship between group analysis and mentalization-based group therapy
In this article we describe and reflect upon the roots of mentalization-based group therapy (MBT-G) and its relationship to group analysis. The original setting for MBT was psychotherapeutic day hospitals that were strongly influenced by group analytic thinking. The challenges from an increasing number of borderline patients initiated theoretical and therapeutic innovations that separated MBT-G from traditional group analysis who responded differently, e.g. by strengthening its ties to object-relational theories that emphasized innate destructive drives. Since then, the dialogue between the two approaches have been meagre in the UK, but more constructive in e.g. Norway and Germany. We argue that MBT-G needs group analytic competence with respect to basic group dynamics, and that group analysis needs revitalization by the theory of mentalizing. We call for dialogues between the two approaches. The authors belong to both camps and speak with reference to experiences in Norway, United Kingdom, Denmark and Germany.
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