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Related Experiment Videos

Difficult patients: their construction in group therapy

J S Gans1, A Alonso

  • 1Harvard Medical School, USA.

International Journal of Group Psychotherapy
|July 14, 1998
PubMed
Summary

This study explores how group leaders and members co-construct "difficult patients" in therapy. Understanding this dynamic helps clinicians deconstruct these roles and integrate all members effectively.

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Area of Science:

  • Psychology
  • Group Therapy
  • Intersubjective Theory

Background:

  • Traditional views often label individuals as
  • difficult patients
  • in group therapy.
  • This perspective overlooks the shared construction of such roles within the group dynamic.

Observation:

  • The leader and group members actively co-construct the
  • difficult patient
  • role.
  • This construction serves specific, often unconscious, needs within the group.
  • Factors include leadership errors, intersubjective shifts, defenses, and group dynamics.

Findings:

  • Difficult patient roles emerge from a complex interplay of individual and group factors.
  • Even members no longer meeting patient criteria can embody difficult roles.
  • The co-construction process can obscure the potential value these members bring.

Implications:

  • Clinicians can use this understanding to deconstruct problematic roles.
  • Facilitating the deconstruction allows
  • difficult patients
  • to be integrated more fully.
  • This approach enhances overall group functioning and therapeutic outcomes.

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