[A group therapy model in the rehabilitation fo alcoholism]

At present group psychotherapy is one of the most important resources in the treatment of alcoholism. Among the various theoretical orientations present in this setting, the systemic approach has always favoured interventions designed to improve interpersonal relationships. More recently, the concepts of constructivism and "narrative" therapy have laid greater emphasis upon the relational and linguistic aspect of any individual problem. Starting from these premises, a systemic-constructivistic therapy group was created for persons with problems associated with alcohol, as part of an inpatient rehabilitation programme. Given the novelty of this initiative and the particular context, several solutions were adopted that may represent a proposal for the extension of the method. The characteristics and ways in which this particular group might evolve are discussed under four headings: 1) the characteristics of the group, 2) techniques for guiding the group, 3) the role and problems facing the therapist, and 4) the recurrent problems in the life of the group.