You are on page 1of 22

www.wunan.com.

tw
(02)2705-5066

Sophia Vinogradov, M. D.
Irvin D. Yalom, M. D.

www.wunan.com.tw
(02)2705-5066


Yalom



Here and Now
activity group








79
456



456
89 45
67



www.wunan.com.tw
(02)2705-5066






setting condition situ-
ation environment constraint
limitation restraint limit boundary
bereavement grief mourning
abstenance withdrawal sobreity
detoxification specialized
specific special
support group supportive group
meet-
ing, sessionmechanism


psychological minded-
ness identification
denial
therapeutic factor
session agenda
group agenda
melieu
environment, circumstance

www.wunan.com.tw
(02)2705-5066












90 3

www.wunan.com.tw
(02)2705-5066



................................. 1

...........1
...................
5
.....................................
8
.............................9
............................................................................. 13

?.......15

........................................................... 15
..25
...........................35
............................................................................. 39

.........................41

.....................................41
...........................45
.............................................47

www.wunan.com.tw
(02)2705-5066
2

.........................................50
......55
............................................................................. 57

...........................59

.....................................59
...................64
..............................................68
............................................................................. 75

..............77

......................................................77
................................................. ..85
.........................................88
........................................................... 92
........................................................................... 107

...........................109

..................................109
..........................124
...............................130
...........................................................................140

..........................................143

.......................................144

www.wunan.com.tw
(02)2705-5066
3

........................................164
........................................................................... 169

..........................................171

....................... 173
.....................176
..........................................................189
...................................200
........................................................................... 207

.....................................................209

.......................................................................211

www.wunan.com.tw
(02)2705-5066


group psychotherapy


professional contract
interventionsdis-
tressmaladaptive


context of the group setting



techniques and interventions

group therapy

www.wunan.com.tw
(02)2705-5066
2

drop-in
therapy groups
settinggoalstime fra-
me

Clinical Settings




inpatient wardoutpatient cli-
nic
Inpatient groups





Outpatient groups







drop-in group

www.wunan.com.tw
(02)2705-5066
1 3

1-2


1-2

2-3

2-3

settings

situations
probation group
retreats

www.wunan.com.tw
(02)2705-5066
4



specialized
specific

Goals

psychotherapy groups
long-term interactional groups

character change




psychosocial functioning

specialized and self-
help groups
symptom-oriented

discrete behavior

Time Frames

life of the
group
length of stay

www.wunan.com.tw
(02)2705-5066
1 5


treatment program







length of stay





time-limited format

12 12 ses-
sionsissues



teaching and practice
remedicalization

www.wunan.com.tw
(02)2705-5066
6



effectiveness

Clinical Efficacy

effective
psychological disorders
[1] 32
[2] 24
8

Multiple outcome
studies

sociopathy
mental illness[3-5]

Treatment Populations


institutional settings

community mental health centers

[6]health maintenance
organizationsHMOs[7]

www.wunan.com.tw
(02)2705-5066
1 7

Nonpsychiatric Groups

nonpsychiatric patients
specialized treatment
groupshealth-care setting


Alzheimer's dis-
ease

psychosocial intervention
self-helpself-awareness



Alcoholics Anonymous Compas-
sionate FriendsRecovery, Inc.[8]

ESTLifespring

seminarsretreats

practicing therapist

www.wunan.com.tw
(02)2705-5066
8


efficiency
intervention

Efficient Use of Resources


Joseph Pratt
group meetings


20-30
[9]

fea-
ture of expediency


health care workers
staff-to-patient ratio

www.wunan.com.tw
(02)2705-5066
1 9

Cost-Effectiveness

Pratt

group lecture approach
institutional care

psychiatric casualties



[2]
third-party payers
expediencycost-effectiveness



[10]




group set-
ting

www.wunan.com.tw
(02)2705-5066
10

Interpersonal Relationships
and Psychological Development


Wild Child of Aveyron



[11]

patterns
other significant
human beings
attachment and bon-
dingadaptive psychological de-
velopment

link Harry Stack Sul-
livan[12]dy-
namic psychotherapy

Group Psycho-
therapy Provides Interpersonal Interactions


perceptions
expectationspsycho-

www.wunan.com.tw
(02)2705-5066
1 11

pathology




[13]

"One achieves mental health to the ex-
tent that one becomes aware of one's interpersonal relation-
ships"[14]











set-
ting

Cohesive Group Experi-


ences



www.wunan.com.tw
(02)2705-5066
12







anonym-
itysocial fragmentation


group
settingspecialized groups
supportive

Alcoholics AnonymousPar-
ents without PartnersRecovery, Inc.
Overeaters
AnonymousMended Hearts




www.wunan.com.tw
(02)2705-5066
1 13

www.wunan.com.tw
(02)2705-5066

Sophia Vinogradov, Irvin D.


Yalom ,
. , 2007[ 96]


Concise guide to group psycho-
therapy
I S B N 978-957-11-4604-1
5J05
1.
178.8 95024549








106 339 4
(02)2705-5066 (02)2706-6100
http://w ww .wunan.c o m.tw
w un a n@ w u na n .co m .t w
0 1 0 6 8 9 5 3

/ 6
(04)2223-0891 (04)2223-3549
/ 290
(07)2358-702 (07)2350-236

2001 6
2002 2
2007 1
250


www.wunan.com.tw
(02)2705-5066

You might also like