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Published online by Cambridge University Press: 16 April 2020
Basic features of group psychotherapy for patients with acute psychosis are:
focus on the sharing of psychotic experiences;
different ways of interactive connections and transpersonal relations between patients and staff members;
different realities represented, realized and interpretated by the participants;
high risk of self stigmatization;
paradoxical tension between the urgency readiness of psychiatric environment and the reflective attitude of group work.
A modified group analytic technique with free-floating discussion (Foulkes) is used to understand psychotic experiences. Group processes and symbolic contents are analysed on structural and communicative perspective.
The maintainance of complex group work clAims:
clear and stable boundaries;
creative possibility of potential space (Winnicott);
relational capacity of the stuff;
and high level of integration between the group and the institutional system.
Co-therapeutic team facilitates integration in both direction:
as a part of the group it helps the socialization of group members on the field of psychological work;
as a part of the whole stuff of the department it supports connections around the group.
The individual team member takes double role in the reality of the group: co-therapist and group member. The integration and conflicts between these roles should be interpretated in the context of the group.
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