The Capacity to Use the Group as a Corrective Symbiotic Object in Group Analytic Psychotherapy for Patients with Psychosis

Abstract

Group psychotherapy is widely accepted for treatment of patients suffering from psychosis. Nevertheless, some uncertainties remain regarding efficacy of insight-oriented group psychotherapy in these cases. Embracing the thinking of those authors that consider corrective symbiotic experience as essential in psychotherapeutic treatment for patients with psychosis, we explore the possibilities of group psychotherapy in enabling corrective emotional experience in our group therapeutic activity. Through some clinical examples from long-term outpatient group psychodynamic psychotherapy, which was insight oriented, we demonstrate how this method works with patients suffering from psychosis in a carefully selected group. Our experiences are positive, showing that the group analytically informed approach can offer a corrective symbiotic experience to patients with psychosis. However, patients with very deep symbiotic needs, who exclusively demand gratification of their symbiotic transferences, are not recommended for inclusion in group analytic work.