Resistances to online group analysis – Is there anything new under the sun?

Abstract

In this article, I explore the common resistances to online group analysis and group therapy and bring arguments to support the use of online settings for analytic groups. The arguments are based on theoretical, practical, experimental and experiential perspectives. Online groups are not supposed to replace in-person meetings and the article advocates an integrative model that benefits from both the online and in-person options. A comparison is made between the early arguments by individual psychoanalysts against group analysis and current arguments against online group analysis. Perhaps such resistance shows there is nothing new under the sun.

Keywords

social unconscious online groups group analysis tripartite matrix resistance

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References

American Psychological Association (2023) Psychologists reaching their limits as patients present with worsening symptoms year after year: 2023 Practitioner Pulse Survey. Available at: https://www.apa.org/pubs/reports/practitioner/2023-psychologist-reach-limits (accessed 2 November 2024).

Andersson

(2016) Internet-delivered psychological treatments. Annual Review of Clinical Psychology 12: 157–179. Available at: https://doi.org/10.1146/annurev-clinpsy-021815-093006

Andersson

(2018) Internet interventions: Past, present and future. Internet Interventions. Internet Interventions 12: 181–188. Available at: https://doi.org/10.1016/j.invent.2018.03.008

Andrews

Ross

Maroney

(2024) Online Group Psychotherapy: A Systematic Review. Community Mental Health Journal. Available at: https://doi.org/10.1007/s10597-024-01304-4

Backhaus

Agha

Maglione

Repp

Ross

Zuest

Rice-Thorp

Lohr

Thorp

(2012) Videoconferencing psychotherapy: A systematic review. Psychological Services 9(2): 111–131. Available at: doi: 10.1037/a0027924.

Barak

Grohol

Patlamazoglou

(2004) A comprehensive review and a meta-analysis of the effectiveness of Internet-based psychotherapeutic interventions. Journal of Technology in Human Services 22: 37–55.

Behr

Hearst

(1991) Block training in group analysis: The debate continues. Group Analysis 24(4): 475–477. Available at: https://doi.org/10.1177/0533316491244013

Berryhill

Culmer

Williams

Halli-Tierney

Betancourt

Roberts

King

(2019) Videoconferencing psychotherapy and depression: A systematic review. Telemedicine and e-Health 25(6): 435–446.

Bourdieu

(1984) Distinction: A Social Critique of the Judgement of Taste. London: Routledge.

10.

Burlingame

Fuhriman

Johnson

(2001) Cohesion in group psychotherapy. Psychotherapy: Theory, Research, Practice, Training 38(4): 373–379.

11.

Burlingame

McClendon

Yang

(2018) Cohesion in group therapy: A meta-analysis. Psychotherapy 55(4): 384–398. Available at: https://doi.org/10.1037/pst0000173 and https://doi.org/10.1037/0033-3204.38.4.373

12.

Carlino

(2011) Distance Psychoanalysis: The theory and practice of using communication technology in the clinic. London: Karnac.

13.

Chavooshi

Mohammadkhani

Dolatshahi

(2016) A randomized double-blind controlled trial comparing Davanloo intensive short-term dynamic psychotherapy as internet-delivered vs treatment as usual for medically unexplained pain: A 6-month pilot study. Psychosomatics 57(3): 292–300.

14.

Dalal

(1998) Taking the group seriously: Towards a Post-Foulkesian group-analytic theory. London: Jessica Kingsley.

15.

Fernandez

Woldgabreal

Day

Pham

Gleich

Aboujaoude

(2021) Live psychotherapy by video versus in-person: A meta-analysis of efficacy and its relationship to types and targets of treatment. Clinical Psychology and Psychotherapy 28(6): 1535–1549. Available at: https://doi.org/10.1002/cpp.2594

16.

Foulkes

(1948) Introduction to Group Analytic Psychotherapy. London: Karnac, 1983.

17.

Foulkes

(1964) Therapeutic Group Analysis. London: Karnac, 1984.

18.

Foulkes

(1975) Group Analytic Psychotherapy: Method and Principles. London: Karnac, 1984.

19.

Foulkes

(ed.) (1990) SH Foulkes. Selected papers. Psychoanalysis and Group Analysis. London: Karnac.

20.

Friedman

(2023) Group Analytic Therapy and the online groups: Some principles of the group analytic approach to Online group therapy. In: Weinberg

Rolnick

Leighton

(eds) The Virtual Group Therapy Circle: Advances in Online Group Theory and Practice. New York: Routledge, pp. 101–111.

21.

Geller

(2020) Cultivating online therapeutic presence: Strengthening therapeutic relationships in teletherapy sessions. Counselling Psychology Quarterly: 1–17.

22.

Geller

(2023) Being present and together while apart: Therapeutic presence in telepsychotherapy. In: Weinberg

Rolnick

Leighton

(eds) Advances in Online Therapy: Emergence of a New Paradigm. New York: Routledge. pp. 21–34. Available at: https://doi.org/10.4324/9781003205029

23.

Giovanetti

Punt

SEW

Nelson

Ilardi

(2022) Teletherapy Versus In-Person Psychotherapy for Depression: A Meta-Analysis of Randomized Controlled Trials. Telemedicine and e-Health 28(8): 1077–1089. Available at: https://doi.org/10.1089/tmj.2021.0294.

24.

Griffiths

Farrer

Christie

(2010) Effectiveness of online cognitive behavioural therapy in maintaining remission from depression. Journal of Consulting and Clinical Psychology. 78: 160–169.

25.

Guo

Deng

Wang

Liu

Yang

Zhang

Liu

Dong

Yang

(2021) The Efficacy of Internet-Based Cognitive Behavioural Therapy for Social Anxiety Disorder: A Systematic Review and Meta-Analysis. Clinical Psycholological Psychotherapy 28(3): 656–668. doi: 10.1002/cpp.2528.

26.

Hopper

(2001) The Social Unconscious: Theoretical Considerations. Group Analysis. 34(1): 9–27.

27.

Hopper

(2020) The tripartite matrix, the basic assumption of Incohesion, and Scapegoating in Foulkesian group analysis: Clinical and empirical illustrations, including terrorism and terrorists. Forum 8. Available at: https://iagpforum.emnuvens.com.br/revista/article/view/50 (accessed 2 November 2024).

28.

Hopper

(ed.) (2024) The social unconscious in persons, groups and societies: Volume 4: The Tripartite matrix in the developing theory and expanding practice of group analysis. London: Routledge.

29.

Hopper

Weinberg

(eds) (2011) The Social Unconscious in Persons, Groups and Societies: Volume 1: Mainly Theory. London: Karnac.

30.

Hopper

Weinberg

(eds) (2015) The Social Unconscious in Persons, Groups and Societies: Volume 2: Mainly foundation matrices. London: Karnac.

31.

Hopper

Weinberg

(eds) (2017) The Social Unconscious in Persons, Groups and Societies: Volume 3: The Foundation Matrix Extended and Reconfigured. London: Karnac.

32.

Horvath

Symonds

(1991) Relation between working alliance and outcome in psychotherapy: a meta-analysis. Journal of Counselling Psychology 38: 138–149.

33.

Kaiser

Hanschmidt

Kersting

(2021) The association between therapeutic alliance and outcome in internet-based psychological interventions: A meta-analysis. Computers in Human Behaviour 114: 106512.

34.

King

Brooner

Peirce

Kolodner

Kidorf

(2014) A randomized trial of web-based videoconferencing for substance abuse counselling. Journal of Substance Abuse Treatment 46(1): 36–42.

35.

Lange

Rietdijk

Hudcovicova

(2003) In therapy: A controlled randomized trial of the standardized treatment of posttraumatic stress through the internet. Journal of Consulting and Clinical Psychology 71: 901–909.

36.

Lin

Heckman

Anderson

(2022) The efficacy of synchronous teletherapy versus in-person therapy: A meta-analysis of randomized clinical trials. Clinical Psychology: Science and Practice. 29(2): 167–178. https://doi.org/10.1037/cps0000056

37.

Marmarosh

Robelo

Solorio

Xing

(2023) Miles Away: Alliance and Cohesion in Online Group Therapy. In: Weinberg

Rolnick

Leighton

(eds). The Virtual Group Therapy Circle: Advances in Online Group Theory and Practice. New York: Routledge, pp. 40–51.

38.

Marmarosh

Solorio

Koroma

MBZ

Xing

Robelo

(2024) Attachment theory and the transition to online group therapy during COVID-19: A preliminary investigation. Group Dynamics: Theory, Research, and Practice 28(1): 17–27. Available at: https://doi.org/10.1037/gdn0000209

39.

Martin

Garske

Davis

(2000) Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consult Clinical Psychology 68: 438–450.

40.

Morland

Mackintosh

Greene

Rosen

Chard

Resick

Frueh

(2014) Cognitive processing therapy for posttraumatic stress disorder delivered to rural veterans via telemental health: a randomized noninferiority clinical trial. Journal of Clinical Psychiatry 75(5): 470–476. doi: 10.4088/JCP.13m08842.

41.

Nitzgen

(2024) The Cornerstone, Once More. In: Hopper

(ed.) The Tripartite matrix in the developing theory and expanding practice of group analysis. The social unconscious in persons, groups and societies: Vol 4. London: Routledge, pp. 19–34.

42.

Ogden

(1997) Reverie and interpretation. The Psychoanalytic Quarterly 66(4): 567–595.

43.

Ogden

Goldstein

(2020) Sensorimotor psychotherapy from a distance: Engaging the body, creating presence, and building relationship in videoconferencing. In: Weinberg

Rolnick

(eds) Theory and Practice of Online Therapy: Internet-delivered Interventions for Individuals, Groups, Families, and Organizations. New York: Routledge, pp. 47–65.

44.

Rance

(1989) What Has Group Analysis to Offer in the Context of Organizational Consultancy? Group Analysis 22(3): 333–341. Available at: https://doi.org/10.1177/0533316489223012

45.

Russell

(2015) Screen Relations. London: Karnac.

46.

Sampaio

Navarro Haro

De Sousa

Vieira Melo

Hoffman

(2021) Therapists Make the Switch to Telepsychology to Safely Continue Treating Their Patients During the COVID-19 Pandemic. Virtual Reality Telepsychology May Be Next. Frontiers in Virtual Reality 1: 576421. Available at: https://doi.org/10.3389/frvir.2020.576421.

47.

Simpson

Richardson

Pietrabissa

Castelnuovo

Reid

(2021) Videotherapy and therapeutic alliance in the age of COVID-19. Clinical Psychology and Psychotherapy 28(2): 409–421. Available at: https://doi.org/10.1002/cpp.2521

48.

Turkle

(2011) Alone Together: Why We Expect More from Technology and Less from Each Other. New York: Basic Books.

49.

Turkle

Essig

Russell

(2017) Afterword: Reclaiming psychoanalysis: Sherry Turkle in conversation with the editors. Psychoanalytic Perspectives 14(2): 237–248.

50.

Weinberg

(2007) So What Is This Social Unconscious Anyway? Group Analysis 40(3): 307–322. Available at: DOI: 10.1177/0533316407076114.

51.

Weinberg

(2014) The Paradox of Internet Groups: Alone in the Presence of Virtual Others. London: Karnac.

52.

Weinberg

(2020) Online Group Psychotherapy: Challenges and Possibilities During COVID-19 - A Practice Review. Group Dynamics 24(3): 201–211.

53.

Weinberg

(2021) Obstacles, Challenges and Benefits of Online Group Psychotherapy. American Journal of Psychotherapy 74(2): 83–88. Available at: https://doi.org/10.1176/appi.psychotherapy.20200034

54.

Weinberg

(2023a) Online Training Process Groups for Therapists: A Proposed Model, International Journal of Group Psychotherapy 73(2): 141–165. Available at: DOI:10.1080/00207284.2023.2170236

55.

Weinberg

(2023b) Online group psychotherapy training. In: Weinberg

Rolnick

Leighton

(eds) The Virtual Group Therapy Circle: Advances in Online Group Theory and Practice. New York: Routledge, pp. 311–327.

56.

Weinberg

Rolnick

Leighton

(eds) (2023a) Advances in Online Therapy. New York: Routledge.

57.

Weinberg

Rolnick

Leighton

(eds) (2023b) The Virtual Group Therapy Circle: Advances in Online Group Theory and Practice. New York: Routledge. Available at: https://doi.org/10.4324/9781003248606

58.

Winnicott

(1955) Metapsychological and clinical aspects of regression within the psychoanalytical set-up. International Journal of Psychoanalysis 36: 16–26.

59.

Zimmerman

Ward

D'Avanzato

Tirpak

(2021) Telehealth Treatment of Patients with Borderline Personality Disorder in a Partial Hospital Setting During the COVID-19 Pandemic: Comparative Safety, Patient Satisfaction, and Effectiveness of In-Person Treatment. Journal of Personality Disorders 1–19.