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PsichiatriaGruppo

A Shared Journey of Discovery – Psychoanalytic psychotherapy within a psychiatric institution

Abstract

The culture of an institution depends on the way that it enables individuals to use its psychic space; the institution may either foster thinking abilities, or stimulate defensive mechanisms, hindering these abilities by giving prevalence to ideological stances. The psychoanalytic group that I am going to talk about was influenced by the culture of the institution in which it was placed. Thoughts, affections, linguistic and somatic expressions typical of the institution were brought into the group despite being bound by the setting which established its limits and with which it had a dynamic relationship at the same time. In this paper, I set out to demonstrate the importance of adopting a field perspective that ‹‹makes it possible, on the one hand, to comprehend the common mental elements, grouped together, as it were, into a single shared pool, and on the other, understand how each individual contributes›› (Correale, 1991). I underline, moreover, the group’s influence over the analyst who responds to the individual’s communicative strains in a personal manner. The patient’s perspective distances contents which Read more

PsichiatriaGruppo

The institution is sinking: is the group the lifeboat?

Abstract

The management of a psychoanalytic group within an institution has specific characteristics. It is a group within a group, similar to a series of concentric circles, and as such is deeply influenced by the institution. Therefore an understanding of the functioning and dynamics of the institution – and of the team – is essential in order to understand the meaning that the group may have within that context.
The significance of the group for patients, but also the meaning of the group for the institution, is important and should not be taken for granted. Particularly if the institution in question seems to work according to persecutory and expulsive mechanisms with perceivable violence, where the main activities offered are “entertainment” and time seems suspended. Read more