Group analytic psychotherapy of psychotic patients
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Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej
Submission date: 2019-05-22
Final revision date: 2019-06-30
Acceptance date: 2019-07-03
Publication date: 2019-09-07
Corresponding author
Katarzyna Prot -Klinger   

Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej
Psychoter 2019;189(2):17–32
The article presents a theoretical rationale for group analytic therapy of psychotic patients, as well as benefits resulting from the application of this form of psychotherapy to this specific patient group.

Modifications of group techniques recommended in the literature are discussed with reference to the author’s own clinical experiences.

The author believes that recommendations concerning a more directive and more structured leadership style in group psychotherapy are associated with the institutional form of treatment provided to these patients and with countertransferential mechanisms, and not with their genuine psychological needs. In her opinion firstly, psychotic patients may benefit from their inclusion into heterogeneous groups that comprise patients with different diagnoses, and secondly, the presence of psychotic patients may be beneficial to other group members.

1. Analytic group therapy is an appropriate method of treatment for “psychotic” patients. 2. Persons who have experienced psychosis should be included into analytic groups in the same way as other patients, on the Noah’s ark principle. Obviously, the therapist must be convinced that patients with psychotic symptoms are able to benefit from psychotherapy, and besides, he must have clinical skills required when working with psychotic symptoms. 3. “Psychotic” patients are affected by exclusion not only in their communities but also due to the way of thinking about them that predominates among therapists and in treating institutions.