집단 정신치료에서 신환자의 동화과정에 대한 관찰

One Session Report on the Assimilation of New Patients in Group Psychotherapy

From July 1982, the author has conducted a group psychotherapy at the department of Neuropsychiatry in Seoul National University Hospital. It was a mixed group that consisted of in and out patients. In the fourth session, two new in-patients were introduced into the group to fill the vacancies. The successful assimiolatin of new patients into the group during this session was so impressive that the dynamics of this event was discussed as. follows : 1 . Old members were anxious because two members dropped out of the group so that the old ones had to welcome the new ones to preserve the group. 2. Helping new patients was a n 「ego-booster』 for the old patient. 3. Most of the members knew one another prior to the group through concomitant admission. 4. New patients viewed the group as an alumnimeeting as the old ones had been also ex-patients in this group. 5. All of the members had a positive transference to this institution, thus group feeling was easily promoted. 6 . All of the members were also under the individual psychotherapy by the author, thus their loyalty toward the therapist played a considerable role on group feeling. The author concluded that a mixed group of in and out patients was worth trying in clinical practice.