전환기의 집단 정신치료에 대한 연구

A Study on Group Psychotherapy in Transitional Situation.

On conduction group psychotherapy, it is common practice to form group separately, such as in-patients group or out-patients group. Accordingly, when in-patient transfers to aut-patient group, difficulties arise not only because of lack of continuity in treatment, but also because they have to adjust their role in the new group. It would be ideal, Lif they participate in the same group even after discharge. So we formed a mixed group for this purpose. This article summarized some findings after we conducted this kind group therapy in this transitional situation. From March to November 1981, group psychotherapy was conducted at the Department of Neuropsychiatry, Korea General Hospital. Nine sessions (from 6th through the 14th), which was the transitional period from the in-patient group stage to the out-patient group stage were evaluated clinically, The results of this evaluation were as follows 1. The differences between the in-patient members and out-patient members in this group were： a. Drop-out rate of the in-patients was three times more than the out-patients (80 ： 25 percent) b. verbal products, however, were not much different (ratio 1 ： 1. 58. ). c. During sessions, there was a tendency that both in-patients and out-patients sit close with other members of their same group. d. Subgroups were formed seven times, however, from a therapeutic viewpoint, they produced more adverse effects than favorable results. e. With one exception, leaders always emerged from the out-patient group, and it was found that a particular type patient would assume the same type of leadership role. f. Content analysis： In the emotional area, outpatients demonstrated more of depression, anxiety and warmth; in the content area, they demonstrated resistance and dependency as well as an ability to express therapeutic comments. On the other hand, the in-patients demonstrated a higher frequency of abstractive and illogical thinking, however, they showed a similar frequency in aggression. 2. Silence： silence during group session occurred rather infrequently—three times on the average, each lasting 13 seconds. Silence was broken by the therapist on 15 out of 28 occasions. 3. Adaptation to changed status： When, an inpatient attened the group session as out-patient for the first time, he showed severe withdrawal and was unable to play a role in the group. From the second session on, however, he functioned well as out-patient. 4. Influence of earlier enrolled members on the group： They exerted a certain amount of influence on the atmosphere of the coming group process. It is concluded that this type of transitional intermediate group was therapeutically benefical for patients in lessening difficulties in resocialization and for prevention of emotional disturbance.