Dallas Group Analytic Practice

Bob Bennett, MD,CGP,FAPA ·   Melissa Black, PhD,CGP
Dale C. Godby, PhD,CGP,ABPP
  ·   Myrna Little, PhD,CGP
Scott Nelson, PhD, CGP

  6330 LBJ Fwy, Suite 150, Dallas, TX 75240
972-392-4155

THERAPEUTIC USE OF THE SELF
Dale C. Godby, Ph.D.
Clinical Psychology Group Course
January 28, 2004

Rosenberg, P.P. (1993). Qualities of the group therapist. In H.I. Kaplan & B.J.
Sadock,(Eds.). Comprehensive Group Psychotherapy  (Third Edition). pp. 648-656.Baltimore: Williams & Wilkins.


Role Play

In a group that has been together for 2 years, with the last new member joining 10 months ago, a series of meetings develops in which some members begin to express  judgments about the moral behaviors of some of the others.  Tension and conflict develop around fundamentalist religious beliefs and the group wants the therapist to settle the dispute.


DISCUSSION QUESTIONS

  1. What does this saying mean?  "A river can't rise higher than its source" Is it useful to think about the therapist patient relationship in light of this aphorism? How so?

  2. Do you agree or disagree with Grotjahn that the therapist must be able to tolerate many contradictions in herself? She has to be patient and impatient at the same time.  She has to be able to love and to hate, to be a friend and an opponent to the same person.  Only when she does not deny her feelings will the patient be able to trust her.  Why or why not?

  3. How important is spontaneous responsiveness to effective psychotherapy? What are the dangers?  How is this different in individual and group psychotherapy?

  4. Is patienthood necessary to develop into a good therapist?  If so, what type, individual, family, group?  Do you agree a therapist should consider herself her own favorite patient?

  5. Grotjahn argues for a bipolarity between the "blank screen" and "transparent humanity".  Towards which side of this polarity do you find yourself leaning? Which is hardest for you to express? What type of balance do you strive for and how do you imagine the balance you currently have effects your therapeutic outcomes?

  
ANNOTATED BIBLIOGRAPHY

Ekstein, R. & Mayman, M. (1957). On the Professional Identity of the Clinical
Psychologist. Bulletin of the Menninger Clinic 21, 59-61.
Early article on professional identity.  Later Ekstein published an excellent book on the Teaching and Learning of Psychotherapy.

Grotjahn, M. (1977). Profile of the Group Therapist, Chapters 10-12 in The Art and
Technique of Analytic Group Therapy.  New York: Aronson.
Grotjahn wrote the Rosenberg article in the first two editions of Comprehensive Group Therapy.  His entire book on group psychotherapy is well worth consulting.

Guy, J. D. (1987). The Personal Life of the Psychotherapist: The Impact of Clinical
Practice on the Therapist's Intimate Relationships and Emotional Well Being.
New York: John  Wiley and Sons.
Very thorough discussion from factors leading to career choice to retirement. Includes section on career satisfaction and burnout.

Heath, S. (1991). Dealing with the Therapist's Vulnerability to Depression.
Northvale, NJ:Aronson.
Details the patient's impact on the therapist.  Includes a chapter that focuses on group.

Jacobs, T. J. (1991). The Use of the Self: Countertransference and Communication
in the Analytic Situation.  Madison, CT: International Universities Press.
A subtle and searching analysis of how our understanding of ourselves can be used to foster the progress of our patients.  It takes some courage to face ourselves as honestly as Jacobs does.

Menninger, K. (1957). Psychological Factors in the Choice of Medicine as a
Profession.  Bulletin of the Menninger Clinic 21: 51-58, 99-106.
A fascinating account of the dynamics behind our choice of specialty.  He examines a number of medical specialties as well as psychiatry.

Rippere, V. & Williams, R. (1985). Wounded Healers: Mental Health Workers'
Experiences of Depression. New York: John Wiley & Sons.
First person accounts of therapists who write of their own internal struggles.

Sussman, M. B. (1992). A Curious Calling: :Unconscious Motivations for Practicing

Psychotherapy. Northvale, NJ: Aronson.
An outgrowth of his doctoral dissertation and some work at the Menninger Clinic.  He includes a section on women therapists.

Ticho, E. A. (1972). The effects of the analyst's personality on psychoanalytic
treatment. Psychoanalytic Forum, 4, 135-172.
Ticho's article is responded to by a group of therapists, Ralph Greenson, perhaps the best known.  He offers much on a very neglected topic.  Although written 26 years ago, you still seldom hear the therapist's personality discussed.

Welt, S.R. & Herron, W.G. (1990).  Narcissism and the Psychotherapist,

New York: Guilliford Press.
This work focuses on the narcissism of the therapist. It outlines its negative aspect as well as its creative potential for the therapeutic situation.

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