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Group-Analytic Contexts, Issue 80, June 2018

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60 <strong>Group</strong>-<strong>Analytic</strong> Society International - <strong>Contexts</strong><br />

A 36 year-old woman, in temporary retirement for two years<br />

because of her borderline personality disorder. Self-injuries, suicidal<br />

thoughts, drugs and alcohol caused many hospital-stays in her past.<br />

She had had several psychotherapeutic treatments. I got to know her<br />

at a time when she was ready to join a first outpatient group therapy.<br />

She was lucky to experience the process of forming a new group. She<br />

called her mother “simple” and had to face the fact, and her concerns,<br />

there could be “simple” patients in the group. At first, she was full of<br />

contempt towards the other group members, a projection of her selfcontempt,<br />

which we could work on in individual sessions. She was<br />

very quickly offended and wanted to leave the group several times in<br />

the first months. After one year in this group she developed individual<br />

relations with each of the other group members, although there was<br />

still contempt. For her, the group had become the most important<br />

thing. She is very intelligent and curious and develops well. She feels<br />

that she belongs to this group.<br />

Case report 2: This case report is an example for conjoint therapy. A<br />

54 year-old man, unemployed because he lost his job after six months<br />

of being unable to work because he was a depressive. He tried again<br />

and again each Monday to drive to his job, but always turned the car<br />

in the wrong direction and drove to his family doctor, who recorded<br />

him ill again and again. He stayed in bed or in the house while his wife<br />

went to work. He could not explain why he wasn’t able to drive to<br />

work. During the preliminary individual sessions, it was his wish to<br />

have group therapy. He wanted to understand why he had always had<br />

problems with his colleagues and bosses for so many years and why<br />

he wasn’t able to drive to work. As he had never been in any<br />

psychotherapy before we decided that he could join one of my groups<br />

and at the same time have individual sessions. Because I could not<br />

offer him individual treatment at this time, he went to a colleague and<br />

friend of mine. We worked together. While working in the dyad<br />

wasn’t complicated with him, it was quickly obvious why he always<br />

got into trouble in groups. He annoyed the leader very quickly, as well<br />

as the group. He made us feel stupid and slow on the uptake and made<br />

us feel inferior, helpless and angry. The group members chose a<br />

friendly way to show him what he was doing to us and why there was<br />

a lot of anger in the room. They could point out how he treated the<br />

conductor in an insulting and subtly aggressive way - his problem was<br />

with authority figures. He grew up in a family with three sisters all<br />

more than ten years older than him and with parents who both worked<br />

hard in alternating shifts to run a sausage and chips stand. During

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