Vol. 2, núm. 3 - Agosto 2003     Revista Internacional On-line / An International On-line Journal  


José Guimón


Supervision of the therapeutic team

Systems of psychiatric care which are managed with a " community " orientation tend to provide patients with a series of " corrective emotional experiences ". The therapeutic team conceived as the patient's " alter familia " is considered to be the main therapeutic agent of change. Thus the basic therapeutic element lies in healthy communication between the various members of the team, shared by patients through a suitable group programme. But in the course of treatment for patients who are seriously ill, psychotic transfer, through a game of projective identification and projective " counter-identification ", creates counter transfer in therapists, giving rise to multiple projections which may result in the group feeling divided(Guimon, 1985) . Tension mounts within the teams, members seek at all costs to maintain the impression of perfect harmony,the " ideal family ", while maintaining an antiauthoritarian, egalitarian ideal by which the members of the team are all equal, and refusing to recognise the obvious differences in professional training and personality. This leads to what Sacks and Carpenter (Sacks et al., 1974) describe as a " pseudo-therapeutic community ". As part of the indispensable process of community team consultation, these antitherapeutic attitudes need to be changed to form " good enough teams "(Guimon, 1985) capable (like Winnicott's good enough mother) of coping with the needs of patients and avoid burdening patients with the team's own difficulties. Likewise other functions could be demanded from the " good enough team ": teaching how to deal adequately with reality, care of the self and others etc., as well as setting up an imaginary space or " illusion " (Winnicott, 1971) which in fact is the space for creativity and psychoanalysis.


Alonso, A., & Rutan, J. S. (1993). The experience of shame and the restoration of self-respect in group therapy. International Journal of Group Psychotherapy, 38, 3-14.

Battegay, R. (1976). Group psychology and group dynamics. In S. Krauss (Ed.), Encyclopedic Handbook of Medical Psychology. London: Butterworths.

Campos, J. (1998). Una historia de la AIPG: hechos y hallazgos. Barcelone: Gràfiques MAES.

Cohn, B. R. (1994a). The process group in institutional settings: special techniques for an endangered species. International Journal Of Group Psychotherapy, 44(3), 333-347.

Cohn, B. R. (1994b). Recycling Yalom: using a system analysis to facilitate work in inpatient groups. Group Analysis, 27, 407-418.

Foulkes, S. H. (1954). Group-analytic observation as indicator for psychoanalytic treatment. International Journal of Group Psychotherapy, 35, 263-266.

Foulkes, S. H. (1975). Group-Analytic Psychotherapy: Method and Principles. London: Gordon & Breach.

Grotjahn, M. (1971). The qualities of the group therapist. In H. L. Kaplan & B. J. Sadock (Eds.), Comprehensive Group Psychotherapy (pp. 757-773). Baltimore: Williams and Wilkins.

Guimon, J. (1985). El equipo suficientemente bueno. Rev Asoc Esp Neuropsiquiatr, 5, 501-505.

Guimón, J. (1986). La formation du psychothérapeute de groupe, La formation en psychothérapie de groupe et psychodrame (pp. 59-77): Ed. Argot.

Guimón, J. (1989). Group Psychotherapy in Spain. Review of the International Group Psychotherapy Association.

Guimón, J. (1998). Thérapie groupale dynamique intensive et brève. Psychothérapies, 18(1), 15-21.

Guimón, J. (2001). Introduction aux thérapies de groupe. Paris: Masson.

Guimón, J., Ayerra, J. M., & al., e. (1985). La formación en psicoterapia de grupo en Bilbao: descripción de una experiencia de 11 años. Revista de Psicologia General y Aplicada, 40(4), 811-820.

Guimón, J., Erehnsperger, S., Weber, B., Fredenrich, A., Vucetic, V., Zanello, A., Zinetti, A., & Maercker, A. (2000). Evaluación de la psicoterapia grupal en la asistencia psiquiátrica : la Batería " Bel-Air ". Psiquis, 21(6), 277-287.

Guimón, J., Gonzalez-Pinto, A., Sanz, C., & Gonzalez-Ceinos, M. (1988). Efectos terapeuticos en un programa de sensibilizacion grupal. Psiquis, 1, 11-28.

Guimon, J., Luna, D., Totorika, K., Diez, L., & Puertas, P. (1983). Group psychotherapy as a basic therapeutic resource in psychiatric community care from the general hospital. In J. J. Lopez-Ibor Jr & J. Saiz & J. M. Lopez-Ibor (Eds.), General Hospital Psychiatry (pp. 95-100). Amsterdam: Excerpta Medica.

Guimon, J., Sunyer, M., Sanchez de Vega, J., & Trojaola, B. (1992). Group analysis and ward atmosphere. In F. P. Ferrero & A. E. Haynal & N. Sartorius (Eds.), Schizophrenia and affective psychoses. Nosology in contemporary psychiatry (pp. 157-166): John Libbey CIC.

Redlich, F. C., & Astrachan, B. (1969). Group dynamics training. American Journal of Psychiatry, 125(1501-1507).

Rogers, C. R. (1970). Carl Rogers on Encounter Groups. New York: Harper and Row.

Sacks, M., & Carpenter, W. (1974). The pseudotherapeutic community: an examination of antitherapeutics forces of psychiatric units. Hospital Community Psyhiatry, 25(5), 315-318.

Sunyer, J. M. (1990). Evaluacion de la atmosfera en las Salas Psiquiatricas Espanolas. Universidad Autonoma, Barcelona.

Winnicott, D. W. (1971). Playing and Reality. Londres: Tavistock.


ASMR Revista Internacional On-line - Dep. Leg. BI-2824-01 - ISSN 1579-3516
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