title: Some problems with treatment: destructive enactments in combined therapy.
abstract: Abstract The aim and hope of combined therapy is that the arrangement of group and individual treatment affords greater therapeutic effect because of its psychic interactions. For some patients, the modalities together may lead to promising, if often complex, analysis through an open flow of information between the two modalities. However, the two cases I present illustrate problems that may arise in combined treatment. In these two cases, the interaction between the modalities may have prevented important working through and caused an irreparable breach in the therapeutic alliance. The interdependence among complex enactments, my countertransference, and the respective groups' transferences was emotionally complex. In this paper I describe various forms of these enactments, explore some ideas about why enactments occurred, and discuss their impact on the treatment of these patients.
authors.affiliation: Private Practice in New York City. ephie161@aol.com
authors.forename: Bennett E
authors.initials: BE
authors.lastname: Roth
mesh_terms: D003131:Combined Modality Therapy; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D011572:Psychoanalysis; D013811:Psychotherapeutic Processes; D011615:Psychotherapy, Group