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Group Analysis
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The Change Process of a Patient in Long-Term Group Psychotherapy: Measuring and Describing the Change Process

Steinar Lorentzen

Institute of Group Analysis in Norway, steinar.lorentzen{at}psykiatri.uio.no

Per Høglend

University of Oslo, Norway

Given the complexity of analytic therapies and individual change, it seems desirable to introduce more objective and quantitative measures into the clinical situation in assessment of change. A traditional case study describes one patient's change pattern in symptomatic distress, interpersonal relations and self-esteem during 44 months of group analysis. We hypothesized that change described by repeated applications of self-report measures (SCL-90-R, HP, and SASB) would converge with the clinical narrative. This was confirmed for symptoms and interpersonal problems. However; in early and middle phase of therapy during periods of deterioration, negative aspects of her self-image at worst (self-attack, self-neglect) improved. During the same periods she suffered from a pronounced feeling of depersonalization. For the remaining part of the therapy; including a period after a miscarriage later in therapy, she was able to experience the negative aspects of her self-image at worst. The feeling of depersonalization was then much less pronounced. Her complex SASB-patterns may represent a split of internal self-representations, seen in certain personality disorders. More studies are needed.

Key Words: Group psychotherapy • long-term • single case study • change process • SASB • IIP • SCL-90-R

Group Analysis, Vol. 35, No. 4, 500-524 (2002)
DOI: 10.1177/05333160260620779
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