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Specialized Psychotherapeutic Group Analysis: How Do We Make Group Analysis Suitable for `Non-Suitable' Patients?

University Psychiatric Hospital in Aarhus, Denmark, kv{at}psykiatri.aaa.dk

This paper summarizes ten years experience of running long-term analytic group psychotherapy with severely bulimic women, the majority borderline personalities. The positive results documented suggest that modified group analysis can be an alternative choice in the treatment of bulimic patients, who are non-responders to short-term Cognitive-Behavioural Therapy. The article focuses on adapting the patients, the group and the therapists themselves to provide the opportunity to treat patients who may seem `non-suitable' members of an analytic group. Essential elements outlined include a thorough assessment interview, time and timing during therapy, and positive attunement from therapists. Other contributing factors were an immediate response to signs of imminent drop-out and being able to sustain the group matrix as a carrier of hope.

Key Words: borderline personality disorder • bulimia nervosa • group psychotherapy • modified group analysis • suitability

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