ABSTRACT

Part 1: Theoretical Models of Right Brain Therapeutic Action. The first part of this article on the central role of the right brain in group psychotherapy offers evidence-based theoretical models of therapeutic action cocreated by the group members and the group leader. It describes how recent advances in interpersonal neurobiology and neuropsychoanalysis allow for a deeper understanding of the underlying nonverbal right brain change mechanisms beneath the words in individual psychotherapy. It then expands this model to the group context, specifically focusing on the theoretical constructs of cohesion, attachment, transference-countertransference dynamics, and implicit affect regulation, all of which are right brain functions. Part 1 concludes with a discussion of the fundamental role of these right brain mechanisms in synchronized group regressions and reenactments of attachment trauma that allow for new beginnings in emotional and relational development. Part 2: Clinical Case Analyses of Group Right Brain Regressive Enactments. The second part of this article offers case examples and commentary on working with early dysregulated attachment histories and the affect blunting defense of dissociation. Clinical vignettes demonstrate how the group reenacts attachment dynamics in transient regressions into an earlier stage of preverbal development, outside of the domain of language. Such emotionally shared regressions of attachment trauma, rupture, and repair allow the group members and leader to companion each other into and out of enactments. In this manner, regulated reenactments of preverbal emotional experiences potentially allow the cohesive group to expand adaptive right brain capacities to regulate and communicate a broader range of affectively charged subjective self states, thereby cocreating new ways of being with others.

 抽象的

第 1 部分：右脑治疗作用的理论模型。本文的第一部分介绍了右脑在团体心理治疗中的核心作用，提供了由团体成员和团体领导者共同创建的基于证据的治疗行动理论模型。它描述了人际神经生物学和神经精神分析的最新进展如何让人们更深入地了解个体心理治疗中言语背后潜在的非语言右脑变化机制。然后将该模型扩展到群体环境，特别关注凝聚力、依恋、移情-反移情动力学和内隐情感调节的理论结构，所有这些都是右脑功能。第 1 部分最后讨论了这些右脑机制在同步群体回归和依恋创伤重演中的基本作用，从而为情感和关系发展提供了新的开始。第 2 部分：群体右脑退行行为的临床案例分析。本文的第二部分提供了有关处理早期失调的依恋历史和情感分裂防御的案例和评论。临床小插曲展示了该小组如何在语言领域之外的短暂回归中重新演绎依恋动态，进入语言前发展的早期阶段。这种情感上共同的依恋创伤、破裂和修复的回归使得团体成员和领导者能够在表演中相互陪伴。 通过这种方式，对前语言情感体验的调节重演可能使有凝聚力的群体能够扩展适应性右脑能力，以调节和交流更广泛的情感主观自我状态，从而共同创造与他人相处的新方式。