Indication and contra-indication in group-analytic therapy - a contribution from a theoretical and clinical standpoint

More than once various practical necessities and constraints lead to therap ists not making a specific indication for analytical group therapy. Such a procedure, however, also bears dangers for individual patients and justice is not done to the specificity of the psychoanalytica group method. The ind ication is made under the aspect of the group as a whole and under the furt her aspect of the individual diagnosis, The issue of the group members bein g homogen or heterogen plays a special role. Contra-indication is made espe cially for patients with early disorders who can be treated better in "spec ific" groups as shown with several examples. Finally, attention is also pai d to the therapist's personality, especially regarding narcisstic conflicts which can make handing transference and countertransference difficult.