Caregiver support groups traditionally focus on education, reduction o
f social isolation and supportive sharing. However, the support group
literature has increasingly reflected an interest in the emotional eff
ects of caregiving. While some authors promote the therapeutic value o
f supporting defenses against painful feelings, others have documented
the value of encouraging their expression in groups. This paper is ba
sed on the author's experience in co-leading an Alzheimer's family sup
port group, using a modem psychoanalytic approach which encourages the
full expression of the caregivers' emotional experience. Using emotio
nal communication to explore resistances to intimacy and aggression in
groups, the author demonstrates how the interplay of co-leadership an
d Modem Psychoanalytic theory and techniques promotes group cohesion a
nd encourages maturational growth in group members. This model is also
prescribed as an antidote to leader ''burnout,'' a not uncommon pheno
menon for leaders of such emotionally charged groups.