When therapists contemplate starting groups, consider placing an individual
patient within an existing group or respond to the group reconfigurations
when members are added or replaced It raises their anxiaties and resistance
s. Under these circumstances. the therapist must contend with many intersub
jective factors: dread fear, and idealization of groups; contagion and ampl
ification of psychological phenomena; absorption in the group mentality; ma
gnification of the therapists centrality and importance; exposure and distu
rbance of existing relationships, and utilization of one's own emerging and
evolving thoughts, feelings, and fantasies, along with the group's. Therap
ists learn about themselves and their groups by reviewing their countertran
sference, being alert to possible enactments, and listening to their patien
ts, whose anxieties a nd resistances to group often reflect their own.