ABSTRACT
A dynamic group treatment model for chronically ill persons allowing them to determine the frequency of attendance empowers the members and potentiates group development. This format respects patients’ needs for space as represented by missed meetings. In this context, absences are formulated as self-protective and self-stabilizing acts rather than as resistance. In an accepting supportive environment, members can be helped to explore affects and gain insight into their behaviours. A clinical example illustrates patients’ examination of the meaning of missing and attending sessions, with particular focus on intensity of involvement, autonomy, and control. In the process of the therapist and group, members show capacity to gain insight into recent in-group and extra-group behaviours.
