ABSTRACT

The majority of therapists who treat psychosis through psychotherapy will agree that the issue of love and sexuality in patients with psychotic disorders has been disregarded and poorly studied. Psychodynamic group psychotherapy and its specificities, such as its realistic and democratic setting, presents a unique conceptual format not offered by other types of psychotherapy, and it is especially useful for the patient population with psychotic disorders. The creation of couples in psychodynamic group psychotherapy is mainly considered to be defensive and disturbing behaviour that represents an expression of subconscious regressive impulses. The expression of intimate desires and sexuality is a personal issue, and it unfolds in a dyadic setting, separate from others, which requires appropriate limits. The chapter describes therapists' experiences with long-term outpatient psychodynamic group psychotherapy, co-run by two group analysts in a once-weekly dynamic of one and a half hours.