Abstract

Psychological adjustment to disability involves recognition of the life changes and losses brought about by illness and a restructuring of the ego that will allow for the incorporation of one's self-image to include the person's disability. This paper addresses itself specifically to the difficulties blind patients have in developing a psychological acceptance of their blindness, and the way in which time-limited group psychotherapy can facilitate this process. The author discusses in detail the following issues: establishing a group, group cohesion, transference, countertransference, the mourning process, therapeutic tasks, and treatment interventions. The author's results indicate that time-limited group psychotherapy offers several distinct advantages over individual treatment, and that this modality should be seriously considered when working with patients suffering severe medical losses.

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