Abstract
Within the framework of a research project on psychodynamic personality factors and psychotherapeutic possibilities in the after-treatment of post-myocardial infarction patients also group-analytic methods are used. The <i>therapeutic</i> relevance of group-analysis is described, and a clinical survey of the development of a short-term group process is given. A new <i>diagnostic</i> approach, i.e. the ‘psycho-analytic group interview’ as an instrument of psychodynamic research, is introduced. The protocoll of each tape-recorded group session was evaluated according to a ‘systematisized description’ using a number of formal categories (‘configurations’). Strong oral-symbiotic needs, characterized specifically by needs to incorporate human objects in order to gain ‘enormous strength and fitness’ could be observed. A deep fear of loss of identity and a strong tendency to depersonalize the ‘addiction-like’ introjected (transference-)object were apparent. Defence mechanisms of rationalisation, denial, and identification with the aggressor seem to be specific. The ego-structure, especially the group-functions of the ego in patients with myocardial infarction are characterized by these personality traits. Further investigations are necessary.
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