Acting Out During Group Psychotherapy for Incest

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Abstract
Acting out should be expected in the treatment of incest victims. These persons attempt to communicate through actions a plethora of confusing feelings resulting from the incest; such actions occur outside the therapy sessions and their meanings are out of the patient's awareness. Working through the underlying feelings is the necessary therapeutic task. It is unlikely that acting-out behavior will be completely eliminated, but the development of self-acceptance and a willingness to explore the meaning of the behaviors are reasonable and attainable therapeutic goals with the help of the other group members. Three areas of acting out are elucidated: sex, power and sadism, and self-destructiveness. Clinical vignettes drawn from the authors' experience conducting group psychotherapy are used to illustrate both acting out and working through.

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