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Forenzička psihijatrija bavi se liječenjem neubrojivih počinitelja protupravnih djela. Ove osobe upućuju se na prisilno liječenje od strane suda. Liječnik koji liječi ove osobe redovito izvješćuje sud o napretku u liječenju. Iz ove dvije karakteristike proizlaze problemi dinamski orijentirane grupne psihoterapije forenzičkih pacijenata. Rad se bavi specifičnim pitanjima provođenja dinamski orijentirane grupne psihoterapije u forenzičkim uvjetima: kako voditi grupnu analizu u uvjetima prisilnoga liječenja, koje su specifične kontratransferne reakcije obzirom na činjenicu da su članovi grupe počinili protupravna djela, uvođenje trećeg (suda) u terapijski proces, homogenost grupe obzirom na dijagnostičke kategorije, velik broj osoba s antisocijalnim poremećajem ličnosti, osjećaj (ne)sigurnosti u grupi počinitelja. Iskustvo je autora da, unatoč brojnim specifičnostima grupne psihoterapije forenzičkih pacijenata, osnovna terapijska tehnika ostaje ista, uz potrebu pomnijeg praćenja vlastitih (kontratransfernih) emocionalnih reakcija., Forensic psychiatry deals with a treatment of offenders of unlawful deeds that were assessed as not guilty by reason of insanity. These people are sent for an involuntary treatment by the court. Therapists who treat these people are obliged to inform the court about the process of treatment. These two characteristics are basic problems in the dynamic group psychotherapy of forensic patients. This manuscript deals with specific issues of dynamic group psychotherapy in forensic settings: how to do dynamic group psychotherapy in involuntary treatment setting, what are specific countertransferential reactions due to the fact that group members all committed an unlawful deed, the introduction of the third party (the court) in the therapeutic process, homogenous group in regard of diagnostic categories, large number of group members with antisocial personality disorder, feelings of (in)security in a group of perpetrators. The author's experience is that, although there are many specificities of group psychotherapy with forensic patients, the basic therapeutic techniques are the same, with the important task of continuous and thorough analysis of own (countertransferential) emotional reactions.

An open prospective controlled study was designed to compare the efficacy of short‐term dynamic group psychotherapy with the standard treatment in patients with depressive symptoms attended in the primary care setting. A total of 115 patients with depressive symptoms were assigned to receive psychotherapy (75 min) over 9 months (37 to 39 sessions) (n = 70) or the standard care (n = 45). Outcome measures were the differences between baseline and post‐treatment in the 17‐item Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HAM‐A) and the Short‐Form Health Survey (SF‐12) questionnaire in the two study groups. At the end of dynamic group psychotherapy, statistically significant improvements in the mean scores of all questionnaires were observed, whereas in control patients, significant improvements were only observed in the HDRS‐17 scale and in the Mental Component Summary score of the SF‐12. The mean changes after treatment were also higher in the psychotherapy group than in controls in all outcome measures, with statistically significant differences in the mean differences in favour of the psychotherapy group. In summary, implementation of short‐term dynamic group psychotherapy run by experienced psychotherapists for patients with depressive symptoms attended in routine primary care centres is feasible and effective. © 2016 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd. Key Practitioner Message Short‐term dynamic group psychotherapy was delivered as a non‐pharmacological intervention to improve depressive symptoms.Statistically significant differences as compared with a control group were observed in 17‐item Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HAM‐A) and the Short‐Form Health Survey (SF‐12) questionnaire.Implementation of short‐term dynamic group psychotherapy run by experienced psychotherapists for patients with depressive symptoms attended in routine primary care centres is feasible and effective.