Yalom & Leszcz (2005)

In chapter 6, Yalom & Leszcz (2005) speaks of the here-and-now experience as a strong aspect of group treatment (p.141) in association to the structure of group, which is beneficial to better recognition of the techniques that the here-and- now offers. Yalom & Leszcz (2005) says, the here-and-now focus is most effective when the two therapeutic tiers are implemented (p.141). But one without the other is non effective. Tier 1 is experiencing one; that establishes strong feelings throughout session between members (therapist and members) alike. Its major focus is in the immediate moment. E.g., in the short film, Yalom asserts the experience of each patient participating in the group. He emphasizes the acknowledgment of abstract feelings but he remains curious in his questioning by guiding the group in reflecting practices, during the interaction.

Tier2 is illumination of process, which examines transaction, experiences while applying integrational aspects of the associated experience
The deeper resisted effects impediment transference, consist of attitude towards the therapist transferred from earlier experienced attitudes towards important figures of patient’s life (Yalom & Leszcz, 2005, p.207). Research reveals that patients with borderline personality disorder, in contrast with comparison subjects, attribute negative qualities to neutral faces, which they may regard as threatening and immoral. However, the choice regarding whether or not to address the patient’s emotional reaction through transference interpretation presents a significant dilemma for the therapist (Gabbard & Horowitz, 2009). This could be so in patients without a personality disorder as well. Will it be effective in the treatment negatively to confront the transference? Yalom (2005) says, ignoring transference consideration could confuse rather than support the tone and focus of the group