The author argues that in specific cases and for particular reasons combined or parallel treatment could be superior to sole individual or sole group therapy. In recent years she treated some patients before and during the start of group therapy with weekly individual sessions. This procedure was necessary to reduce the fear of the group for these patients to a tolerable level. For some other patients she replaced the third psychoanalytic individual session with psychoanalytic group therapy for their treatment. The concurrent parallel group session can provide a supplement and extension of the psychoanalytic process. For patients with pronounced super-ego disorders, severe shame and social anxieties this treatment may boost individual development in treatment. Concurrent group and individual psychotherapy enriches transference and countertransference work in both settings and enables a dense and intensive therapeutic process.
Keywords: Existential shame, Social anxieties, Transference and countertransference phenomena, Condensation of the analytic process.