A short-term grief and loss therapy group: Group members' experiences

Abstract

This article is an evaluative study of a short-term grief and loss therapy group conducted at a large Midwestern university's counseling center. The group was held for students who had experienced loss through death of a significant person. The author examines brief group psychotherapy, special considerations of the college student's grief experience, an adaptation of the brief group model for grieving students, and data gathered from the members of the therapy group. Students' scores on a grief instrument showed mixed results. Group members made journal entries at four times during the group experience. They reported that the group was a supportive and helpful experience; five of Yalom's (1995) eleven therapeutic factors could be discerned. Recommendations regarding the treatment of grieving students in a group setting are made.     

Effect of Self- and Group Efficacy on Group Performance in a Mixed-Motive Situation

The effect of self- and group efficacy on the performance of three-person (N = 26) and seven-person (N = 28) groups on a mixed-motive investment task was investigated. The correlations between group efficacy for making money and the actual amount of money made by the groups were positive and significant. The relation between group efficacy and the group's performance was reciprocal. The results also indicated that members of three-person groups had significantly higher perceptions of group efficacy than members of seven-person groups even though they faced the identical mixed-motive investment task. The correlations between group efficacy and the group's performance were significantly higher than the correlations between aggregated values of self-efficacy for individual performance and the group's performance. Finally, multiple regression analyses showed that self-efficacy for individual performance had a negative effect on the group's performance.     

Parataxic Distortions in the Initial Stages of Group Relationships

Abstract

This article highlights the significance food may have in group therapy with children and adolescents and its meanings for particular group members. It focuses on the interactions between the group members and leaders in response to food. Along with providing actual nutrition, food represents emotional and symbolic nurturing, and may trigger salient conflicts and issues with which group members are struggling. An essential role of the group leader is to manage conflicts that may be evoked by the provision of food. Examples are provided to illustrate themes and meanings related to food in group therapy with children and adolescents.     

Creative Use of Gender While Addressing Early Attachment,Trauma, and Cross-Cultural Issues in a Cotherapy Group

This paper examines how early attachments, trauma, and transference are modified by cross-cultural issues in a group therapy setting. The paper focuses on preparation of an appropriate group after individual treatment, attention to composition in that group, and use of a female-male cotherapist team in helping two Latin American female group members work through their early traumas. In addition, the paper speaks about times when individual treatment with the group therapist of the opposite sex should be added. The paper emphasizes and clarifies how not to get caught up in cultural stereotypes and how the clinician needs to stay with the specificity of the person's organizing experiences.     

Group rational-emotive and cognitive-behavioral therapy.

The theory of rational-emotive therapy (RET) and of cognitive-behavioral therapy (CBT) is briefly explained and is applied to group therapy. It is shown how RET and CBT therapy groups deal with transference, countertransference, levels of group intervention, process versus content orientation, identifying underlying group process themes, here-and-now activation, working with difficult group members, activity levels of therapist and group members, and other group problems. Although they particularly concentrate on people's tendencies to construct and create their own "emotional" difficulties, RET and CBT group procedures fully acknowledge the interactions of human thoughts, feelings, and actions and active-directively employ a variety of cognitive, emotive, and behavioral group therapy techniques.     

Hatred in Group Therapy: A Rewarding Challenge

Hatred is a powerful affective experience that can be disruptive to the work of a therapy group, yet it may also enhance a member's capacity to deal with strong affects. This paper explores a particular aspect of hatred, the hate directed at one member of a cotherapy team. An effort is made to explore the experience from an intersubjective and motivational systems perspective, focusing primarily on the therapist and one patient. The impact of the cotherapy relationship is also considered, as well as the whole group's capacity to contain and work with this powerful affective response. The way that the group managed this explosive situation speaks to the power of group therapy in healing and transforming its members.     

Group performance as a function of group type,task condition and scholastic level

Studied performance on a multiple-solution anagrams task by two-member nominal, pseudo, quasi, and real groups in relation to task conditions (set versus nonset) and school grades (10th, 11th, and 12th). Nominal groups were made up of individuals working alone. Pseudo groups were made up of members sitting together but working independently for individual scores. Quasi groups were made up of members who were working together for a common or shared goal but were not allowed to communicate with each other. Real groups were the usual teams of freely interacting and mutually consulting members. Five words were presented to the subjects in the set condition (unlike in the nonset co ndition) in order to channelize their problem-solving activity in particular directions. The subjects were 192 male American high school students. The most important finding was that both nominal and pseudo groups produced more errors than real groups. Also the set condition generated more errors than the nonset condition. These and other findings were discussed and interpreted in the context of previous research.     

Processes That Mediate the Relationship Between a Group Goal and Group Member Performance

The impact of a group goal on the performance of anonymous and nonin- teracting group members performing an additive group task was tested. Pro- cesses believed to mediate the effect, the role of self-set individual goals, the impact of information about the group's previous performance on the task (group knowledge of results; GRPKR) on goal commitment, and the motiva- tional basis of the goal were also assessed. Seventeen groups of three to five people performed two trials of an idea generation task. In the GOAL/GRPKR condition, group members were assigned a group goal for Session 2 and received information about the group's performance for Session 1. In the goal without knowledge of results (GOAL/NOKR) condition, group mem- bers were assigned a group goal for Session 2 without GRPKR. In the NO- GOAL condition, group members worked without a goal and without GRPKR. In each condition, group members worked on the task without talk- ing to other group members and individual contributions to the group prod- uct were unknown to others. Self-reports of effort, changes in individual performance strategies from Rial 1 to Rial 2, self-set individual goals, goal commitment, and personal challenge were collected. Results showed that (a) group members working toward a performance goal outperformed those working without a goal, b) information about the group's previous perfor- mance on the task did not influence commitment to the goal or performance, (c) changes in individual performance strategies mediated the group goal ef- fect but self-reports of effort invested in the task did not, (d) g m ~ p members working toward a group goal felt more personal challenge than group mem- bers working without a goal, and (e) self-set individual goals can not account for the group goal effect. The implications of these results for models of group goals and group performance are discussed.     

Outpatient Group Therapy with Convicted Pedophiles

Abstract

There is ample theory and research about group therapy, dream work, and bereavement as separate subjects. However, there is little written specifically about utilizing dream work in bereavement therapy groups. Using the Foulksian group analytic model, dreams in one particular bereavement group (for parents of children killed in a terrorist action) were interpreted in such a way as to help members access deep unconscious feelings. This helped facilitate a fuller and more complete mourning process. The analytic, dream interpretive activity also helped overcome resistance in the group-as-a-whole and thereby facilitated movement through group development phases.     

Initiating a Couples Group

Couples-group therapy is thought of as a helpful treatment for most couples, and as a primary treatment for married couples who have longstanding problems of a rigid and chronic nature. It is most useful for couples for whom blaming, power plays, and suppression of anger are prominent modes of interaction. Couples-group therapy is helpful to these couples because the group is a microcosm of society, provides a wide variety of coping styles, and offers observable alternatives to dysfunctional behaviors. A group dynamic also decreases the couple's sense of isolation. Issues relevant to starting a couples group--indications, contraindications, policies and balancing a group--are discussed. Clinical vignettes from ongoing open-ended couples groups are presented to illustrate the points made.     

Group Psychotherapy and Rehabilitation of Long-Stay Patients

Abstract

Bulimia is a complex disorder that can significantly interfere with psychosocial functioning. It is a particularly significant problem among adolescents and young women in college and university settings. The preponderance of literature on group therapeutic approaches for this disorder is from a cognitive–behavioral perspective. In this paper, we present a psychodynamic group therapy approach for female university students, informed specifically by self psychological and relational frameworks. Through clinical illustrations, we demonstrate how the group provides selfobject experiences, including mirroring, idealizing, twinship, and adversarial experiences, and how the group becomes the arena through which group members can experience, express, and understand emotions. The interpersonal context of the group uniquely provides opportunities for members to examine their bulimic symptoms in relation to interactions that take place outside of or within the group.     

Therapeutic Multiple Family Groups

The therapeutic effects of interpretations by both therapists and other clients were recorded by observers in three cognitive–behavioral and three psychodynamic groups over a period of thirty one-and-one-half-hour group therapy sessions. There was no significant difference in the overall frequency of interpretations made in the two different therapy modalities; however, there was the expected difference in the types of interpretations made. Cognitive–behavior therapists and group members tended to interpret patterns of behavior or impact on others more frequently than did psychodynamic therapists and group members; while psychodynamic therapists and group members made more historical cause interpretations. However, contrary to expectations, both therapy modalities made more interpretations of patterns of present behavior than any other type. When these interpretations were converted into problem statements that were sent to outside raters after the termination of the groups, the outside raters judged that clients improved most when interpretations of a pattern of behavior were made; next most when interpretations of impact on others were made; and did not improve when interpretations of motive were employed in either modality.     

The frequency and effect on outcome of different types of interpretation in psychodynamic and cognitive-behavioral group psychotherapy

The therapeutic effects of interpretations by both therapists and other clients were recorded by observers in three cognitive-behavioral and three psychodynamic groups over a period of thirty one-and-one-half-hour group therapy sessions. There was no significant difference in the overall frequency of interpretations made in the two different therapy modalities; however, there was the expected difference in the types of interpretations made. Cognitive-behavior therapists and group members tended to interpret patterns of behavior or impact on others more frequently than did psychodynamic therapists and group members; while psychodynamic therapists and group members made more historical cause interpretations. However, contrary to expectations, both therapy modalities made more interpretations of patterns of present behavior than any other type. When these interpretations were converted into problem statements that were sent to outside raters after the termination of the groups, the outside raters judged that clients improved most when interpretations of a pattern of behavior were made; next most when interpretations of impact on others were made; and did not improve when interpretations of motive were employed in either modality.     

Manipulation of Verbal Behavior of Chronic Hospitalized Schizophrenics in a Group Therapy Situation

This paper describes a semistructured, time-limited model of group treatment for latency age children. The members, all of whom came from reconstituted families, had a variety of reactive, somatoform, and characterological problems. With help from the therapists, each member constructed his or her own genogram which was then discussed by the group as a whole. Because this format incorporated a technique for mapping family structure into a traditional model of children's group therapy, it focused the group's manifest communication on changing family roles and relationships, both as they had occurred in reality and as they were symbolically reenacted within the group process. Feelings of shame, guilt, anger, and loss were markedly ameliorated as the group members studied the structure of their extended families within an environment which encouraged normative peer interaction and progressive emotional development. A brief review of the recent literature on time-limited, theme centered groups for children is included to provide a context for understanding the group.     

Process and Content in a Therapy Group for Bipolar Outpatients

Although the literature suggests that homogeneous therapy groups are useful for bipolar outpatients, little is known about the process in such groups. Using the GCQ-S and a content analysis of discussion topics, we evaluated group process during the first 31 sessions of an outpatient bipolar group. Compared with normative samples, our group scored significantly higher in the Engaged dimension and significantly lower in the Avoiding and Conflict dimensions and in the anxiety/tension scale. Furthermore, 81% of the discussion topics were related to the three group goals, and an additional 18% dealt with general group issues such as orienting new members and attendance. The results from this pilot study suggest that bipolar patients can discuss relevant issues in a homogeneous group environment that is cohesive, open, and safe.     

Group identification moderates attitudes toward ingroup members who confront discrimination

Three studies examined the hypothesis that group identification moderates African Americans’, Asian Americans’, and women’s attitudes toward fellow ingroup members who challenge an outgroup member’s discriminatory comments or who do not speak up about the comments. Highly identified racial minorities expressed more positive attitudes toward ingroup members who confronted discriminatory comments compared to those who did not confront; whereas weakly identified minorities did not express different attitudes across the two conditions. Among women, the weakly identified expressed more negative attitudes toward other women who confronted discrimination relative to those who did not confront; whereas highly identified women did not differentially evaluate ingroup members in the two conditions. The less women identified with their group, the more negatively they evaluated ingroup members who confronted sexism. This research highlights the important role of group identification in understanding how members of devalued groups respond toward ingroup members who take a stand against discrimination.     

Countertransference in the Group Psychotherapist

This report describes a pilot study of a waiting-list group (preliminary process group [PPG]) that provided treatment for applicants to a university affiliated, urban mental health center. All individuals on the treatment waiting list were informed of the PPG. This semistructured group, meeting weekly, began with members presenting their problems, followed by free discussion, and ending with goal setting for the next week. Approximately one seventh (35 out of 262) of the clinic's applicants during a 4½-month period chose to enter the PPG. They differed from those who chose not to particpate (wait list) by being older and less educated. Approximately 80% of both wait-list and PPG participants subsequently entered therapy. Significantly more PPG patients than those on the wait list entered group treatment. The PPG served clinic needs by providing prompt service for self selected individuals and by supporting the group therapy program.     

Group Counseling and Group Psychotherapy with Rehabilitation Clients

An instrument designed to measure components of two distinct alcoholism aftercare treatments was developed and evaluated for reliability and validity. Trained judges reliably rated audiotaped samples of coping skills and interactional group therapy sessions. Coping skills groups engaged in significantly more education and skill training, problem solving, and role playing. Interactional groups showed more interpersonal learning, expression/exploration of feelings, and here-and-now focus. Groups that employed more education and skill training, less expression and exploration of feelings, and less her e-and-now focus were associated with fewer members reporting subsequent drinking-related problems. None of the ratings of group activities was related to abstinence.