Group Psychotherapy: A Behavioral Approach

Abstract

This clinical report highlights some of the processes arising in a therapy group of persons with persistent and chronic psychiatric illnesses as they cope with the stress of their long–standing therapist’s impending retirement. Members were initially disbelieving that the therapist would leave and were also concerned about their future care, particularly in terms of medications. Gradually they were more able to experience their feelings of loss and their genuine caring for the therapist and the group, using higher level defenses and increasing their ability to tolerate strong affects. They became increasingly able to demonstrate empathy, notably in their ability to consider the therapist’s emotions. The clinical material also illustrates the therapist’s personal involvement, countertransferences and expressions of concern.     

Counseling Blacks: A Group Approach

This article argues that group work is the most effective clinical tool for work with Black clients because of their Africentric dispositions.     

Gender and Group Process: A Developmental Perspective

Until recently, the study of gender development has focused mainly on sex typing as an attribute of the individual. Although this perspective continues to be enlightening, recent work has focused increasingly on children's tendency to congregate in same-sex groups. This self-segregation of the two sexes implies that much of childhood gender enactment occurs in the context of same-sex dyads or larger groups. There are emergent properties of such groups, so that certain sex-distinctive qualities occur at the level of the group rather than at the level of the individual. There is increasing research interest in the distinctive nature of the group structures, activities, and interactions that typify all-male as compared with all-female groups, and in the socialization that occurs within these groups. Next steps in research will surely call for the integration of the individual and group perspectives.     

A Systematic Approach to Peer Group Supervision

The structured peer group format encourages skill development, conceptual growth, participation, instructive feedback, and self-monitoring. The procedure is described and illustrated.     

Reviewing Videotape in Supervision: A Developmental Approach

The authors review the extant literature on the use of videotape technology in supervision and, on the basis of an empirically supported developmental model of supervision, offer guidelines to supervisors on the use of videotape feedback. Suggestions are also offered for future research in this area.     

A Developmental Approach to Prevention Research: Configural Antecedents of Early Parenthood

A developmental framework emphasizing the combined impact of correlated constraints within and without the individual was applied to a prospective longitudinal study of early parenthood. The purpose was to use a person-approach to the analysis of longitudinal data to clarify risk for early parenthood and to generate hypotheses about potentially useful intervention strategies. Respondents were 475 youth who were assessed annually from seventh grade through the end of high school and, again, at ages 20 and 24. The risk patterns associated with parenthood were the same for both sexes. Individuals with a middle-school configuration of low socioeconomic status, high aggression, low academic skills, low popularity, and prior grade failure were most likely to become parents by early adulthood. Risk for early parenthood increased substantially for respondents who dropped out of school early, regardless of their initial risk status.     

A Developmental Approach to Outreach Services for Counseling Centers

Economics, pressure for accountability and changing student needs are forcing counseling centers to evaluate their services and methods of delivery. This article illustrates how a developmental, proactive, outreach approach can be an alternative to the traditional medical model.     

Multi-Family Group Therapy: A Multidimensional Approach

The procedures, dynamics, and process of multi-family group therapy are presented with case examples from the authors' practice.     

Conduct Problems and Adherence to COVID-19 Guidelines: A Developmental Psychopathology-Informed Approach

COVID-19 underscores the importance of understanding variation in adherence to rules concerning health behaviors. Children with conduct problems have difficulty with rule adherence, and linking early conduct problems with later adherence to COVID-19 guidelines can provide new insight into public health. The current study employed a sample (N = 744) designed to examine the longitudinal consequences of childhood conduct problems (Mean age at study entry = 8.39). The first objective was to link early conduct problems with later adherence to both general and specific COVID-19 guidelines during emerging adulthood (M age = 19.07). The second objective was to prospectively examine how interactional (i.e., callous unemotional traits, impulsivity) and cumulative (i.e., educational attainment, work status, substance use) continuity factors mediated this association. The third objective was to examine differences in sex assigned at birth in these models. Direct associations were observed between childhood conduct problems and lower general, but not specific COVID-19 guideline adherence. Conduct problems were indirectly associated with both general and specific adherence via higher levels of callous unemotional traits, and with specific adherence via higher problematic substance use. No differences in the models were observed across sex assigned at birth. Findings provide insight into both how developmental psychopathology constructs are useful for understanding COVID-19 guideline adherence, and the ways in which conduct problems may shape health outcomes.

     

Multigenerational Sexual Abuse: A Cognitive Developmental Approach to Understanding Mothers in Treatment

This paper takes a cognitive developmental perspective in the qualitative analysis of 9 interviews of women who were sexually abused as children and whose children were also sexually abused. It discusses ways in which the development of cognitive self-understanding can by stymied by childhood sexual abuse and how this, in turn, can affect a woman's ability to parent her children and take full advantage of psychotherapy. It studies the recovery process that participants describe at various stages of a social cognitive developmental model of self-understanding. Finally, it promotes the use of a cognitive developmental perspective in clinical work and offers suggestions for counselors addressing issues of childhood sexual victimization.