Group therapists' training: what predicts learning?

This field study represents the continuing effort to identify the determinants of learning within experiential small study groups. Thirty-seven training groups from the 1996 Institute of the American Group Psychotherapy Association were studied. Three process measures (Group Relationship Questionnaire [GRQ], Leader Adjective Measure [LAM], and Group Climate Questionnaire [GCQ]) were administered to 434 group members after the first two of four group sessions. Process variables were used to predict learning (measured by the Learning Evaluation Form [LEF]) at the end of the training groups. The factors derived from each of the measures showed good to excellent correspondence with previous studies employing the same instruments. Results suggest that perceptions of the leader and the group, rather than perceptions of one's own relationship to other group members, are more robust predictors of learning in these short-term training groups. Specifically, perceptions of an emotionally engaged group willing to confront conflict, and perceptions of a skillful leader, proved to be significant predictors of learning. Implications for the training of group therapists and group therapy research are discussed.     

Bidirectionality of parallel process and the ego syntonic learning system

A model is presented of an ego syntonic learning system which functions through the use of the parallel process. It is proposed that a bidirectional parallel process may be observed across various teaching modalities and used to understand learning problems in a group psychotherapy training pmgram. One stream of parallel process issues from the trainees, who unconsciously act out their unresolved conflicts and unsatisfied learning needs in the training program. The second stream emanates from the training staff, whose unresolved conflicts over leadership and training philosophies interfere with optimal learning conditions for the trainees. Clinical examples illustrate this bidirectional phenomenon.An earlier version of this paper was presented at the Seventh Annual Conference of the Canadian Group Psychotherapy Association, Ste. Jovite, Quebec, October 1986.     

An Introductory Course in Group Psychotherapy in The Netherlands: Use of a Knowledge-Sampling Test

Abstract

We offer comments regarding two articles in this issue, one titled “Bridging the Practitioner-Scientist Gap in Group Psychotherapy Research” and a complementary article providing the results of a survey, entitled “A Survey of Canadian Group Psychotherapist Association Members” Perceptions of Psychotherapy Research.’ We also make several recommendations for collaborative research between practitioners and scientists, such as the inclusion of clinicians on the research team, practice research networks, and improved approaches to communicating clinically relevant research findings. Also discussed are reflections and recommendations from the authors’ experience as scientist-practitioners.     

Peer theory,dyadic primacy,and destruction of the group: The borderline patient and group interaction

Recent contributions toward a peer theory of group psychotherapy place the therapist's facilitation of peer interaction at the center of curative action. Borderline patients' primitive demands for leader attention disrupt the evolution of group cohesion and may threaten to destroy the group. Peer theory must account for this eventuality and deal with the therapist's dilemma of whether to maintain a dyadic or peer focus. Homogeneity of group composition regarding dyadic or peer primacy is suggested.Presented at the Animal Meeting of the American Group Psychotherapy Association in Houston, Texas, 1981.     

Zur Bedeutung von Gruppenleitern in der gruppenpsychotherapeutischen Weiterbildung

Training in group therapy is fundamentally based on self-experience in groups. The importance of the model character of the group leader's role has hardly been subject to empirical research in spite of its highly qualified and specialized requirements. In order to ensure process quality in group therapy training, the effects of the leader's model on the reported learning effects of 413 members in 35 short-term Process (self-awareness) and so-called Special Interest (thematically focused) groups of the American Group Psychotherapy Association (AGPA) were investigated. The first two sessions out of four were investigated by process questionnaires focusing on self-experience, experience of the group atmosphere and subjective impressions of the group leaders' performances. These process variables were later correlated with the overall learning impression after all four sessions. It turned out that particularly those group leaders' styles and attitudes had a strong positive correlation with favourable learning effects, that were decisive and charismatic instead of vague and that group leaders who were experienced by group members as predominantly indecisive, vague and less charismatic were in spite of the fact of being seen as competent and skillful produced weak learning effects. Results are discussed in the light of the need of neophyte group therapists to identify with a leader model promising to provide authority and sovereignity even prior to competence and empathy given the anticipatory fear regarding possible critical group dynamics in future therapy groups.     

Psychoanalytically oriented short-term groups for outpatients: Unsettled issues

The psychoanalytic approach to short-term group therapy for outpatients has been less prevalent than other approaches. Unsettled issues associated with this approach concern the feasibility of carrying out psychoanalytic work on an ongoing basis, patient selection, group composition, patient preparation, therapist technique, and cotherapy. Recent literature relevant to a conceptual consideration of these issues is reviewed. A vignette from a recent therapy group is presented as part of a clinical consideration of the issues. In addition, practical suggestions for conducting such groups are provided.This article was derived from a paper presented at the Seventh Annual Meeting of the Canadian Group Psychotherapy Association, October 16, 1986, Mont Tremblant, Canada.     

Group psychotherapy with alcoholics: Interface with self-help groups

This paper addresses recovering alcoholics' concurrent involvement in psychotherapy groups and self-help groups. A developmental model of alcoholism group psychotherapy is presented, differentiating between early and advanced sobriety. Psychotherapy and self-help groups are compared and contrasted. Multiple group membership entails various areas of compatibility. Divergence and conflict result from differences in underlying conceptual framework and approach. Clinical implications of members' involvement in partially discrepant group settings are explored with an emphasis on transference and countertransference reactions. Multiple group membership is identified as a salient factor in alcoholism group psychotherapy at all levels of recovery.She is also in private practice.This paper was presented at the American Group Psychotherapy Association Annual Conference, Boston, February 1990.     

Treatment of alcoholic couples in outpatient group therapy

This paper summarizes special issues that group leaders are likely to encounter when adapting their skills to outpatient group therapy with alcoholic couples. More specifically, the paper: (a) discusses the advantages of treating alcoholic couples in a group as opposed to individual couple's therapy; (b) outlines the parameters of a couples group with alcoholic members that differentiate it from working with other kinds of couples in group; and (c) provides guidelines and techniques for tackling some of the specific kinds of problems and situations that arise.This paper was presented at the Annual Meeting of the American Group Psychotherapy Association, New York City, February, 1985.The author wishes to acknowledge the contribution of Geraldine Alpert, Ph.D., whose thoughtful comments and discussion helped to crystallize the concepts presented.     

The other Man by Donald J. West

The American Group Psychotherapy Association began in 1942 as an elite, strictly Freudian organization. Its dramatic growth in the 1960s and 1970s was accompanied by much theoretical disagreement and professional “chauvinism.” During the past decade, however, the ideological controversy has yielded to pluralism* in theory and eclecticism in practice.     

Procedures for Identifying Persons with Potential for Public School Administrative Positions by William C. Schutz

This investigation is based on over 400 American Group Psychotherapy Association members involved in 41 intensive, two-day training experiences for mental health professionals. The participants completed a questionnaire immediately after their group sessions to evaluate the process and leadership variables that contributed to a constructive learning experience. A similar questionnaire was mailed to participants three to four months later to explore the impact of training on group interventions within their clinical practices. One third of the trainees responded to the follow-up survey. Overall, the findings suggest that successful outcomes are related to a range of group processes, such as self-disclosure, feedback, and interpersonal support, as well as personal qualities and technical expertise modeled by the leaders of the training groups. Both the immediate and delayed assessments demonstrate that the groups were regarded as highly valuable learning opportunities.     

Sigmund Freud: Four Centenary Addresses by Ernest Jones

Group psychotherapists, primarily members of the American Group Psychotherapy Association, were surveyed to determine their practice and attitude toward inclusion of patients receiving psychotropic medication in their “typical” outpatient psychotherapy groups. One hundred forty-three questionnaire responses were received from 258 contacted practitioners (55.4% return rate). More than two-thirds of the physicians, social workers, and psychologists reported including medicated members, and the professions did not significantly differ. Mood disordered patients were most frequently and schizophrenic and manic patients were least frequently reported to receive medication.

Overall, clinicians' attitudes favored including medicated patients in the group. Indeed, therapists did not view inclusion of drugs as a detriment to the treatment process. Clinicians having only one medicated patient in their group felt more strongly that such individuals did not interfere with the treatment process when compared with those having none or more than one medicated patient. The one difference by discipline was that social workers and psychologists did not endorse the idea that medicated patients needed to be in groups led by psychiatrists.     

Reading Plays to Enhance Professional Development

Writing in a narrative style, the authors describe the continuing education model of the Red Well Theater Group. The model combines a study group format with a play reading performance module to enhance the professional development of the Group’s members and their audiences of colleagues. The educational goals are to: 1) didactically study the principles and practice of group therapy; 2) theatrically illuminate concepts, relational themes, and small group dynamics relevant to group therapy; 3) experientially deepen therapist empathy for the challenge of being in a group; and 4) provide a vitalizing experience in support of therapist well-being. As an example of this model in action, the authors elaborate their experience preparing The Great God Pan, by Amy Herzog, for presentation at the 2014 American Group Psychotherapy Association (AGPA) Annual Meeting.     

The unconscious ego-ideal and analytic group psychotherapy

The theoretical position of this paper is that the essential character of the ego-ideal, a part of superego functioning, is unconscious, universal, and functions automatically. Precursors to superego development and ego-ideal formation begin at early preoedipal levels, and derivations in adult behavior contain primitive aspects. Ego-ideal is perfectionistic and impossible to obey;therefore, projection of this phenomenon as well as its activity leads to disappoinment, anger, anxiety, depression and despair. Pseudomoral injunctions frequently rationalize and disguise early primitive aspects of unconscious superego development and ego-ideal formation. These points are illustrated by clinical material, showing the therapeutic action in the group which leads to a modification of this critical, self-defeating aspect of adult functioning.Copyright, 1987, Washington Square Institute for Psychotherapy and Mental Health, which published this paper in No. 14 of the Group Psychotherapy Monograph Series, after the paper had been presented at the Fourteenth Annual Conference of the Group Psychotherapy Department, and presented by invitation at the ninth congress of the International Association of Group Psychotherapy, Zagreb, Yugoslavia, August 1986.Dr. Edwards was formerly an Associate Supervisor and Faculty Member in the Group Department at the Postgraduate Center for Mental Health.     

Group psychotherapy in the late twentieth century: An international perspective

The state of contemporary group psychotherapy is reviewed in the light of developments in the areas of theory, practice, research directions, and the internationalization of the field and its literature.This is a revised and updated version of a paper presented at the Department of Psychiatry, University of Warsaw, April 26, 1989.He is the founding editor of the Non-English Literature Review Section of theInternational Journal of Group Psychotherapy and the editor of theInternational Forum of Group Psychotherapy of the International Association of Group Psychotherapy.     

Training in group-analytic psychotherapy in Europe

Group-analytic psychotherapy focuses on the making and maintaining of close, emotionally fulfilling relationships. Its practitioners attempt to fuse an individual and a whole-group perspective, and seek to provide the enabling conditions for freer communication between group members. The group-analytic approach is widely used in the United Kingdom, and many experiential groups on psychotherapy training courses are conducted on group-analytic lines. The Institute of Group Psychotherapy in London recognizes eight one-year courses in England and Scotland specifically oriented to group-analytic theory and methods. These courses provide an introduction to group psychotherapy to over 300 professionals of varied backgrounds every year. There are also two courses in the United Kingdom that provide a full training in group-analysis and group-analytic psychotherapy, and 11 courses on the continent of Europe. The number of courses is growing and there is now a European Group-Analytic Training Network providing formal links between them. Results of a postal survey indicate that few (10%) attenders at a one-year course have a negative response and that many (85%) recommend the course to colleagues. The efficiency and therefore reduced cost of group teaching and the incorporation of a group experience may be contributing factors to the increasing demand for this type of training.This paper is based on a presentation at an Open Session on Training in Group Psychotherapy: The Quest for a Viable Model at the American Group Psychotherapy Association Annual Meeting, Boston, February 1990. This paper represents the author's own views and is not an official statement of the Institute of Group Analysis [London]. However, members and staff of the Institute have made helpful contributions to the author in preparing it. He is especially grateful for the assistance of Mrs. Liesel Hearst (Chairperson, Overseas Training Sub-Committee, Institute of Group Analysis, London), Dr. Keith Hyde (Convenor, Manchester Course in Group Psychotherapy), Fr. Jim Christie (Convenor, Glasgow Course in Group Psychotherapy), and Dr. Vivienne Cohen (Chairperson, Training Committee, Institute of Group Analysis, London, in preparing this paper. The questionnaire study was conducted with the assistance of the Training Section of the North-Western Regional Health Authority.     

Psychoanalysis: Practical and Research Aspects by Willi Hoffer

The outcome of clients who saw one of four “expert” professional group therapists selected by peer nomination or four “natural helper” nonprofessionals nominated by students is contrasted in a 15-session psychotherapy group. Process measures tapping specific group and “common factors” were drawn from sessions 3, 8, and 14; outcome was assessed at pre-, mid-, posttreatment, and a 6-month follow-up. Results were examined by leader condition (professional vs. nonprofessional therapists) and time (group development). Virtually no reliable differences were found on measures of outcome primarily because of a floor effect on several measures. Therapist differences on the process measures tapping the “common factors” of therapeutic alliance, client expectancy, and perception of therapists were either nonsignificant or disappeared by the end of treatment. A complex picture of differences on one therapeutic factor (insight), common factor measures, and subtle variation in the outcome data suggests a distinct pattern of change, however. Methodological limitations are also addressed including problems inherent in large-scale clinical-trial studies, ethical concerns raised by using nonprofessional leaders, and problems with generalizability, given the absence of significant psychopathology in group members.     

The Hispanic Female Adolescent: A Group Therapy Model

This essay serves as an introduction to a collection of articles on group psychotherapy for children that appears in the following pages. These articles are an outgrowth of a symposium on children's group treatments presented at the 1990 Annual Conference of the American Group Psychotherapy Association. The present author provides a general overview of relevant literature and offers an orientation to the subsequent theoretical and practical integrations.     

Process and content in a long-term PTSD therapy group for Vietnam veterans

Process and content were studied in four 16-session segments of a psychodynamically oriented therapy group for Vietnam veterans suffering from posttraumatic stress disorder (PTSD). On the Group Climate Questionnaire (GCQ-S), the group scored significantly higher in the Engaged dimension and significantly lower in the Avoiding and Conflict dimensions than contrasting samples of neurotic and psychotic groups. There was no evidence of group stages. Topics related to symptoms of PTSD were discussed most frequently (43.1%), followed by issues concerning relations with others (32.4%),general group therapy issues (13.7%), and other topics (10.8%). Clinical implications of these findings are discussed.The authors thank Tom Metzler, M.A., and Heidi Ronfeldt, B.S., for their assistance with the data analysis.Parts of this paper were presented at the American Group Psychotherapy Association Annual Meeting, February 15–20, 1993, San Diego, CA.     

Multiple Learning Contexts and the Development of Life Skills Among Canadian Junior National Team Biathletes

The purposes of this study were to identify and explore (a) the life skills learning contexts experienced by Canadian junior national team biathletes and (b) the ways in which they learned life skills in these contexts. Nine members of the Canadian junior national biathlon team participated in individual semi-structured interviews. Results of thematic analysis revealed 3 life skills learning contexts: sport, school/work, and family. Participants reported learning life skills by using cognitive processes of observational learning and reflections on experiences. Some athletes reported that life skills learning occurred automatically, which may suggest implicit cognitive learning.

Lay Summary:

The different contexts in which Canadian junior national team biathletes learned life skills were studied. Nine athletes were interviewed. Athletes learned life skills in sport, school/work, and family contexts. They used cognitive strategies of observational learning and reflecting on experiences. Some athletes thought they learned life skills automatically, which may suggest implicit cognitive learning.