The Iatrogenic Effects of Group Intervention for Antisocial Youth: Premature Extrapolations?

Group intervention for antisocial youth has received harsh criticism in recent years. This paper reviews relevant research focused on the influence of contact with delinquent peers on the development of antisocial activity. Also reviewed are studies reporting outcomes of group intervention for antisocial youth. Although a few studies have found iatrogenic effects for group intervention with antisocial youth, the majority have not. Well-developed models of group intervention have produced substantial reductions in youth antisocial activity. We describe one such program, a family-style residential program based on behavioral learning principles, and review outcomes of this program. We conclude that treatment of antisocial youth in groups is feasible and can be effective in reducing delinquent behavior.     

Examining Externalizing Behavior Trajectories of Youth in Group Homes: Is there Evidence for Peer Contagion?

Although concerns about peer contagion are often cited in critiques of group treatments for troubled youths, few studies have examined the effects of exposure to deviant peers in residential group care settings. This study used administrative data of youth served at Boys Town, a nationally-known group care provider. Using latent class growth analysis, this study identified the externalizing behavior trajectories of youth in group care as well as the behavior trajectory of the peers with whom they lived, assessed the relationship between youth trajectory classes and individual and peer group characteristics as well as the relationship between an individual youth’s behavior pattern and the behavior pattern of proximal peers. Several results suggested the presence of peer contagion in group care: a trajectory class of gradually increasing externalizing behavior problems, the strength of deviant peer density in predicting an individual youth’s externalizing behavior trajectories and significant associations between behavior patterns of youth and proximal peers. While there is some evidence that suggests an increase in problem behavior during care, results from this study indicated that over 90% of the youth did not have an increase in problem behaviors and that positive peer influences may also be protective and inhibit problem behaviors.     

Do Youth Development Programs Matter? An Examination of Transitions and Well-Being Among Military Youth

The current correlational study examines the association between internal and external military family contextual factors (e.g., parental rank, having multiple military parents, school changes, living more than 30 min from a military installation, parental deployment, relationship provisions) and military youth well-being outcomes (i.e., depressive symptoms, anxiety, self-efficacy) in a sample of children of active duty military members (i.e., military youth). Data from 749 military youth, ages 11–14, were analyzed using structural equation modeling. The model explained a reasonable amount of the variation in the outcomes of interest (r-square statistics for depressive symptoms, anxiety, and self-efficacy were .151, .018, and .086, respectively). Results indicated that military youth who reported more social provisions experienced fewer depressive symptoms and more self-efficacy. Youth who reported certain military risk factors (i.e., parental rank; living farther from the military installation; multiple school changes) were associated with decreased well-being (i.e., more depressive symptoms and anxiety and less self-efficacy). However, findings suggest that participation in military programs may serve a moderating or buffering factor for these youth.     

Suicide and Firearm Prevalence: Are Youth Disproportionately Affected?

The effect of firearm availability on suicide may differ among age groups. We used regression analysis to examine the relationship between suicide rates and household firearm ownership for four age groups in the nine census regions from 1979 to 1994, adjusting for regional divorce rates, education, unemployment, and urbanicity. Results showed that firearm ownership levels are correlated with suicide rates among 15- to 24-year-olds and 65- to 84-year-olds, but not among 25-to 64-year-olds. The findings suggest that if the relationship is causal, a 10% fall in regional firearm ownership levels would lead to a 3.0% decrease in suicide rates.     

“Group Rights” and Racial Affirmative Action

This article argues against the view that affirmative action is wrong because it involves assigning group rights. First, affirmative action does not have to proceed by assigning rights at all. Second, there are, in fact, legitimate “group rights” both legal and moral; there are collective rights—which are exercised by groups—and membership rights—which are rights people have in virtue of group membership. Third, there are continuing harms that people suffer as blacks and claims to remediation for these harms can fairly treat the (social) property of being black as tracking the victims of those harms. Affirmative action motivated in this way aims to respond to individual wrongs; wrongs that individuals suffer, as it happens, in virtue of their membership in groups. Finally, the main right we have when we are being considered for jobs and places at colleges is that we be treated according to procedures that are morally defensible. Morally acceptable procedures sometimes take account of the fact that a person is a member of a certain social group.     

A Group Journey—to Hell and Back

The process of a therapy group in an inpatient daycare unit¹ became saturated with anger and detachment, ultimately leading to a despairing silence. Based on Ferenczi’s concept of Orpha, I will explain the group silence as indicative of deep trauma and dissociative self-states. I propose that the therapist’s willingness to “hang in” with his group and be part of a seemingly unbearable enactment enhances the possibility for emergence of hope and restoration of positive communication. It is rare in the literature for authors to expose the pitfalls that they and their group members can fall into, leading to despair, shame, and hopelessness. When working in the complex environment of a mental hospital where every level of staff is stressed, therapists often find themselves without support and consultation. My hope is that my colleagues can learn from my challenges, errors, and lessons, as I have.     

Youth Homelessness and Vulnerability: How Does Couch Surfing Fit?

Youth homelessness is a problem characterized by high levels of vulnerability. The extent to which couch surfing — moving from one temporary housing arrangement to another — is part of youth homelessness is not well understood. Chapin Hall's Voices of Youth Count, a national research initiative, involves a multicomponent approach to studying youth homelessness. This study reports emerging findings regarding couch surfing and homelessness primarily from a national survey of 13,113 adults with youth ages 13–25 in their households or who are themselves ages 18–25. Findings suggest that couch surfing is relatively common, particularly among the older age group. Among households with 13‐ to 17‐year‐olds and 18‐ to 25‐year‐olds, 4.0% and 20.5%, respectively, reported that any of them had couch surfed in the last 12 months. There are notable social, economic, and educational differences, on average, between youth reporting homelessness and those reporting only couch surfing. However, most youth who report experiencing homelessness also report couch surfing, and these youth who experience both circumstances present high levels of socioeconomic vulnerability. Couch surfing encompasses a range of experiences, some of which likely include need for services. Interviews currently in the field, and expanded analysis of data, will contribute more nuanced policy insights.     

Day-to-day Consistency in Positive Parent–Child Interactions and Youth Well-Being

The frequency of positive parent–child interactions is associated with youth adjustment. Yet, little is known about daily parent–child interactions and how day-to-day consistency in positive parent–child interactions may be linked to youth well-being. Using a daily diary approach, this study added to this literature to investigate whether and how day-to-day consistency in positive parent–child interactions was linked to youth depressive symptoms, risky behavior, and physical health. Participants were youth whose parents were employed in the IT division of a Fortune 500 company (N?=?129, youth’s mean age?=?13.39, 55?% female), who participated in an 8?day daily diary study. Analyses revealed that, controlling for cross-day mean levels of positive parent–child interactions, older (but not younger) adolescents who experienced more consistency in positive interactions with parents had fewer depressive and physical health symptoms (e.g., colds, flu). The discussion focuses on the utility of daily diary methods for assessing the correlates of consistency in parenting, possible processes underlying these associations, and intervention implications.     

Quieting the Ego Through Group Activities: A Thematic Analysis of Romanian and Japanese Students’ Positive Group Experiences

Research suggests that quieting the ego (reducing excessive self-focus) can foster well-being. Two exploratory qualitative studies were carried out to investigate the features of ego-quieting group activities. Romanian (N = 140) and Japanese participants (N = 99) read a definition of “self-detachment” and answered several open-ended questions asking them to describe a group situation in which they had experienced a similar state. Thematic analysis showed numerous similarities between the responses of the two samples, as well as cultural-specific features. Participants recalled moments of enjoyment in the company of friends, or challenging group work. For the Romanian sample, the experience was characterized by present-oriented attention, valuing others, positivity, disinhibition and altered perceptions, while for the Japanese sample, valuing others, stress relief, matching challenge and skill and merging self with exterior world were its prevalent features. Both samples identified similar eliciting factors (individual receptiveness, acceptant group, captivating activity, appropriate environment) and similar consequences of the experience (increased closeness, relaxation and self-development). While supporting the existing literature on the importance of communal activities in reducing self-focus and promoting individual well-being, the paper provides new in-depth insights into participants’ subjective experiences and the cultural specifics of positive group activities.     

Group Dynamics—Boon or Bane?

In our society an increasingly greater emphasis is being placed on group interaction and decision-making. Persons participating in such a process often use the term “group dynamics” to describe what is thought to be a social-psychological phenomenon. This article discusses some of the elements of “true” group characteristics and effects, and their possible existence in “group dynamic” situations. The article also deals with the implications of the effects of these elements in “group dynamic” environments on educational and administrative leadership and decision-making.     

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.     

All Absences Are Not the Same: What Happens to the Group Climate When Someone is Absent From Group?

Clinical wisdom dictates that group member absences are harmful to the group; however, this has not been empirically examined. How do group member absences affect the group’s climate, and do absences earlier or later in a group’s life differentially impact group climate? The current study examined the relationship between group member absence and the climate perceptions for attending members, during earlier and later sessions in a group’s development. As hypothesized, a significant interaction was found for group climate and time such that absences during early sessions were significantly related to higher levels of engagement and lower levels of avoidance (a more productive group atmosphere), while absences during later sessions were related to lower levels of engagement and higher levels of avoidance. Implications are discussed.     

Patient Perspectives on Co-Therapists’ Behaviors in Group CBT

Journal of Contemporary Psychotherapy - Therapist behaviour influences group cohesion and the outcome of group psychotherapy. The group members make first hand observations of the therapists in...     

Youth Mental Illness and the Family: Parents’ Loss and Grief

Parents and family members whose adult child or relative has a mental illness endure significant losses, to which they respond with grief. Such grief may negatively affect family members’ physical and psychological health and also the relationship with their relative. Yet, research in this field is sparse. Very few studies have examined parents’ loss and grief in the context of the patient being a child or teen. It is not clear the extent to which parents’ loss and grief in response to their child or adolescent’s mental illness is similar or different to the accounts of older parents and family members caring for an adult relative with major psychopathology (e.g., Schizophrenia, Bipolar disorder). Parental loss and grief is not often addressed in child and adolescent mental health services’ provision of care; alarmingly, little is known about how best to support parents who access these services. The present study aimed to bridge this knowledge gap and identify the therapeutic needs of this younger parent population. Comprehensive interviews were conducted with 14 parents and one custodial grandparent of a youth aged 18 years or younger who was currently attending a child and adolescent mental health service. An inductive thematic analysis identified six themes; parents’ narrative of finding out, profound and pervasive loss, complex grief, waning support, the challenges of caregiving and a call for assistance. It can be inferred from these results that youth mental illness can constitute a source of loss and grief for parents. Participants’ loss and grief was largely consistent with the experience of families caring for an adult relative with major psychopathology. Opportunities for mental health practitioners to support families’ loss and grief were identified. Further studies are needed to enhance understanding of this complex and, to a large extent, ignored familial experience. Results do underscore the importance of clinicians acknowledging parents’ loss and grief and working directly with this experience over the course of youths’ treatment, perhaps in conjunction with family psychoeducation approaches.