Termination in a work group: Four models of analysis and intervention

Four alternative models for understanding and consulting with work groups are presented. The major propositions of each model are summarized and then applied to the same case of work group functioning. The author is interested in the application of theory and especially how differing models focus upon the same or different group phenomena. The author advocates the importance of increased attention to the functioning of professional work groups as a means of improving training and the delivery of health services. However, such analysis should include the use of social science models as well as the more commonly employed understandings derived from an intrapsychic model of group behavior.The author wishes to thank Dr. Marvin Aronson, Dr. Nina Fieldsteel, Dr. Marcia Lawler and Dr. Bennett Roth for their encouragement and assistance during the development of this paper.     

Running: An adjunctive group therapy technique

Group therapists who work with severely disturbed patients know that group sessions are often characterized by verbal rambling, frequent and prolonged pauses and high levels of anxiety on the part of group members. This article focuses on the use of a group activity— namely, running—as an adjunct to group psychotherapy. A brief case report will illustrate the application of this innovative treatment technique; then issues that may arise when one leads a running group are dealt with in a question- and -answer format.The author wishes to express his appreciation to Mrs. Vera Kohn for editorial assistance in the preparation of this article.     

Introducing the living with illness group: A specialized treatment for patients with chronic schizophrenic conditions

This paper introduces a specialized psychotherapy/psychoeducational group treatment for patients with chronic psychotic symptoms who receive only partial benefit from psychotropic medications, psychotherapy, and milieu/activities therapy. The goal of the group is to assist patients to accurately identify the feelings, thoughts, and behaviors that are dysfunctional symptoms of their disability and then use the functional aspects of their brain as well as learned coping strategies to compensate for their disability. The group format, philosophy, procedures, and typical topics of discussion are detailed.The authors would like to thank Bruce Levine, Ph.D., and Terry Fujeoko, Ph.D., for their assistance with the initial formation of the group. Mr. Howe and Dr. Fujeoko originated the Living with Illness group and began the first group in 1985 at Waterbury Hospital Health Center, Waterbury, CT.     

Group Psychotherapy in General Hospitals

This article is an Editor's Introduction to this Special Issue of the Journal on the integration of research and practice in the field of group psychotherapy. The emphasis in this issue is on the clinical application of research instruments to evaluate and to facilitate group experiences. Illustrations are drawn from each of the following six articles to highlight the practical utility of research measures. Moreover, recommendations are offered for how clinicians can incorporate these instruments into their group treatments to structure the therapeutic process.     

Risk factors and the Child Behavior Checklist in a child mental health center setting

The relationship between risk factors and the severity and type of childhood disorder, as measured by parent-completed Child Behavior Checklists, was examined for 768 children, ages 4–16, seen at a child mental health center. Regression analyses revealed no significant relationships between any combination of risk factors and the total number of behavior problems, internalizing, or externalizing scores for the entire group, males and females separately, or for the age and sex groupings of 6- to 11- and 12-to 16-yearolds. Chi-square tests revealed no relationship of profile type with any risk factor or with total number of risk factors. Implications for broad-based child assessment and risk factor research within a clinical population are discussed.We wish to thank Orin Bolstad, Linda Magnuson, and Julian Taplin for their assistance in this project.     

The shattered mirror: Treatment of a group of narcissistic patients

Increasingly, group psychotherapy takes its place as a valid treatment model for patients with severe character pathology. This paper explores the impact of group treatment on a homogeneous group of patients with narcissistic character problems. The clinical example serves to illustrate the particular dynamics of this patient population; addresses the challenges inherent in treating these patients in a homogeneous, long-term therapy group; and, finally, underscores the countertransference pitfalls in such a clinical situation. Nonetheless, the successful working through of some of these patients' terrifying pathology supports the important of continuing experience and research into this arena.The author wishes to acknowledge with gratitude the invaluable assistance of J. Scott Rutan, Ph.D., in the planning and preparation of this clinical report.     

Reactions to Receiving Assumptive Help: The Moderating Effects of Group Membership and Perceived Need for Help1

The present study examined how group membership and need for help, variables that can operate independently or in combination, can affect reactions to receiving help. Arab participants (n = 164) received or did not receive help from an in‐group member (Arab helper) or from an out‐group high‐status member (Jewish helper) when the task was described as easy or difficult, or when no information was given. As predicted, Arab participants who received assistance from a Jewish helper or received assistance on an easy task showed more negative reactions than did those who received assistance from an Arab helper or on a difficult task. The theoretical implications for disentangling intergroup and interpersonal influences on reactions to receiving help are considered.     

Psychological Aspects of Aging Edited by John E. Anderson

Supervision and training groups have advantages over dyadic supervision and training that include factors to promote group learning and interaction within a sociocultural context. This article focuses on the gender aspects of group supervision and training. It provides a review of feminist theoretical developments and presents their application to group supervision and training in the form of eight guidelines that are illustrated by clinical examples.     

The stability of dimensions of behavior in ADHD and normal children over an 8-year followup

The present study reports on standardized behavioral ratings received by a large sample of hyperactive children meeting research diagnostic criteria (n=108) and a community control sample of normal children (n=61) who were followed prospectively over 8 years into adolescence. On some parentreport measures both groups declined in the severity of their behavior problems across time, while on other measures only the hyperactive group declined, but the hyperactives always remained more deviant than the controls at followup. The hyperactives and controls also differed on most teacher and selfreport ratings at followup. The greatest degree of agreement between raters at adolescence was between parent and youth ratings. These results are consistent with previous research demonstrating more deviant scores for hyperactive children than controls on various rating scales at adolescent followup. They also are consistent with research showing significant longitudinal continuity of both internalizing and externalizing behavioral pathology.This research was supported by NIMH gram 42181. We are grateful to Craig S. Edelbrock, Ph.D., for his assistance with the data entry program, and to Ann Edwards and Gerry Gillespie for their assistance in locating subjects.     

On the way to autonomous driving: How age influences the acceptance of driver assistance systems

Driver assistance systems have the potential to create the basis for future mobility solutions. They enable older generations in need of assistance to maintain their mobility even in the case of physical deficits. Therefore, we conducted a literature review and identified factors that may influence the acceptance of driver assistance systems. Based on the technology acceptance model and other influencing factors, we developed a research model that was validated with the help of a study (n = 227). The results show that, depending on age, there are differences in the acceptance of driver assistance systems and their influencing factors among old and young people. The five determinants of acceptance, perceived usefulness, perceived ease of use and trust in technology are viewed as equally important for all age groups. Differences emerge within the group of older vehicle drivers with varying weighting. For the 50–59 age group, perceived ease of use and social norm are most important, while for the 60–69 age group, perceived usefulness and trust in technology are very important. Among 70–90-year olds, trust in technology is emphasized as most important. Our results show how important it is to increase the confidence of older drivers in age-appropriate driver assistance systems, using target-group-specific advertising and public relations work.     

Kamm and Miller on Rights’ Compatibility

In their recent books, National Responsibility and Global Justice (2007) and Intricate Ethics (2007), David Miller and Frances Kamm give two similar arguments aimed at preventing their favoured accounts of the moral justification of rights from justifying an excess of demanding assistance rights. Both arguments appeal to the fact that a proliferation of assistance rights would conflict with other rights. In this paper, I show that these arguments fail. As Miller recognises in a footnote, the failure of such arguments appears to support an alternative holistic approach to the moral justification of rights. But I will show that, without significant further argument that Miller and Kamm do not provide, this holistic approach offers no better support for Miller’s and Kamm’s claim that there are few demanding assistance rights.     

Factors Underlying the Psychological and Behavioral Characteristics of Office of Strategic Services Candidates: The Assessment of Men Data Revisited

During World War II, the Office of Strategic Services (OSS), the forerunner of the Central Intelligence Agency, sought the assistance of clinical psychologists and psychiatrists to establish an assessment program for evaluating candidates for the OSS. The assessment team developed a novel and rigorous program to evaluate OSS candidates. It is described in Assessment of Men: Selection of Personnel for the Office of Strategic Services (OSS Assessment Staff, 1948). This study examines the sole remaining multivariate data matrix that includes all final ratings for a group of candidates (n = 133) assessed near the end of the assessment program. It applies the modern statistical methods of both exploratory and confirmatory factor analysis to this rich and highly unique data set. An exploratory factor analysis solution suggested 3 factors underlie the OSS assessment staff ratings. Confirmatory factor analysis results of multiple plausible substantive models reveal that a 3-factor model provides the best fit to these data. The 3 factors are emotional/interpersonal factors (social relations, emotional stability, security), intelligence processing (effective IQ, propaganda skills, observing and reporting), and agency/surgency (motivation, energy and initiative, leadership, physical ability). These factors are discussed in terms of their potential utility for personnel selection within the intelligence community.     

A comparison of aggressive and withdrawn children's self-esteem,optimism and pessimism,and causal attributions for success and failure

Aggressive children, withdrawn children, combined aggressive and withdrawn children, and children displaying neither aggressive nor withdrawn behavior were compared on three self-appraisal measures: (a) self-esteem, (b) attributions to ability and lack of ability following success and failure, and (c) optimism and pessimism about one's long-term personal future. From an initial sample of 583 elementary school children, independent and extreme groups were identified by combined ratings of teachers and classmates. Solely aggressive children had higher self-esteem than either solely withdrawn children or children who were both aggressive and withdrawn. The control group of children who were neither aggressive nor withdrawn had the highest self-esteem of all. The control group also attributed success to ability more than the two groups of children with high withdrawal scores but did not differ from the solely aggressive children. There were no significant differences among the groups in attributions to lack of ability following failure or in optimism or pessimism.We wish to thank Elliot Fielstein, Mariellen Fischer, Michael Klein, and Penelope Koburger for their assistance with data collection, and Elliot Fielstein and Matthew Tarran for their assistance with data analysis. We are also indebted to Bruce Compas for his helpful comments on an earlier draft of this paper.     

Parent and child causal attributions related to the child's clinical problem

Parents and children were asked to give causal attributions related to the child's learning or behavior problems and an area of success. Actor-observer differences and tendencies of actors to make differential attributions for their positive and negative outcomes were examined. A significant number of parents and childen were in disagreement regarding the cause of the child's problem. Parents made significantly more internal than external attributions for children's presenting problems. In contrast, children were evenly distributed in problem attributions. Both parents and children made significantly more internal success attributions. Research with clinical child populations is highlighted as a valuable way to validate, expand, and refine attribution theory while clarifying its practical applications.Portions of the data included here served as the basis for a presentation by the first author at the annual meeting of the American Psychological Association, New York, 1979. The authors wish to thank the Fernald research group for their comments, and the staff of the San Fernando Valley Child Guidance Clinic, the Fernald office staff, and Perry Nelson for assistance.     

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.     

Double-blind and triple-blind assessments of medication and placebo responses in hyperactive children

Hyperactive boys taking psychostimulant medication were studied using a randomized, placebo-controlled, crossover design. Behavior ratings and medication guesstimates were obtained for the boys when they were given methylphenidate (Ritalin) and when they were given a placebo. The ratings showed positive medication-related changes, and the guesses, done by independent judges, were significantly better than chance. The pattern of ratings for double-blind and triple-blind raters was identical. These results imply that positive psychostimulant effects are not attributable to rater sensitization or expectancy. The medication-placebo differences were highly reliable for the group comparisons and were in the predicted direction for 21 of 22 individuals, but the magnitude of the change for many individuals was not dramatic. Implications for child psychopharmacology research and differences between clinical and experimental significance are discussed.This research program was supported by NIMH grant MH 29475. Medications and matching placebos were supplied by CIBA. The authors appreciate the assistance of Howard Adelman and the staff of Fernald School, where the program was housed. We also appreciate the devotion of the entire research staff and the technical assistance of Doris Finck, Sharon Dotemoto, Joy Stapp, and George Mount.     

The making of a group psychotherapist: Needs and goals for graduate and postgraduate training

Group therapy is a widely practiced, effective, but underrated specialty. Unfortunately, group therapy seems to be taught more haphazardly, with less attention to quality, than is individual therapy. Group therapy has a technique, history, and literature of its own and should be taught independently from individual psychotherapy. The training of psychiatric residents is particularly crucial for group therapy to prosper and be seen as more prestigious. A common core of experience is vital for training in group therapy, whether the trainee's background is psychiatry, psychology, social work, pastoral counseling, or nursing. This core consists of: 1) clinical experience doing group therapy; 2) supervision; 3) a professional training group experience; 4) observation of experienced group therapists; 5) exposure to current thinking in the field; 6) personal group therapy; and 7) a didactic course in theory and technique. Clinical experiences involving cotherapy and combined individual and group treatments are especially useful, both as training and as treatment modalities.He is on sabbatical leave from John Jay College of Criminal Justice where he is Professor of Psychology and was founding Chairman of the Psychology Department.The authors wish to thank Arnold Rachman, Ph.D., Michael Lapidus, M.D., Fayek Nakhla, M.D., Nyapati R. Rao, M.D., and Dorothy Gartner, Ph.D., for their helpful comments on earlier versions of this paper, and Ms. Deloris J. Johnson for her typing and editorial assistance.     

Group climate in a stress discussion group for medical interns

In order to better characterize group process, the short form of the Group Climate Questionnaire (GCQS) was used to study a stress discussion group for medical interns. This group was found to be significantly different from a normative psychotherapy group sample along three major dimensions: Engaged, Avoiding and Conflict. The group members were cohesive, involved and open, yet respectful of each other's privacy. These results are discussed with respect to the group's goals and leadership.The authors thank George Fein, Ph.D., for statistical assistance.