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.     

The Therapist Dissociates: Psychic Nodules and Group Process

I introduce the term nodule to call attention to the effects of a particular type of irruption into the therapist’s psychology, leading to dissociation. A preoccupying state of mind emerges that muffles, mutes, or blots outs other internal and external channels of communications. The therapist’s associations do not integrate usefully, furthering self-reflection and contributing to productive leadership. Rather, a nodule crystallizes as the therapist becomes preoccupied with an amalgamation of affects and feelings, fantasies, reality statements and suppositions, bodily states, actions, and actions-tendencies. I focus on the influence of psychic nodules on me, as a commandeered subject, and their effects on the communicative matrices (nodes) of three groups I led.     

Multiple family therapy for anorexia nervosa: concepts, experiences and results

Multiple family therapy (MFT) is an increasingly popular treatment approach for adolescents suffering from anorexia nervosa and their families. This paper describes the ingredients and different phases of this treatment, and outlines its indications and contra‐indications. Relationship patterns in families containing anorectic teenagers are examined, with a special emphasis on identifying areas for change in family relationships. Results with regard to the overall acceptability of the approach are presented.     

The use of structured experiences in family therapy

Structured experiences such as sculpting, psychodrama, rôle-play and growth games are frequently used in family therapy. This article puts forward a framework for the use of structured experiences which can be used in the context of a family session to ensure that the family will gain the maximum learning and change. Use of the framework is illustrated with examples from practice.     

Therapist Role in Narrative Group Psychotherapy

With its assumptions about the interpersonal origins of individual learning, narrative theory suggests certain leadership functions for group therapists: providing a perspective on how multiple meanings may be constructed about experience; leading the process of deconstructing individual narratives through careful questioning to distinguish persons from problems; enlisting participants in active awareness and engagement with group dynamics and group process; and enabling the co-creation of a group narrative through the development of a new community of conversations.     

The Masochism of the Group Therapist

With tongues firmly in cheek, the authors catalogue and explicate the many miseries of the group therapist. They hypothesize a deep well of masochism to account for the otherwise inexplicable tenacity of group therapists in forming and leading their groups.     

Client experiences of counselling and treatment interventions: A qualitative study of family views of family therapy

The case is made that personal experience and social life are inherently meaningful. The presence of meaning in human affairs requires all participants to develop interpretive skills if they are to understand what is happening. Researching social life is greatly helped by methods which acknowledge the hermeneutical quality of interpersonal experience. The use of qualitative research methods to investigate all aspects of counselling is therefore highly appropriate. To illustrate the use of qualitative research designs and methods of analysis, a study of family members' views of family therapy is briefly described.     

Therapist experiences of equine-assisted psychotherapy in South Africa: A qualitative study

This study examined therapists’ perceptions and experiences of equine-assisted psychotherapy (EAP). Participants were 14 practising EAP therapists (females = 86%; male = 14%; age range 20 to 69 years) from across South Africa. They were interviewed utilising electronic interview media. Thematic analysis revealed therapists perceived effectiveness of EAP in providing emotional and interpersonal growth for clients. They also identified training, safety and ethical concerns with this therapeutic modality. Therapists’ experiences with EAP were influenced by their prior interaction with horses as horse owners or horse riders.     

Client Choice of Therapist or Therapy

This article presents a rationale for client choice of therapist or therapy as an alternative method of matching. It discusses implications for clients, therapists, and helping agencies and reviews the limited research on the topic.     

Indications for selecting family or individual therapy

Indications for either individual therapy or family therapy as treatments of first choice are identified at the initial family assessment.
A family approach is suggested in (1) scapegoating systems where the symptom is essential to the family homeostasis; (2) enmeshed families where communications are confused and diffuse; (3) paranoid-schizoid families where the family denies the symptoms and (4) families in a current acute shared crisis.
Individual treatment is indicated when (1) the patient has suffered traumatic separations; (2) separate help is asked for; (3) the therapist considers individuation necessary and (4) unusual life experience. Clinical examples are given.     

Adolescent Group Psychotherapy: Collaborative Opportunity for Patients,Parents, and Therapist

This brief report examines the uses of an Observation Team with a Parent Support Group. In particular, attention is placed on the idea of the Observation Team acting as a Reflecting Team in the final session of the group's life. Using the Observation Team in this manner has evolved from an amalgamation of ideas from family therapy and group therapy theory.