Gestalt therapy interventions for group counseling

Much interest has been focused on Gestalt therapy in recent years. Many counselors, however, are unfamiliar with this style of therapeutic intervention. The author offers a brief introduction to some of the basic tenets of Gestalt therapy, noting goals that are similar to those in counseling theories. He also suggests several interventions from Gestalt therapy to be considered for group counseling and discusses their applications.     

Family therapy with incest

Intervention to interrupt the cycle of incest poses unique considerations for the clinician. This paper presents a multilevel intervention model making use of the family system and subystems within it to interrupt the incest cycle. The discussion provides a perspective for the clinician for intervention with such families including the use of dyads: Husband-wife, father-daughter, mother-daughter. It focuses on the central importance of strengthening the marital dyad while providing support for realignment of dysfunctional coalitions which allowed for the emergence of the incest cycle. Boundaries, collusion, the use of the therapy team, and implications for treatment are integral to the discussion.     

A short-term group therapy model for treatment of adult female survivors of childhood incest

Childhood incest has been experienced by a minimum of one million American women. Because of the dynamic of secrecy in these families and society's discomfort with the issue, disclosure frequently does not take place until adulthood. A treatment modality for adult women following disclosure of a childhood incest experience has been devised. A short-term semi-structured group model has been chosen which creates an atmosphere of rapid cohesion and helps participants broaden their identity beyond that of victim. This paper reports participants' demographic and historical data as well as thematic content and group evaluative data from the first nine such groups conducted in a major health maintenance organization in the Boston area. Findings suggest that childhood incest has widespread and long-lasting effects on women's functioning, including ability to trust and form relationships, emotional functioning and self-esteem, and the ability to protect self and children from victimization. The group was felt to be extremely valuable by the majority of participants and was experienced by many as the first place they ever found safety, unconditional nurturance, and a sense of belonging. Other findings include the repetition of incest over generations, the nonresponsiveness of adults in cases where disclosure had taken place in childhood, and the importance of an empathic yet well-bounded therapist.     

Space and holding: Beginning pastoral counseling with incest victims

A case study of an adult victim of incest is considered in terms of space and holding, relying especially on the work of D. W. Winnicott. Reference is made to the effects of sexual abuse as reported in the literature. The situation is considered theologically in terms of evil and rage, holding, and character and faithfulness. Reference is made to Scripture and to character ethics. The pastoral counselor's own character is understood to be his/her primary resource in the therapy process.     

Multiple-family group counseling

This article describes the innovative, short-term approach of multiple-family group counseling in which the counselor applies the principles and dynamics found in family and group counseling to the treatment of the student—in this case, the “identified client” and his family. In an attempt to provide an effective and economical therapeutic experience of practical value to the school system, several family units meet together to discuss some of the personal-social problems that adversely affect the adolescent and result in the acquisition of maladaptive behaviors within the school setting.     

The pastor's role in counseling the depressed

Pastoral Psychology -     

Organizing for group counseling

Young people who participate in group counseling need help in understanding the goals of the group because these goals may otherwise act as hidden agenda items and because they have no norms for understanding whether or not the group is functioning effectively. A three-step process described here is designed to increase member commitment and understanding of the group: first, a self-selection process, second, an intake interview procedure, and third, a discussion of sharing goals.     

The role of visioning in the pastoral counseling movement

Throughout its history, pastoral counseling has manifested a dynamic play between visioning and praxis. Frequently this interface has taken the form of issues, e.g., the identity issue, the theological question, the ecclesiastical relationship, and the paradigm matter. Such visioning and revisioning provide the movement with élan and should be encouraged through greater interaction with classical fields and scholars, by intensive research focused on the kinds of theological students attracted to pastoral counseling, and by stressing the importance of responsible visioning to those presently committed to the pastoral counseling movement.Dr. Strunk is Professor of Psychology of Religion and Pastoral Psychology in the Boston University School of Theology and in the Division of Theological and Religious Studies of the Graduate School of Arts and Sciences; a Clinical Supervisor in the Albert V. Danielsen Institute for Pastoral Counseling; and a consulting psychologist to the Ecumenical Counseling Service, Inc. in Melrose, Massachusetts.     

The process-observer in group therapy

This case study describes the inclusion of a nonverbal, trained process-observer into therapy groups for parents having severely disturbed family systems. The observer remained nonverbal during the sessions while taking notes to be used in writing a one-page clinical summary, which was mailed to each group member. The process-observer was included to improve the clients' initial involvement in dealing with personal problems and as a catalyst for group development. Among the important functions of the written summaries were: reduction of initial anxiety, focusing the group on important issues, enhancement of continuity across sessions, and promoting therapeutic work between sessions. The observer was also valuable in providing feedback to the therapists. Specific guidelines for the use of a process-observer are provided.     

the poem as catalyst in group counseling

Poetry has always sung the human themes of joy and suffering, discovery and loss. In this article the author describes the use of poetry in group sessions to help members identify and express feelings and to explore new ways of being. The author hopes, through illustration, to stimulate counselors and therapists in various settings to include poetry as part of communication, healing, and growth.     

Ethical and legal issues in group counseling

Legal and ethical issues involved in group work are reviewed and discussed. Variations in different professional ethics codes are discussed. Recommendations for consideration by group leaders are made.     

Dear diary: logs in group counseling

Logs written by group members after a session can be a powerful tool in group counseling. This article explores the uses of logs and suggests how they can further the success of group counseling in all settings. If used properly they heighten the awareness of personal and group dynamics and smooth the flow of communication.     

Sexual counseling and therapy

Abstract

This article is an edited version of four interviews conducted with Dr. Ivan Boszormenyi-Nagy in the Spring of 1980. The interviews ranged in content from Dr. Nagy's early training and influences to the theoretical and clinical foundations of contextual family therapy. This article focuses on the major constructs of contextual family therapy. Since this approach is often viewed as highly theoretical and conceptual in nature, it may be helpful to the practitioner to see how Dr. Nagy uses these constructs in a clinical situation. As a practitioner, I have found his theory extremely useful in conceptualizing the family system, and also in developing a treatment strategy. Hopefully, the questions asked of Dr. Nagy in these interviews will be of interest to other family therapists who are concerned with the clinical aspects of family therapy theories.     

Situational group counseling with disadvantaged youth

Male adolescents in a job training program for culturally disadvantaged youngsters were provided with 14 weeks of on-the-job situational group counseling (SGC) to supplement more conventional casework approaches. Interdisciplinary teams of group leaders met with work-training crews for discussions designed to facilitate exploration of issues relevant to the present life situations of the trainees. Trainees who met twice weekly showed greater improvement in job performance and in overall adjustment than did those meeting once per week, while control subjects who did not receive counseling showed less gain than either of the counseled groups.