Factors Perceived as Helpful by the Members of Self-Help Groups: An Exploratory Study

The factors perceived as helpful by members of three different types of self-help groups are examined, using the 12 factors identified by Yalom as operative in group psychotherapy. Questionnaires were given to 45 members of self-help groups, asking for their views of the most and least helpful aspects of their experiences of their group, and for their judgement of its effectiveness. Results indicated that members of a group concerned with social and personal support in the face of a socially problematic situation (widowhood) found the experience of Universality to be the most helpful factor, while Self-Disclosure was least helpful. Members from a group for the physically sick (asthma sufferers) also reported the least helpful factor to be Self-Disclosure, but said that the most helpful factor was Guidance. By contrast, the group concerned with providing 'therapy' for depressives reported Cohesiveness to be most helpful, and Guidance to be least helpful. Comparison with other studies using similar methodologies with different group populations suggests that the factors likely to be effective in self-help groups for the socially unsupported and physically sick on the one hand, and for the psychologically disturbed on the other, may differ.     

Practicum of Group Psychotherapy

Abstract

Many studies on therapeutic factors in group psychotherapy were done during the 1970s and 1980s, primarily with Western samples. The present study was carried out in a psychiatric inpatient clinic in Turkey. Using Yalom’s (1975) therapeutic factor questionnaire administered at discharge, patients rated existential factor, instillation of hope and self–understanding as the most helpful factors and identification as the least helpful. There were significant differences among patients with regard to gender, age, education, and comorbid personality disorder, but not with Axis I diagnosis or number of attended sessions. Patients’ and psychiatrist’s ratings showed significant differences. Differences between this Turkish sample and those reported in common Western literature are discussed under the light of relatedness psychology, which is an important concept of cross–cultural psychology.     

The Art of Bridging Revisited

The importance of connecting group member to member is highlighted in this article. Basically, its value is in finding creative ways to join members together. The article highlights the importance of emotional communication. I look at similarities with other group therapists, particularly exploring those between Ormont and Yalom. It is the goal of this article to highlight how this technique can be of importance for all group therapists. Clinical examples of connecting members from beginning to intermediate and advanced levels are highlighted. A selected literature review is included.     

Qualitative analysis of experiences of members of a psychoeducational assertiveness group

This study describes qualitatively a psychoeducational assertiveness intervention for 20 women's perceptions of positive and negative experiences, undertaken to identify whether therapeutic mechanisms operating in group therapy as described by Yalom might be inferred. There were 14 90-min. weekly sessions organized around educational material. Two groups were conducted with 10 university women each (M= 20.9 yr., SD= 1.9). Qualitative analysis of the 20 interviews identified five of Yalom's therapeutic mechanisms, namely, self-understanding, universality, acceptance, catharsis, and self-disclosure. The positive experiences were group cohesiveness, self-understanding, self-disclosure, positive views about the self and learning, and cognitive benefits. Self-disclosing at the early stages of group development was the most frequently reported negative experience or difficulty in the group. Although participants stated they improved interpersonal communication skills, analysis suggested the cultural context was an important mediator of assertive behavior.     

Self psychology and its relationship to the practice of group psychotherapy

This article discusses self psychology as a theory of personality development and conceptual framework for diagnosing psychopathology. It seeks to show how specific components of this theory, including selfobjects, bipolar self, mirroring, tension arc, and nuclear self, can be compared with the "curative factors" of group psychotherapy, as presented by Yalom (1975). These include altruism, group cohesiveness, universality, interpersonal learning, guidance, and family reenactment. Existing literature is used to explain both theories and develop their synthesis.     

Experiences in Groups by W. R. Bion

This article discusses self psychology as a theory of personality development and conceptual framework for diagnosing psychopathology. It seeks to show how specific components of this theory, including selfobjects, bipolar self, mirroring, tension arc, and nuclear self, can be compared with the “curative factors” of group psychotherapy as presented by Yalom (1975). These include altruism, group cohesiveness, universality, interpersonal learning, guidance, and family reenactment. Existing literature is used to explain both theories and develop their synthesis.     

Inpatient adolescent and latency-age children's perspectives on the curative factors in group psychotherapy

Thirty-three adolescent and 11 child psychiatric inpatients were administered a downward revision of Yalom's (1970) 60-item Q-sort, which sets forth 12 putative curative factors of group, to assess patient perceptions of which factors in group therapy are most curative. The impact that age, patient level of functioning, and time in treatment had on which factors were most valued was assessed. Patient perceptions of the value of group compared to other treatment modalities were also assessed. Both child and adolescent subjects highly valued the factors of Hope, Cohesiveness, and Universality. Patients' level of functioning had limited effects on adolescents' perceptions, but did effect children's perceptions of what was most valued in group. The modest effect of time in treatment was attributed to the short duration of inpatient treatment. Implications for inpatient adolescent and child group therapy and future research are explored.Appreciation is extended to Mary Kelly, Elly Cobb, and Anna Csaky-Chase for their conceptual and editorial assistance.     

Body image and exercise: A study of relationships and comparisons between physically active men and women

A group of physically active women (n=112) and men (n=88) of a broad range of ages were compared on a number of variables related to body image, weight and diet concerns, and degree of exercise participation. Interrelationships between these measures were also examined. Results indicated that men and women were equally dissatisfied with their current weight. Although most women wanted to lose weight, the men were evenly divided between those who wanted to lose and those who wanted to gain. Women, however, were more dissatisfied with their bodies and placed greater importance on their appearance as an influence on their feelings of well-being. Although there were no sex differences in degree of physical activity, women were more likely than men to exercise to try and lose weight. Of interest was the finding that age was not related to body focus or body dissatisfaction for either sex. For women and older men, the degree to which they exercised was not associated with any of the body image variables. A very different pattern of relationships was found for young men. Greater body satisfaction was associated with increases in exercise participation and with increased body focus, a variable that was also associated with increased levels of exercise. The profile of results is considered in the context of social influences such as health promotion and sex roles — factors that have likely affected current attitudes to physical appearance and physical attractiveness among both sexes.     

Therapeutic factors in two forms of inpatient group psychotherapy: Music therapy and verbal therapy

Therapeutic processes in one type of creative arts group psychotherapy, music therapy, were compared with verbal group psychotherapy. Sixty-one short-term inpatients ranked group psychotherapy curative factors and completed satisfaction ratings. Therapists rated 201 group therapy sessions— 109 music therapy and 92 verbal therapy. Statistical analysis revealed that patients highly valued both group formats. The mean curative factor rankings for both groups included cohesiveness, instillation of hope, and altruism among the most helpful factors. Therapists' ratings indicated qualitative differences between the two groups. Music therapy involved more therapeutic interaction among patients and emotional expression, whereas verbal therapy emphasized concrete problem solving.Supported in part by Biomedical Research Support Grant Program grant #S07-RR05755 from the Division of Research Resources, National Institutes of Health.     

Therapeutic factors in a systemic multi-family group treatment for major depression: patients' and partners' perspectives

This study investigated helpful and disturbing factors in multi-family groups with hospitalized, depressed patients and their family members. Both patients and their partners reported the occurrence of different therapeutic factors such as the cohesion of the group, different observational processes, and guidance from the therapist. The frequency of the therapeutic factors seemed to increase for both the patients and their partners as the group sessions progressed and several differences in reported therapeutic factors were found between the patients and their partners. A number of therapeutic factors such as modelling and guidance from the therapist were found to be related with improvement of depressive symptoms of the patient. The results help to provide some insight into which processes are important in multi-family group therapy for depression.     

WOMEN'S PERSPECTIVES ON FEMINISM

This Q-methodological study identified and described women's multiple perspectives on feminism. Fifty Q-sort items reflecting various perspectives represented in feminist theory were developed. These items were rated by 59 women along a "most agree"–"most disagree" dimension Principal components analysis was used to identify groups of women who sorted the items in similar ways. Six distinct points of view were identified in the Q-sorts, five of which are discussed in detail. The five perspectives were interpreted and labeled based on the examination of the Q-sorts of the participants in each group. Follow-up interviews with selected participants also contributed to the understanding of these perspectives. The research demonstrates the multidimensional nature of the feminism construct. Future research on feminism should recognize the multiple ways of conceptualizing feminism in order to represent the construct as women experience it.     

Die Praxis der Konzentrativen Bewegungstherapie (KBT)

In a survey the 458 members of the German Association for Concentrative Movement Therapy (DAKBT) were asked in a questionnaire, to answer the question how the actual therapeutic practice of Concentrative Movement Therapy (KBT) in Germany looks like. They were asked about their therapeutic setting, the patients diagnoses and the duration of treatment. 67.5% of the questionnaires were sent back. 191 of those who answered, are working as professional psychotherapists, 62.8% of them with out-patients, 51.3% in hospitals, 17.8% in both therapeutic fields. Besides group psychotherapy most of them offer individual therapy, especially with out-patients. It is shown, that besides psychosomatic disorders (being a wellknown indication) KBT is also applied in a broad variety of other psychic disorders. Half of the outpatient treatments is finished within 50 meetings. Female patients and patients with personality or eating disorders show up a greater number of contacts in out-patient individual treatment. The results verify that in practice KBT is no longer confined to a supplementary group therapy.     

Beneficial factors in family discussion groups of a psychiatric day clinic: perceptions by the therapeutic team and the families of the therapeutic process

This paper reports a pilot investigation of the perception of helpful events by the therapeutic team and the families in two family discussion groups (FDGs) of a psychiatric day clinic. All participants of the FDG, including therapists and observers, filled in questionnaires measuring events helpful for the individual, for the family and for the group after each FDG session. The results showed that the therapeutic team and the families diverged in their overall perception of which factors were important in family discussion group therapy. The therapeutic team saw the relational climate and the structural aspects of the group (including group involvement and support from the group), and specific therapeutic interventions as more helpful than the families. The process aspects in the group members (including the experiencing of communality and gaining insight) were, on the other hand, more frequently mentioned by the families than by the therapeutic team. The clinical implications of these findings and suggestions for future research are discussed.     

WOMEN'S RESPONSES TO STATUS INEQUALITY

This study examined women's responses to status inequality using the theoretical framework of Social Identity Theory (SIT). Accordingly, it was predicted that three mutually exclusive clusters of responses would be distinguished: individual mobility, social creativity, and social competition. Fifty women participated in a Q-sort study where the statements used reflected these three strategies. Four main factors emerged in factor analysis. Although some elements of the emerging factors were consonant with Social Identity Theory, important differences were also found. Thus, findings suggested that women draw simultaneously on different ideologies to make sense of their social situation. Furthermore, there was no evidence to suggest that strength of identification with one's own sex group is related to choice of strategy.     

Therapeutic factors in interactional inpatient groups: Results from a Turkish sample

Therapeutic factors in an inpatient group from Turkey are presented. A total of 40 patients were seen over a period of 2 years and each patient was given Yalom's (1983) 60-item therapeutic factor list on discharge. The first four most valued therapeutic factor groups were Catharsis, Existential Factors, Cohesiveness and Hope. There were significant differences in the highly valued factors in different diagnostic groups. Patients with diagnoses of anxiety/somatization and borderline/identity problem preferred factors resembling those in many out-patient studies. The results are discussed in the light of relevant literature.     

Psychological well-being and homemaker vs. retiree identity among older women

Social roles have been a central focus in both sociological and developmental theories of adjustment in late life. Research on roles and well-being, however, has focused on earlier adulthood or on comparisons of tenuous roles (such as retiree) with institutional roles (such as employee), especially among men. The few studies comparing older women in the tenuous roles of homemaker and retiree all compare single-role women, and show contradictory results. One possibility is that multiple role identities are linked to greater well-being in older women, as they are among younger women. In this paper the life satisfaction, depression, and self-esteem of older women who consider themselves retired only, homemakers only, or both are compared. The sample includes 864 Black (N=242) and White (N=622) women ages 60 and over from a 1986 national survey. Retired women and homemakers did not differ in well-being; women who called themselves both had higher self-esteem and lower depression than single-role women. In analyses exploring what tenuous role content (daily activities) might explain group differences in well-being, do-it-yourself activities and volunteer activities were significant. Age, education, health, and marital status were also important factors. Recommendations include adopting a multiple role perspective with older women and encouraging their participation in instrumental, informal role activities to maximize well-being.Northwestern University     

Women's disclosure of sexual abuse

Abstract

In this qualitative study of women who have experienced nonconsensual sexual activity, participants were asked to write accounts of their experiences focusing on what motivated them to confide in someone, to whom they confided, what the outcome was, and how it effected them. Participants had to be female and 18 years of age or older, and they had to have been sexually abused at some point in their lives. A total of 10 women participated. Nine of the women wrote about an abusive experience that happened to them as a child, and one wrote about an experience that occurred in adulthood. The participants wrote that they were able to disclose their past sexually abusive experience because they felt safe with the person to whom they confided, they felt they needed help, and the opportunity presented itself. They were more likely to disclose to non-family members than family members, and the majority of the people they disclosed to had a positive reaction. Consequently, most of the women in this study were positively affected by their disclosure. Findings of this study are similar to those of other studies on disclosure and sexual abuse.