Jerome Frank: Persuader and Exemplar

Jerome Frank, psychologist and psychiatrist, was interviewed about his personal development, significant others, professional contributions, the psychotherapeutic professions, and his commitment to nuclear disarmament.     

Intensive Group Psychotherapy by George R. Bach

Emotional insight, is essential in order for therapeutic change to take place. Profound resistances to experiencing expressing, and understanding emotions are present in group members, the group as a whole, and the group therapist. Reasons for the three types of resistances are described. Specific therapist attitudes and therapeutic techniques are suggested to understand and effectively work through resistances at individual, interpersonal, and whole-group levels. Examples are given from an ongoing therapy group to illustrate the processes of understanding and working through resistances. Resistances on the part of the group therapist are identified and their possible effects on the group's resistance are explored.     

Methods of Group Psychotherapy by Raymond J. Corsini

Abstract

I call attention to the metapsychology of sense, and the role sense plays–phenomenologically and symbolically–in the life of the clinician and the group. Each group member asserts influence in taking a role as the perceiver and the perceived, the senser and the sensed. We reach for sense, for without sense reference, we cannot grasp or even talk about psychic reality. It serves as sign and symbol, as metaphor, analogy, illustration, and model. Sense fixes experience yet may fixate experience and interfere with developing abstract thoughts. Clinical vignettes illustrate how the leader may utilize his or her particular clinical sensibility to reach the group and focus attention, to link sense to psychic qualities: to the personality of the members, the group culture and process, and the live clinical interaction.     

Entrevista con J. D. Frank

RESUMEN

Jerome Frank, posiblemente el autor más provocativo en la línea de considerar que las psicoterapias pueden ser placebos o que éstos deben considerarse como auténticas terapias, responde en la entrevista a algunas de las cuestiones que su reconocimiento de los factores comunes a todas las terapias han planteado a otros profesionales. Comienza explicando que desde la publicación de Persuasion and Healing se han acumulado más datos a favor de su hipótesis de la desmoralización, e introduce algunas clarificaciones terminológicas en relación con el “efecto placebo”. Seguidamente aborda, entre otras, cuestiones tales como las características que se deben considerar al diseñar un grupo control placebo, cómo deben emplearse éstos en el campo de la psicología clínica o su defensa del terapeuta ecléctico, finalizando con algunos comentarios acerca de la eficacia de varias formas de psicoterapia.     

Group Treatment in Psychotherapy by Robert G. Hinckley and Lydia Hermann

A recently completed clinical trial that investigated the effectiveness of a group-oriented, day treatment program provided an opportunity to pursue a multidimensional approach to the prediction of treatment outcome. The sample consisted of 99 psychiatric outpatients, most of whom had received diagnoses of affective and personality disorders. The predictor variables included a patient personality characteristic (psychological mindedness), a group process variable (patient work), and their interaction. Univariate analyses revealed significant direct relationships between psychological mindedness and both work and favorable outcome, and between work and favorable outcome. Multivariate analyses indicated that psychological mindedness and work had independent significant relationships (additive or interactive) with several of the outcome variables. In combination they accounted for up to a quarter of the outcome variance. The results demonstrate the benefit of using a theoretically consistent multidimensional approach. The time-efficient nature of the predictor measures used in the study make them particularly amenable for use by clinicians and researchers.     

Screening for Psychotherapy by an Open-Ended Group

A developmental model of conducting a time-limited, short-term inpatient psychotherapy group is described. The therapist's primary goal in this model is to promote members' awareness of their dysfunctional interpersonal behaviors and the conflicts underlying these behaviors. The therapist pursues this goal by facilitating the group in resolving the conflicts of the four phases through which the group passes. In Phase I, the group addresses conflicts related to the establishment of trust. In Phase II, issues related to dependency wishes focused upon authority figures occupy the group's attention. In Phase III, conflicts within peer relation-ships become focal. In Phase IV as the group approaches termination, group members explore feelings related to the acceptance of loss. For each phase, optimal therapist interventions are described.     

Group Counseling and Group Psychotherapy with Rehabilitation Clients

An instrument designed to measure components of two distinct alcoholism aftercare treatments was developed and evaluated for reliability and validity. Trained judges reliably rated audiotaped samples of coping skills and interactional group therapy sessions. Coping skills groups engaged in significantly more education and skill training, problem solving, and role playing. Interactional groups showed more interpersonal learning, expression/exploration of feelings, and here-and-now focus. Groups that employed more education and skill training, less expression and exploration of feelings, and less her e-and-now focus were associated with fewer members reporting subsequent drinking-related problems. None of the ratings of group activities was related to abstinence.     

Analytic Group Psychotherapy with Children,Adolescents and Adults by S. R. Slavson

Abstract

A model of inpatient group psychotherapy that focuses on two frequently observed patient subgroups reflecting contrasting attitudes toward authority is presented. The counterdependent subgroup overly values autonomy, opposes unit restrictions, and rejects treatment. The dependent subgroup tends to accept the unit’s treatment and structure but is overly passive. In this model these attitudes are addressed in order to help patients adapt to the unit and to facilitate discharge. The author describes a three–stage group designed to help patients achieve these goals.     

A Practicum of Group Psychotherapy by Asya L. Kadis,Jack D. Kramer,Charles Winick,and S. H. Foulkes

The dwelling on personally significant past experiences, reminiscence, is a common phenomenon, particularly among the elderly. This paper explores the potential value associated with the use of reminiscence in group psychotherapy, particularly with elderly populations. After reviewing the various functions (both adaptive and maladaptive) that reminiscence could serve in geriatric group therapy, the paper presents specific guidelines toward maximizing its therapeutic value.