Reactions of Outpatient Schizophrenics to Group Psychotherapy

Preoedipal patients present a special problem in group treatment. This is because their difficulties arose largely before they learned to use words. Such patients are prone to act. rather than talk. They do not respond well to interpretation. They must be approached and influenced through feelings. We can utilize the group to provide them with maturational experiences, helping them reach a more adult level of mental functioning so that our usual technical interventions can be brought into play. The paper discusses methods for enhancing this process, including reflection, emotional communication, using reconstruction to close developmental gaps, and immunization.     

Psychotherapy of Schizophrenics in Small Groups

Abstract

I describe aspects of a multimodal presentation sponsored by a professional organization of group psychotherapists, entailing lecture and discussion, a small demonstration or fishbowl group, and a large group experience. As the invited presenter, I was being counted on to attract attendees, to stimulate and maintain their interest, and to draw enthusiasm to the host organization and its future conferences. This required, in short order, promoting cohesion, establishing norms, and creating a safe enough culture to embrace challenge, to take risks, to learn, and to seek help. Events occurring in both the larger and smaller groups were to be utilized for the benefit of the individuals and the groups themselves, to make the experience interesting and sufficiently compelling, to teach the basic principles promised by the conference’s theme, and to demonstrate technique. Dysfunction or negative consequences were to be avoided. My mode of leadership was perceived by some as positive if not outrageous, but for others it just provoked outrage. Perhaps such reactions are to be expected whenever a leader challenges a group to experience and think in new ways. I tried to utilize the ensuring controversy to illustrate the conference’s topic: loving, hating, and curiosity—group processes of resistance, rebellion, and refusal.     

Intensive Gestalt Group Therapy with Schizophrenics

Abstract

Teaching group therapy is an essential aspect of graduate studies within the helping professions. Existing models discuss four basic elements required for such training: experience, observation, supervised practice, and theory. The present paper offers a model for a group therapy seminar based on these four elements and organized along developmental concepts. Clinical observations of 120 psychology students who participated in the seminar were gathered over a five-year period. Teaching techniques included supervised observation, fish-bowl, one-way mirror, and a final paper integrating theory and practice. The seminar enabled students to practice and to theorize about group processes, both as participants and as co-leaders. Seminar outcomes and conclusions are discussed.     

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.     

Group Psychotherapy with Latency Age Boys

This study examines the confidentiality practices of highly experienced, well-trained group psychotherapists. A provocative finding was that practitioners rarely inform prospective clients of confidentiality limitations. Their reluctance to do so appears to be based upon the belief that it might discourage persons from entering treatment, as well as having negative ramifications for the therapeutic process (e.g., members may be less likely to talk about unprotected topics). The prevalence and content of breaches in confidentiality are explored. Ethical, legal, clinical, and educational implications of these and other findings are addressed. Research recommendations are offered.     

AIDS Group Psychotherapy

Abstract

Clinical data are presented from a day spent at a New Jersey high school severely impacted by the World Trade Center disaster. Dissociation, a sense of numbness, anger, and guilt about feelings induced by the tragedy are all common dynamics in adolescents responding to trauma. The developmental issues that adolescents are confronting are described and discussed in terms of the challenges they present to the healing process. An argument is made that using groups to aid in the long recovery process with our young people should be a top public health priority.     

Outpatient Group Therapy with Convicted Pedophiles

Abstract

There is ample theory and research about group therapy, dream work, and bereavement as separate subjects. However, there is little written specifically about utilizing dream work in bereavement therapy groups. Using the Foulksian group analytic model, dreams in one particular bereavement group (for parents of children killed in a terrorist action) were interpreted in such a way as to help members access deep unconscious feelings. This helped facilitate a fuller and more complete mourning process. The analytic, dream interpretive activity also helped overcome resistance in the group-as-a-whole and thereby facilitated movement through group development phases.