Limited Goals in Short-Term Group Psychotherapy with Institutionalized Delinquent Adolescent Boys

This paper applies a specific view of familylike dynamics to psychoanalytic group psychotherapy. Pathological forms of protectiveness and scapegoating are both involved in which the symptomatic individuals maintain an enmeshment with the group which saves them from anxieties associated with change. As the scapegoat, the problem patient becomes the spokesperson for a group transference involving the therapist(s), group members, and a developmentally internalized family. The primary technical error is the tendency for the therapist, in the guise of appropriate technique, to unconsciously collude with a scapegoating process thereby discouraging differentiation and growth. Viewing the group from the perspective of pathological versus healthy forms of family interaction helps to highlight certain problems in the therapist's interventions.     

青少年抑郁症患者的团体人际心理治疗

青少年抑郁症患者的团体人际心理治疗是建立在人际心理理论基础之上,具有循证医学理论依据的心理治疗方法.它是将原本应用于治疗成人抑郁症的人际心理治疗理论和程序经过修正后应用于青少年抑郁症的治疗.实践表明,青少年抑郁症的团体治疗目标明确,实施领城广泛,具有校为明显的疗效和多方面的积极作用.但是该疗法仍然有许多未解决的问题,需要更进一步的理论突破和实务研究.     

Group Psychotherapy in the Treatment of Acute Emotional Disorders

The authors have constructed a Dutch version of Yalom's “Questionnaire for Curative Factors.” This Dutch version has been administered to 134 participants of 22 psychotherapy groups in various psychiatric services in the Netherlands. Results concerning validity and reliability of the instrument are presented, as well as concerning the homogeneity of the hypothesized “factors.” Differences between types of groups and categories of group members were tested by means of techniques of analysis of variance (ANOVA). Multiple regression analysis was applied in order to detect variables of differential qualities on one or more factors. Only the factor identification, neglected in literature on curative factors, was highly predictable.     

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.     

An Analysis of Co-Therapist Interaction in Group Psychotherapy

Practitioners are often faced with the decision about when to recommend individual or group treatment for clients. By reviewing the clinical and the research literature, this article examines the indications and the contraindications for group treatment. Results of the research literature review suggest that group treatment was more effective than individual treatment in 25 percent of the studies. Group treatment was also found to be more efficient than individual treatment in 31 percent of the studies reviewed. However, the research literature did not yield a clear pattern regarding the types of problems most effectively treated in groups. In contrast, the clinical literature does offer some valid and cogent guidelines which are described in the article.     

Group Psychotherapy: A Behavioral Approach

Abstract

This clinical report highlights some of the processes arising in a therapy group of persons with persistent and chronic psychiatric illnesses as they cope with the stress of their long–standing therapist’s impending retirement. Members were initially disbelieving that the therapist would leave and were also concerned about their future care, particularly in terms of medications. Gradually they were more able to experience their feelings of loss and their genuine caring for the therapist and the group, using higher level defenses and increasing their ability to tolerate strong affects. They became increasingly able to demonstrate empathy, notably in their ability to consider the therapist’s emotions. The clinical material also illustrates the therapist’s personal involvement, countertransferences and expressions of concern.     

The Efficacy of an Integrated Theoretical Approach to Group Psychotherapy for Male Inmates

To assess the efficacy of an interpersonal process-oriented and cognitive-behavioral group psychotherapy program, 36 incarcerated male adults were assigned to either a treatment group (n = 20) or a no treatment control group (n = 16). Outcome measures consisted of paper-pencil self-report instruments, institutional behavioral data, and structured interviews with the group therapists (n = 3). Results indicated no significant changes in inmates' level of defensiveness, empathy, or institutional behavior; however, the inmates reported universally positive reactions to the treatment program. The group therapists also perceived the treatment program as efficacious, particularly in fostering a cohesive group atmosphere and increasing inmate responsibility for group leadership. Implications for practice and research are discussed.     

Objective Evaluation of the Process and Effects of Analytic Group Psychotherapy with Adolescent Girls

This article, written from a relational perspective, describes a shift that is taking place in the thinking of many psychodynamically oriented psychotherapists regarding the practice of therapy and the implications it has for group therapists. The shift, from one-person to two-person and multiperson theory, has particular importance for group leaders since it recommends making the subjective involvement of the therapist in the interactional field of the group much more a part of the treatment process. Theory and research on the use of countertransference, noninterpretive interventions, humor, and spontaneity by the leader are reviewed and vignettes are presented to illustrate the application of these ideas. Guidelines regarding the application of such ideas in group therapy are also discussed.