Joining group psychotherapy: developmental considerations.

This article examines the experience of new members joining an ongoing psychotherapy group. The group's stage of development and the new member's personality development are suggested to be important variables in this significant event. The experience of joining is found to share some things in common with the beginning phase of group for the group as a whole, but also noted are some unique elements. The process of joining is viewed as a highly anxious event for the new member, with antecedents in the individual's life experience. The new member is compromised by not knowing the group members, nor their shared history, norms, and dynamics. Concurrently, the group may experience a range of fears, wishes, and anxieties about the new member. Developmental considerations for the new member and the stage of group help to inform intervention strategies.     

Psychodynamische Gruppenpsychotherapie

Scientific evidence on the criteria for indications for (psychodynamic) group treatment is still rare, although relatively high drop-out rates are reported for this setting. The majority of the criteria to exclude or to include a person into groups are based upon clinical experience. Instruments to select patients for group treatment and materials to prepare patients for a group therapy are briefly described. An attempt is made to review findings on the differential indications for psychodynamic group treatment. These findings indicate that, besides person-related characteristics, the compatibility between a psychodynamic treatment model and the expectations of a potential group member seems to be an important indicative criterion. Finally it is concluded that information about group therapy in general and motivation for the special form of group therapy intended is crucial for a good outcome.     

The Tempo of Verbal Interaction in an Open Therapy Group Conducted in Rotation by Three Different Therapists

This article examines the experience of new members joining an ongoing psychotherapy group. The group's stage of development and the new member's personality development are suggested to be important variables in this significant event. The experience of joining is found to share some things in common with the beginning phase of group for the group as a whole, but also noted are some unique elements. The process of joining is viewed as a highly anxious event for the new member, with antecedents in the individual's life experience. The new member is compromised by not knowing the group members, nor their shared history, norms, and dynamics. Concurrently, the group may experience a range of fears, wishes, and anxieties about the new member. Developmental considerations for the new member and the stage of group help to inform intervention strategies.     

The new member: "infanticide" in group psychotherapy.

While the variety of responses of psychotherapy groups to new members is wide, this article addresses those that are treatment destructive, that is, murderous in that they are aimed at the elimination of a new sibling. A number of frequently encountered destructive response patterns to new members are illustrated and categorized. It is suggested that survival of the new member is best insured by adequate preparation of the group so that the nucleus of powerful feelings activated in this situation can be felt and expressed prior to the addition of the new member. A clinical example of appropriate preparation is offered, and the contributions of group therapists to new member casualties are noted.     

The Character of Danger: Psychiatric Symptoms in Selected Communities: Vol. III. The Stirling Study of Psychiatric Disorder and Sociocul-Tural Environment by Dorothea C. Leighton,John S. Harding,David B. Macklin,Allister M. Macmillan,and Alexander H. Leighton

While the variety of responses of psychotherapy groups to new members is wide, this article addresses those that are treatment destructive, that is, murderous in that they are aimed at the elimination of a new sibling. A number of frequently encountered destructive response patterns to new members are illustrated and categorized. It is suggested that survival of the new member is best insured by adequate preparation of the group so that the nucleus of powerful feelings activated in this situation can be felt and expressed prior to the addition of the new member. A clinical example of appropriate preparation is offered, and the contributions of group therapists to new member casualties are noted.     

Culturally Adapted Psychosocial Interventions for Schizophrenia: A Review

Recent research examining the potential efficacy of culturally adapted interventions for various mental disorders illustrates increasing interest in the integration of cultural perspectives into mental health systems. Despite recent evidence demonstrating that culturally adapted interventions may be more effective than a one-size-fits-all approach, few psychosocial treatments for schizophrenia consider cultural factors that may enhance their efficacy with diverse populations. The aim of this review is to discuss the empirical evidence examining the potential utility of culturally adapted group interventions for schizophrenia, as a means to encourage further work and expansion in this area. Specifically, this article provides an in-depth review of the empirical literature on culturally adapted psychosocial interventions for individuals with schizophrenia and their family members, with a focus on group-based interventions. This review is followed by a discussion of a few cultural constructs that may impact patient and family member functioning, and therefore may be important to address in psychosocial treatments for schizophrenia. Finally, we end this review with a broad discussion of research limitations and potential areas for additional research, clinical implications for adapting EBTs to better address cultural concerns, and a case vignette to illustrate how cultural considerations can be integrated into a traditional multifamily group therapy approach.     

Conceptualization and measurement of family outcomes associated with families of individuals with intellectual disabilities

The purpose of this review is to (a) document the current status of conceptualizing and measuring family outcomes related to having a member with an intellectual disability and (b) determine the extent to which family research focuses on internal family characteristics as contrasted to external family support. The reviewers collected 28 articles using the terms well-being, adaptation, family functioning, or family quality of life in the title. Results of our analyses are presented as a comparison between well-being, adaptation, and family functioning articles in one group and family quality of life articles in a second group. Both groups lacked explicit conceptual definitions, theory, and random/representative samples. The articles placed an undue emphasis on maternal participation, and tended to report a single family member score as representative of the whole family. Two major differences between the groups was a tendency for family quality of life studies to be grounded in conceptual frameworks and focus on new instrument development. Recommendations for future research directions are included.     

Into the Wild: Working with Preverbal Experiences in a Group

This article begins with a metaphor of being in the wilderness at night to demonstrate the group analyst’s reliance on implicit experiences. The entrenched patterns of group members are rooted in a developmental phase before words and symbolization are available to manage distress. These group members enact in the here-and-now a relational dysfunction fixed in early attachment patterns. The defenses they induce resist interpretation and traditional analysis. The group analyst must be willing to sink into these non-verbal affective states expressed unconsciously yet communicated and to work with the member on an emotional, non-interpretative level. A brief review of affect regulation theory, attachment theory, and infant studies supports this treatment approach. Two vignettes follow to illustrate the nature of working in this visceral and intuitive manner while maintaining an observing ego.     

Group membership influences social control of perpetrators of uncivil behaviors

The present research examined bystanders' reactions to uncivil behaviors. We tested a proposed mediator of the effect by which bystanders are more likely to exert social control over in‐group compared to out‐group members. Participants were asked to report their likely reaction if they were to witness a woman throwing a plastic bottle into a flowerbed. Participants reported that they were more likely to express their disapproval to the woman if she was an in‐group rather than an out‐group member. This effect was mediated by the moral emotions that participants expected the woman to feel if they were to intervene: Participants expected the woman to feel more embarrassment and shame when she was an in‐group member, and this explained why they were more likely to exert social control toward an in‐group member than an out‐group member. Copyright © 2009 John Wiley & Sons, Ltd.     

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.     

Toward a broader view of social stereotyping

Stereotyping effects are typically considered to be assimilative in nature: A member of a group stereotyped as having some attribute is judged to have more of that attribute than a member of some comparison group. This article highlights the fact that stereotyping effects can also occur in the direction of contrast--or even null effects-- depending on the nature and form of the outcome being assessed (from the researcher's perspective, the dependent variable of interest). Relying on theory and research from the shifting standards model (M. Biernat, M. Manis, & T. F. Nelson, 1991), this review highlights the different ways in which and the factors that determine how stereotypes influence judgment and behavior toward individual group members.     

You Are What They Eat: The Influence of Reference Groups on Consumers’ Connections to Brands

The set of associations consumers have about a brand is an important component of brand equity. In this article, we focus on reference groups as a source of brand associations, which can be linked to one's mental representation of self to meet self‐verification or self‐enhancement goals. We conceptualize this linkage at an aggregate level in terms of self‐brand connections, that is, the extent to which individuals have incorporated a brand into their self‐concept. In 2 studies, we show that brands used by member groups and aspiration groups can become connected to consumers’ mental representation of self as they use these brands to define and create their self‐concepts. Results from Experiment 1 show that the degree to which member group and aspiration group usage influences individual self‐brand connections is contingent on the degree to which the individual belongs to a member group or wishes to belong to an aspiration group. In Experiment 2, we found that for individuals with self‐enhancement goals, aspiration group brand use has a greater impact on self‐brand connections; for individuals with self‐verification goals, on the other hand, member group use has a greater impact.     

Counterfactual discrimination

In counterfactual cases of discrimination, an agent would have treated someone worse had circumstances been different such that instead of being a member of her actual group, she was a member of some other group. The case for considering such cases to be genuine cases of discrimination is bolstered by the fact that we are inclined to say that cases where an agent would have treated someone better had she been a member of another group are discriminatory. But I argue that the cases are relevantly different: in one kind of case, but not the other, a person is harmed. I then consider and reject a number of objections to this suggestion.     

Individual psychotherapy as an adjunct to group psychotherapy

This paper describes a form of combined psychotherapy in which the individual sessions are used as an adjunct to group therapy. Each group member is seen regularly in individual sessions to focus primarily on the member's ongoing group work. The individual sessions are scheduled on a rotating basis. Typically, each group member is seen in an individual session once every four weeks. Additional individual sessions are available only when immediate attention is appropriate and necessary. The group is viewed as the primary therapeutic component. A cost-effective therapeutic approach that uses both individual and group methods, this modality lends itself well to a clinic and to a private practice setting.     

同伴互动小组结构对小学生创造性问题提出的影响

采用4（小组结构）*2（任务难度）混合实验设计,以149名小学四年级学生为被试,考察了在不同任务难度情景中,同伴互动小组结构对创造性问题提出的影响。结果表明：（1）与单独学习相比,同伴互动的学习方式更能促进学生创造性问题提出的发展;（2）小组结构对学生的创造性问题提出有显著影响,同质组、自选组学生的创造性问题提出得分显著高于控制组;（3）任务难度对学生的创造性问题提出有显著影响,低难度任务情境下的创造性问题提出得分显著高于在高难度情境;（4）小组结构与任务难度对学生创造性问题提出的影响存在显著的交互效应。     

Priming uniquely human emotions and the in‐group (but not the out‐group) activates humanity concepts

Documenting the behavioural consequences of infra‐humanization, Vaes, Paladino, Castelli, Leyens, and Giovanazzi ( 2003 ) found that, in comparison to in‐group members, out‐group members are discriminated against when they express uniquely human emotions. It was assumed that expressing a uniquely human emotion makes an in‐group member, at least tacitly, more human than an out‐group member. Two studies tested this assumption and found, as predicted, that the human concept was more activated in an in‐group compared to an out‐group context when group members were associated with uniquely human emotions. The possible impact of valence was controlled for, showing that both positive and negative emotions endorsed the same effects (Study 1) and that the activation of the human concept was not a side effect of increased positivity (Study 2). The discussion focuses on the implications of the present studies and suggests new avenues of research. Copyright © 2006 John Wiley & Sons, Ltd.     

Explanations for positive and negative behavior: the intergroup attribution bias in achieved groups

Previous research into intergroup attribution has addressed mainly the behavior of groups to which members are ascribed (e.g. gender, race). The attribution processes of groups of which membership is achieved (e.g. friendship groups) is less well understood, and the current study sought to address this. Fifty-five undergraduate participants were asked to explain the positive and negative behavior of a member of the in-group and a member of the out-group. As predicted, the participants attributed an in-group member's positive behavior more, and their negative behavior less, to internal, global, and specific causes than they did the corresponding behavior of an out-group member. There was also evidence that the participants employed a strategy of out-group derogation in their attributions: they made a higher intemality rating for an out-group member's negative behavior than they did for that person's positive behavior. It is proposed that the current study's use of achieved groups maximized participants' levels of group identification, and that this in turn motivated behavioral strategies aimed at protecting that identity.     

Explanations for positive and negative behavior: the intergroup attribution bias in achieved groups

Previous research into intergroup attribution has addressed mainly the behavior of groups to which members are ascribed (e.g. gender, race). The attribution processes of groups of which membership is achieved (e.g. friendship groups) is less well understood, and the current study sought to address this. Fifty-five undergraduate participants were asked to explain the positive and negative behavior of a member of the in-group and a member of the out-group. As predicted, the participants attributed an in-group member's positive behavior more, and their negative behavior less, to internal, global, and specific causes than they did the corresponding behavior of an out-group member. There was also evidence that the participants employed a strategy of out-group derogation in their attributions: they made a higher intemality rating for an out-group member's negative behavior than they did for that person's positive behavior. It is proposed that the current study's use of achieved groups maximized participants' levels of group identification, and that this in turn motivated behavioral strategies aimed at protecting that identity.     

The Lonely Crowd: A Study of Changing American Character by David Riesman; in collaboration with Reule Denny and Nathan Glazer

This paper describes a form of combined psychotherapy in which the individual sessions are used as an adjunct to group therapy. Each group member is seen regularly in individual sessions to focus primarily on the member's ongoing group work. The individual sessions are scheduled on a rotating basis. Typically, each group member is seen in an individual session once every four weeks. Additional individual sessions are available only when immediate attention is appropriate and necessary. The group is viewed as the primary therapeutic component. A cost-effective therapeutic approach that uses both individual and group methods, this modality lends itself well to a clinic and to a private practice setting.     

The function of the new member in an adolescent group

SUMMARY

In this paper we examine, through clinical examples, the impact a new member makes in an adolescent group. We were prepared for the disadvantages we felt would be experienced by the introduction of new members. However, we were clinically and theoretically interested in the way that new members brought extra space to the group, rather than diminishing it.