The impact of observers on group process and content

The observer's impact on the process and content of over fifty, two-day, intensive training groups was evaluated by leaders, members, and observers. There was general agreement across the three perspectives that the observer's influence was significant and potentially negative. The group members experienced the observer as more intrusive than did their leaders. The effects were predominantly indirect, and reflected in the content of group interactions both during and after the observer's visit. Results are discussed in terms of their clinical implications, and recommendations are made for how leaders may maximize the therapeutic potential of the observer's contributions.     

The effect of affective bibliotherapy on clients' functioning in group therapy

Abstract The effect of affective group bibliotherapy (GB) was compared to affective group therapy (GT) on patients' functioning in therapy and their session impression. Three small groups totaling twenty-five in-patients in a hospital in Israel participated in the study. Clients concurrently participated in both group types, undergoing three sessions in each condition. In-therapy behaviors were assessed through the Client Behavior System (CBS; Hill & O'Brien, 1999). Results indicated that in the GB condition compared to the GT condition, clients showed less resistance, used simple responses less frequently, and expressed greater affective exploration. The Session Evaluation Questionnaire (SEQ; Stiles et al., 1994) was used to measure clients' impressions of the sessions. Results indicated that patients evaluated the two treatment conditions equally. Overall, the results support earlier findings, suggesting that affective bibliotherapy can be an effective method of treatment.     

The effect of witnessing consequences on the behavioral recordings of experimental observers

The cueing effects of interviewer praise contingent on a target behavior and expectation of behavior change were examined with six observers. Experiment I investigated the effect of cues in conjunction with expectation. Experiment II assessed the relative contributions of cues and expectation, and Experiment III examined the effect of cues in the absence of expectation. The frequencies of two behaviors, client eye contact and face touching, were held constant throughout a series of videotaped interviews between an "interviewer" and a "client". A within-subjects design was used in each experiment. During baseline conditions, praise did not follow eye contact by the client on the videotape. In all experimental conditions, praise statements from the interviewer followed each occurrence of eye contact with an equal number of praises delivered at random times when there was no eye contact. Three of the six observers dramatically increased their recordings of eye contact during the first experimental phase, but these increases were not replicated in a second praise condition. There were no systematic changes in recorded face touching. Witnessing the delivery of consequences, rather than expectation seemed to be responsible for the effect. This potential threat to the internal validity of studies using observational data may go undetected by interobserver agreement checks.     

The helping process in group therapy: A review and discussion

The essential activity of group therapy consists of members taking an interest in each other by asking questions, showing concern, and conveying understanding. When members have not done this it has often been taken as a sign of resistance. A review of the research on helping suggests that there are four social factors that affect assistance giving in groups: 1) ambiguity-often people fail to give help because they are uncertain about who should give it, what should be done, and how it should be done; 2) often help is not given because of the way in which problems are presented; 3) the social comparisons that individuals make affect help-giving; and 4) there are costs associated with providing assistance. This discussion suggests that leaders can facilitate interaction among group members as teachers who clarify and as indirect helpers who redirect concerns back to group members.     

Interpersonal exposure to danger and risk-taking in the group therapy process]

The writer singles out from the complexities of the group psychotherapeutic process the dynamic pair: inter-personal exposure to danger and the taking of risk. According to his empirical experience and tests the degree of risk-taking is a good parameter for assessing the psychotherapeutic process. For this purpose the inter-action matrix devised by Hill proves itself most useful.     

Primitive group process and therapist technique: An approach to short-term inpatient group therapy

In this paper seven formations of primitive group life are portrayed: the cocoon group and two pathological subformations within it — the fusion phenomenon and the isolation phenomenon; the symbiotic group; the emerging identities group; the common griping group; and the give- and- take group. Three broad categories of technical intervention are outlined for treating primitive groups depending upon which formation is occurring: enhancement of group safety; advancement of identity formation; and encouragement of discussion. The thesis of this paper is that therapists can work more comfortably and successfully in primitive groups with an awareness of primitive group life and with the use of therapist responses that address themselves to primitive levels of experience.     

The process-observer in group therapy

This case study describes the inclusion of a nonverbal, trained process-observer into therapy groups for parents having severely disturbed family systems. The observer remained nonverbal during the sessions while taking notes to be used in writing a one-page clinical summary, which was mailed to each group member. The process-observer was included to improve the clients' initial involvement in dealing with personal problems and as a catalyst for group development. Among the important functions of the written summaries were: reduction of initial anxiety, focusing the group on important issues, enhancement of continuity across sessions, and promoting therapeutic work between sessions. The observer was also valuable in providing feedback to the therapists. Specific guidelines for the use of a process-observer are provided.