Dynamically oriented group therapy with alcoholics: Making it work despite the prevailing bias

A bias exists in the psychiatric community against dynamically oriented group therapy with alcoholics. The basis for this bias lies primarily in negative experiences of practitioners who have attempted to use traditional therapy with alcoholic patients who continued to drink. At Appleton Outpatient Clinic, we have found that dynamically oriented group therapy is a highly suitable treatment modality for alcoholic patients when negative biases of treators can be addressed and when initial preparatory work is done with patients. This preparatory work includes: (a) building a working alliance around abstinence and providing adequate supports to make this possible; (b) explicit contracting that establishes clear treatment goals and consequences should the goals not be met; (c) preparatory short-termgroup experiences.This paper was presented at the 1988 annual meeting of the American Group Psychotherapy Association.     

The Towers of Silence: creative and destructive issues for therapeutic teams dealing with sexual abuse

Intra-familial sexual abuse of children is a peculiarly potent area for subsequent inter-agency responses and interventions to become inappropriate, irrational, and damaging. A major component of the damaging responses by the inter-agency system is the mirroring processes which occur between that system and the family.
A case example is presented in some detail to illustrate the ways in which such mirroring processes also effect therapeutic teams dealing with such families. Some therapeutic techniques from an experiential base are described. It is argued that productive therapeutic work can only occur if the mirroring processes within the inter-agency system, and the therapeutic team system, are considered systemically.     

The psychoanalytic process and its components

Certain problems in defining the psychoanalytic process emerged during the five years in which a COPE study group was attempting to clarify the concept. There was agreement about the bed-rock criteria to be included in a definition: e.g., transference, resistance, a dynamic unconscious, intrapsychic conflict, defense, infantile sexuality, insight which causes change, and change which brings insight. The disagreements centered on the locus of the psychoanalytic process, the best way to conceptualize change, and the methodological problem of validating whether specific interventions cause specific claimed effects. Confusion about how to account for the interactional aspect of the psychoanalytic situation in a manner consistent with a one-person psychology emerged as an important source of the difficulty in arriving at a satisfactory definition of the psychoanalytic process.     

Therapeutic factors in two forms of inpatient group psychotherapy: Music therapy and verbal therapy

Therapeutic processes in one type of creative arts group psychotherapy, music therapy, were compared with verbal group psychotherapy. Sixty-one short-term inpatients ranked group psychotherapy curative factors and completed satisfaction ratings. Therapists rated 201 group therapy sessions— 109 music therapy and 92 verbal therapy. Statistical analysis revealed that patients highly valued both group formats. The mean curative factor rankings for both groups included cohesiveness, instillation of hope, and altruism among the most helpful factors. Therapists' ratings indicated qualitative differences between the two groups. Music therapy involved more therapeutic interaction among patients and emotional expression, whereas verbal therapy emphasized concrete problem solving.Supported in part by Biomedical Research Support Grant Program grant #S07-RR05755 from the Division of Research Resources, National Institutes of Health.     

Gender differences in perceived intimacy with different members of adolescents' social networks

Previous research has clearly established important gender differences in how intimacy is viewed within a narrow set of relationships, primarily those with same-sex peers. This article presents a new social pressures model that delineates a set of diverse forces believed to influence gender differences in intimacy across a much wider set of social relationships during early adolescence. Although it was impossible to examine the actual operation of the postulated pressures, an extensive data set on all the important people in the lives of over 2000 seventh- through tenth-grade white suburban adolescents made it possible to test a set of 22 hypotheses derived from the model. These hypotheses covered relationships with nuclear, extended family, and nonkin members of the social network who were of different ages and genders. Results indicated that, while gender differences in the perceived intimacy of relationships were widespread, they were neither present in all types of relationships nor were those found always in the same direction. Furthermore, the social pressures model developed accurately predicted both the location and direction of the gender differences across most of the 22 different types of relationships. Suggestions for an elaboration of the model are noted, along with additional research issues that need to be addressed.     

Schedule-induced polydipsia and polyphagia in nondeprived rats reinforced by intracranial stimulation

Five rats, which were neither food nor water deprived, working on fixed or variable-interval schedules of reinforcement for intracranial stimulation developed consistent and excessive patterns of postreinforcement eating or drinking. The gradual deterioration of polydipsia and polyphagia in this situation points to a distinction between the acquisition and maintenance of these behaviors.     

Methodological study of form constancy development

Comparison of the results of previous studies of form constancy development is difficult because of differences in experimental paradigms used. The present study tested some aspects of the construction and mode of presentation of the comparison series presented by means of the method of limits. A randomized comparison series produced higher form constancy performance than did a serially-ordered series, and there were differences depending on the location of the point of objective equality with respect to the midpoint of the series. In addition, the ordered series resulted in a large error of anticipation at all ages studied. These results thus demonstrate the influence of the comparison series on apparent developmental trends of form constancy. The general trend of constancy performance was found to increase with age, contradicting the conclusions of most previous studies.