Factors contributing to the survival of self-help groups

Despite the growing utilization of self-help groups, there have been only a handful of studies that have examined the factors that contribute to their survival. The purpose of this study was to explore the factors that contribute to self-help group survival by examining their relationship with external sources (i.e., national and local self-help organizations, professionals) and group organizational characteristics (i.e., leadership diversification, recruitment, attendance at group meetings). Representatives from 245 active and 94 recently disbanded self-help groups were included in the analysis. Results indicated that the primary factors that discriminated between active and disbanded groups were the number of new people to attend a meeting, average group meeting attendance, length of existence, leadership diversification, outreach to potential group members, and support from national and local organizations. Results are discussed in terms of what national self-help organizations, self-help clearinghouses, and others who interact with self-help groups can do to empower and support them.     

Online group interaction and mental health: an analysis of three online discussion forums

The present study examined interactions on three Norwegian online discussion forums, and attempted to identify differences in interactions and plausible outcomes of thematically dissimilar forums. Four categories were applied to the forums in order to distinguish potentially constructive and destructive uses. Interaction along the constructive-destructive dimension was contingent upon the themes discussed, as well as the level and nature of professional involvement. Interaction adhering to a destructive dimension was identified only in relation to the forum for eating disorders. Discovering to what extent theme and professional involvement influence interactions in discussion forums might guide further professional involvement in online group settings and the design of appropriate online environments.     

Comprehension of reversible relative clauses in specifically language impaired and normally developing Greek children

This paper aims to investigate the syntactic comprehension of reversible relative clauses in a group of eight Greek children with specific language impairment (SLI) and two control groups of normally developing children matched on chronological and language age, respectively. An experiment using an acting out procedure was undertaken. Group analysis revealed that SLI children's performance is qualitatively different than that of both control groups. Interpreting the data, processes involved in syntactic comprehension are taken into consideration. It is claimed that processing demands impede SLI children's performance due to a deficit in their competence grammar.     

I am I:A/M—The Therapist as Personification of Hopper's Fourth Basic Assumption

The group therapist often and perhaps necessarily personifies Incohesion and displays its predominant defenses of contact-shunning Aggregation, and merger-hungry Massification. Hence, I am I:A/M. In Hopper's group example, and in each of three of this author's groups, the therapist displayed aggregative and massified defenses, countertansferential duals of basic assumptive transferences. In any therapeutic interaction, it is possible to find elements of incohesion, dependency, pairing, and fight/flight. The incohesion concept has significant clinical utility. A theoretical question remains, whether Hopper's proposed axis of experience and defense merits the special status, basic assumption, or whether incohesion may be collapsed into the existing triad of basic assumptions.     

Scharffs' Application of Hopper's Concept: “Incohesion: Aggregation/Massification”

We begin by stating our understanding of the concepts presented in Hopper's paper, then comment on the clinical illustration, and conclude by describing two group situations in which we have applied the concepts we have taken from Hopper's paper. Hopper's fourth basic assumption applies to our work as individual psychoanalysts, family therapists, and group leaders because it integrates psychoanalytic and social understanding. We demonstrate how and why we find Hopper's idea to be a useful advance.     

Rule following and rule use in the balance-scale task

Quinlan et al. [Quinlan, p., van der Mass, H., Jansen, B., Booij, O., & Rendell, M. (this issue). Re-thinking stages of cognitive development: An appraisal of connectionist models of the balance scale task. Cognition, doi:10.1016/j.cognition.2006.02.004] use Latent Class Analysis (LCA) to criticize a connectionist model of development on the balance-scale task, arguing that LCA shows that this model fails to capture a torque rule and exhibits rules that children do not. In this rejoinder we focus on the latter problem, noting the tendency of LCA to find small, unreliable, and difficult-to-interpret classes. This tendency is documented in network and synthetic simulations and in psychological research, and statistical reasons for finding such unreliable classes are discussed. We recommend that LCA should be used with care, and argue that its small and unreliable classes should be discounted. Further, we note that a preoccupation with diagnosing rules ignores important phenomena that rules do not account for. Finally, we conjecture that simple extensions of the network model should be able to achieve torque-rule performance.     

A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome

We randomized, at two sites, 210 patients with Rome II diagnosed irritable bowel syndrome (IBS), of at least moderate severity, to one of three conditions: group-based cognitive therapy (CT; n=120), psychoeducational support groups (n=46) as an active control, or intensive symptom and daily stress monitoring (n=44). One hundred eighty-eight participants completed the initial treatment. Those in symptom monitoring were then crossed over to CT. For an intent to treat analysis on a composite GI symptom measure derived from daily symptom diaries, both CT and the psychoeducational support groups were significantly more improved than those in the intensive symptom monitoring condition, but the CT and psychoeducational support group did not differ. Among treatment completers on the same composite measure of GI symptoms, again, both CT and psychoeducational support groups were statistically superior to symptom monitoring but did not differ on the symptom composite, or on any other measure. On individual IBS symptoms, both CT and psychoeducational support were statistically superior to symptom monitoring on reductions in abdominal pain and tenderness and for flatulence. Patient global ratings at the end of treatment showed the two active conditions statistically superior to symptom monitoring on change in Bowel Regularity, with CT superior to symptom monitoring on reduction in overall pain and in improvement in sense of well-being. Three-month follow-up data on 175 patients revealed maintenance of significant improvement or continued significant improvement on all IBS symptoms, including the McGill Pain Questionnaire. Group CT and psychoeducational support groups continued not to differ on any measure. We thus conclude that group CT is not superior to an attention placebo control condition.     

Learning from experience in case conference: A Bionian approach to teaching and consulting

In case conferences as well as didactic seminars, the power of the group can bring psychoanalytic education to life. However, primitive anxieties activated by group dynamics may also interfere with teaching and learning. The authors offer the example of a stalemated private practice case conference that had unconsciously organized against learning as the members began to read Bion's work. The case conference leader, an analyst, presented her case conference, which was mired in basic assumption dependency dynamics, to our peer consultation group. Drawing upon Bion's early contributions on groups, as well as his later ideas about thinking and mental growth, the peer group facilitated the case conference's return to work-group functioning and learning from experience. Activated in the peer group, commensal container↔contained processes gradually spread throughout the entire relational system of peer group, case-conference leader, case-conference members, and patients. This example underscores the importance of promoting within our institutes a culture in which faculty view themselves as part of an evolving intersubjective matrix that works to foster the containing capacities of candidates, patients, and faculty alike.     

Numerical representation and cross-cut role assignments: Majority members’ responses under cooperative interaction

This research investigates why cross-cutting role assignments, compared to those that converge, may worsen the intergroup attitudes of numerical majorities. Study 1 manipulated the numerical representation of groups and role assignments in a cooperative setting. As predicted, when the cross-cut role condition included the reintroduction of the numerical imbalance, the intergroup attitudes of majorities were more favorable than when the cross-cut condition did not reintroduce this discrepancy. Also, Study 1 showed that the intergroup attitudes of the majority were more positive when roles converged. Study 2 compared a convergent condition to one with converging roles that also reduced the salience of the majority’s numerical advantage. The results for this convergent-reduced-salience condition mimicked that of the cross-cut condition, revealing less positive majority attitudes. In both studies, results suggest that the processes of ingroup identification and relative ingroup homogeneity may mediate the effect of role assignments on ingroup bias. The findings are discussed in terms of the implications for cooperative interventions designed to improve intergroup attitudes.     

儿童箱庭作品的基础研究

箱庭满足了儿童心理发展的需要，箱庭疗法对儿童心理临床具有重要意义。本研究选取6～10岁小学儿童共12名，每人制作一个箱庭作品，发现其呈现以下特征：箱庭的主要导人形式为“见证人的言语引导”；平均制作时间半小时以上，制作过程谨慎；玩具移动频繁，为了表达主题，追求美观和表达动态的场景；玩具种类主要为动物和建筑；动沙的次数增多，力度增强；空间使用以“占满”为主，但围绕主题摆放；作品主题明确丰富，包括“生活场景类”、“动物世界类”、“战争场面”和“其他类”；儿童与见证人间的互动是为了询问制作规则，寻求帮助和求得认可。