团体催眠辅导在提高大学生自我接纳程度中的应用初探

大学生的自我接纳与否关系到他们未来能否适应社会,参与社会竞争,是心理健康的核心因素。为提高大学生的自我接纳程度,本文将催眠治疗技术应用于团体辅导中,针对大学生自我接纳程度设计团体辅导课程,并对辅导效果进行定量研究。研究结果表明:(1)催眠团体辅导能够显著提升高感受性小组自我接纳程度和心理健康水平;(2)低感受性组虽然自我接纳程度变化不明显,但焦虑水平有所下降,心理健康程度有所改善。催眠技术应用于大学生团体辅导非常实用、可行、值得进一步探索。     

A randomized pilot study of mindfulness‐based cognitive therapy and group cognitive‐behavioral therapy for young adults with social phobia

Piet, J., Hougaard, E., Hecksher, M. S., & Rosenberg, N. K. (2010). A randomized pilot study of mindfulness‐based cognitive therapy and group cognitive‐behavioral therapy for young adults with social phobia. Scandinavian Journal of Psychology, 51, 403–410. Twenty‐six young participants, 18–25 years, with social phobia (SP) were randomly assigned to eight 2‐hour sessions of group mindfulness‐based cognitive therapy (MBCT) and twelve 2‐hour sessions of group cognitive‐behavioral therapy (CBT) in a crossover design with participants receiving treatments in reversed order. Outcome was assessed after treatments, and at 6‐ and 12‐month follow‐ups. MBCT achieved moderate‐high pre‐post effect sizes (d = 0.78 on a composite SP measure), not significantly different from, although numerical lower than those of CBT (d = 1.15). Participants in both groups further improved in the periods following their first and second treatment until 6‐months follow‐up (pre‐follow‐up ds = 1.42 and 1.62). Thus, MBCT might be a useful, low cost treatment for SP, although, probably, less efficacious than CBT.     

Caught in the rejection–abuse cycle: are we really treating perpetrators of domestic abuse effectively?

This article proposes that some perpetrators of domestic violence respond to their partners' apparent rejection of them with abusive behaviour, and that there exists a cycle of rejection and abuse. The model posits that some men, having experienced rejection within their families of origin or in relation to past partners, become sensitive to potential rejection in their current relationships. The cycle for rejection‐sensitive men consists of an event that constitutes a threat to self, leading to a defence against this threat which in turn results in psychological or physical abuse. This model was tested on sixty‐six male participants of perpetrator group programmes who completed a survey designed to measure each point in the proposed model through path analysis. There was support for the following model: rejection, threat to self‐defence against threat, abuse. Other paths were tested, but were not significant. These results are discussed in terms of the implications for treating perpetrators.     

Opportunities for development via group psychotherapy in the nursing home

This paper illustrates the benefits of group therapy within the nursing home, and considers the enhancing and problematic factors in conducting groups within this setting. Growth which empowers staff and residents is possible and can be achieved despite significant challenges and social change. A lifespan developmental perspective can assist residents to achieve their maximum developmental maturity and group therapy can be effective in accomplishing that goal. This paper discusses the effect of the nursing home environment and staff on the resident, the task of the therapist in the nursing home, the value of group therapy, therapeutic goals in group therapy, what precipitates the need for group therapy in nursing homes, and the issue of group therapy with the cognitively impaired.     

Integrated group psychotherapy for the treatment of depression in the elderly

Depressive disorders in the elderly are common, and demonstrate a high prevalence, morbidity and chronicity. Psychosocial interventions, notably group psychotherapy can play an important role in the acute and maintenance phases of treatment. Synthesis of the contributions made by developmental, psychodynamic and cognitive-behavioral group approaches, into an integrated model of group therapy, reflects an ever-increasing trend in the psychotherapy field towards the development of applicable and effective clinical interventions. In this model, the overarching principle is the implementation of a group therapy intervention that addresses the objectives of stabilization and restoration of the individual’s sense of self, increased interpersonal competence and acquisition of cognitive and behavioral skills to aid in coping with depression and demoralization.     

A modern psychoanalytic approach to caregiver support groups

Caregiver support groups traditionally focus on education, reduction of social isolation, and supportive sharing. However, the support group literature has increasingly reflected an interest in the emotional effects of caregiving. While some authors promote the therapeutic value of supporting defenses against painful feelings, others have documented the value of encouraging their expression in groups. This paper is based on the author’s experience in co-leading an Alzheimer’s family support group, using a modern psychoanalytic approach which encourages the full expression of the caregivers’ emotional experience. Using emotional communication to explore resistances to intimacy and aggression in groups, the author demonstrates how the interplay of co-leadership and Modern Psychoanalytic theory and techniques promotes group cohesion and encourages maturational growth in group members. This model is also prescribed as an antidote to leader “burnout,” a not uncommon phenomenon for leaders of such emotionally charged groups. Private Practice, New York, New York.     

A modified cognitive-behavioral approach to group therapy with the elderly

Group approaches to treatment subsume a wide variety of techniques. The present article describes a modified cognitive behavioral approach as developed by the author for certain groups of elderly clients. This modified approach incorporates principles of cognitive behavioral therapy in combination with humanistic, and developmental perspectives, while leaving room for addressing psychodynamic issues if desired. It is suggested that such an approach is of value where structured group techniques are called for.     

Cultural Psychotherapy: A Consideration of Psychosocial Class and Cultural Differences in Group Treatment

Most psychotherapists are aware of the many social issues and cultural factors that influence development throughout each individual life. Human nature, being a social nature, exists within relationships to others, the community, and a culture, sometimes a mixture of cultures. One social parameter, social class, redefined here as psychosocial class, has not received the same attention from psychotherapists as gender issues or ethnicity, two other important sociocultural spheres of influence on everyday life. It is suggested that group therapists are in a unique position to develop a cultural psychotherapy that addresses psychosocial class and cultural aspects of mental health. This paper includes a preliminary model of cultural psychotherapy that highlights the psychology of social class and culture for psychodynamic group psychotherapy.     

The Development of an Analytic Perspective in the Group Leader: Some Basic Thoughts

Previous experience working with individuals on a one-to-one basis along with previous analytic therapy are important prerequisites for analytic group training. Training must emphasize understanding of group-as-a-whole processes, such as basic assumption life, complex transference manifestations, as well as awareness of one's countertransference toward individuals, subgroups and the group-as-a-whole. Specific concepts derived from object-relations theory such as projective identification are crucial to master. Personal analytic group therapy is recommended.     

The disintegrative factor in therapeutic groups as illuminated by kibbutz life

This article deals with the way individuals cope with the threat they experience in the framework of psychodynamic group psychotherapy. This threat, which is understood to be a disintegrative threat, is intensified in the therapeutic group. We see the therapeutic group as possessing attributes of a potential space, in which the participants are enabled to process the defense and coping mechanisms intended to preserve the sense of integration. This will be illustrated by the experiences of individuals who grew up in a kibbutz (an Israeli society in which infants were raised with their peer group) and participated in psychodynamic groups.