Leadership behavior,group climate and outcome in group psychotherapy: A study of outpatient psychotherapy groups

A recent clinical study of outpatient psychotherapy groups in a community mental health center explored the linkage between group leadership variables, group climate, and outcome. The study involved nine outpatient therapy groups, over 50 group clients, and several group therapists. A repeated measures design involving assessment of clients' outcome and level of functioning, group leadership style, and group climate was used to assess changes over a 6-month period. The findings suggest: 1) a reduction in symptoms and improved functioning for clients; 2) a similarity of perceptions by members and leaders of perceived leadership behaviors and group climate; 3) the presence of direct and indirect influences of group climate and leadership behavior on clients' outcome; and 4) a linkage between leadership behavior and group climate with the theoretical orientation of the group. The findings of the research are discussed in relation to the understanding of specific effects in group psychotherapy and the implications for construction of group psychotherapy theory.The authors would like to thank Robert Dies, Ph.D., for his helpful suggestions in the early phase of this study; Roy MacKenzie, M.D., for permission to use the Group Climate Questionnaire; Diane DePalma, Ph.D., for permission to use the Global Leadership Behavior Index; Chris Boltwood, B.A., for her untiring efforts in administering the instruments and coding and entering the data; and most importantly, the psychotherapy group members and the group therapists for their cooperation in this endeavor—without their help, this clinical study would not have been possible.A version of this paper was presented at the Annual Meeting of the American Group Psychotherapy Association, 1987, New Orleans, Louisiana. Lenore Phipps, R.N., M.S., C.S., was formerly Director, Group Psychotherapy Program at Park Ridge Mental Health Center, Rochester, now in private practice at Guild Medical Center, Norwood, MA 02062.     

Smoking,personality, and imagery preference in Relation to spontaneous bilateral electrodermal activity

Effects of smoking on spontaneous bilateral skin conductance were studied as a consequence of interactions with set and setting. Bilateral skin conductance was recorded in six men and six women who smoked and an equal number of nonsmokers on two different days. On the first day, spontaneous electrodermal activity was recorded before and after a 10-minute rest period during which half the smokers smoked a cigarette. On the second day, one week later, spontaneous activity was again recorded before and after a 10-minute rest period during which the remaining smokers smoked a cigarette. Nonsmokers did not smoke at any time. Following smoking there was a significant negative correlation between a preference for visual over nonvisual imagery and spontaneous skin conductance responsivity in the left as compared to the right hand. Correlations were significantly different in smokers and nonsmokers. Smokers showed significantly greater preferences for either visual or nonvisual imagery than nonsmokers. Nonresponding nonsmokers were higher on the psychoticism (P) scale of the Eysenck Personality Questionnaire (EPQ) than responding nonsmokers. Smokers scored higher on P than nonsmokers. Interactions between personality, cognitive style, and the experimental situation, set, and setting were discussed in relation to the arousing effects of nicotine.     

Women's Interests—Fact or Fiction?

The data used in this study were made available through the Center for Interest Measurement Research and the Student Counseling Bureau, University of Minnesota. Computer analysis was provided by the Numerical Analysis Center, University of Minnesota. While attempting to increase the number of A and B+ scores on the women's SVIB by varying the composition of the criterion group on marital status, it was found that the desired effect was achieved by using a different item selection and weighting system from Strong's original one and not by varying the marital status of the criterion group. The experimental scoring keys developed in the study also acted selectively on original scores of B and B—, raising or lowering them, and generally reducing their number. These findings went beyond the original hypotheses and intent of the study and suggested an explanation for the apparent heterogeneity of women's interests and the resulting difficulty in measuring them.     

Route-finding: A measure of everyday executive functioning in the head-injured adult

This is an ecological test of adaptation in head-injured adults, reporting reliability and validity of the Executive Function Route-finding Task (EFRT; Boyd and Sautter, 1985). A Likert scale was used to rate executive aspects of route-finding such as task formulation, strategy of approach, detection and correction of errors, and dependence on cueing among 31 head-injured young adults within a large rehabilitation facility. The Task has high inter-rater reliability and acceptable concurrent validity with other neuropsychological constructs.     

Potentiating group psychotherapy for bulimia with ancillary rational-emotive-hypnotherapy

A rational-emotive-hypnotherapy (REH) treatment was administered to five bulimic females who were concurrently participating in electic group psychotherapy. A within-group time series analysis design was employed to examine subjects' binge and purge symptoms. The combined treatments produced a declining frequency in symptoms for four subjects across three phases of the study. REH was responsible for 4 out of 8 possible treatment effects and appeared to potentiate the group psychotherapy. A theoretical explanation is offered for the REH effects along with recommendations for future REH with bulimics. This study was presented as a paper to the annual meeting of the American Psychological Association, 1982, Washington, DC. Appreciation is extended to Don W. Ball, Ph.D. for editorial and technical assistance in the preparation of this article.     

Stammering: A stress index in Caribbean classrooms

Speech communities in the British West Indies typically include two major dialect or code distinctions: (1) a standard variety of British West Indian English, and (2) a local variety of English-based dialect. Each dialect or code is intimately linked with political, social, racial, and economic class distinctions. In bicultural settings, characterized by diglossia, there are special situations in which loyalty to one's mother tongue conflicts with social, economic, and political expediency. “No win” speech events or contests, the product of conflicting sociocultural values, become salient features of this particular kind of bicultural setting. A comparatively high incidence of teacher-reported stammering found in two British West Indian speech communities supports this notion and suggests that stress, originating at a sociocultural level, is symbolically expressed through attitudes toward and usages of language. These results further suggest that the classroom, now a “battleground”, will suffer as an effective teaching/learning environment. This paper presents arguments for the teaching of Standard English as a second language with an emphasis on giving regional dialects appropriate and long overdue recognition.     

Exposure is a necessary condition for fear-reduction: a reply to de Silva and Rachman

de Silva and Rachman (1981) have recently suggested that although non-reinforced exposure of a fear-evoking stimulus constitutes a sufficient condition for unlearning fears, it does not represent a necessary condition. This conclusion was reached, in part, by examples they provide which appeared to them to suggest that fear-reduction can occur in the absence of exposure to the fear stimulus. They then call for an extended search for non-exposure types of intervention, especially those involving ‘sources of information’ and ‘expectations’. After reviewing in detail the arguments advanced, the present authors adopt the position that de Silva and Rachman's conclusions are premature and unwarranted. To abandon or lose sight of one of the most effective and perhaps most important therapeutic principles, CS exposure, would be myopic and detrimental to the advancement of effective behavior change. At this point in time what is needed is a more careful analysis of the extinction process especially at the stimulus level so the effectiveness of this principle can be maximized.