Reconstructive group therapy with HIV-affected people

This paper describes reconstructive group therapy with people affected by AIDS. It begins with the therapeutic need as we defined it in the AIDS-affected community and the practicalities of the group therapies we offered. The reconstructive perspective, based on personal construct theory, is then explored and applied to interpret both the psychosocial functioning of AIDS-affected people and group therapy. The group therapy process is described: client engagement and group beginnings, goals, group rules, leadership roles, group experiments, group issues and endings. Some problems that arose are then identified; and a sample of group process is provided. Finally, the appropriateness of the reconstructive perspective and of group therapy for these clients is discussed, together with the identification of the major ethical issues and some recommendations for its use.