The effects of therapist turnover in a training clinic: The core group phenomenon

Group psychotherapy conducted in training settings presents the membership with a unique opportunity to experience and work through loss. This paper describes the potentially problematic influence of predictable therapist turnover in these clinical settings. The core group phenomenon which emerges as a function of this anticipatory grief is described, as are the dynamics of core group members who are particularly vulnerable to the comings and goings of therapists in training. Finally, the importance of therapist attention to the impact of the turnover process in group psychotherapy training programs is underscored.