International Journal of Group Psychotherapy最新文献

The American Group Psychotherapy Association (AGPA) hosts the Anne and Ramon Alonso Plenary Address each year at its annual conference. In his 2020 plenary address, the newly elected president, Dr. Molyn Leszcz discusses the ways that group therapy has shaped him and meaningfully guided him in his clinical, professional, and organizational roles. Dr. Leszcz illustrates the great value group therapy and group therapists can provide to contemporary society. We are an invaluable clinical resource both for treatment and for addressing current societal challenges with regard to social isolation, polarization and discrimination.

The current paper was the presidential address given at the 2024 Connect Conference of the American Group Psychotherapy Association (AGPA). In the paper, the author weaves together three threads. In each of seven decades, the author offers an example of turbulence occurring in society, pairing those with the events of her life during that period and then noting some intentional and thoughtful decisions made by AGPA leadership to create necessary change and growth. The author focused on the earlier decades, as readers will be more familiar with current years. The author invites resonance with personal turbulence faced by the reader and the victories achieved after encountering extraordinary challenges over the years.

The authors explore the group leader's considerations before removing a group member from group sessions. The authors integrate an approach that warns against a too hasty decision without considering the group-as-a-whole dynamics and the possibility of scapegoating, with the approach that looks at the group therapist's countertransference that prevents them from considering the group's best interest. The rule of thumb the authors suggest is that when a severe breach of the group agreement happens, especially continuously, and when it cannot be followed by exploration, reflection, and an agreement by the group member who violated the agreement to make an effort to avoid repeating this event, the group leader might consider removing the person from the group. The article distinguishes between removing a member in the early stages of the group and at later stages of the group's development. It also recommends exploring this issue with the group and following up with the removed member. Special attention is given to cases of racism, microaggressions, and trauma.

Dual relationships in the training and treatment of group therapists are inherent and endemic to the profession of psychoanalytic group therapy. Independently of theoretical orientation at many training institutes, senior group leaders double as training group analysts, teachers, supervisors, administrators, friends, and sometimes even relatives of group trainees. Further, these trainees are often in the same treatment groups, supervision groups, and classes with each other and may also be friends and relatives. These complicated relationships often blur the boundaries between therapy and not therapy, and they have an incestuous quality. They may even produce iatrogenic treatment reactions when realistic negative perceptions are interpreted as transference and resistance. This can be harmful and can lead to the development of ethical dilemmas and clinical boundary violations. This brief report presents the author's experience leading an open session at AGPA's 2024 Annual Conference that addresses attendees' concerns about this troubling situation.

Group cohesion is considered a key group therapeutic factor; however, limited knowledge exists on the session-to-session development of group cohesion in the context of training groups or on the factors that may predict such developments. We utilized multilevel growth modeling to examine the longitudinal changes in 44 counselor trainees' ratings of group cohesion in seven experiential growth groups across four semesters. We found significant between-person variability in the growth trajectory of group cohesion and identified trainee self-disclosure and gender as significant predictors of group cohesion. The results indicated the complexity of within- and between-person changes in group cohesion in training groups and the need for further research to identify potential predictors of these changes. We also discussed ways for group facilitators to attend to self-disclosure as an important marker of group cohesion.

There is limited research on group cohesion as a potential outcome facilitator in group-based cognitive-behavioral treatment (GCBT) for youth. We examined if group cohesion mediated the relation between the temperamental trait behavioral inhibition and posttreatment outcomes following GCBT for youth with anxiety disorders. The sample comprised 88 youth (M age = 11.2 years) from a randomized controlled effectiveness trial. The outcomes were posttreatment clinical severity and treatment satisfaction. Group cohesion fully mediated the relation between behavioral inhibition and posttreatment severity. Higher group cohesion was associated with lower posttreatment clinical severity. There was no significant association between behavioral inhibition and treatment satisfaction, hence no mediation. We conclude that group cohesion is a factor that can be targeted by clinicians to potentially enhance GCBT outcomes.

Six hundred and fifty-four inpatients who participated in a spiritual group therapy intervention provided qualitative feedback regarding what helped them and what could be improved. Patients revealed that enjoying a sense of connection with other people and a sense of openness in the groups and simply talking about spirituality with other people was helpful to them. Many group members requested that groups go on for a longer amount of time than 12 sessions, to have longer sessions, and to have more frequent meetings. In addition, members described improvements that could be made to the group, including members' being better screened, leaders preventing individual members from dominating discussions or from being quiet or leaving the group early, and members' wanting more structure as well as more open discussion. The findings highlight the importance of connection, openness, and spirituality when implementing spiritual group interventions in hospital settings. Implications for future research, training, and clinical interventions are discussed.

Psychoeducation groups are an integral part of eating disorder treatment in community programs, yet research on their efficacy remains limited. This study examines the impact of participating in a 10-week psychoeducation group on changes in quality of life and in readiness and motivation. Seventy-five adults who had eating disorders were included in the study. We administered the Eating Disorder Quality of Life Scale (EDQLS) and Readiness and Motivation Questionnaire (RMQ) before and after the group. After participation, respondents reported an 11-point increase in the EDQLS score and 9-, 8-, and 9-point increases, respectively, in the total action, confidence, and internality components of the RMQ score. In group exit evaluations, participants reported that the psychoeducation group improved their quality of life and their readiness and motivation to recover.

Most people have been harmed by another at some point in their lives. Many of these hurts linger in the lives of those who were hurt, through anger, fear, and rumination. Forgiving others, when it is safe and prudent to do so, can be one route toward healing these past hurts. Group therapy has specific strengths that might help people to effectively forgive others. One of those strengths is the creation of therapeutic factors. In the current paper we discuss how group forgiveness interventions and the development of three specific therapeutic factors (universality, cohesion, and altruism) can help to promote forgiveness. We review prior work on forgiveness interventions in group therapy, focused on effectiveness generally. We then provide an applied case study of a specific group that used Worthington's REACH Forgiveness model. In this case study we highlight the themes of universality, cohesion, and altruism to illustrate the benefit of forgiveness interventions in group therapy.