Group therapy: ancestors & cousins  1905 – Joseph Pratt developed group therapy for tuberculosis patients; group approaches evolved in the 1920’s & 30’s.

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Presentation transcript:

group therapy: ancestors & cousins  1905 – Joseph Pratt developed group therapy for tuberculosis patients; group approaches evolved in the 1920’s & 30’s e.g. Adler, Lazell, Moreno, etc  2 nd WW – increased need accelerated group therapy development  1946 – Kurt Lewin & T (training) groups with a focus more on organizational development & education  1960’s & 1970’s the heyday of “encounter groups” and cross fertilisation with traditional group therapy – note earlier fuller chapter on encounter groups from 1995 edition of Yalom’s book is freely viewable on the internet – go to click on “The theory and practice of group psychotherapy” and then, in the left column, click on “encounter groups”  classic encounter groups have largely come & gone but they have had a considerable influence on how group therapy has developed – both in the huge multi-headed self-help movement and in the more traditional psychiatric/psychological environment Yalom I.D & Leszcz M. The theory and practice of group psychotherapy (5 th ed). New York: Basic Books, 2005

major experiential group research  210 stanford university students were randomized to groups and compared with 69 matched controls  18 different groups for 30 hours over 12 weeks  expert facilitators from 10 different schools encounter/personal growth; gestalt; TA; sensory awareness; NTL group process training; psychodrama; Synanon; psychoanalytic; marathon; encounter-tape  assessment by participants, observers, group leaders, significant others – during and at the end of the group, and also at six month follow-up “the most extensive controlled research inquiry into the effectiveness of groups”

major experiential group research “In some groups, almost every member underwent some positive change with no one suffering injury; in other groups, not a single member benefited, and one was fortunate to remain unchanged.” key finding:

leader assessment: methods all meetings were observed (and tape recorded) – trained raters analyzed and coded all leader behaviours/statements; participants also completed questionnaires about the leaders the therapeutic school that the leader represented (e.g. gestalt, psychodrama, transactional analysis, etc) had very little bearing on their behaviours/statements in the group factor analysis of what the leaders said and did highlighted four important leadership functions which had clear and striking relationships to outcome – these are emotional activation, caring, meaning attribution & executive function

leader assessment: cluster analysis  emotional activation challenging, confronting activity; intrusive modelling by personal risk taking and high self-disclosure  caring offering support, affection, praise, protection, warmth, acceptance, genuineness, concern  meaning attribution explaining, clarifying, interpreting, providing a cognitive framework for change; translating feelings and experiences into ideas  executive function setting limits, rules, norms, goals; managing time; pacing, stopping, interceding, suggesting procedures

leader assessment: best outcomes  emotional activation challenging, confronting activity; intrusive modelling by personal risk taking and high self-disclosure  caring offering support, affection, praise, protection, warmth, acceptance, genuineness, concern  meaning attribution explaining, clarifying, interpreting, providing a cognitive framework for change; translating feelings and experiences into ideas  executive function setting limits, rules, norms, goals; managing time; pacing, stopping, interceding, suggesting procedures moderate high