1. + Group Approaches to the treatment of Depression Based on pages 177-178 of the Course Companion

2. + What is group therapy? Read page 168 of the Course Companion

3. + Group Therapy Most group therapy for treating depression is couples’ therapy

4. + What happens at couple’s therapy?

5. + Couples learn how to: communicate more effectively and problem-solve increase positive interactions decrease negative interchanges

6. + Jacobson et al (1989) Couples’ therapy just as effective as other forms of treating the symptoms of depression Most successful in treating women for whom marital distress is causing depression

7. + Which is better? Individual vs Group Therapy

8. + Toseland and Siporin (1986) To date there haven’t been too many studies on the effectiveness of group therapy. Toseland and Siporin (1986) reviewed 74 studies comparing individual with group treatment 75% equally effective 25% group treatment more effective No evidence that individual treatment was more effective 31% of cases, group treatment more cost effective

9. + McDermut et al. (2001) Meta-analysis of the effectiveness of group psychotherapy in the treatment of depression. 43 out of 48 studies showed statistically significant reductions in depressive symptoms after group psychotherapy 9 out of 48 showed no difference between group and individual therapy 8 out of 48 showed CBT to be more effective than psychodynamic therapy

10. + Meta- analysis Why might there be such a difference between the meta- analysis of Toseland and Siporin and McDermut et al?

11. + Meta- analysis Why might there be such a difference between the meta- analysis of Toseland and Siporin and McDermut et al? According to Yalom (2005), one of the fathers of group therapy, it is highly problematic to collect data for group therapy. A group dynamic presents so many different variables than individual therapy.

12. + 4 Factors to consider in group therapy Group Cohesion Exclusion (are there people who should be excluded?) Confidentiality Relationships with therapist

13. + Re-read pages 177-178 of the Course Companion Search the internet for information on group therapy Visit http://www.minddisorders.com/Flu-Inv/Group- therapy.htmlhttp://www.minddisorders.com/Flu-Inv/Group- therapy.html Also read pages 173-174 of the Pearson’s sample chapter Make notes Compile a list of strengths and limitations of group therapy