Book•
The theory and practice of group psychotherapy
01 Jan 1970-
TL;DR: Yalom as mentioned in this paper described the course of therapy from both the patient's and the therapist's viewpoint in Encounter Groups: First Facts (1973) and Every Day gets a Little Closer: A Twice-Told Therapy (1974).
Abstract: This book first appeared in 1970 and has gone into two further editions, one in 1975 and this one in 1985. Yalom is also the author of Existential Psychotherapy (1980), In-patient Group Psychotherapy (1983), the co-author with Lieberman of Encounter Groups: First Facts (1973) and with Elkin of Every Day Gets a Little Closer: A Twice-Told Therapy (1974) (which recounts the course of therapy from the patient's and the therapist's viewpoint). The present book is the central work of the set and seems to me the most substantial. It is also one of the most readable of his works because of its straightforward style and the liberal use of clinical examples.
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TL;DR: Clinically implementing one of these proven manualized AA/TSF interventions is likely to enhance outcomes for individuals with AUD while producing health economic benefits.
Abstract: Aims A recently completed Cochrane review assessed the effectiveness and cost-benefits of Alcoholics Anonymous (AA) and clinically delivered 12-Step Facilitation (TSF) interventions for alcohol use disorder (AUD) This paper summarizes key findings and discusses implications for practice and policy Methods Cochrane review methods were followed Searches were conducted across all major databases (eg Cochrane Drugs and Alcohol Group Specialized Register, PubMed, Embase, PsycINFO and ClinicalTrialsgov) from inception to 2 August 2019 and included non-English language studies Randomized controlled trials (RCTs) and quasi-experiments that compared AA/TSF with other interventions, such as motivational enhancement therapy (MET) or cognitive behavioral therapy (CBT), TSF treatment variants or no treatment, were included Healthcare cost offset studies were also included Studies were categorized by design (RCT/quasi-experimental; nonrandomized; economic), degree of manualization (all interventions manualized versus some/none) and comparison intervention type (ie whether AA/TSF was compared to an intervention with a different theoretical orientation or an AA/TSF intervention that varied in style or intensity) Random-effects meta-analyses were used to pool effects where possible using standard mean differences (SMD) for continuous outcomes (eg percent days abstinent (PDA)) and the relative risk ratios (RRs) for dichotomous Results A total of 27 studies (21 RCTs/quasi-experiments, 5 nonrandomized and 1 purely economic study) containing 10,565 participants were included AA/TSF interventions performed at least as well as established active comparison treatments (eg CBT) on all outcomes except for abstinence where it often outperformed other treatments AA/TSF also demonstrated higher health care cost savings than other AUD treatments Conclusions AA/TSF interventions produce similar benefits to other treatments on all drinking-related outcomes except for continuous abstinence and remission, where AA/TSF is superior AA/TSF also reduces healthcare costs Clinically implementing one of these proven manualized AA/TSF interventions is likely to enhance outcomes for individuals with AUD while producing health economic benefits
37 citations
TL;DR: This study investigated the experiences of people who received a contemporary form of cognitive therapy for distressing voices and found four categories emerged: two representing the context for reflection and change andTwo representing the acceptance of voices and self and the changing sense of self.
Abstract: This study investigated the experiences of people who received a contemporary form of cognitive therapy for distressing voices. Eighteen people who heard distressing voices participated in an 8-session person-based cognitive therapy (PBCT) group and were then interviewed to elicit their experiences from the group. Data were gathered during a series of five posttherapy focus groups based on a semistructured interview schedule. A grounded theory approach was used to generate, work with, and understand the data. Four categories emerged: two representing the context for reflection and change and two representing the acceptance of voices and self and the changing sense of self. The conceptual and clinical implications of the findings are discussed.
37 citations
Cites background from "The theory and practice of group ps..."
...Some of these benefits were attributable to the commonly valued group processes of universality (Yalom & Molyn, 2005 ; evident within the category Developing a Group Identity) and the sharing and validating of unusual experiences (evident with the category Sharing Negative Characteristics of Hearing Voices)....
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TL;DR: In this paper, the authors examined group cohesiveness and client satisfaction for clients in homogenous and heterogenous counseling groups and found that homogenous counseling group members reported higher coheseness and satisfaction than heterogenous group members.
Abstract: The purpose of this study is to examine group cohesiveness and client satisfaction for clients in homogenous and heterogenous counseling groups. Social identity theory provides a conceptual framework for this research. Questionnaires were completed by 32 group counseling clients at a university counseling center. Results showed a significant relationship between group cohesiveness and client satisfaction. Furthermore, homogenous counseling group members reported higher cohesiveness and satisfaction than heterogenous counseling group members. Implications for group counselors are discussed.
37 citations
TL;DR: This article explored the experiences of six group counselors-in-training throughout a 15-week supervision group and highlighted participation anxiety as a condition that affected the interrelated and interactive processes of how and what supervisees learned in group supervision.
Abstract: Group supervision has been widely practiced throughout the history of counselor education. Although professional standards require group supervision for counselors-in-training, few researchers have attempted to provide empirical results describing the process of group supervision, specifically group supervision with group counselors Grounded theory procedures were used to explore the experiences of six group counselors-in-training throughout a 15-week supervision group. Results illuminated a theoretical foundation that highlighted participation anxiety as a condition that affected the interrelated and interactive processes of how and what supervisees learned in group supervision.
37 citations
TL;DR: Feedback neither increased attendance nor improved outcomes for outpatients in group psychotherapy for eating disorders in a randomized clinical trial with central randomization stratified for diagnosis and treatment type.
Abstract: OBJECTIVE To investigate the effect of client feedback in group psychotherapy on attendance and treatment outcome for patients with eating disorders. METHOD We conducted a randomized clinical trial with central randomization stratified for diagnosis and treatment type according to a computer-generated allocation sequence concealed to the investigators. One-hundred and 59 adult participants, diagnosed with bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified according to DSM-IV, were included. Eighty participants were allocated to the experimental group, and 79 participants to the control group. Both groups received 20-25 weekly group psychotherapy sessions. In the experimental group, participants gave and received feedback about therapy progress and alliance, measured before and after each session using the Outcome Rating Scale and the Group Session Rating Scale. The primary outcome was rate of attendance to treatment sessions; the secondary outcome was severity of eating disorder symptoms measured with the Eating Disorder Examination interview. Exploratory outcomes were psychological distress measured with the Symptom Checklist-90-R and the Outcome Rating Scale, social functioning measured with the Sheehan Disability Scale, and episodes of self-harm and suicide measured with a modified version of the Self-Harm Inventory. RESULTS Feedback compared with control did not affect the rate of attendance (0.59 vs. 0.58; p = .96), the severity of symptoms (2.03 vs. 2.02; p = .46), or any of the exploratory outcomes (p values from 0.06 to 0.67). CONCLUSIONS Feedback neither increased attendance nor improved outcomes for outpatients in group psychotherapy for eating disorders. The results are discussed from different perspectives. (PsycINFO Database Record
37 citations