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: Changes in attachment anxiety may be important for symptom outcomes related to psychodynamic-interpersonal therapies in women with binge eating disorder, and a moderating effect of treatment type is indicated.
Abstract: The study examined if the relationship between change in attachment insecurity and target symptom outcomes was moderated by treatment type. Women (N = 66) with binge eating disorder (BED) were randomly assigned to two treatment types: group cognitive-behavioral therapy (GCBT) or group psychodynamic-interpersonal psychotherapy (GPIP). Results indicated significant positive pre- to posttreatment changes in all attachment insecurity scales, but no difference between GCBT and GPIP on these changes. Change in attachment anxiety was related to improved depression for women completing GPIP, but not for women completing GCBT. This indicated a moderating effect of treatment type in explaining the relationship between change in attachment anxiety and improved depression. Changes in attachment anxiety may be important for symptom outcomes related to psychodynamic-interpersonal therapies. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
47Â citations
Cites background from "The theory and practice of group ps..."
...In the early stage of the group, the therapist focused on understanding patients CRPs and on facilitating the development of a cohesive working group (Yalom, 2005)....
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TL;DR: The authors explored the relational model, a formulation for stages of development in women's groups that is rooted in recent feminist scholarship, and discussed the implications for worker interventions, especially in regard to the timing of themes of connection and conflict.
Abstract: This article explores the relational model, a formulation for stages of development in women's groups that is rooted in recent feminist scholarship. Implications for worker interventions are discussed, especially in regard to the timing of themes of connection and conflict. Examples from group work practice illustrate the discussion.
47Â citations
TL;DR: In this article, a protocol for dealing with termination in time-limited psychotherapy groups is presented, where the therapist provides a general structure to ensure that major termination themes are systematically addressed.
Abstract: The presence of a time limit shapes the entire therapeutic process and culminates in the management of termination. This paper outlines a protocol for dealing with termination in time-limited psychotherapy groups: (1) Select suitable members with similar capacity to use a time-limited format; (2) use a closed group format; (3) clarify the time boundaries at the beginning; (4) reinforce the time frame during the last half of the group; (5) provide focused interventions; (6) forestall premature termination; (7) reinforce termination themes of deprivation, resentment and anger, rejection, grief and loss, responsibility for self; (8) structure the final session; and (9) plan a 4-month follow-up visit to encourage ongoing application. These guidelines provide the therapist with a general structure to ensure that major termination themes are systematically addressed. They deal with powerful concepts of maturation and self-responsibility and incorporate the principal strategies that distinguish time-limited from time-unlimited group psychotherapy.
46Â citations
TL;DR: PDQ-4 and PAI scores related strongly to SCID-II symptom counts, indicating these measures convey useful clinical information about the severity of offenders' ASPD pathology, which was relatively invariant across gender, race, and site.
Abstract: Antisocial personality disorder (ASPD) is associated with suicide, violence, and risk-taking behavior and can slow response to first-line treatment for Axis I disorders ASPD may be assessed infrequently because few efficient diagnostic tools are available This study evaluated 2 promising self-report measures for assessing ASPD-the ASPD scale of the Personality Diagnostic Questionnaire-4 (PDQ-4; S E Hyler, 1994) and the Personality Assessment Inventory (PAI; L Morey, 1991, 2007)-as well as the ASPD module of the Structured Clinical Interview for DSM-IV Axis II (SCID-II; M B First, R L Spitzer, M Gibbon, J B W Williams, & L S Benjamin, 1997) The measures were administered to 1,345 offenders in court-mandated residential substance abuse treatment programs and prisons PDQ-4 and PAI scores related strongly to SCID-II symptom counts (rs =67 and51, respectively), indicating these measures convey useful clinical information about the severity of offenders' ASPD pathology The dimensional association between the measures was relatively invariant across gender, race, and site, although differences in mean scores were observed Levels of agreement of the SCID-II with the PDQ-4 (K =31) and PAI (K =32) in classifying participants as ASPD was limited Alternative thresholds for both self-report measures were identified and cross-validated
46Â citations
Cites methods from "The theory and practice of group ps..."
...For example, one might wish to use the PDQ-4 to identify persons who are unlikely to have ASPD and therefore are appropriate for inclusion in interpersonal psychotherapy groups (Yalom & Leszck, 2005)....
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TL;DR: Three independent uncontrolled pilot studies show that inpatient ST can significantly reduce symptoms of severe BPD and global severity of psychopathology with effect sizes ranging from Cohen's d = 2.84 to Cohen'sD = .43.
Abstract: Background: Schema Therapy (ST), a psychotherapy model integrating cognitive, experiential and behavioural interventions, was initially developed and evaluated as an outpatient treatment for patients with severe and chronic disorders, among them Borderline Personality Disorder (BPD) Two randomized controlled trials have demonstrated the effectiveness of ST for BPD, delivered in an individual or group format, in the outpatient setting However, the most severely impaired BPD patients are referred to inpatient treatment due to suicidality and severe self-harm Specialized inpatient treatment programs are limited, with little evaluative research Aims: The pilot studies are designed to be first steps in naturalistic clinical settings to evaluate the effects of an intensive inpatient ST treatment program Method: This report presents the results of three independent uncontrolled pilot studies with a total of 92 BPD patients The programs combine individual and group modalities and are consistent theoretically with the ST model for BPD patients Results: Results show that inpatient ST can significantly reduce symptoms of severe BPD and global severity of psychopathology with effect sizes ranging from Cohen's d = 284 to Cohen's d = 43 Conclusions: Differences in the effect sizes across the three pilot studies could be explained by length of treatment, number of group psychotherapists and their training Although there are limitations to the presented pilot studies such as differences in the samples, treatment settings, variations in the treatment itself and the use of different measures, which may have influenced outcome, they are a starting point for describing and evaluating inpatient treatment for BPD in naturalistic settings
46Â citations
Cites background from "The theory and practice of group ps..."
...Like individual ST, GST (Farrell and Shaw, 2010; Farrell and Shaw, 2012) is technically integrative, combining aspects of process and educational groups to make strategic use of group therapeutic factors such as cohesiveness and vicarious learning (Yalom, 2005)....
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