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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.
Citations
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Journal ArticleDOI
TL;DR: The author presents a spiritual well-being model that provides a framework to discuss the antecedents, symptoms, spiritual needs, and holistic treatment of depression as it is experienced by older women.
Abstract: Although evidence exists to suggest an integral influence of one's spirit on one's mental health, few nurse theoreticians have attempted to delineate and include the concept of spirituality in their nursing models. In making practice decisions related to spiritual matters, mental health nurses require knowledge about the interface between spirituality and mental health. Many symptoms of depression, the most common mental health problem of older adults, parallel indications of spiritual distress. The author presents a spiritual well-being model that provides a framework to discuss the antecedents, symptoms, spiritual needs, and holistic treatment of depression as it is experienced by older women.

45 citations

Journal ArticleDOI
TL;DR: In this paper, the authors investigated the process of resolving painful emotional experience during psychodrama group therapy, by examining significant therapeutic events within seven psychodicrama enactments, and found that a corrective interpersonal experience (social atom repair) healed the sense of fragmentation and interpersonal disconnection associated with unresolved emotional pain.
Abstract: This study investigated the process of resolving painful emotional experience during psychodrama group therapy, by examining significant therapeutic events within seven psychodrama enactments. A comprehensive process analysis of four resolved and three not-resolved cases identified five meta-processes which were linked to in-session resolution. One was a readiness to engage in the therapeutic process, which was influenced by client characteristics and the client's experience of the group; and four were therapeutic events: (1) re-experiencing with insight; (2) activating resourcefulness; (3) social atom repair with emotional release; and (4) integration. A corrective interpersonal experience (social atom repair) healed the sense of fragmentation and interpersonal disconnection associated with unresolved emotional pain, and emotional release was therapeutically helpful when located within the enactment of this new role relationship. Protagonists who experienced resolution reported important improvements in interpersonal functioning and sense of self which they attributed to this experience.

45 citations

Journal ArticleDOI
TL;DR: Using multivariate analyses, a model is found that reveals the structure and connections of therapeutic factors as they are differentiated in the experience of the group members.
Abstract: To assess group participants’ perceptions of therapeutic factors, we developed an extensive questionnaire of 155 items that was administered to 489 members of 78 psychotherapy and growth groups of client–centered/experiential, psychoanalytic, behavioral, Gestalt and drama– and bodily oriented orientations. Using multivariate analyses we found a model that reveals the structure and connections of therapeutic factors as they are differentiated in the experience of the group members. Our model encompasses three hierarchical levels of abstraction: 28 Basic scales that appeared to be structured into seven main scales (Group Cohesion, Interactional Confirmation, Cathartic Self–Revelation, Self–Insight and Progress, Observational Experiences, Getting Directives, and Interactional Confrontation) and two dimensions (Relational Climate and Psychological Work). Validity for these therapeutic factors was found in their grounded content, statistically analyzed constructs, importance ratings, and correlations t...

45 citations

Journal ArticleDOI
TL;DR: A review of the research suggests that clients do not conceal much from therapists, that what they do conceal involves many different kinds of information hidden for many different reasons, that therapists have wide variability in being able to detect hidden client material, and that the relationship of client concealment and therapist awareness ofclient concealment with therapy process and outcome is not clear.
Abstract: The authors disagree with A. E. Kelly's (2000) conclusions that clients conceal things from therapists primarily for self-presentational reasons and that client concealment is positively related to positive therapy process and outcome. They also disagree with A. E. Kelly regarding the implications of self-presentation theory for therapy. Their review of the research suggests that clients do not conceal much from therapists, that what they do conceal involves many different kinds of information hidden for many different reasons, that therapists have wide variability in being able to detect hidden client material, and that the relationship of client concealment and therapist awareness of client concealment with therapy process and outcome is not clear. Finally, the authors discuss their views about implications of client concealment and self-presentation for therapy.

45 citations


Additional excerpts

  • ...Secrets can be about basic inadequacy, interpersonal alienation, sexual issues, failure, mental health, relationship difficulties, health problem, drugs–alcohol, or lying–delinquency (Hill et al,, 1993; Kelly, 1998; Norton, Feldman, & Tafoya, 1974; Yalom, 1970)....

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