Group psychodynamic-interpersonal psychotherapy.

Tasca, Giorgio A.; Mikail, Samuel F.; Hewitt, Paul L.

doi:10.1037/0000213-000

Cited by 20 publications

(31 citation statements)

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“…Confrontation rupture and repair: Member level. This third exchange illustrates how group therapy principles can guide therapists' choice of resolution strategy and group level at which they target the strategy (see Tasca et al, 2020). For example, the group therapist in the following example used the principle of interpersonal learning (Yalom & Leszcz, 2005) when he focused on Ashley's feedback to Sophie about her interruptions.…”

Section: But Then I Could Look Inmentioning

confidence: 98%

Applying the Rupture Resolution Rating System (3RS) to group therapy: An evidence-based case study.

Garceau¹,

Chyurlia²,

Baldwin³

et al. 2021

Group Dynamics: Theory, Research, and Practice

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Objective: Despite the known association between therapeutic alliance ruptures and outcomes in individual therapy, there is almost no research on the topic in group therapy. Group therapy is inherently more complex such that interactions occur at multiple relational levels, including member-to-member, member-to-therapist, and member-to-group. Ruptures may occur at any of these levels, and therapists or group members may initiate repair strategies. We used an evidence-based case study to evaluate the utility and feasibility of using the Rupture Resolution Rating System (3RS) in group therapy. Method: Participants were 8 members with perfectionism and 2 therapists in a middle session of group therapy. We coded ruptures and repairs with the 3RS, the relational level of the group's interactions, and the actor and target of rupture or repair behaviors. Perfectionism outcomes were assessed pre-and posttreatment. Results: Members' perfectionism showed clinically meaningful improvement. The group therapy session had both withdrawal and confrontation ruptures at each relational level of the group, with half of all ruptures occurring between members. Therapists initiated most of the repair strategies, but members initiated about one third of repairs. Conclusions: The 3RS may be useful to code ruptures and repairs in a group therapy context. Modifications were necessary so that the relational level of group interactions and the target of the behavior (member, therapist, group) were concurrently coded. This concurrent coding strategy makes use of the richness of 3RS coding, accounts for the complexity of group therapy interactions, and may be useful to inform clinical practice and research.

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Section: But Then I Could Look Inmentioning

confidence: 98%

Applying the Rupture Resolution Rating System (3RS) to group therapy: An evidence-based case study.

Garceau¹,

Chyurlia²,

Baldwin³

et al. 2021

Group Dynamics: Theory, Research, and Practice

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“…This has implications for clinical practice such as patient assessment for the purpose of group composition. Tasca et al (2021) emphasized that the individual's level of psychological functioning, and not necessarily DSM-5 diagnosis (APA, 2013), should be the basis for determining group composition. Groups with lower aggregate levels of defensive functioning may require therapists to put a greater emphasis on the interpersonal and intrapersonal stressors within and outside of the group that are caused by lower-level defenses like splitting, denial, and projective identification.…”

Section: Discussionmentioning

confidence: 99%

“…Groups with lower aggregate levels of defensive functioning may require therapists to put a greater emphasis on the interpersonal and intrapersonal stressors within and outside of the group that are caused by lower-level defenses like splitting, denial, and projective identification. Furthermore, Tasca et al (2021) suggested that patients who are too divergent from the rest of the group on level of defensive functioning may not benefit from treatment in that group.…”

Section: Discussionmentioning

confidence: 99%

“…To address maladaptive interpersonal patterns and problematic defenses common in BED, Tasca et al (2021) developed group psychodynamic-interpersonal psychotherapy (GPIP). It is delivered across 16 weekly 90-min sessions and is designed to reduce maladaptive interpersonal functioning and promote more adaptive attachments, affect regulation, and defensive functioning.…”

Section: Defensive Functioningmentioning

confidence: 99%

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A group’s level of defensive functioning affects individual outcomes in group psychodynamic-interpersonal psychotherapy.

Carlucci¹,

Chyurlia²,

Presniak³

et al. 2022

Psychotherapy

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We used an actor-partner interdependence model (APIM) to study the association between the individual group member and other group therapy members' defensive functioning on an individual group member's treatment outcome. We hypothesized that (a) more adaptive individual defensive functioning at pretreatment will be significantly related to better treatment outcomes (i.e., lower binge-eating and interpersonal distress) at 6 months post-treatment; and (b) more adaptive other group members' defensive functioning at pretreatment will be significantly related to better treatment outcomes at 6 months post-treatment. Participants (N = 136) were individuals with BED enrolled in group psychodynamic-interpersonal psychotherapy (GPIP). Participants completed attachment interviews and were assessed on interpersonal distress and days binged at pre-treatment and 6 months post-treatment. The interview audio recordings were transcribed and used to code defensive functioning. We found that individual overall defensive functioning (ODF) scores at pretreatment were not significantly associated with binge-eating frequency or interpersonal distress at 6 months post-treatment. Other group members' mean ODF scores at pretreatment were significantly associated with individual interpersonal distress at 6 months post-treatment. However, the other group members' mean ODF scores were not significantly associated with individual binge-eating outcomes at 6 months post-treatment. Defensive functioning of other members of a therapy group may be particularly important for improving interpersonal functioning in individuals with BED. Clinical Impact StatementQuestion: We studied the impact of the individual group member's and other group therapy members' defense mechanisms on an individual group member's treatment outcome (i.e., binge-eating frequency and interpersonal/social functioning). Findings: When other members of a therapy group used more adaptive defense mechanisms, the individual group member's interpersonal functioning improved; but

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“…However, patients high on attachment avoidance may not benefit from self-management strategies as they are unlikely to receive positive feedback on their coping style and therefore less likely to experience increased health self-efficacy and HRQoL. Beyond CBT-based interventions, attachment-based interventions such as group psychodynamic-interpersonal psychotherapy (Tasca et al, 2020) or emotionally focused therapy (Johnson, 2019) may be helpful to treat rehabilitation populations as these approaches focus on patients developing a better understanding of how their attachment style plays a role in their coping strategies and health self-efficacy.…”

Section: Discussionmentioning

confidence: 99%

Attachment avoidance and health-related quality of life: Mediating effects of avoidant coping and health self-efficacy in a rehabilitation sample.

Maras

Balfour

Lefebvre

et al. 2021

Rehabilitation Psychology

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Purpose/Objective: The onset of chronic illness or disability (CID) can be conceptualized as a threat that activates the attachment system. Moreover, the waxing-and-waning nature of CIDrelated symptoms and management of acute and chronic illness stressors means that the attachment system may be repeatedly activated. Contending with repeated threats to health (i.e., security) can complicate psychosocial adjustment to CID and can negatively impact health-related quality of life (HRQoL). Adjustment to CID requires intrapersonal resources, such as adaptive coping and self-efficacy. In spite of attachment theory's relevance to conceptualizing adaptation to CID, no models of psychosocial adaptation to CID account for individual differences in coping behaviors and health self-efficacy through an attachment lens. This limits future theory-driven research. Thus, the present study proposes and tests an integrated model of psychosocial adaptation to CID using an attachment framework. Research Method/Design: Participants in this study included adults referred for psychological services at a tertiary care physical rehabilitation center between 2016 and 2020. Ninety adults completed measures of attachment anxiety and attachment avoidance, coping, health self-efficacy, and HRQoL at one time point. Results: Path analysis indicated that the proposed model fits the data well. Higher attachment avoidance was significantly related to lower HRQoL, as mediated by higher avoidant coping and lower health self-efficacy. Conclusions/Implications: Results suggest that individuals high on attachment avoidance may require additional support to move toward psychosocial adaptation. Further research examining the role of attachment insecurity dimensions in adaptation to CID is warranted and should include longitudinal designs to replicate these findings. Impact and ImplicationsThis study is the first to propose and test a comprehensive model of psychosocial adaptation to chronic illness and disability in a clinical physical rehabilitation sample using an attachment theory framework. Results suggest that individual differences in attachment insecurity dimensions (i.e., attachment anxiety and attachment avoidance) may shape psychosocial adaptation to chronic illness or disability (operationalized as health-related quality of life). More specifically, individuals higher on attachment avoidance have significantly lower health-related quality of life, and this cross-sectional relationship is mediated by higher avoidant coping and lower health self-efficacy. Consideration of the differential relationships among attachment insecurity dimensions, coping, and health self-efficacy may help clinicians determine overall treatment fit, better tailor treatments to meet the individual needs of the patient, and help inform future theory-driven research.

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Group psychodynamic-interpersonal psychotherapy.

Cited by 20 publications

References 0 publications

Applying the Rupture Resolution Rating System (3RS) to group therapy: An evidence-based case study.

Applying the Rupture Resolution Rating System (3RS) to group therapy: An evidence-based case study.

A group’s level of defensive functioning affects individual outcomes in group psychodynamic-interpersonal psychotherapy.

Attachment avoidance and health-related quality of life: Mediating effects of avoidant coping and health self-efficacy in a rehabilitation sample.

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