Inpatient adolescent and latency-age children's perspectives on the curative factors in group psychotherapy

Chase, Jeffrey L.

doi:10.1007/bf01456792

Cited by 10 publications

(10 citation statements)

References 17 publications

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“…Only factors about which the raters agreed were used; factors for which there was no agreement were not used in further analyses. Some therapeutic factors [2, 5, 8] were mentioned by almost every participant while others occurred almost never [3, 9, 11]. Because the aim of this study was to identify factors that differentiated between successful and unsuccessful treatments, factors that were not expected to differentiate because of low or high frequency were excluded from further analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Although as effective as individual therapy [7], it is argued that group psychotherapy, with its focus on peer relationships and identity formation, is preferable for adolescents [8]. To provide an understanding of clients’ perceptions of the effectiveness of group psychotherapy in general, Corsini and Rosenberg [9] and later on Yalom [10] devised the concept of therapeutic factors.…”

Section: Introductionmentioning

confidence: 99%

“…However, the interplay between all therapeutic factors, and the value placed on each, differs according to the content and purpose of a group [11]. One study on inpatient adolescent group therapy reported that ‘cohesion’, ‘universality’ and ‘instillation of hope’ were the most valued therapeutic factors [8]. Another study found that inpatients with comorbid personality disorder scored significantly higher on ‘family re-enactment’ and ‘self-understanding’ than patients without comorbid personality disorder, and significantly lower on ‘cohesiveness’ [14].…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic factors that promote recovery in high-risk adolescents intensive group psychotherapeutic MBT programme

Hauber

Boon

Vermeiren

2019

Child Adolesc Psychiatry Ment Health

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BackgroundThe aim of this study was to investigate whether therapeutic factors as identified by Yalom and potential additional therapeutic factors could be found in the qualitative individual reports of high-risk adolescents with personality disorders at the end of an intensive group psychotherapeutic MBT programme and whether the therapeutic factors were related to therapy outcomes.MethodsAt the end of treatment, 70 adolescents were asked to write a farewell letter. Content analysis of the letters was performed by two independent raters, using the 12 therapeutic factors of Yalom and potential additional therapeutic factors as coding categories. The factors were related to outcome, operationalized as a decrease in psychological symptoms as measured with the Symptom Check List 90 (SCL-90).ResultsAll therapeutic factors of Yalom and four new factors were identified in the letters, ranging from 1 to 97%. The factors of ‘cohesion’ (97%), ‘interpersonal learning output’ (94%), ‘guidance’ (98%) and ‘identification’ (94%) were found in most letters. By contrast, ‘universality’ (1%), ‘family re-enactment’ (3%) and ‘instillation of hope’ (1%) were found in very few letters. The factors ‘interpersonal learning input’, ‘self-esteem’ and ‘turning point’ were significantly associated with therapeutic recovery.ConclusionsLarge presence differences were encountered in therapeutic factors associated with resilience processes and the resolution of psychological distress. Although a relationship was found between certain factors and change in symptoms, it was unclear whether the factors had led to such change. Further research seems important for treatment in general and for the personalization of treatment.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Therapeutic factors that promote recovery in high-risk adolescents intensive group psychotherapeutic MBT programme

Hauber

Boon

Vermeiren

2019

Child Adolesc Psychiatry Ment Health

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“…The finding that participants' selfreported hopelessness was significantly related to self-reported sexual victimization suggests that psychotherapy may be beneficial in alleviating the deleterious effects of some forms of sexual aggression, as the instillation of hope is considered a fundamental ingredient of most forms of psychotherapy (Frank, 1974;Lantz & Pegram, 1989;Yalom, 1985). In particular, group approaches are considered to be particularly effective at fostering hope (Chase, 1991;Couch & Childers, 1987;Goldberg, McNiel, & Binder, 1988;Yalom, 1985). Thus, women who feel hopeless following sexual victimization may benefit from participating in groups designed to provide psychotherapy, selfhelp, andlor mutual support (Canetto, 1995).…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Effects of Sexual Victimization on Suicidal Ideation and Behavior in U.S. College Women

Stepakoff

1998

Suicide & Life Threat Behav

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This study examines the relationship between suicidal ideation and behavior and five types of sexual victimization in a sample of 393 female undergraduate students. Participants completed self‐report measures of sexual victimization, hopelessness, suicidal ideation, and suicidal behavior. Adult sexual victimization, but not childhood sexual abuse, predicted current hopelessness and suicidal ideation. Both childhood sexual abuse and adult sexual victimization predicted suicidal behavior. One in four rape victims, in contrast to approximately 1 in 20 nonvictimized women, had engaged in a suicidal act. Vaginal penetration following the threat or use of physical force was a stronger predictor of suicidal behavior than penetration without the use of force and/or force without penetration. The findings point to the importance of inquiring about experiences of sexual victimization when conducting research or treatment with suicidal women as well as the need for suicide risk assessment in programs for victims of sexual violence.

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“…There is a growing body of research that finds group psychotherapy effective for this population: Lockwood (1981), Berkovitz and Sugar (1975), Peck and Bellsmith (1954), and Schaefer, Johnson, and Wherry (1982). A unique study by Chase (1991) identifies important curative factors in adolescent and child group psychotherapy. He found that both adolescent and child group members valued hope, cohesiveness, and universality.…”

mentioning

confidence: 99%

Group psychotherapy as a technique for assisting ego-impaired children and adolescents

Winek

Faulkner

1994

Group

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This paper describes an approach to working with ego-impaired children and adolescents. The structure and process of psychotherapy groups within a residential program are discussed. We describe how insight-oriented groups act as a collective superego, thereby encouraging maturation. Functions of the group relating to socialization, milieu issues, peer issues, family relationships, personal issues, selfesteem, empowerment, and special issues are discussed. The focus of the discussion is on the structure and process of the groups. Brief clinical vignettes are utilized to illustrate components of the approach.This paper describes an approach to working with children and adolescents who have impaired ego functioning. We have found that daily participation in group psychotherapy is the cornerstone of a residential treatment program. One way a program can work toward helping such ego-impaired children is by utilizing groups as a collective superego, which in turn facilitates ego development within these youths. This paper describes how an eclectic approach to treating children and adolescents in groups fosters ego development. The focus of this discussion will be on how the structure and process of the group facilitates the client's progress.Our approach helps clients address a variety of issues in the group session, such as transference, socialization into and out of the home, milieu issues, peer issues, family relations, personal issues, self-esteem, empowerment, and special issues. While, for purposes of presentation, these topics are discussed separately, we do not assume them to be mutually exclusive. In fact, within a single group session, different clients can be working on a variety of issues. We offer several brief clinical vignettes to illustrate the issues discussed. We describe the more structured uses of the group first and conclude with a discussion of less structured group tasks. A unique aspect of this approach is that this program treats children and adolescents with ego impairment in the same group sessions. Our approach derives from the ideas developed in both the child and adolescent group psychotherapy literature as well as from our experience.

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Inpatient adolescent and latency-age children's perspectives on the curative factors in group psychotherapy

Cited by 10 publications

References 17 publications

Therapeutic factors that promote recovery in high-risk adolescents intensive group psychotherapeutic MBT programme

Therapeutic factors that promote recovery in high-risk adolescents intensive group psychotherapeutic MBT programme

Effects of Sexual Victimization on Suicidal Ideation and Behavior in U.S. College Women

Group psychotherapy as a technique for assisting ego-impaired children and adolescents

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