Table of Contents
Preface To The Sixth Edition 1
Acknowledgments 7
1 The Therapeutic Factors 9
Instillation of Hope 13
Universality 15
Imparting Information 18
Altruism 24
The Corrective Recapitulation of the Primary Family Group 26
Development of Socializing Techniques 28
Imitative Behavior 29
2 Interpersonal Learning 33
The Importance of Interpersonal Relationships 33
The Corrective Emotional Experience 44
The Group as Social Microcosm 50
Dynamic Interaction Within the Social Microcosm 58
Recognition of Behavioral Patterns in the Social Microcosm 61
The Social Microcosm: Is It Real? 64
Transference and Insight 65
Overview 68
3 Group Cohesiveness 73
The Importance of Group Cohesiveness 77
Mechanism of Action 88
Summary 102
4 The Therapeutic Factors: An Integration 103
Comparative Value of the Therapeutic Factors: The Client's View 107
Comparative Value of the Therapeutic Factors: Differences Between Clients' and Therapists' Views 141
Therapeutic Factors: Modifying Forces 144
5 The Therapist: Basic Tasks 153
Creation and Maintenance of the Group 154
Building a Group Culture 157
How Does the Leader Shape Norms? 160
Therapeutic Group Norms 167
6 The Therapist: Working In The Here-And-Now 183
Definition of Process 185
Process Focus: The Power Source of the Group 194
The Therapist's Tasks in the Here-and-Now 196
Techniques of Here-and-Now Activation 202
Techniques of Process Illumination 214
Helping Clients Assume a Process Orientation 226
Helping Clients Accept Process-Illuminating Comments 228
Process Commentary: A Theoretical Overview 230
The Use of the Past 241
Group-as-a-Whole Process Commentary 246
7 The Therapist: Transference And Transparency 255
Transference in the Therapy Group 259
The Psychotherapist and Transparency 272
8 Selecting Clients And Composing Groups 293
Criteria for Exclusion 295
Criteria for Inclusion 314
Summary: Client Selection 318
Group Composition 319
The Prediction of Client Behavior in the Group 321
Summary: Predicting Client Behavior 330
Principles of Group Composition 330
Homogeneity or Heterogeneity? 333
General Clinical Considerations 336
Summary: Group Composition 338
9 Creating The Group 341
Setting and Structure 342
Brief Group Therapy 349
Pregroup Meetings and Preparation for Group Therapy 355
10 In The Beginning 377
Formative Stages of the Group 377
The Impact of Clients and Other Factors on Group Development 393
Membership Problems 398
11 The Advanced Group 425
How Interpersonal Learning Works 425
Subgrouping 430
Conflict in the Therapy Group 440
Self-Disclosure 455
Termination 465
12 The Challenging Group Member 477
The Monopolist 478
The Silent Client 485
The Boring Client 488
The Help-Rejecting Complainer 491
The Acutely Psychotic Client 494
The Schizoid Client 502
The Characterologically Difficult Client 507
13 Specialized Formats And Procedural Aids 521
Concurrent Individual and Group Therapy 521
Combining Group Therapy and Twelve-Step Groups 533
Co-Therapy 538
Dreams 545
Audiovisual Technology 549
Written Summaries 552
Monitoring Group Therapy Outcome and Process 560
Structured Exercises 562
Group Therapy Record Keeping 568
14 Online Psychotherapy Groups 571
VTC Groups: Early Findings 572
Guidelines for Group Psychotherapists 573
VTC Group Challenges and Opportunities 575
15 Specialized Therapy Groups 579
Modifications for Specialized Clinical Situations: Basic Steps 581
The Acute Inpatient Therapy Group 587
Groups for the Medically Ill 617
Adaptation of CBT and IPT to Group Therapy 626
Self-Help Groups and Online Support Groups 634
16 Training The Group Therapist 639
Observation of Experienced Clinicians 641
Clinical Supervision 645
A Group Experience for Trainees 654
Personal Psychotherapy 661
Summary 664
Beyond Technique 665
Appendix: Group Therapy Information And Guidelines For Clients 667
Notes 673
Index 801
