Virginia Brabender

Models of inpatient group psychotherapy

Introduction to inpatient group psychotherapy features of the setting educative model interpersonal model objection relations model developmental model cognitive-behavioural model problem-solving model behavioural model an integration.

The ethical group psychotherapist

Abstract Group psychotherapists in their everyday practice confront a series of ethical problems, some of which rise to the level of ethical dilemmas. This two-part special series will address how the group psychotherapist can address these problems and dilemmas in a way that leads to an ethical course of conduct. This article introduces the series by examining ethical principles and decision-making processes that are relevant to the wide range of issues that confront the group psychotherapist. The article also considers the person of the group psychotherapist him or herself and notes that certain personal qualities might create a foundation for ethical thinking and behavior.

The Ethical Group Psychotherapist: A Coda

Abstract This concluding article of a two–part special section on the ethical group psychotherapist are highlighted: (1) the importance of the cultivation of the skill and knowledge base of the group psychotherapist in terms of pertinent legal statutes and ethical guidelines; (2) the criticalness of certain personality features related to the concept of virtue; (3) a therapist’s self–awareness contributes to the capacities to think and respond ethically; (4) ethical decision making is most likely to occur when the group psychotherapist attends comprehensively to all dimensions that define the setting in which a dilemma emerges; and (5) that in the service of positive ethics, attention to the ethical dimensions of group psychotherapy practice should be continuously present. In agreement with other contributions to this section, I conclude that the commitment to the ethical practice of group psychotherapy must be made not only by the individual practitioner but also by educational and training programs and professional organizations.

More challenges since Wikipedia: the effects of exposure to internet information about the Rorschach on selected comprehensive system variables.

To determine the effects of reading the Wikipedia article on the Rorschach on Comprehensive System variables, participants in this study (recruited from parent–teacher associations, online message boards, and graduate schools; N = 50) were provided with either a copy of the Wikipedia article on the Rorschach (from April 2010) or an irrelevant article, then administered the Rorschach and instructed to “fake good.” Monetary incentives were used to increase motivation to dissimulate. Initial results indicated that participants given the Wikipedia article produced a lower number of responses (R) and had higher scores on Populars, X+%, XA%, and WDA% as compared to controls. However, post-hoc analyses revealed that when the influence of Populars was controlled, significant differences for X+%, XA%, and WDA% disappeared. No significant differences were found for Form%, Zf, Blends, or PER, although post-hoc analyses controlling for differences in R revealed a significant difference between groups on Zf%. Limitations of the study and implications for clinical and forensic practice are discussed.

The Developmental Path to Expertise in Group Psychotherapy

This paper describes a trajectory by which an individual achieves expertise in group psychotherapy. Five developmental stages are posited. In the decisional-anticipatory stage, interest is developed in group psychotherapy. In the trainee stage, the individual masters the knowledge base of group psychotherapy and obtains fledgling experiences in a group. In the novice stage, the individual obtains additional experience in running groups and becomes socialized into a community of group psychotherapists. In the proficiency stage, the individual narrows his or her group psychotherapy focus and obtains more specialized experience in that area. At this time, supervisory and consultation skills are often developed. In the final stage of expertise, the expert must engage in a process of recognizing its limits and must devise ways to maintain it. Research that focuses on one aspect of expertise, level of experience, is reviewed. Three dimensions of difference are identified: (a) complexity of conceptualization of members and interventions; (b) fostering openness and engagement; and (c) focusing on process.

Using the Psychodynamic Diagnostic Manual in the Training of the Competent Assessor

The Psychodynamic Diagnostic Manual (PDM; PDM Task Force, 2006) was published in 2006 and very soon after that date, the assessment faculty at the Institute for Graduate Clinical Psychology considered its incorporation into the assessment curriculum. Personality assessment has been a major emphasis of the doctoral program since its inception in 1970. Although faculty had a high level of satisfaction with students’ training in using individual techniques, they saw skills lying at the interface of assessment and psychodiagnosis (integration of test data, providing a diagnosis synopsis, formulation of treatment recommendations, and delivery of feedback) as less fully honed. Essentially, all of these activities were tied to the overarching task of case formulation. This finding is unsurprising in that the areas in need of support are at a higher level of complexity and sophistication than the areas the students had more thoroughly mastered. This article discusses how the PDM has been a valuable tool in improving the Widener assessment curriculum and how it could be a potent instrument in other doctoral programs as well. It also considers what kind of curricular adjustments enable the PDM to be used to best advantage.

Chaos, Group Psychotherapy, and the Future of Uncertainty and Uniqueness

This paper explores the application of chaos theory, a new non-linear dynamical theory, to the understanding of psychotherapy groups. Two features of psychotherapy groups that have been insufficiently described or explained, uncertainty and uniqueness, are considered in the light of the chaos theory notion that groups proceed through periods of order and disorder. The recommendation is made that chaos theory be explored further as the field moves into the millennium and a hundred years of its own existence.

The psychological growth of women in a short-term inpatient group

This paper identifies ways in which a short-term inpatient group can support psychological growth of women. A four-stage developmental model of womens work in an inpatient group is described. In each stage, women achieve greater comfort in new modes of relating. Women also gain greater appreciation of their interpersonal strengths. In the first stage, women face issues related to autonomy and connection. In the second stage, women focus upon conflictual feelings in relation to authority. In the third stage, women address obstacles to the achievement of satisfying, intimate, peer-based relationships. In the fourth stage, women focus upon the issues of separation and loss that are precipitated by the termination of the group. At each stage, the developmental tasks women perform are contrasted with related but nonidentical tasks performed by men.

Therapists’ Responses to Religious/Spiritual Discussions with Trauma Versus Non-trauma Clients

This research explores therapists’ reactions to discussions of religion and spirituality in secular psychotherapy. We used a mixed method design including qualitative and quantitative components to examine data from 14 mental health professionals. Therapists acknowledged the importance of, and outlined reasons for, engaging in religious/spiritual discussions. They provided examples of the diverse ways in which their own views on religion/spirituality have an effect on their therapeutic work. Therapists view attention to religion/spirituality in trauma therapy as necessary. They see an emphasis on religion/spirituality within the treatment of traumatized clients as possessing distinctive qualities in comparison to their treatment of other populations.

Ethical Hot Spots of Combined Individual and Group Therapy: Applying Four Ethical Systems

Abstract Combined therapy presents ethical quandaries that occur in individual psychotherapy and group psychotherapy, and dilemmas specifically associated with their integration. This paper examines two types of ethical frameworks (a classical principle-based framework and a set of context-based frameworks) for addressing the ethical hot spots of combined therapy: self-referral, transfer of information, and termination. The principle-based approach enables the practitioner to see what core values may be served or violated by different courses of action in combined therapy dilemmas. Yet, the therapist is more likely to do justice to the complexity and richness of the combined therapy situation by supplementing a principle analysis with three additional ethical frameworks. These approaches are: virtue ethics, feminist ethics, and casuistry. An analysis of three vignettes illustrates how these contrasting ethical models not only expand the range of features to which the therapist attends but also the array of solutions the therapist generates.