Analysis of a Support Group for Young Spinal Cord-Injured Males

Abstract

This article analyzes the development of a support group for young male spinal cord‐injured (SCI) clients. Both Goffman's theoretic framework of spoiled identity and Erikson's developmental model are used to guide this analysis. The most useful structure of a support group for young SCI male clients seems to be one that focuses on active mastery of various obstacles that need to be overcome. The topics that emerged in working with this support group over a period of 24 months focused on the broad categories of developing independence, role transitions, communication and self‐expression, and the rehabilitation team. Clients who choose not to participate in support groups may need additional individual counseling in order to facilitate their later participation. Inclusion of the support group in the rehabilitation process appeared to reduce the amount of client “acting‐out” both on and off the unit; this observation merits investigation through outcome research. Additional research questions are also proposed.

Coping effectiveness training during acute rehabilitation of spinal cord injury/dysfunction: A randomized clinical trial.

“…This study evaluates the effectiveness of the specific format of CET by comparing outcomes to those who have received supportive group psychological intervention. Various forms of supportive group therapy have been provided to individuals with SCI and spinal cord dysfunction in multiple settings (e.g., Bowers et al, 1987; Cimperman & Dunn, 1974; Fow & Rockey, 1995). Although no studies have been conducted to demonstrate efficacy of the support group within the SCI population, this intervention was utilized as a control group based on its being the usual treatment provided prior to study initiation.…”

Group Learning for Adults with Disabilities or Chronic Disease

“…Campbell and Hart (1984) indicated a need for group sessions to impart knowledge, to allow for "emotional learning," and to increase knowledge about rehabilitation and the meaning of disability in our society. Bowers et al (1987) described a support group for males with spinal cord injury that evolved into a teaching group focused on information and skill acquisition.…”

Group Counseling for People With Physical Disabilities

“…Typical member goals included independent community living, educational-vocational training culminating in successful job placement, identification of recreational and leisure needs and how to meet them, and family counseling focusing on sexual issues. Bowers et al ( 1987) described a structured, active mastery support group for young males who had sustained spinal cord injury. The I-hour weekly support group meetings emphasized self-expression, especially regarding feelings about the injury and the resulting dependence upon others; the attainment of emotional independence; examination of client-rehabilitation staff relationships; and assessment of public attitudes toward people with physical disabilities.…”