Patient Selection for Psychodynamic Group Psychotherapy: Practical and Dynamic Considerations

Gans, Jerome S.; Counselman, Eleanor F.

doi:10.1521/ijgp.2010.60.2.197

Cited by 13 publications

(4 citation statements)

References 24 publications

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“…Consideration was given to balancing sex, age, disclosure level, type of elevated perfectionism, and ability to attend all sessions. These criteria were used to limit the number of dropouts and to facilitate group participation and cohesion (Gans & Counselman, 2010; Yalom & Leszcz, 2005).…”

Section: Methodsmentioning

confidence: 99%

Psychodynamic/interpersonal group psychotherapy for perfectionism: Evaluating the effectiveness of a short-term treatment.

Hewitt¹,

Mikail²,

Flett³

et al. 2015

Psychotherapy

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This study sought to determine whether clinically significant improvement could be obtained using a psychodynamic/interpersonal group treatment based on a comprehensive conceptualization of perfectionism. A sample of 71 community-recruited perfectionistic individuals participated in the University of British Columbia Perfectionism Treatment Study. Eighteen of these participants were initially nonrandomly assigned to a waitlist control condition. All participants completed measures of perfectionism traits, perfectionistic self-presentation, and automatic perfectionistic thoughts, as well as measures of distress including depression, anxiety, and interpersonal problems at pretreatment, posttreatment, and at a 4-month follow-up. Multilevel modeling demonstrated that perfectionism levels decreased with large effect sizes and that these decreases were associated with reductions in distress measures. Clinically significant decreases were found in all perfectionism components, and posttreatment scores on most variables were significantly lower in the treatment condition versus the waitlist control condition. The findings suggest that psychodynamic/interpersonal group treatment is effective in treating components of perfectionism.

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Section: Methodsmentioning

confidence: 99%

Psychodynamic/interpersonal group psychotherapy for perfectionism: Evaluating the effectiveness of a short-term treatment.

Hewitt¹,

Mikail²,

Flett³

et al. 2015

Psychotherapy

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show abstract

“…Research is needed on how contracting, the allocation of resources, staffing and training (which are not needed at all sites) can be expedited to allow rapid site initiation. Poor group composition due to errors in patient selection can result in disruption of therapy or participant attrition [82,83]. Further work is required to understand how investigators can employ rational methods of participant allocation to therapy groups [83] in the context of cluster RCTs.…”

Section: Further Researchmentioning

confidence: 99%

Challenges in the design, planning and implementation of trials evaluating group interventions

Biggs

Hind

Gossage-Worrall

et al. 2020

Trials

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Background: Group interventions are interventions delivered to groups of people rather than to individuals and are used in healthcare for mental health recovery, behaviour change, peer support, self-management and/or health education. Evaluating group interventions in randomised controlled trials (RCTs) presents trialists with a set of practical problems, which are not present in RCTs of one-to-one interventions and which may not be immediately obvious. Methods: Case-based approach summarising Sheffield trials unit's experience in the design and implementation of five group interventions. We reviewed participant recruitment and attrition, facilitator training and attrition, attendance at the group sessions, group size and fidelity aspects across five RCTs. Results: Median recruitment across the five trials was 3.2 (range 1.7-21.0) participants per site per month. Group intervention trials involve a delay in starting the intervention for some participants, until sufficient numbers are available to start a group. There was no evidence that the timing of consent, relative to randomisation, affected post-randomisation attrition which was a matter of concern for all trial teams. Group facilitator attrition was common in studies where facilitators were employed by the health system rather than the by the grant holder and led to the early closure of one trial; research sites responded by training 'back-up' and new facilitators. Trials specified that participants had to attend a median of 62.5% (range 16.7%-80%) of sessions, in order to receive a 'therapeutic dose'; a median of 76.7% (range 42.9%-97.8%) received a therapeutic dose. Across the five trials, 75.3% of all sessions went ahead without the pre-specified ideal group size. A variety of methods were used to assess the fidelity of group interventions at a group and individual level across the five trials. Conclusion: This is the first paper to provide an empirical basis for planning group intervention trials. Investigators should expect delays/difficulties in recruiting groups of the optimal size, plan for both facilitator and participant attrition, and consider how group attendance and group size affects treatment fidelity.

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“…The therapist may fail to see and address some difficulty the client has at the time or on the day of the meetings that, if not addressed early, 446 MACCOLL may necessitate an early departure from group (Gans & Counselman, 2010). Or the therapist may not address with the patient that, in the group, the best way to benefit is by talking to others and listening to how others react to them.…”

Section: The Beginning Intermediate and Advanced Stages As The Groumentioning

confidence: 99%

The Art of Bridging Revisited

MacColl¹

2016

International Journal of Group Psychotherapy

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The importance of connecting group member to member is highlighted in this article. Basically, its value is in finding creative ways to join members together. The article highlights the importance of emotional communication. I look at similarities with other group therapists, particularly exploring those between Ormont and Yalom. It is the goal of this article to highlight how this technique can be of importance for all group therapists. Clinical examples of connecting members from beginning to intermediate and advanced levels are highlighted. A selected literature review is included. ENHANCING MEMBER-TO-MEMBER EMOTIONAL DIALOGUEThe main goal of many therapists (Ormont, 1990;Yalom & Leszcz, 2005) is connecting members of the group to one another. Yes, the leader must occasionally deal with the anger of members toward the leader, yet the power of member-to-member dialogue and how to enhance this are crucial parts of an evolving group process. Our Gregory J. MacColl has a private practice in Manhattan and Forest Hills, New York.

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Patient Selection for Psychodynamic Group Psychotherapy: Practical and Dynamic Considerations

Cited by 13 publications

References 24 publications

Psychodynamic/interpersonal group psychotherapy for perfectionism: Evaluating the effectiveness of a short-term treatment.

Psychodynamic/interpersonal group psychotherapy for perfectionism: Evaluating the effectiveness of a short-term treatment.

Challenges in the design, planning and implementation of trials evaluating group interventions

The Art of Bridging Revisited

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