“…For example, Webster and Schwartzberg's (1992) study of patients' perceptions of curative factors in groups found similar results for activity groups as for psychotherapy groups in relation to Yalom's 11 curative factors of group therapy (additional factors of accomplishment, relaxing or keeping one's mind off problems, creativity, self-esteem, enjoyment or fun, and increased skills and concentration were also identified). Likewise, Rebeiro and Cook (1999, p. 178) described outcomes related to affirmation, acceptance, belonging, normalization with group, self-worth, confirmation, alternate focus for thoughts, accomplishment, hope for the future, confidence, and actualization (redefining of self based on experience) as being important to service users.…”