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Group Therapeutic Factors on an Alcohol In-patient Unit

Published online by Cambridge University Press:  02 January 2018

Lisetta Lovett*
Affiliation:
St George's Hospital, Stafford
Jonathan Lovett
Affiliation:
Family Counselling Service, Crewe
*
St George's Hospital, Corporation Street, Stafford ST16 3AG

Abstract

Seventy consecutive patients admitted to an alcohol unit were given a modified version of Yalom's therapeutic factor questionnaire at various points during the therapeutic programme. This programme consists of a two-week introductory programme, followed by a treatment programme, which includes psychodynamic groups, life-history reviews and intensive cognitive-therapy sessions. Internal agreement of ranking order of therapeutic factors was high among all patients and was independent of time spent in group therapy. Patients valued most an existential factor (which embraces concepts of personal responsibility and isolation), self-understanding and cohesiveness; they least valued guidance and identification. Therapists also completed the questionnaire: their ranking of therapeutic factors correlated highly with that of patients, but they ranked an existential factor much lower.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

Berzon, B., Pious, C. & Farson, R. (1963) The therapeutic event in group psychotherapy: a study of subjective reports by group members. Journal of Individual Psychology, 19, 204212.Google Scholar
Bloch, S. & Reibstein, J. (1980) Perceptions by patients and therapists of therapeutic factors in group psychotherapy. British Journal of Psychiatry, 137, 274278.CrossRefGoogle ScholarPubMed
Bloch, S. & Crouch, E. (1985) Therapeutic Factors in Group Psychotherapy. Oxford: Oxford University Press.Google Scholar
Butler, T. & Fuhriman, A. (1980) Patient perspective on the curative process: a comparison of day treatment and out-patient psychotherapy groups. Small Group Behaviour, 111, 371388.Google Scholar
Butler, T. & Fuhriman, A. (1983) Level of functioning and length of time in treatment variables influencing patients' therapeutic experience in group psychotherapy. International Journal of Group Psychotherapy, 33, 489505.Google Scholar
Cook, C. C. H. (1988) The Minnesota model in the management of drug and alcohol dependency: miracle method or myth — Part III. Evidence and conclusion. British Journal of Addiction, 83, 735748.CrossRefGoogle ScholarPubMed
Corsini, R. & Rosenberg, B. (1955) Mechanisms of group psychotherapy processes and dynamics. Journal of Abnormal and Social Psychology, 51, 406411.CrossRefGoogle ScholarPubMed
Edwards, G., Orford, J., Egert, S., et al (1977) Alcoholism: a controlled trial of treatment and advice. Journal of Studies on Alcohol, 38, 10041031.Google Scholar
Edwards, G., Brown, D., Duck, H. A., et al (1987) Outcome of alcoholism: the structure of patient attributions as to what causes change. British Journal of Addiction, 82, 533545.CrossRefGoogle ScholarPubMed
Hill, W. F. (1975) Further considerations of therapeutic mechanisms in group therapy. Small Group Behaviour, 6, 421429.CrossRefGoogle Scholar
Johnson, D. & Ridener, L. (1974) Self-disclosure, participation and perceived cohesiveness in small group interaction. Psychological Reports, 35, 361363.Google Scholar
Kammeier, M. L., Lucero, R. J. & Anderson, D. J. (1973) Events of crucial importance during alcoholism treatment, as reported by patients. Quarterly Journal of Studies on Alcohol, 34, 11721179.Google Scholar
Kapur, R., Miller, K. & Mitchell, G. (1988) Therapeutic factors within in-patient and out-patient psychotherapy groups. British Journal of Psychiatry, 152, 229233.CrossRefGoogle ScholarPubMed
Leszcz, M., Yalom, I. D. & Norden, M. (1985) The value of inpatient group psychotherapy: patients' perceptions. International Journal of Group Psychotherapy, 35, 411433.Google Scholar
Lieberman, M. A., Yalom, I. D. & Miles, M. G. (1973) Encounter Groups: First Facts. New York: Basic Books.Google Scholar
Marcovitz, R. J. & Smith, J. E. (1983) Patients' perceptions of curative factors in short-term group psychotherapy. International Journal of Group Therapy, 33, 2139.Google ScholarPubMed
Marlatt, G. A. (1978) Craving for alcohol, loss of control and relapses: a cognitive-behavioural analysis. In Alcoholism: New Directions in Behavioural Research and Treatment (eds Nathan, P. E., Marlatt, G. A. & Loberg, T.). London: Plenum.Google Scholar
Maxmen, J. & Hanover, N. H. (1973) Group therapy as viewed by hospitalized patients. Archives of General Psychiatry, 28, 404408.Google Scholar
Rees, D. W. & Stone, K. (1989) Patient use of treatment options at an ATU and ratings of their relative usefulness. Alcohol and Alcoholism, 24, 6368.Google Scholar
Schaffer, J. B. & Dreyer, S. F. (1982) Staff and in-patient perceptions of change mechanisms in group psychotherapy. American Journal of Psychiatry, 139, 127128.Google Scholar
Shiffman, S. & Wills, T. A. (1985) Coping and Substance Abuse. London: Academic Press.Google Scholar
Steinfield, G. & Mabli, J. (1974) Perceived curative factors in group therapy by residents of a therapeutic community. Criminal Justice Behaviour, 1, 278288.Google Scholar
Whalan, G. S. & Mushet, G. L. (1986) Consumers' views of the helpful aspects of an in-patient psychotherapy group: a preliminary communication. British Journal of Medical Psychology, 59, 337339.Google Scholar
Yalom, I. D. (1975) The Theory and Practice of Group Psychotherapy. New York: Basic Books.Google Scholar
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