Practice Guidelines for Group Treatment professionalizing group treatment in the Netherlands
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1 Practice Guidelines for Group Treatment professionalizing group treatment in the Netherlands Invited Symposium by Rob Koks and Willem de Haas IFP World-congress of psychotherapy,amsterdam, June 9, 2018
2 Program of this symposium What do we know about groups and group treatment? Development of the research on groups. Rob Koks What do group therapists do? The practice of group treatment. Willem de Haas Professional application of group treatment: practice guidelines in the Netherlands. Rob Koks Discussion on the themes. Willem de Haas and Rob Koks
3 What do we know about groups and group treatment? Development of the research on groups Rob Koks IFP World-congress of psychotherapy Amsterdam, June 9, 2018
4 Content Are groups real? Four fields of research, conclusions Therapeutic factors Basic functions of the group leader The future of group research
5 Are groups real? Gordon Allport, 1924
6 Groups are real = 3 Real Madrid vs. Barcelona
7 Four fields of research Before 1975: impressionistic 1. Psychoanalytical studies 2. Social Psychological studies After 1975: statistical 3. Research on process factors 4. Research on specific disorders and methods
8 Before Psychoanalytic studies: translated individual concepts; WW I+II USA: Pratt (1906); Lazell (1921); Burrow (1927) Slavson (1940/50), Wolf (1950): Psycho-analysis in groups UK: Ezriel (1950), Foulkes (1960), Bion (1961): Group Analysis USA: Whitaker & Lieberman (1964), Stanton & Schwarz (1954) UK: Main(1957) Conclusions: group is social system with mutual influence by interaction focus on depth-processes e.g. projective identification and parallelprocesses
9 Trigant Burrow The Social Basis of Consciousness, 1927
10 Before Social psychological (small group) research: neutral observation, non-patients Lewin (1936): field theory Homans (1950): two hypotheses, two aspects (task-social emotional) Leary s Rose (1957) Tuckman (1964): developmental phases (Levine, 1982) Bradford, Lippit, Benne: NTL: T-groups, encountergroups Conclusions: Group is a system with specific structures and regularities: interactions, cohesion, roles, norms, phases Cohesion is interpersonal attraction and commitment to the task Feedback on the here and now-interaction helps changing cognitions
11 Kurt Lewin Field-theory (1929/1951)
12 After Research on common factors: Powdermaker & Frank (1953) Corsini & Rosenberg (1955), Yalom (1970), Bloch & Crouch (1985), Colijn & Snijders (1993) Lieberman (1983), Kvilighan (1988) Lieberman, Yalom & Miles: Encounter groups, first facts Conclusions: common factors regardless of the therapeutic school these factors differ per phase and kind of group common strategies or basic functions of the group leader
13 Jerome Frank Persuasion and Healing, 1953, 1961/1993
14 Therapeutic factors -1 Corsini & Rosenberg (1955), Yalom (1970), Bloch & Crouch (1985) Installation of hope Universality Information+advice (guidance) Altruism Cohesion/acceptance Interpersonal learning Self-understanding Family re-enactment Catharsis Vicarious learning/ imitation/modeling Existential awareness Self-disclosure
15 Therapeutic factors -2 Colijn & Snijders (1993) In all forms of psychotherapy: hope-information/advice-catharsis In all forms of group therapy: universality-altruism-cohesion-interpersonal learning-selfdisclosure For specific groups and specific groupmembers: self-understanding-family-re-enactmentexistential awareness-vicarious learning (imitation)
16 Irving Yalom Theory and Practice of Group Psychotherapy, 1975/2005
17 After Research on effects: disorders and methods Bednar & Kaul (1978, 1986, 1994) Burlingame, Mc Kenzie & Strauss (2004) Burlingame, Strauss & Joyce (2013) Conclusions: No difference in effect between individual and group therapy Cohesion is the therapeutic relationship of the group-setting, and the most central factor Group treatment is as effective as individual therapy for several disorders Three domains of interventions for the group therapist
18 Gary Burlingame Change Mechanisms and Effectiviness of Small Group Treatments, 2004/2013
19 Basic functions of the group therapist Executive function (structuring +management of frame) Structuring the group Caring for the group and it s members Creating and maintaining an therapeutic climate Emotional stimulation Meaning attribution Stimulating verbal interaction Lieberman, Yalom & Miles (1973) Burlingame e.a. (2002/2010))
20 The future of group research Integration of models Attachment-style as mediator and predictor Virtual group leaders amd online groups Conceptual clarity
21 Literature American Group Psychotherapy Association(2007). Practice Guidelines for Group Psychotherapy, Science to Service Task Force Berk T. (2005). Leerboek Groepspsychotherapie. Utrecht, de Tijdstroom Bloch S. & Crouch E. (1985). Therapeutic factor sin group psychotherapy. Oxford: Oxford University Press Burlingame G.M., K.R. Mc Kenzie, Strauss B., Groepsbehandeling: evidentie voor effectiviteit en veranderingsmechanismen (vert. T. Thijssen). In: Lambert M.J. (ed.) Bergin and Garfield s Handbook of Psychotherapy and Behaviour. 5th ed. Burlingame G.M., Mc Cleddon, D.T.& Alonso, J (2011). Cohesion in group therapy. Psychotherapy, 48, Burlingame, G.M., Strauss, B. & Joyce, A.S. (2013). Change Mechanisms and Effectiviness of Small-group Treatments. In: Lambert M.J. (ed.): Bergin and Garfield s Handbook of Psychotherapy and Behaviour. 6 th ed Hoboken/New Jersey: John Wiley and Sons Inc. Burlingame, G.M & Jensen J.L. (2017): Small Group Process and Outcome Research Highlights: A 25-Year Perspective. International Journal of Group Psychotherapy 67(sup.1), Frank, J. & Frank, J. (1993). Persuasion and healing, a comparative study of psychotherapy, 3th ed. John Hopkins University Press Karterud, S. (2015). Mentalization-based Group Therapy (MBT-G), a theoretical, clinical and research manual. Oxford: University Press Leszcz M.: (2014). The effective group psychotherapist. Groepen, tijdschrift voor groepsdynamica en groepspsychotherapie 9 (2), 9-20 Remmerswaal, J. (2013): Handboek Groepsdynamica, een inleiding op theorie en praktijk. 11 e druk, Meppel, Boom Yalom, I.D. & Leszcz, M. (2005). Theory and Practice of Group Psychotherapy. New York, Basic Books
Professional application of group treatment
Professional application of group treatment Practice Guidelines in the Netherlands Rob Koks IFP World Congress of Psychotherapy Amsterdam June 9, 2018 Content Diversity of group treatments: pro s and con
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