101 Interventions in Group Therapy, Revised Edition

Scott Simon Fehr, PsyD Editor 101 Interventions in Group Therapy Pre-publication REVIEWS, COMMENTARIES, EVALUATIONS... “r. Fehr’s ecumenical all-embrac- “ A nother excellent and relevant in ing spirit of inclusion allows him formative text by a prominent to understand that there are ‘many roads group therapist. The book is compre- to Rome.’This quality has enabled him hensive in scope and provides a thor- to attract contributing therapists who ough review of multiple therapeutic employ many diverse and distinctive tecliniques that lead to emotional gowth interventions. The group interventions are kaleidoscopic in range and present overy I highly recommend this many, many views on how different book to any therapists looking for ideas therapists approach their work, thereby and mights, through the group process, providing a fascinating treasure trove to helP their clients make the changes of clinical experiences. Once again Dr. they want and need to live happier, Fehr is to be commended for creating more productive, and satisfying lives. I an engaging volume that conveys the particularly like the pervasive theme of clinical ‘nuts and bolts’ of group psy- optimism in many of the articles.” chotherapy.” Herbert L. Rothman, MD Michael Brook, PhD, CGP Geriatric Psychiatrist Founding Faculty and Training Analyst at ML Sinai Medical Center, at the Center for Group Studies, New York Miami Beach, Florida 212x152 PB More pre-publication REVIEWS; COMMENTARIES, EVALUATIONS ... “This book is concise and highly enjoyable. In his goal of attempt ing to enhance the self-knowledge of his readers, Dr. Fehr has been truly suc cessful. If the role of a group therapist is like the director of a play, the knowl edge and wisdom gained from absorb ing the subject matter in this classic will enable those therapists to do their work better, thus benefiting clients who place their trust and hopes in those of us who serve to influence their lives in a posi tive direction. Thank you, Dr. Fehr, for a most enlightening and meaningful jour ney.’’ William A. Weitz, PhD Licensed Psychologist, Independent Practice, LTC, U.S. Army (Retired) 101 Interventions in Group Therapy Titles of Interest Psychology and Dentistry: Mental Health Aspects of Patient Care by William A. Ayer Introduction to Group Therapy: A Practical Guide, Second Edition by Scott Simon Fehr Religious Theories of Personality and Psychotherapy: East Meets West by R. Paul Olson The Aggressive Adolescent: Clinical and Forensic Issues by Daniel L. Davis The Pain Behind The Mask: Overcoming Masculine Depression by John Lynch and Christopher Kilmartin Professionally Speaking: Public Speaking for Health Professionals by Arnold Melnick The Vulnerable Therapist: Practicing Psychotherapy In An Age of Anxiety by Helen W. Coale Cross-Cultural Counseling: The Arab-Palestinian Case by Marwan Dwairy How The Brain Talks to Itself: A Clinical Primer of Psychotherapeutic Neuroscience by Jay E. Harris Beyond The Therapeutic Relationship: Behavioral, Biological, and Cognitive Founda tions of Psychotherapy by Frederic J. Leger 101 Interventions in Group Therapy Revised Edition Scott Simon Fehr, PsyD Editor Routledge Taylor & Francis Croup New York London Routledge is an imprint of the Taylor & Francis Group, an informa business Routledge Routledge Taylor & Francis Group Taylor & Francis Group 270 Madison Avenue 27 Church Road New York, NY 10016 Hove, East Sussex BN3 2FA © 2010 by Taylor and Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number: 978-0-415-88216-3 (Hardback) 978-0-415-88217-0 (Paperback) For permission to photocopy or use material electronically from this work, please access www. copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organiza tion that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the Routledge Web site at http://www.routledgementalhealth.com This book is dedicated to my esteemed colleagues, who gave of their time, expertise and willingness to share their wealth of knowledge and experience toward creating this wonderful read and para Elizabeth con todo mi agradecimiento. CONTENTS About the Editor xxxiii Contributors xxxv Foreword xlvii J. Scott Rutan Preface il Chapter 1. Who Owes You an Apology? 1 Ellen J. Fehr Gary L. Sandelier Unforgotten Hurt 1 The Appropriate Population 1 An Intervention of Dialogue 2 Surprising Client Responses 2 Conclusion 2 Contraindication 3 Chapter 2. The Group Therapist As Storyteller 5 Marvin Kaphan Making Unconscious Ambivalence Conscious 5 Description of the Groups 6 The Interventions 6 Typical Responses 8 Conclusion and Contraindications 9 Chapter 3. Using Primary Language to Access Primary Affect 11 Jerrold Lee Shapiro Back to Roots: An Intervention for Eliciting Greater Emotional Depth 11 Description of Population 11 A Five-Step Intervention 12 Conclusion 13 Chapter 4. How Can You Not See My Pain? 15 Steven L. Van Wagoner Working with Hidden Fragility in Group Members 15 Population and Problem 16 Intervention and Group Response 17 Conclusion and Contraindications 18 Chapter 5. Animal-Assisted Therapy with a Group of Young Children with Social Problems 21 Stanley Schneider Ghana Schneider Introduction 21 Client Population 22 Therapists 22 Description of Intervention 22 Client Responses 24 Contraindications 24 Chapter 6. “Am I My Mother’s Daughter?” Eliciting Self-Awareness in the Transmission of Gender Roles Through Family Role Models 27 Leyla Navaro Influence of the Family Role Model 27 Group Participants 27 Intervention Description 28 Participant Responses 29 Conclusion and Contraindication 30 Chapter 7. Living with Dying: How to Keep the Group Alive When the Members Are Dying 33 Toby Ellen Newman Introduction 33 Description of Group and Client Population 33 The Four-Stage Intervention 34 Patient Responses to Intervention 35 Conclusion 35 Contraindications 36 Chapter 8. The Gambling Chair 39 T. Wing Lo Introduction 39 Client Population 39 Guidelines for the Intervention 40 Client Responses 42 Conclusion and Contraindication 42 Chapter 9. Bringing a New Member into Group: Marking a New Place in the Cycle 45 Joshua M. Gross Regression As a Normal Group Process 45 Population 46 Significant or Negative Intervention 46 Effective or Contraindicated 48 Chapter 10. The Crystal and the Stone: Use of Transitional Objects in Groups 49 Shari Baron The Transitional Object 49 Client Population 50 Guidelines for Intervention 50 Typical Responses to This Intervention 51 Conclusions and Contraindications 51 Chapter 11. The Vicissitudes of Power and Its Relationship to Money 53 Lise Motherwell Money Can Represent Power, Love, Freedom, or Security 53 Description of Group 53 Description of Intervention 54 Typical Responses 56 Conclusion and Contraindication 57 Chapter 12. Expect the Unexpected: An Intervention in a Psychodynamic Women’s Group with Pregnant Women 59 Maria van Noort Introduction 59 Patient Population 59 The Situation Before the Intervention 60 Intervention 62 Clients’ Responses to the Intervention 62 Conclusion and Contraindications 63 Chapter 13. Using Dreams in Group Therapy 65 Robi Friedman Differentiating Between Dreaming and Dreamtelling and Three Ways to Approach Dreams 65 Description of Population 66 Description of Intervention 66 Conclusion 68 Contraindications 68 Chapter 14. A Ranking Task As an In-Vivo Experience of Negotiation Awareness in an Interpersonal Skills Training Group 71 Haran Wernik Introduction 71 Client Population 72 Guidelines for Intervention 72 Client Responses 74 Conclusion 75 Chapter 15. Interventions in Groups with Clients Sharing the Same Critical Fact 77 Cristina Martinez-Taboada Kutz Ainara Arnoso When Social Regard Needs Adjustment 77 Clients 77 Intervention Description 78 A Three-Phase Intervention 79 Response of Clients to This Intervention 80 Conclusion and Contraindication to This Intervention 80 Chapter 16. Bridging in Group Therapy Using Movement Improvisation 83 Joan Wittig Authentic Movement 83 Process Oriented Group Population 84 A Seven-Stage Intervention 84 Client Responses 85 Conclusion 86 Contraindications 86 Chapter 17. “What’s So Funny?” The Group Leader’s Use of Humor in Adolescent Groups 87 Sean Grover They Can Talk About Almost Anything 87 Am I a Hostage in This Group? 87 Intervention 88 Examples of the Intervention 88 Conclusion 90 Contraindications 91 Chapter 18. Using Grammar to Increase Immediacy and Affect 93 Martha Gilmore Distancing from Emotions 93 The Group Members 93 The Intervention 94 Typical Responses 96 Conclusions and Contraindications 96 Chapter 19. Hardiness Enhancement: A Pathway to Resilience 99 Justin A. D’Arienzo Hardiness As a Concept 99 U.S. Military Population 100 An Intervention of Eight Stages 100 Typical Response 102 Contraindications and Conclusions 103 Chapter 20. Group As a Place to Practice New Behaviors 105 Myrna L. Frank Introduction 105 Client Population 105 Intervention Guidelines 106 How This Works and Client Responses

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