The Theory and Practice Of Group Psychotherapy

In this completely revised and updated fifth edition of group psychotherapy's standard text, Dr. Yalom and his collaborator present the most recent developments in the field, drawing on nearly a decade of new research as well as their broad clinical wisdom and expertise. Among the significant new topics: Online therapy Specialized groups Ethnocultural diversity Trauma Managed care Plus hundreds of new references and clinical vignettes

Irvin D. Yalom, M.D., is professor emeritus of psychiatry at the Stanford University School of Medicine. He was the recipient of the 1974 Edward Strecker Award and the 1979 Foundation's Fund Prize in Psychiatry. He is the author of When Nietzche Wept (winner of the 1993 Commonwealth Club gold medal for fiction), Love's Executioner, Every Day Gets a Little Closer (with Ginny Elkin), and the classic textbooks Inpatient Group Psychotherapy and Existential Psychotherapy. Molyn Leszcz, M.D., F.R.C.P.(c) is head of the Program in Psychotherapy at the University of Toronto.

Preface to the Fifth Edition

xi

Acknowledgments

xix

1 The Therapeutic Factors

1

(18)

Instillation of Hope,

4

(2)

Universality,

6

(2)

Imparting Information,

8

(5)

Altruism,

13

(2)

The Corrective Recapitulation of the Primary Family Group,

15

(1)

Development of Socializing Techniques,

16

(1)

Imitative Behavior,

17

(2)

2 Interpersonal Learning

19

(34)

The Importance of Interpersonal Relationships,

19

(8)

The Corrective-Emotional Experience,

27

(4)

The Group as Social Microcosm,

31

(10)

The Social Microcosm: A Dynamic Interaction,

41

(3)

Recognition of Behavioral Patterns in the Social Microcosm,

44

(2)

The Social Microcosm Is It Real?

46

(1)

Overview,

47

(2)

Transference and Insight,

49

(4)

3 Group Cohesiveness

53

(24)

The Importance of Group Cohesiveness,

56

(6)

Mechanism of Action,

62

(13)

Summary,

75

(2)

4 The Therapeutic Factors: An Integration

77

(40)

Comparative Value of the Therapeutic Factors: The Client's View,

80

(26)

Comparative Value of the Therapeutic Factors: Differences Between Clients' and Therapists' Views,

106

(2)

Therapeutic Factors: Modifying Forces,

108

(9)

5 The Therapist: Basic Tasks

117

(24)

Creation and Maintenance of the Group,

118

(2)

Culture Building,

120

(3)

How Does the Leader Shape Norms?

123

(6)

Examples of Therapeutic Group Norms,

129

(12)

6 The Therapist: Working in the Here-and-Now

141

(60)

Definition of Process,

143

(7)

Process Focus: The Power Source of the Group,

150

(2)

The Therapist's Tasks in the Here-and-Now,

152

(5)

Techniques of Here-and-Now Activation,

157

(8)

Techniques of Process Illumination,

165

(10)

Helping Clients Assume a Process Orientation,

175

(1)

Helping Clients Accept Process-Illuminating Comments,

176

(2)

Process Commentary: A Theoretical Overview,

178

(10)

The Use of the Past,

188

(4)

Group-as-a-Whole Process Commentary,

192

(9)

7 The Therapist: Transference and Transparency

201

(30)

Transference in the Therapy Group,

205

(10)

The Psychotherapist and Transparency,

215

(16)

8 The Selection of Clients

231

(28)

Criteria for Exclusion,

233

(15)

Criteria for Inclusion,

248

(5)

An Overview of the Selection Procedure,

253

(3)

Summary,

256

(3)

9 The Composition of Therapy Groups

259

(22)

The Prediction of Group Behavior,

260

(10)

Principles of Group Composition,

270

(6)

Overview,

276

(3)

A Final Caveat,

279

(2)

10 Creation of the Group: Place, Time, Size, Preparation

281

(28)

Preliminary Considerations,

281

(2)

Duration and Frequency of Meetings,

283

(4)

Brief Group Therapy,

287

(7)

Preparation for Group Therapy,

294

(15)

11 In the Beginning

309

(36)

Formative Stages of the Group,

309

(12)

The Impact of Clients on Group Development,

321

(3)

Membership Problems,

324

(21)

12 The Advanced Group

345

(46)

Subgrouping,

345

(18)

Conflict in the Therapy Group,

363

(11)

Self-Disclosure,

374

(8)

Termination,

382

(9)

13 Problem Group Members

391

(38)

The Monopolist,

391

(6)

The Silent Client,

397

(3)

The Boring Client,

400

(2)

The Help-Rejecting Complainer,

402

(3)

The Psychotic or Bipolar Client,

405

(7)

The Characterologically Difficult Client,

412

(17)

14 The Therapist: Specialized Formats and Procedural Aids

429

(46)

Concurrent Individual and Group Therapy,

429

(11)

Combining Group Therapy and Twelve-Step Groups,

440

(3)

Co-Therapists,

443

(5)

The Leaderless Meeting,

448

(2)

Dreams,

450

(3)

Audiovisual Technology,

453

(3)

Written Summaries,

456

(12)

Group Therapy Record Keeping,

468

(1)

Structured Exercises,

469

(6)

15 Specialized Therapy Groups

475

(50)

Modification of Traditional Group Therapy for Specialized Clinical Situations: Basic Steps,

476

(5)

The Acute Inpatient Therapy Group,

481

(25)

Groups for the Medically Ill,

506

(6)

Adaptation of CBT and IPT to Group Therapy,

512

(6)

Self-Help Groups and Internet Support Groups,

518

(7)

16 Group Therapy: Ancestors and Cousins

525

(18)

What Is an Encounter Group?

526

(1)

Antecedents and Evolution of the Encounter Group,

526

(4)

Group Therapy for Normals,

530

(2)

The Effectiveness of the Encounter Group,

532

(6)

The Relationship Between the Encounter Group and the Therapy Group,

538

(5)

17 Training the Group Therapist

543

(24)

Observation of Experienced Clinicians,

545

(3)

Supervision,

548

(5)

A Group Experience for Trainees,

553

(5)

Personal Psychotherapy,

558

(3)

Summary,

561

(1)

Beyond Technique,

562

(5)

Appendix: Information and Guidelines for Participation in Group Therapy

567

(6)

Notes

573

(78)

Index

651

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The Theory and Practice Of Group Psychotherapy

Summary

Author Biography

Table of Contents

Supplemental Materials