Group Therapy within the NHS V: Patients' Views on the Benefit of Group Therapy for Women Survivors of Child Sexual Abuse

1997 ◽  
Vol 30 (3) ◽  
pp. 409-427 ◽  
Author(s):  
Zaida Hall ◽  
Elizabeth King

This article reports on a study of how members of a slow-open analytic group for women survivors of childhood sexual abuse felt about the helpfulness of the group. The respondents' views and comments are analysed and related to their age, their termination of the group, length of follow-up, number of sessions, final stage of depression and overall change in depression since before the group. The proportion of patients who found the group helpful (46 percent) was significantly higher than those who found it unhelpful (19 percent). The length of time since the group made no difference to satisfaction with the group. Satisfied patients tended not to lapse but to plan their departure from the group. They were more likely than dissatisfied patients to have depressive ratings which had improved considerably since before the group and were now within the normal range. A descriptive account is presented of patients' comments, giving an insight into their views on the group and on the therapists, and their thoughts about themselves in the years afterwards. Their views were, on the whole, positive, though negative views were also clearly stated. A quarter of those responding felt they needed further help. Group analysis appeared to be an effective method of treating women survivors who benefited from their acceptance by the group and the mirroring back to them of their worth. Group therapy diminished their sense of isolation, guilt and shame. It increased their well-being and confidence, enabling them to make positive changes in their lives.

2001 ◽  
Vol 34 (2) ◽  
pp. 195-209 ◽  
Author(s):  
John Sharpe ◽  
Carry Selley ◽  
Lorraine Low ◽  
Zaida Hall

We describe a slow-open analytic group for male survivors of childhood sexual abuse and emphasize the importance of having both a male and a female co-conductor The Beck Depression Inventory and the Spielberger State Anxiety Scale were used as an outcome audit before and after the group and at six months follow-up. The results supported the clinical impression of overall improvement. We record similarities and distinguishing features between this group and a group for women survivors in which three of the authors had previously been engaged as co-conductors.


1993 ◽  
Vol 26 (2) ◽  
pp. 147-155 ◽  
Author(s):  
Mario Marrone

Recent issues of Group Analysis have discussed what is now known as `block format' in group analysis. According to this model, the ninety- minute once-or twice-weekly sessions are replaced by blocks of sessions (ninety minutes each or longer), usually four per day, for two to five consecutive days, repeated at intervals of three weeks to six months. The on-going debate concerns two interrelated issues: (a) the advantages and disadvantages of the block model in training, and (b) its clinical and therapeutic viability. Here I concentrate on the second issue, drawing in particular on my experience in Milan, Italy. I would like to demonstrate that this way of working with people in groups has therapeutic validity.


2019 ◽  
Vol 83 (2) ◽  
pp. 105-127 ◽  
Author(s):  
Tamara Seitz ◽  
Kurt Stastka ◽  
Michael Schiffinger ◽  
Bela Rui Turk ◽  
Henriette Löffler-Stastka

This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5–2.21), a decrease in impairment due to pain (d = 2.24), and a decrease in symptom severity (d = 1.29). They took fewer medications and sick days, reported fewer hospital stays and medical examinations, and consulted and changed physicians and outpatient clinics less often (d = 0.55–1.1). The average cost per patient was cut in half, down to є 80,000/$96,000 per year. From a clinical standpoint, group analysis that focused on aggression was the most effective intervention.


1975 ◽  
Vol 127 (4) ◽  
pp. 365-375 ◽  
Author(s):  
Barbara M. Dick

SummaryNinety-three chronic neurotic patients whose previous psychiatric treatments had proved unsuccessful were included in this study, and selected patients, relatives and G.P.s were briefed to expect stress during therapy.Assessment made by therapist and patients before and after therapy was made on the basis of the acceptability of eight aspects of their life. Follow-up lasted 2 ½ years.Of the 93 patients, 87 per cent showed positive change, a small number showed temporary negative change and one patient became psychotic but later recovered.The ‘contamination’ of results due to therapist involvement in assessment is offset against corroborative evidence of change, in that 96 per cent of patients became independent of the psychiatric and social services after years of dependency in many cases. There were also marked changes in life situations and relationships.A need for increased facilities for basic and in-service training of group therapists is indicated.


Psychotherapy ◽  
1993 ◽  
Vol 30 (4) ◽  
pp. 616-624 ◽  
Author(s):  
Patricia M. Fisher ◽  
Philip H. Winne ◽  
Robert G. Ley

Author(s):  
Jorge Osma ◽  
Alba B. Quilez-Orden ◽  
Vanesa Ferreres-Galán ◽  
María C. Meseguer ◽  
Silvia Ariza

AbstractViolence against women is a serious public health problem. Worldwide, one in three women experiences violence throughout their lives. According to the triple vulnerability theory, being a survivor of violence could constitute a psychological vulnerability that would favor the appearance of emotional disorders, affecting their health, their style of parenting, and family well-being. The objective of this study is to verify the feasibility and usefulness of Unified Protocol (UP) in a group format for improving emotion regulation in women survivors of violence attended in the Specific Child and Adolescent Intervention Team (SCAIT), a social community service. The sample consists of 11 women who have experienced different types of violence who received the UP through 11 weekly, two-hour long and in group format sessions. Assessments were conducted at pre and post intervention and at 3, 6, and 12 months follow-up. The results of the Multivariate Analysis of Variance (MANOVA) show an increase in quality of life (including family relationships), self-esteem and extraversion scores, and a reduction in interference (including family life), neuroticism, somatization, anxiety, emotional lack of control, negative affect, depression, and emotional rejection scores. This evolution of the scores with the MANOVA takes into account all the evaluation time points (post, and follow-up at 3, 6 and 12 months). The results were statistically significant (p < 0.05), and had large effect sizes (η2p > 0.14). In addition, the reliable change index was calculated to assess the change at an individual level of each of the participants for the different outcomes. 90.9% of the participants rated the quality of the program received as “excellent” and we obtained a high rate of session attendance (82.64%). These results justify the need for randomized controlled clinical studies to demonstrate the feasibility and clinical efficacy of the UP in this context. This intervention would allow to address the needs of this population, by offering them comprehensive care and improving their mental health from a biopsychosocial model. Likewise, it might indirectly improve the well-being of the rest of the family members.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.


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