Personal Needs and Social Goals: Issues in Professional Involvement with Victims' Self-Help Groups

The past decade has seen an upsurge in the development of self-help groups encompassing mutual assistance and/or social advocacy dimensions. Although considerable analyses of the sociological functions of such groups have been conducted, the literature concerning psychological benefits and costs of membership, particularly in victim support groups which commonly combine these two dimensions, is sparse. The present article reports on a group therapy experience, where group participants were all active members of a self-help organization and had all lost family members in accidents involving drunk drivers. This experience highlighted the importance of a number of issues located at the intersection of social goals and individual needs, a grey area the authors believe will become a matter of increasing concern and challenge. Rising costs of health care and the search for alternate treatment models make these issues of special interest to those involved in community mental health. This article is addressed to clinicians and researchers, both of whom will be needed to bring greater understanding to issues emerging from the growth of victims' support groups.