Harnessing Member-to-Member Relationships

The group setting provides members with the opportunity to notice and comment on their reactions to each other. These interactions, which may include confrontation and clarification as well as support, can give group members awareness of their own contribution to the development of unsatisfying encounters with others. The group provides an ideal setting for patients with depression and eating disorders, many of whom share an interpersonal style of avoiding expression of negative

Model

CBT

IPT-G

Interpersonal

Yalom Interpersonal/ Interactional

Psychodynamic

Time frame

Time-limited

Time-limited

Time-limited, longer term

Time-limited, longer term

Group schedule

Closed

Closed

Open/closed

Open/closed

Composition criteria

Common

diagnosis or situation (e.g., binge eating, depression)

Common

diagnosis or situation (e.g., binge eating, depression)

Common

interactional capacity

Common

interactional capacity

Formal

pre-group

preparation

Moderate:

Incorporated into early sessions

High:

Incorporated into early sessions

Low

Low

Therapist style

High activity

Moderate activity

Low/moderate Activity

Low/moderate activity

Group structure

High:

Programmed sessions

Moderate:

Problem areas/goals established and actively kept in focus

Low/mo derate

Low/moderate

Process focus

Low group process focus (managed to preserve teaching environment)

Moderate group process focus (managed to preserve group integrity, not interpreted)

High

“here-and-now” group process focus (interpreted re: interpersonal conflict)

High

“here-and-now” group process focus (interpreted re: intrapsychic conflict)

Homework

Written homework and behavior change expected

Changing interpersonal/ social patterns expected

Not formally prescribed

Not formally prescribed

Mediating strategies

Identify and block negative cognitions

Identify and alter current interpersonal/ social coping

Promote here-and-now interpersonal learning and existential awareness

Identify and understand interpersonal and intrapsychic conflicts

Focus on affect

Low/mo derate

Moderate

(identification

of excessive or blocked affect re: current interpersonal tensions)

Moderate/high

Moderate/high

Extragroup

socializing

Permitted, perhaps

encouraged re: assigned tasks

No

No

No

Copyright © 2000 Denise E. Wilfley, K. Roy McKenzie, R. Robinson Welch, et al. Reprinted by permission of Basic Books, a member of the Perseus Books Group.

feelings due to fears of rejection. In the group environment, these patients can experiment with discussing these feelings and receive feedback on how well they have expressed themselves—a process that enhances skill in successful conflict resolution.

 
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