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1
Paone, Tina Rosetta. "The comparative effectiveness of group activity therapy on the moral reasoning of at-risk high school students". abstract and full text PDF (free order & download UNR users only), 2006. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3210832.
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Koekemoer, Kaye. ""... we must not hold our fears..." : a case study exploring the use of group dramatherapy as a therapeutic intervention with children and adolescents living in poverty /". Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1758.
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Gilmore, Martha Louise 1957. "Training in group psychotherapy". Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/565529.
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Chapman, Christopher L. "Clinical Prediction in Group Psychotherapy". BYU ScholarsArchive, 2010. https://scholarsarchive.byu.edu/etd/2144.
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Prior research in individual therapy has provided evidence that therapists are poor predictors of client outcome without the aid of objective measures and often misjudge clients' perceptions of the therapeutic relationship. The focus of the current research was to conduct a similar study in a group setting. Therapists from a university counseling center and a state psychiatric hospital were recruited to test their accuracy in predicting client outcome, quality of therapeutic relationship and their own use of empirically supported group interventions. Results indicated that therapists are poor predictors of all three, providing support for the implementation of measure-based feedback systems to inform therapists about key information that may affect the effectiveness of group psychotherapy.
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Ögren, Marie-Louise. "Group supervision : learning psychotherapy in a small group format /". Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-4758-9/.
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吳敏倫 i Man Lun Ng. "Community meeting: a study of its effects in relation to form, process and content". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B30409007.
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Farley, Patrick N. "Current Practices in General Hospital Group Psychotherapy". Diss., Virginia Tech, 1998. http://hdl.handle.net/10919/30406.
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The purpose of this survey study was to evaluate the current practice of inpatient group therapy in general hospital psychiatric units in a southeastern state and to determine whether there was a need for a more systematic method of designing, implementing, and evaluating general hospital group therapy. A second major purpose was to test a model to determine if it could be used to evaluate current practices of general hospital psychiatric group therapy on a more global basis.
The history of group therapy and current nationwide statistical data relating to general hospital psychiatric units were summarized. A survey which addressed unit operations, unit staffing patterns, types of patients, and general practices regarding psychiatric unit group therapy was administered to 35 general hospital psychiatric unit administrators in a southeastern state. A standard interview protocol was developed and administered on-site to six group therapy practitioners. These interviews gathered information relative to specific unit group therapy practices, evaluated whether Group Pentagon components were utilized in group therapy practices, and identified factors influencing unit group therapy practice.
An analysis of the available literature indicated there was little information relative to the practice of group therapy on general hospital psychiatric units. The literature analysis also revealed no consistent model or procedures for the design, implementation, and evaluation of group therapy in general hospital psychiatric units. The survey and interviews demonstrated that group therapy programs appeared fragmented, varied across units, and did not appear to be designed, implemented, or evaluated in a consistent manner. During the interviews, the practitioners described the lack of many of the conditions necessary for the provision of effective group therapy on their general hospital psychiatric units.
The literature review analysis, survey, and interviews indicated the components of the Group Pentagon were not utilized in general hospital group therapy programs. The Group Pentagon provided a useful model for evaluating overall group therapy programs, as well as reviewing specific group therapy procedures. Finally, this research established a protocol for evaluating general hospital and potentially other group therapy practices.Ed. D.
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Doxsee, Deborah J. "Hindering events in group counseling and psychotherapy /". free to MU campus, to others for purchase, 1997. http://wwwlib.umi.com/cr/mo/fullcit?p9841138.
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Cadman, Helen Stephanie. "Exploring the process of group psychotherapy supervision". Thesis, University of Leeds, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.396572.
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Sonstegard, M., James Bitter, P. Pelonis-Peneros i W. Nicoll. "Adlerian Group Psychotherapy: A Brief Therapy Approach". Digital Commons @ East Tennessee State University, 2001. https://dc.etsu.edu/etsu-works/6041.
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Adlerian Brief Therapy is a specific approach to Individual Psychology that uses relational strategies to bring about effective change in the lives of individuals, groups, couples, and families (Bitter, Christensen, Hawes, & Nicoll, 1998; Sonstegard, Bitter, Pelonis-Peneros, & Nicoll, 2001). In this article, the authors discuss a relationship- intervention continuum as an integration of two approaches. A therapy session demonstrating Adlerian Brief Therapy with individuals is used to highlight the integration.
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Muehl, Karen. "Experiences of Post-Processing in Group Psychotherapy". VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1863.
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This qualitative study utilized a phenomenological research approach (Moustakas, 1994) to examine the question How do group psychotherapy clients experience post-processing? The conceptual framework for the study was Yalom’s interpersonal process approach to group psychotherapy (Yalom & Leszcz, 2005). Participants were 12 university counseling center clients who were members of an interpersonal process-oriented psychotherapy group at a large urban university. Data collection consisted of in-depth interviews. Data analysis procedures followed recommendations by Smith and Osborn (2003) and Creswell (2007). In order to increase the trustworthiness and rigor of the study, the researcher engaged in reflexive journaling, member checking, and the use of two external auditors. Results of the study are presented as a description of how participants experienced post-processing, and are organized within two domains: (a) Experiences of post-processing; and (b) Contextual pieces. Within the first domain, eight categories emerged: (a) verbal report card; (b) silent observer phenomenon; (c) leader expertise; (d) emotional homework; (e) light bulb moments; (f) validation and reinforcement; (g) connections; and (h) final chapter experiences. Categories were made up of one or more related themes. Within the second domain were four related themes: (a) intensity or depth; (b) outside stressors; (c) group constellation; and (d) time in group. Quotes from participants are included to illustrate the findings. The role of the researcher as an instrument in the study is described. The results are discussed in relation to the theoretical framework of the study and the existing literature. Implications for research and practice of group psychotherapy are identified. Strengths and weaknesses of the study are included, as well as suggestion for future research.
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Kelley, David Bradfield. "Therapeutic factors in a boys' short-term therapy group /". Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.
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Gordon, Peter Rob. "A study of group psychotherapy : an empirical study of the whole group /". Connect to thesis, 2001. http://repository.unimelb.edu.au/10187/2878.
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The view regarding social units as entities in their own right disappeared from scientific consideration in the mid-twentieth century as much for political and ideological reasons as scientific ones. Yet group psychotherapy rediscovered these ideas. The problem to re-establish them scientifically is lack of empirical methodology for investigating whole groups.The study integrated theories of groups as psychic entities from sociology, social psychology and group psychotherapy to form hypotheses about therapeutic groups" functioning. Four dimensions of whole-group function were derived: Structure, Cognitive Organisation, Affect, and Action Coherence. An observational instrument, the "Group Function Record," was developed, categories defined for each dimension and a procedure established to rate minute-by-minute group function from videotaped psychotherapy groups. Therapists" Interventions were also recorded. The instrument treats the group as the object of study and quality of collective functioning is rated irrespective of members present or their roles. Reliability was established and ratings were made of one latency and four adolescent yearlong groups.
Results substantiated an eight-phase developmental sequence derived from the group development literature and outlined a theory of group formation. The most challenging, but creative state was found to be when the group is whole with all members in communication, though it is unstable and often managed by breaking into subgroups. A linear relation existed showing that the smaller the group, the better it functions. Groups also function best with one or two members missing, but more absentees threaten the group’s existence. More highly organized groups are more stable, but tend to destabilize when they become self-reflective. Homeostatic self-correcting tendencies and a close relationship between affective and action changes were evident. Change towards unpleasurable affect is associated with change from cooperation to conflict and vice versa. Crises tend to be precipitated by affective change, but correct themselves within the next minute or two. The effects of Therapists" Interventions towards members, the group or both were analyzed. Group interventions initially tend to reduce functionality, followed by improvement after several minutes; member interventions have inconsistent effects; interventions to group and members in the same minute tend to produce immediate improved function.
The findings and their implications for therapeutic goals and technique with adolescents are discussed in relation to the theoretical background. Considerable merit is found in the collective mentality theories, many of whose postulates are validated. Indications for therapeutic technique are outlined from the findings. The method provides a different view of group process posing new questions and suggesting simple techniques are therapeutically potent. Further avenues of research are suggested.
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Rojas, Roberto. "Social skills: group psychotherapy with chronic schizophrenic patients". Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/101632.
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The study confirms the importance of R.P. Liberman's Group training in social skills for schizophrenic patients and applied in Peru by Sotillo et al. (1991) in a public mental health institution. We applied this same experience in a private psychiatric clinic of Lima. Since the management of patients in public and private institutions are different, we carried out a study to train the staff and to adapt the program. Nine in patients with DSM III-R diagnosis of chronic schizophrenia were selected. The inclusion criteria were: basic behaviors, minimal speech repertoire and no positive symptoms. Twenty-seven behaviors, grouped in 4 areas, were assessed before and after training. Results reveal an increase in the number of social skills in 8 of the 9 sujects that participated in the study.El presente programa corrobora la importancia del entrenamiento grupal en habilidades sociales con pacientes esquizofrénicos crónicos, desarrollado por Liberman, y aplicado en el Perú por Sotillo et al. (1991) en un instituto nacional de salud mental. Conocedores que el manejo de los pacientes psiquiátricos en una clínica privada es diferente al utilizado en los institutos del Estado, consideramos relevante aplicar este programa, que sirvió tanto para capacitar al personal de la clínica, como para adaptar este programa a una infraestructura y dinámica de atención distintas. Se seleccionó una muestra de 9 pacientes esquizofrénicos crónicos, según diagnóstico del DSM III-R, evaluados bajo criterios como: repertorio de conductas básicas, repertorio verbal mínimo y con ausencia de síntomas positivos prominentes de la enfermedad. Los resultados son presentados en base a la evaluación de 27 conductas, agrupadas en 4 áreas, que se evaluaron antes y después del entrenamiento, lo que nos permitió observar el incremento de habilidades sociales en 8 de los 9 pacientes.
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Dyason, Katelyn M. "Modelling Trajectories of Symptom Change in Feedback-informed Psychotherapy for Adults and Youth". Thesis, Griffith University, 2019. http://hdl.handle.net/10072/388652.
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Psychotherapy has long been recognised as an effective treatment to alleviate
distress, promote mental health, and enhance functioning for both adults and youth.
However, it is not equally effective for all clients, particularly in routine care which has
lower effectiveness rates than highly standardised research trials. One promising
method of enhancing the effectiveness of psychotherapy is feedback: the process of
routinely assessing clients’ self-reported symptoms throughout psychotherapy and
providing the treating psychotherapist with feedback about these outcomes. To date,
several reviews and meta-analyses have found strong evidence that feedback increases
rates of improvement and decreases rates of deterioration for clients in adult
psychotherapy – particularly for clients who are not progressing as expected and are at
risk of deterioration. However, there has been limited investigation into the
effectiveness of feedback in youth psychotherapy, despite often higher rates of
deterioration for youth. The first of the three studies in this thesis examined whether
feedback using the Youth-Outcome Questionnaire (Burlingame, Wells & Lambert,
1996) could also improve outcomes for youth clients in routine care in a psychology
training clinic. A benchmarking design compared the effectiveness results to published
benchmarks for both adults and youth. Adult results were also examined to determine
whether feedback had been implemented with enough fidelity to affect outcomes.
Psychotherapy with a feedback-informed approach was more effective than treatmentas-
usual benchmarks, with 50% of adults and 64% of youth significantly improving
after psychotherapy. Rates of adult improvement were similar to the feedback
benchmark, although there was a slightly higher rate of deterioration in the current
sample. There were no feedback benchmarks for youth using the Y-OQ, making this
sample the first benchmark for future studies. Having established that training clinics can achieve similar outcomes to those
reported in the feedback literature, the second and third studies examined whether
current feedback procedures could be enhanced by considering individualised
trajectories of treatment response. One aspect considered to be core to effective
feedback is the comparison of an individual’s progress with an expected treatment
response curve. However, this expected treatment response is calculated from group
averages and assumes that all clients respond the same way to treatment. Comparing an
individual client’s trajectory to a group average invokes the ecological fallacy, as group
averages do not accurately represent the individuals comprising the group if there is
heterogeneity within the group. Indeed, there has been increasing evidence that clients
respond differently to psychotherapy, and that this variability is clinically meaningful.
Using separate adult (Study 2) and youth (Study 3) samples, individualised
trajectories of client symptom change were modelled using the Bayesian statistical
paradigm. Both studies found that individualised trajectories were highly heterogenous,
varying on model shape, and rate, direction and magnitude of change. For both adults
and youths, the most common trajectory shapes were constant and linear, highlighting
that rate of change is often consistent throughout psychotherapy. However, clients bestfitting
a constant model tended to have poorer outcomes (i.e., less improvement) and
attended fewer sessions than clients best-fitting other models shapes.
Next, both studies used an updating approach to simulate real-time data
collection to demonstrate how individualised modelling could be incorporated into
feedback procedures to predict a client’s future change from their past change.
Trajectory projections were highly specific and tailored to the individual based on their
past response to psychotherapy. For adults, model shape changed over time for approximately 50% of the clients, but for youth, model shape change was more
common with approximately 85% of the clients who remained in psychotherapy for at
least ten sessions experiencing at least one change in their model choice. Case examples
were presented to illustrate how the model predictions could be interpreted. This
individualised modelling approach could be incorporated into already existing software,
such as the OQ-Analyst (OQ Measures LLC, 2007).
This thesis has uncovered the limitations inherent in applying group averages to
individual clients. A shift in the paradigm is therefore necessary to better understand
changes that occur during psychotherapy. This individualised modelling approach could
improve feedback to psychotherapists, and also result in enhanced patient-focused
research as psychotherapists could generate and test hypotheses about clients’ future
change to uncover the mechanisms of change for each client. This would allow
psychotherapy to be better tailored to each client’s unique response to treatment.Thesis (PhD Doctorate)
Doctor of Philosophy in Clinical Psychology (PhD ClinPsych)
School of Applied Psychology
Griffith Health
Full Text
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Graff-Dolezal, Jennie. "Measure what works a focus group investigation of the session rating scale /". Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005graff-dolezalj.pdf.
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Eshet-Vago, Anat. "Comparing group processes between an intensive verbal personal development group and an intensive dance movement personal development group". Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19015.
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The study aimed to identify and understand the phenomenon of group processes comparing two Personal Development (PD) group modalities. One group mainly used verbalisation and the other mainly used movement for interaction and self-expression. Group processes were expressed through the analysis of the participant's non-verbal movements and the verbal expressions of their experience in the group. The thesis of this study was that group processes can be expressed and identified through movement and verbal expressions. This study built on previous studies that have explored group processes in both Dance Movement Psychotherapy (DMP) and in Verbal Group Psychotherapy fields in relation to PD groups. Two theoretical frameworks that underpinned this study were: DMP as group work and Group Psychotherapy with the primary focus on group processes in PD groups. These theories were selected for their pertinence to the understanding of group processes and PD groups. The comparison between the groups intended to answer the study's question: which group processes as expressed verbally and non-verbally in movement can be identified in a dance movement PD group compared with a verbal PD group? Qualitative hermeneutic phenomenology methodology was employed in this study in order to answer the above question using two collection and analysis methods: movement observation using Laban Movement Analysis (LMA) and a thematic analysis of participants' verbal reflections in semi-structured interviews. The findings of the study have shown which group process developed in each of the PD groups identified through the two collections methods. For instance, they were conflict, rivalry, trust, intimacy and cohesion. The analysis of the DM PD group has shown differences in findings between that which the movement observation identified and that which participants described in the interviews. The study aimed to contribute to the body of knowledge regarding group processes in DMP and group psychotherapy theory and research. Exploring group processes through the use of movement and verbalisation adds to the professional development and training in both fields. The study outcome offers an original contribution to practice, through the development of a group work guide for facilitators, derived from the group processes conceptual model. It represents a new way of understanding group processes and dynamics through the observation of a group's movements and verbal reflections by participants. This guide is aimed at supporting facilitators of PD groups when considering interventions both when leading groups and when reflecting on the groups' processes.
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Beyers, Johanna Frederika. "Participatory consciousness in group music therapy". Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-11202007-113847/.
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Wilson-Barnardo, Jo. "Therapeutic factors in short-term group psychotherapy for depression". Thesis, University of Essex, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.425848.
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Gordon, Alistair Graeme. "A group psychotherapy program for young men with depression". Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57365.
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It is estimated that 60% of people who die by suicide experience depression. For young people aged 15 to 34, suicide was the second leading cause of death in 2012. Men have had higher rates of suicide in Canada at every point in time – up to 3 times higher depending on the year - for the past 60 years. This qualitative study explores the experiences of ten male adults between the ages of 18 to 32 with mild-to-moderate symptoms of depression that participated in a single-gender group psychotherapy program called, The Men’s Transition Program (MTP). This study investigated the interventions and processes that were reported as helpful, in what capacity they were, and the perceived impact of these during and after the program. Ten semi-structured in-depth interviews, with questions inspired by the Enhanced Critical Incident Technique, were conducted. Thematic analysis was utilized to examine the reported changes as a result of the processes and interventions implemented in the program. Themes that emerged included: social connection and support, interpersonal learning, positive mood, self-confidence, self-esteem, normalization, improved social functioning, reduction in guilt, higher energy levels, and increased motivation. Implications of these findings will be discussed.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Cowan, Bruce L. "Group psychotherapy for male spousal abusers, a program evaluation". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/MQ30896.pdf.
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Slone, Norah C. "Evaluating the Efficacy of Client Feedback in Group Psychotherapy". UKnowledge, 2013. http://uknowledge.uky.edu/edp_etds/8.
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A review of the adult psychotherapy outcome literature reveals decades of empirical studies that support the efficacy of group treatment for mental health concerns (Burlingame, Fuhriman, & Mosier, 2003; Horne & Rosenthal, 1997). Although research demonstrates positive results for the utilization of group therapy, between 33-50% of clients drop out before treatment is completed (Baekeland & Lundwall, 1975; Wierzbicki & Pekarik, 1993). Methods for improving psychotherapy retention have been addressed through the application of a client feedback model (i.e., monitoring treatment outcome routinely). Although using client feedback has been found to be beneficial for improving retention and even enhancing client outcome in both individual (Lambert et al., 2001a; Lambert et al., 2002; Miller, Duncan, Brown, Sorrell, & Chalk, 2006; Reese, Norsworthy, & Rowlands, 2009; Whipple et al., 2003) and couples psychotherapy (Anker, Duncan, & Sparks, 2009; Reese, Toland, Slone, & Norsworthy, 2010), evidence of client feedback efficacy in a group format is limited but worthy of investigation given the positive individual and couples therapy findings. In the current study, I evaluated the effects of client feedback in group psychotherapy using a randomized clinical trial design. Participants (N = 85) attended psychotherapy groups that were randomly assigned to a client feedback (Feedback) or treatment as usual (TAU) condition. Clients in the Feedback condition were predicted to experience a statistically significantly higher pre-post gain on the ORS compared to group clients in the TAU when controlling for their initial functioning. The effect size (ES) for Feedback between treatment conditions was found to be d = 0.35 on the Outcome Rating Scale when initial treatment functioning was controlled, which is a medium ES (Cohen, 1988). Additionally, statistically significantly more clients in the Feedback condition experienced reliable and clinically significant change, attended statistically significantly more sessions, and dropped out at a lower rate than clients in the TAU condition. Results of this study were similar to those generated by other studies that evaluated the efficacy of client feedback with individuals (Reese et al., 2009) and couples (Anker et al., 2009; Reese et al., 2010). Study limitations and implications for future work are provided.
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Levi, Judith. "Therapeutic factors : a process study of small group psychotherapy". Thesis, University of Hull, 2006. http://hydra.hull.ac.uk/resources/hull:11516.
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There is a need for structured research into the psychodynamic psychotherapies to strengthen evidence-based practice knowledge and communicate this knowledge to practitioners and funders. We know that group psychotherapy is effective, but many outcome assessment instruments fail to reflect process and individual experience. The current study used the Therapeutic Factors Questionnaire in an attempt to add to research knowledge of process. In this exploratory study, twenty-two participants in small group psychotherapy at a day attendance therapeutic community rated eleven factors for perceived helpfulness in a modified version of Yalom's Therapeutic Factors Questionnaire, at five time points in the year. Therapists completed an identical version for each member, conveying what they thought each member had found most helpful in that period. Members who had been in the group for a year participated in a semi-structured interview, which was analysed using Interpretative Phenomenological Analysis. TFQ data was collated into three six-month phases dependent on length of time in the group. Admission data on individual clinical problems was coded by the researcher into nine categories. Lower than expected numbers made the drawing of conclusions from the quantitative data impossible, though statistical analysis showed certain trends. However, interviews provided a particularly rich source of information, which also suggested that the TFQ trends were probably authentic. Two complete cases were explored in terms of the relationship between TFQ and interview results.
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Svien, Harold Thomas. "Describing Therapeutic Relationship Change and Failure in Group Psychotherapy". BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8570.
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Objectives. This study reanalyzed data from Burlingame and colleagues’ (2018) randomized controlled trial on the effect of adding Group Questionnaire (GQ) to Outcome Questionnaire (OQ-45) feedback. These data were assessed for the feedback effect using the amount of GQ alerts in one session reported by the group member to track change in GQ subscales as a measure of reversing therapeutic relationship failure.Methods. 374 participants engaged in 58 psychotherapy groups. Every participant provided GQ measurements after every group session. These GQ measurements formed ‘person-session units’ representing whether or not each type of alert was present following each group meeting. Person-session units showing one, two, and three or more GQ alerts were selected for analysis. The GQ subscales of positive bond (PB), positive work (PW), and negative relationship (NR) were tracked over the following two sessions using hierarchical linear models (HLMs) to correct for group membership and analyze slopes of change between GQ feedback and no-feedback conditions.Results. Insignificant results were shown in condition by session interactions for every GQ subscale following every specified amount of co-occurring GQ alerts. These results contrast with Burlingame and colleagues’ (2018) findings that half of all condition by session interactions shown were significant using GQ change and status alerts to trigger analyses.Conclusions. The results of this study do not appear to better discriminate the effect of adding GQ to OQ feedback for group leaders. Thus, it does not appear that group leaders can better reverse the tide of relationship failure in psychotherapy groups when there are specific numbers of GQ alerts presented to them versus the alert types offered in GQ feedback reports.
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Harris, Angela L. "Barriers to Group Psychotherapy for African-American College Students". Wright State University Professional Psychology Program / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1342396118.
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Olckers, Patonia Geraldine. "The knowledge, skills and attributes of facilitators of psychotherapeutic groups for children". Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Because children have different needs and function differently from adults, special training for leaders of children's groups is required. Child group psychotherapy is a unique treatment modality and it requires specific facilitation skills. The primary objective of child group psychotherapy is to improve the child's immediate adaptation to his or her life situation, build ego strength and teach problem-solving skills. The aim of the study was to explore the knowledge, skills and attributes of facilitators of psychotherapeutic groups for children.
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Merrill, Brett M. "Youth Motivation as a Predictor of Treatment Outcomes in a Community Mental Health System". BYU ScholarsArchive, 2014. https://scholarsarchive.byu.edu/etd/4187.
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The role of motivation in relation to youth symptoms and psychotherapy outcomes is not well understood. Some cross-sectional research suggests that motivation predicts youth treatment outcome in low-motivation populations. The purpose of this study was to examine patterns of change in youth motivation over the course of treatment and to elucidate the relation between motivation, youth symptoms, and psychotherapy outcomes in a routine community mental health setting. Participants and their caregivers were from three community mental health outpatient clinics and completed youth or parent forms of the Youth Outcome Questionnaire (Y-OQ) and Treatment Support Measure (TSM) at frequent intervals throughout treatment. Data were collected over a period of about 2 years. On average, youth motivation significantly increased over the course of therapy according to self- (p < .001) and parent-report (p < .001). This change followed a square root function better than linear and quadratic models. Initial motivation was not predictive of overall change in symptoms or rate of change at the p <.05 level after accounting for initial levels of youth symptoms. Individual rates of change for youth motivation varied significantly over the course of treatment (p < .001), which might suggest unique trajectories of motivation for different subsets of youth based on presenting concerns or other variables.
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Dindinger, Robert Virgil. "Social Support and Youth Psychotherapy Outcomes: Examining Change Processes in Usual Care Settings". BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3654.
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A prominent need in youth psychotherapy literature includes the examination of factors related to improved psychotherapeutic outcomes within the context of "real world" clinical settings, where the practice of psychotherapy differs significantly from that in controlled clinical trials. In examining those factors related to improved outcomes in youth psychotherapy, variables related to social support are important to consider. The purpose of the present study was to evaluate youth perceptions of social support as a potential predictor of successful treatment outcomes in a traditional community outpatient treatment setting for youth. In addition, this study examined whether perceptions of social support predicted both youth and parent-reported symptoms. Also examined were differential outcomes predicted by social support for youth with primarily internalizing vs. externalizing symptoms. Youth and parent-reported symptoms were measured using the Y-OQ and the Y-OQ-SR (Y-OQ; Burlingame, Wells, Lambert, & Cox, 2004; Y-OQ-SR; Wells, Burlingame, & Rose, 2003). Perceived social support was measured using the TSM social support subscale for youth reporters. Internalizing and externalizing symptoms were measured using the CBCL. Using a combination of Analysis of Variance and Hierarchical Linear Modeling with a sample of 199 youth, aged 10-17, and their parents, this study examined the relationship between perceived social support and youth progress in therapy. Results revealed that youth perceptions of social support were significantly associated with youth intake symptoms for both parent and youth-reported symptoms. In addition, youth-reported perceptions of social support improved significantly over the course of treatment. Also, increased overall change in perceived social support was associated with decreased overall symptoms for youth reporters. Finally, no significant differences were found for youth presenting with primarily internalizing vs. primarily externalizing symptoms. Examining the associations between perceptions of social support and youth psychotherapy outcomes is an important step toward identifying potential mechanisms of change in youth mental health treatment. The results of this study provide valuable information on the importance of attending to perceptions of social support in the assessment and treatment of youth mental health issues.
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Krogel, JulieAnn. "The Group Questionnaire: A New Measure of the Group Relationship". BYU ScholarsArchive, 2008. https://scholarsarchive.byu.edu/etd/1732.
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The Group Questionnaire (GQ) is a 30-item, self-report measure of the group relationship that was developed in the present study. It is based off of Johnson's new three factor model of the group relationship which includes Positive Bonding, Positive Working, and Negative Relationship. This study involved two parts, the creation of the GQ followed by the validation and refinement of the GQ using 486 participants from three populations - outpatient university counseling center, inpatient state hospital, and non-patient AGPA process groups. Confirmatory Factor Analysis (CFA) was used to test the goodness-of-fit of Johnson's model to each of the populations separately and as a whole. Following the refinement process, results showed the GQ to have good fit to the model for each population. Distinct differences in response pattern were found between the three populations. Reliability estimates were predominantly in the good range. Implications for future utility of the GQ include using it as a clinically relevant and efficient assessment tool to inform clinicians of the quality of the group psychotherapy relationship and to potentially predict group outcome.
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Brossart, Daniel F. "An investigation of the adequacy of two counseling group development theories using Tuckerized growth curves /". free to MU campus, to others for purchase, 1996. http://wwwlib.umi.com/cr/mo/fullcit?p9712794.
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Majcher, Jo-Ann Marie. "Assessing the stages of group development using children's serial group drawings". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28743.
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The research problem that was examined in this study was two-fold. First, was the idea that the stages of group development could be depicted in serial group drawings completed by children who had participated in structured learning groups. Second, was that by using a rating scale that was designed for this purpose, trained objective raters could classify the stages of group development from the serial drawings completed by the children.
Fifteen sets of drawings were gathered from fifteen children who had participated in different structured learning groups. These drawings were then analyzed and classified by raters who had been trained to use the rating scale. The rating scale was devised to identify the stages of group development within children's serial drawings.
Qualitative data analysis showed that the stages of group development were depicted in some of the sets of serial group drawings. Quantitative data analysis showed that raters were able to use, with limited success, the rating scale designed to classify the drawings into the stages of group development.
Many extraneous variables effected the results. These include: the unique characteristics of each child, the leadership style of each counsellor, the varying group topics, the adequacy of the rater training procedure, the objectivity of the raters, and the accuracy of the rating scale.
Due to the many extraneous variables, it is clear that methodologically this study leaves many questions unanswered. Further research is necessary to more fully investigate the idea that the stages of group development can be identified within serial group drawings completed by children who have participated in structured learning groups., If further research proves that the stages of group development can be depicted and measured using a rating scale, it will provide group counsellors with a useful tool when evaluating group development.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Sanfuentes, Matias. "Regression and group psychotherapy : observing the effect of the group-as-a-whole on the group members' thinking". Thesis, University of Essex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275864.
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Garcia, Arlen Judith. "Investigating Group Processes in a Positive Youth Development Program For Multi-Problem Youth". FIU Digital Commons, 2007. https://digitalcommons.fiu.edu/etd/3837.
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This study investigated group processes as potential mediators or moderators of positive development outcome and negative reduction intervention response by evaluating the utility of a group measure modified from a widely known measure of group impact found in the group therapy research literature. Four group processes were of primary interest, (1) Group Impact (2) Facilitator Impact (3) Skills Impact and (4) Exploration Impact as assessed by the Session Evaluation Form (SEF). Outcome measures included the Personally Expressive Activities Questionnaire (PEAQ), Erikson Psycho-Social Index (EPSI) and the Zill Behavior Items, Behavior Problem Index (ZBI (BPI)). The sample consisted of 121 multi-ethnic participants drawn from four alternative high schools from the Miami-Dade County Public School system. Utilizing a Latent Growth Curve Modeling approach with Structural Equation Modeling (SEM) statistics, preliminary analyses were conducted to evaluate the psychometric properties of the SEF and Its role in the mediation or moderation of intervention outcome. Preliminary results revealed evidence of a single higher order factor representing a “General” global reaction, which was hypothesized to be a “Positive Group Climate” construct to the program as opposed, to the four distinct group processes that were initially hypothesized to affect outcomes. The results of the evaluation of the mediation or moderation role of intervention outcome of the single “General” global latent factor (“Positive Group Climate” construct) did not significantly predict treatment response on any of the outcome variables. Nevertheless, the evidence of an underlying “General” global latent factor (“Positive Group Climate” construct) has important future directions for research on positive youth development programs as well as in group therapy research.
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McHale, Ciaran. "Engaging in group therapy for distressing voice hearing". Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/16457/.
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OBJECTIVE: Person Based Cognitive Therapy (PBCT) is a promising group treatment for distressing psychosis. However, fostering engagement in group therapies can be challenging, and no theory of engagement in PBCT groups exists to guide practice or research. This study employed Grounded Theory Method (GTM) to build a theory of engagement in group PBCT. METHOD: Ten service-users and three therapists were interviewed about their experiences of participating in PBCT groups. GTM, following the procedures outlined by Corbin and Strauss (2008) was used to analyse the interview transcripts and build a theory of engagement. RESULTS: The model that was developed involves a recursive process of investing in change and continually evaluating its usefulness and safety. Barriers were often overcome through individual and group efforts, but sometimes compromised participants’ perceived safety to the point of dropout. For others, participating in the group, and incorporating learning into life, led to rewards, some of which were integrated beyond group termination. CONCLUSIONS: Group engagement can be encouraged by establishing universality around voice-hearing early, reducing uncertainty, communicating with clients between sessions and mapping group progress to create a cohering sense of collaboration on the tasks of therapy.
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Stiwne, Dan. "Borderline patients in group psychotherapy : studies in process and outcome". Doctoral thesis, Umeå universitet, Institutionen för psykologi, 1989. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-102559.
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Group psychotherapy with borderline patients is an activity that is fraught with ominous apprehension and it is perhaps for this reason that little research has been done in the field. The aim of the present studies was to map out the area and to test some basic hypotheses about patient and therapist behaviour during the therapy process. Two therapy groups of carefully diagnosed clinical borderline patients were studied by means of video-technique during a therapy process of 20 months. Special technical arrangements and ethical agreements were elaborated for the research. Outcome data was collected concerning the patients’ self-image, symptom-level and personality structure. A follow-up was done 2-3 years after therapy on functional level, capacity for work, medication and need of further treatment. As expected a high drop-out rate occurred. Within a year 40% of the patients had left, and within 20 months 60%. Drop-out was not found possible to predict before the period of therapy commenced but early drop-outs were generally younger and in a more acute state of distress than late drop-outs. In order to study the therapy process two major perspectives were elaborated and operationalized: 1) classification of focus and depth of therapists’ interventions and 2) relational capacity of the patient (Borderline Relatedness). In contrast to remainers, late drop-outs were found most sensitive to disturbances in the frame of therapy (group instability) and were considered prone to interact malignantly with the therapists, eventually leading to drop-out. As to outcome and follow-up, late drop-outs were characterized by the poorest outcome all over, while early drop-outs and remainers were generally more stabilized although the early drop-outs seemed more dependent on medication for their functioning. By means of a principal components analysis the large amount of outcome data was condensed to two important factors: 1) symptom and functional level and 2) direction of anger. Thus, it was found that an important feature of a positive outcome was the ability to function at work and in social life and to direct anger outwards, not just towards oneself, thus protecting and idealizing important others, as was often the case with these patients before treatment. Taken together, the results point to the need for more precise and sensitive diagnostic methods and outcome criteria both to predict and to evaluate therapeutic outcome. To minimize drop-out and negative therapeutic reaction the research speaks in favor of further studying the therapist-patient interaction during the group therapy process and to evaluate the relative importance of therapist interventions and non-specific curative factors.Diss. (sammanfattning) Umeå : Umeå universitet, 1989, härtill 4 uppsatser.
digitalisering@umu.se
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Clow, Daniel Robert. "Group psychotherapy for male spouse abusers using TFA systems (tm)". Diss., Virginia Polytechnic Institute and State University, 1989. http://hdl.handle.net/10919/54507.
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The purpose of this action study was to conduct a group psychotherapy for male spouse abusers using TFA Systems™. This treatment method examined the specific thoughts (T), feelings (F), and actions (A) experienced by abusive men in pre-violent situations.
Situational specificity was followed throughout the treatment, making it relevant to the individual offender. The presenting problem leading to each subject's arrest was carefully analyzed using TFA assessment methods. Cues of approaching violence were isolated, and described in TFA terms. Subjects also identified personalized high-stress situations prone to violence. Applying TFA methods to these selected situations, they learned individualized and non-violent alternatives, preparing strategies for control. Group process was structured for flexibility, using the TFA Helping Cycle.
The evaluation component of this study assessed the immediate outcomes and initial effects of treatment. Data were collected from subjective and objective assessments, using triangulation to strengthen observations.
The results of this action study suggest that the TFA assessment methodology effectively described spouse abusers' TFA interactions prior to impulsive violence. Subjects were able to learn and apply the TFA concepts so as to increase pre-violence awareness. Participants in treatment became more thinking oriented in situations of mounting tension, moderating feelings, and actions. TFA treatment responded to the context, thoughts, feelings, and actions of abusive men. The Hutchins Behavior Inventory, an assessment of TFA functioning in specified situations, confirmed changes in abusers' TFA functioning. TFA treatment was shown to be a promising method for intervening in the violence cycle.Ed. D.
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Barry, Kyle G. "Predicting Conflict in Group Psychotherapy: A Model Integrating Interpersonal and Group-as-a-Whole Theories". Wright State University Professional Psychology Program / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1310762112.
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Brown, Ruth Christine Chanan. "The development of the Common Factor Therapist Competence Scale for youth psychotherapy". VIRGINIA COMMONWEALTH UNIVERSITY, 2012. http://pqdtopen.proquest.com/#viewpdf?dispub=3490636.
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Brown, Ruth. "The Development of the Common Factor Therapist Competence Scale for Youth Psychotherapy". VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2633.
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In order to continue to improve the effectiveness of psychotherapy, researchers must identify key change processes. Unfortunately, there are disparate views in the field about the relative importance and potency of specific techniques versus relationship factors. Few measures have been developed to examine the relative contribution of these factors, particularly for child-focused treatment. The Common-Factor Therapist Competence Scale for Youth Psychotherapy (COMP-CF) was developed to address this deficit. For this study, 142 video-taped sessions of child CBT for anxiety were observed and rated by independent coders using the COMP-CF. The measure demonstrated good reliability and internal consistency. Significant between-therapist and between-session differences were noted that warrant further exploration. The COMP-CF also demonstrated initial validity when compared to other observer-rater measures of therapeutic processes such as alliance, CBT-specific competence, and adherence. Recommendations for further development and refinement are discussed. Used in conjunction with adherence measures, the competence measure developed here may help improve our understanding of the therapeutic process.
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Bourne, Margaret, University of Western Sydney, College of Social and Health Sciences i School of Applied Social and Human Sciences. "Trusting the artwork". THESIS_CSHS_ASH_Bourne_M.xml, 2003. http://handle.uws.edu.au:8081/1959.7/682.
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The purpose of this research was to inquire into the subjective experience of participants of psychodynamic group art therapy.This investigation was designed to record participants' responses and understanding of their art-making and their artwork in therapy. The qualitative methodology of phenomenography was chosen to record the art-making process. The sample included three women from a women's centre and six university students. A single interview was conducted with each of the nine participants and included their artwork from the group art therapy. Group art therapy committed to a participant's personal development was effective in contributing to a resolution of personal conflicts, whereas group art therapy committed to professional development was effective in stimulating group dynamics, but the participants were guarded when discussing the personal content of their artwork.Master of Arts (Hons) (Art Therapy)
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Miller, Liizl Helen. "An Evaluation of the film one flew over the cuckoo's nest as a medium for the training of psychotherapists". Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/283.
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Thesis (MSc.(Clinical Psychology))University of Limpopo, 2010.The aim of the study is to analyse the film One flew over the cuckoo’s nest, from a clinical psychology perspective in order to evaluate the possible use of the film and significant concepts depicted therein in a training context. The objectives of the study are to describe the interactional dynamics of the psychiatric system as depicted in the film, to identify and describe the impact of the systems and/or subsystems on the psychotherapeutic growth of “patients” and to provide suggestions for the training of psychotherapists on the basis of the film and the present research. A qualitative, descriptive research design was used to achieve these aims. This allowed for systematic clinical descriptions by four clinical psychologists to be obtained. The study involved an exploration of relevant literature as well as an indepth study of a specific therapeutic group in interaction as depicted in the film. The film was shown to four clinical psychologists. Their findings were analysed, and common themes in their analyses identified. The researcher came to certain conclusions on the basis of the above-mentioned analyses. The findings of this study seem to indicate that the interactional style of the psychiatric staff, as portrayed in the film, contributed to the deterioration of the psychological well-being of the “patients”, thus inhibiting their psychological growth and promoting psychopathology. In spite of the findings, the researcher wishes to recommend the utilisation of this film as a training medium, on condition that a paradigm shift is made away from the traditional medical/psychiatric approach to a ii systems-based epistemology. This could result in viewing the psychiatric system as a hierarchy of interrelated subsystems-in-interaction, and open up possibilities for a redefinition of the various roles of those involved within the larger system. Further research in this direction is strongly indicated and recommended.
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Holt-Gaines, Tinya Kay. "Analysis needs assessment of foster youth group homes". CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1614.
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Lotz, Jennifer Elaine. "Focused Brief Group Therapy Treatment Manual". Wright State University Professional Psychology Program / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1349319908.
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Yutrzenka, David A. "Assessing Change in Socially Inhibited Interpersonal Subtype through Focused Brief Group Therapy". Wright State University Professional Psychology Program / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1340900792.
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Etienne, Neysa Marie. "Comparing group treatment housing and general population housing among incarcerated adolescent females". Theological Research Exchange Network (TREN), 2007. http://www.tren.com/search.cfm?p088-0168.
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Mhambi, Realeboha. "An Exploration into the subjective emotional experiences the msc1-clinical psychology trainees at the University of Limpopo (Medunsa Campus) during their first block of training". Thesis, University of Limpopo (Medunsa Campus), 2012. http://hdl.handle.net/10386/1077.
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Thesis (MSc (Clinical Psychology) ) -- University of Limpopo, 2012.The Clinical Psychology training programme at the University of Limpopo (Medunsa Campus) is contextualized within the theoretical paradigm of the General Systems Theory. The main focus during the first block of training is on equipping trainees with a person-centered stance and the necessary skills that go with it such as empathy, unconditional positive regard and congruence and also to develop a frame of reference in the trainees which is suitable to form a basis as a therapist. Thus training within this context is experiential. The aim of this study was to explore the subjective emotional experiences of the Msc1-Clinical Psychology trainees at the University of Limpopo (Medunsa Campus) during their first block of training. The research was conducted through qualitative interviews with the trainees shortly after being exposed to the first block of training. The sample size consisted of five trainees of the 2011 Masters in Clinical Psychology training programme at Medunsa Campus. Interviews were analysed in accordance with qualitative methodology through thematic analysis. Finally, an attempt was made to discuss and integrate the research findings into which the strengths and limitations of the study and future recommendations were made. Results from this study indicated that trainees during their first block of training experienced different challenges which are not only emotional but mental as well as academic in nature. Moreover, it became evident that trainees further experienced challenges in their social contexts such as families and relationships outside the training context.
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Schleppegrell, Sara. "Career development group program evaluation". Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998schleppegrells.pdf.
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Packard, Anna Elise. "Parent Functioning and Child Psychotherapy Outcomes: Predicting Outcomes in Usual Care". BYU ScholarsArchive, 2009. https://scholarsarchive.byu.edu/etd/2311.
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A prominent need in the youth psychotherapy literature includes the examination of mechanisms of change within the context of "real world" clinical settings, where the practice of psychotherapy differs significantly from that in controlled clinical trials. In examining mechanisms of change in youth psychotherapy, variables related to parent functioning may be among the most important factors to consider in predicting and promoting good child outcomes. The purpose of the present study was to evaluate three important aspects of parent functioning—psychological symptom distress, interpersonal relations, and social role performance—as potential predictors of successful treatment outcomes in a traditional community outpatient treatment setting for children and adolescents. Further, this study examined whether parents indirectly benefited from their children receiving services, expanding our view on the scope and benefits inherent in youth psychotherapy. Parent Symptom Distress, Interpersonal Relations, and Social Role performance were measured using the domains of the Outcome Questionnaire 45 (OQ-45; Lambert et al., 2004), and youth treatment outcomes were measured using the parent and self-report versions of the Youth-Outcome Questionnaire (Y-OQ; Burlingame, Wells, Lambert, & Cox, 2004; Y-OQ-SR; Wells, Burlingame & Rose, 2003). Using Hierarchical Linear Modeling with this sample of 339 youth, aged 4-17 and their parents, this study examined the relationship between these parent domains and youth progress in therapy. Results revealed that parent Symptom Distress and Social Role performance improved significantly over the course of youth treatment. Further, Social Role performance at intake significantly predicted the rate of change in parent-reported youth outcome; and Interpersonal Relations at intake significantly predicted rate of change in youth-reported outcome. Finally, changes in parent Social Role performance were associated with changes in youth symptoms over the course of treatment. Examining the associations between these variables is an important step toward identifying potential mechanisms of change in youth mental health treatment. The results of this study provide valuable information on the importance of attending to parent functioning in the assessment and treatment of youth mental health issues.
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Wagner, Kim Janiszewski. "The effect of group therapy on sexually abused adolescent girls' depression". Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1995. http://www.kutztown.edu/library/services/remote_access.asp.
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Thesis (M.A.)--Kutztown University of Pennsylvania, 1995.Source: Masters Abstracts International, Volume: 45-06, page: 3309. Typescript. Abstract precedes thesis as 1 preliminary leaf. Includes bibliographical references (leaves 46-51).
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Schnedler, Zac. "An overview of group work and implications for school counselors". Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008schnedlerz.pdf.
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