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Chapter 35. Group Therapy

Paul D. Cox, M.D.; Sophia Vinogradov, M.D.; Irvin D. Yalom, M.D.
DOI: 10.1176/appi.books.9781585623402.334425

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Interpersonal relationships are of crucial importance to human psychological development (Siegel 1999). There are many psychiatric and therapeutic implications to this simple premise. Personality and patterns of behavior can be seen as the result of early interactions with other significant human beings. Modern schools of dynamic psychotherapy underscore the link between psychopathology and distorted interpersonal relationships and emphasize that psychiatric treatment must be directed toward understanding and correcting these distortions. Although this can of course take place in the context of the therapist–patient dyad, it is self-evident that a group of people can serve as an immensely specific therapeutic tool. In such a group setting, patients are provided with a varied array of interpersonal relationships that, with proper guidance, will permit them to identify, explore, and alter maladaptive interpersonal behavior.

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CME Activity

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Sample questions:
1.
Which historical figure is associated with the Tavistock model of group behavior?
2.
Four interrelated dimensions have been used to categorize therapy groups. Which of the following is not one of these basic dimensions?
3.
Various inclusion and exclusion criteria have been proposed for different types of groups. However, among all therapy groups, there is one underlying principle for group membership. This principle is
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