WHY GROUP THERAPY?
Why do people consider
group therapy? There are several reasons why group therapy is recommended
for individuals experiencing life challenges. Group therapy can be
lively, challenging, poignant and sometimes difficult; experiences
which can help individuals examine and explore their issues in greater
detail and achieve greater clarity, understanding and acceptance of
oneself and others.Group therapy is not suitable for everyone.
Most therapists interview potential participants to determine if group
is likely to meet their needs given the format, purpose and experience
of the particular group.
Group therapy is a support group with additional
parts. A support group (such as Alcoholics Anonymous, a grief group,
or pregnant teenagers group) brings together individuals with one or
more common issues. It provides a safe place to explore and connect
with those in similar circumstances. A support group encourages ventilation
(members speak candidly about their feelings, concerns and views),
validation and normalizing (acknowledging shared experiences) and usually
helps participants feel less isolated, alone, and different from others.
Group therapy is distinguished from a support
group in several key ways. The first difference is that feedback is an
integral part of the group experience. Participants may ask for direct
feedback regarding an issue they have brought to the group, or they may
hear how others perceive them in group interactions. Issues broached
in group evoke differing viewpoints from group members; the ensuing discussion
has the potential to allow participants to see alternative perspectives
which may help broaden their understanding. The second distinction is
that a large part of group time is devoted to process, here simply defined
as understanding and working with the relationships in the therapy room.
Here are three examples of process comments from John, a group member:
My favorite group member is Dave because
he is really most like me.
Tom often reminds me of my Mother, which
is unfortunate because I never got along with her.
Drew, you totally
misunderstood what I said and I don't feel heard or respected, which
happens to me all the time.
Group process suggests that participants’ issues and experiences in life outside of the group will
most likely reoccur in the group dynamic (for example, people who avoid
anger in their daily lives will most likely try to avoid anger in the
group; people who are easily frustrated and annoyed will very likely
be frustrated and annoyed in the group). In this way group therapy presents
a poignant opportunity to work through predominant patterns in one’s
life.
In the beginning stages of group, process
is infrequently discussed. As a group matures, building on trust and
safety, process is more likely to surface, helping the group focus and
work on problems in the "here
and now". In support groups, process is either missing or discussed in
a limited context, usually due to the group's definition and/or lack
of time. An experience focusing on process could take a large portion
of group time; the benefit is that each member will potentially learn
something significant about themselves and others.
A final distinction
between a therapy and support group is that a therapy group utilizes
conflict to help reach greater depth and intimacy. This conflict is not
physical in nature and is not left unmoderated; group guidelines clearly
state behavioral norms expected of members. The Facilitator's role includes
helping maintain safety in the group while conflict exists. Issues of
conflict can be particularly helpful when they are analyzed from a variety
of perspectives, such as: 1) Acknowledging a personal "sore spot" or "button" that
adds intensity not related to the issue experienced; 2) An issue that
historically may remind one of past experiences and/or persons, such
as family members, partners, etc.; and, 3) A re-creation of past difficult
experiences. Group members are often asked to step back from an immediate
conflict and examine the issue from these different perspectives.
Benefits
of working through conflict include a new understanding of an issue or
of a fellow group participant; feeling more understood after the conflict;
and, a sense of completion around issues that heretofore may have lacked
clarity.
DIFFERENCES BETWEEN INDIVIDUAL & GROUP
PSYCHOTHERAPY
Comparing
individual and group therapy, there are both similarities and differences.
A therapist can help you decide which of the two, or both, is particularly
suited for your needs. For individuals in crisis or with problems that
require time-intensive, direct focus, individual therapy can be the better
choice. In individual therapy, a dialogue is usually reflective of two
experiences; the client and the therapist's, whereas a group offers multiple
peer perspectives and feedback. In general, people react differently
to challenges by their peers as compared to those by authority figures,
as therapists are often perceived.
Sometimes clients "hide out" in individual
therapy; that is a client can control, to some degree, how vulnerable
and disclosing she becomes, and to what degree he resists the therapist's
interpretations and insights. This is much harder to accomplish in group,
as participants inevitably are challenged by other group members or the
group as a whole with regard to their group presentation, which may include
observations about avoidance and denial.
Group participation requires
patience, sharing time with others, listening skills, giving and receiving
feedback in constructive manners, being on the occasional "hot seat," and
the ability to leave some issues unfinished, given time and other constraints
of the group therapy process.
At any given moment, group members can
experience frustration with the ups and downs of the group's progress
or lack of progress. Conversely, group is often used as a kind of "laboratory," where
members try out behaviors and get feedback and encouragement as it relates
to outside issues.
ISSUES ESPECIALLY AMENABLE TO GROUP PROCESS
Any issue or problem that can utilize the
benefits of group dynamics is usually a good indicator for group participation.
Generally, topics of an interpersonal nature, including issues of intimacy
and relationship, self-esteem and self-value, and communication and listening
skills can especially benefit from interactive group proceedings. A basic
goal of most groups is to be understood on many issues and to be accepted
for whom one is (including the more intimate or secret parts of ourselves).
Participants dealing with issues that are
stigmatized (for example, sexual addiction, perpetrators of violence)
can also benefit in group. Connections are made emphasizing common struggles
and perspectives as well as feelings of difference, judgment and inferiority.
Group therapy for gay and bisexual men
may have particular benefits. Many gay and bisexual men have had difficult,
if not traumatizing experiences, in group settings growing up, particularly
with other males. Group can offer a different experience which can help
repair and recover these devastating experiences in groups. Emphasizing
safety, support, access to and expressing feelings, and encouragement
of vulnerability and risk taking are all powerful means to address life's
issues.
The experience in group challenges all
men, regardless of their sexual orientation, to examine socialization
patterns that inhibit them and take a large toll. These include highly
valued competitive and confrontational drives; the need or desire to
be tough and invincible; the avoidance of any attributes that may appear
feminine; a sense of isolation and the need to carry one's burdens alone;
and a tendency to focus on issues of power and control.
Conversely, many
gay and bisexual men avoid group for these same reasons: Experiences
with men, including Gay Men, have left them feeling dismissed, rejected,
isolated, and inferior. In essence, these experiences can re-create the
difficulties these men experienced in their youth. Group provides a safe
context in which men have the potential to heal through these challenging
emotions.
In sum, group therapy can provide a powerful
therapeutic benefit for those willing to consider the risk of joining
such a group, and undertaking a personal challenge to utilize the group
for its intended purpose.
© 2006 Jamie Moran |