Abstract
A recent clinical study of outpatient psychotherapy groups in a community mental health center explored the linkage between group leadership variables, group climate, and outcome. The study involved nine outpatient therapy groups, over 50 group clients, and several group therapists. A repeated measures design involving assessment of clients' outcome and level of functioning, group leadership style, and group climate was used to assess changes over a 6-month period. The findings suggest: 1) a reduction in symptoms and improved functioning for clients; 2) a similarity of perceptions by members and leaders of perceived leadership behaviors and group climate; 3) the presence of direct and indirect influences of group climate and leadership behavior on clients' outcome; and 4) a linkage between leadership behavior and group climate with the theoretical orientation of the group. The findings of the research are discussed in relation to the understanding of specific effects in group psychotherapy and the implications for construction of group psychotherapy theory.
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References
Agazarian, Y. (1983). Some advantages of applying multidimensional thinking to the teaching, practice, and outcomes of group psychotherapy.International Journal of Group Psychotherapy, 33(2), 243–247.
Barlow, S., Hansen, W., Fuhriman, A., & Finley, R. (1982). Leader communication style: Effects on members of small groups.Small Group Behavior, 13(4), 518–531.
Bednar, R. L., & Kaul, T. J. (1978). Experiential group research: Current perspectives. In S. L. Garfield & A. E. Bergin (Eds.),Handbook of psychotherapy and behavior change: An empirical analysis (2nd ed., pp. 769–815). New York: Wiley.
Bednar, R. L., & Kaul, T. J. (1979). Experiential group research. What never happened!The Journal of Applied Behavior Science, 15, 311–319.
Block, S., & Crouch, E. (1985).Therapeutic factors in group psychotherapy. New York: Oxford University Press.
Budman, S., Demby, A., Feldstein, M., & Gold, M. (1984). The effects of time-limited group psychotherapy: A controlled study.International Journal of Group Psychotherapy, 34, 587–603.
Budman, S., Demby, A., Feldstein, M., Redondo, J., Scherz, B., Bennett, M., Koppenall, G., Daley, B., Hunter, M., & Ellis, J. (1987). Preliminary findings on a new instrument to measure cohesion in group psychotherapy.International Journal of Group Psychotherapy, 37, 75–94.
Burlingame, G., Fuhriman, A., & Drescher, S. (1984). Scientific inquiry into small group process: A multidimensional approach.Small Group Behavior, 15(4), 441–470.
Coché, E. (1983). Change measures and clinical practice in group psychotherapy. In R. Dies & R. MacKenzie (Eds.),Advances in group psychotherapy (pp. 79–99). New York: International Universities Press.
Colson, D. B., & Horwitz, L. (1983). Research in group psychotherapy. In H. I. Kaplan & B. Sadock (Eds.),Comprehensive group psychology (2nd ed., pp. 304–311). Baltimore: Williams & Wilkins.
DePalma, D. M. (1979). An evaluation of a training program in group leadership skills for community health nurses.Dissertion Abstracts International, 40(4-B), 1886–1887. (University Microfilms No. 7922925)
DePalma, D., Gardner, K., & Zastowny, T. (1984). The development of an instrument for measuring leadership behaviors in therapy groups.Group, 8(3), 3–16.
DePalma, D. M. (1980).Group leader behavior instrument. Copyrighted by author.
DeRogatis, L. R., & Spencer, P. M. (1982). The brief symptom inventory (BSI): Administrative, scoring, and procedures manual.Clinical Psychometric Research.
Dies, R. R. (1977a) Group therapist transparency: A critique of theory and research.International Journal of Group Psychotherapy, 27, 177–200.
Dies, R. R. (1977b). Pragmatics of leadership in psychotherapy and encounter group research.Small Group Behavior, 8, 229–248.
Dies, R. R. (1979) Group psychotherapy: Reflects on three decades of research.Journal of Applied Behavioral Sciences, 15, 361–373.
Dies, R. R. (1983a). Bridging the gap between research and practice in group psychotherapy. In R. Dies & R. MacKenzie (Eds.),Advances in group psychotherapy (pp. 1–26). New York: International Universities Press.
Dies, R. R. (1983b). Leadership in short-term groups. In R. Dies & R. Mackenzie (Eds.),Advances in group psychotherapy (pp. 27–28). New York: International Universities Press.
Dies, R. R. (1985). A multidimensional model for group process research: Elaboration and critique.Small Group Behavior, 16(4), 427–446.
Dies, R. (1987). Clinical applications of research instruments: Editor's introduction.International Journal of Group Psychotherapy, 37, 31–37.
Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance.Archives of General Psychiatry, 33, 766–771.
Fuhriman, A., & Packard, T. (1986). Group process instruments: Therapeutic themes and issues.International Journal of Group Psychotherapy, 36, 399–425.
Gardner, K. G., DePalma, D. M., & Zastowny, T. R. (1982). Toward a comprehensive assessment of leadership behaviors in groups.Psychological Reports, 51, 991–999.
Hartman, J. J. (1979). Small group methods of personal change.Annual Review of Psychology, 30, 453–476.
Kanas, N., et al. (1984). Process and content in an outpatient schizophrenic group.Group,8(2).
Lieberman, M. A. (1976). Change induction in small groups.Annual Review of Psychology, 27, 217–250.
Lieberman, M. A., Yalom, I. D., & Miles, M. E. (1973).Encounter groups: First facts. New York: Basic Books.
MacKenzie, K. R. (1981). Measurement of group climate.International Journal of Group Psychotherapy, 31, 287–296.
MacKenzie, R., & Dies. R. (1982).Core battery: Clinical outcome results. New York: Research Committee AGPA.
MacKenzie, K. R. (1983). The clinical application of a group climate measure. In R. R. Dies & K. R. MacKenzie (Eds.),Advances in Group Psychotherapy: Integrating Research and Practice (pp. 159–179). New York: International Universities Press.
MacKenzie, R. (1984). Commentary on process and content in an outpatient schizophrenic group.Group, 8(3), 31–34.
MacKenzie, R., Dies, R., Coché, E., Rutan, J. S., & Stone, W. (1987). An analysis of AGPA institute groups.International Journal of Group Psychotherapy, 37, 55–74.
Newman, F. L. (1980). Global scales: Strengths, uses and problems of global scales as an evaluation instrument.Evaluation and Program Planning, 3(4), 257–268.
Parloff, M., & Dies, R. (1977). Outcome research 1966–1975.International Journal of Group Psychotherapy, 27, 281–319.
Pattison, E. (1965). Evaluation studies in group psychotherapy.International Journal of Group Psychotherapy, 15, 382–397.
Phipps, L. (1986). Group dynamics: Leadership roles and functions. In E. Janosik & L. Phipps (Eds.),Life cycle group work (pp. 155–176). Boston: Jones and Bartlett.
Piper, W., Debbane, E., & Garant, J. (1977). Group psychotherapy outcome research: Problems and prospects of a first-year project.International Journal of Group Psychotherapy, 27, 321–341.
Piper, W., Edwards, E., Doan, B., & Jones, B. (1979). Co-therapy: Group therapy process, and treatment outcome.Journal of Consulting and Clinical Psychology, 47(6), 1081–1089.
Piper, W., Debbane, E., Dienvinue, I., & Garant, J. (1984). A comparative study of four forms of psychotherapy.Journal of Consulting and Clinical Psychology, 52, 268–279.
Piper, W., Marrache, M., & Koenig, A. (1986). Relationships between early and final reports of treatment outcome in long-term group psychotherapy.Group, 10(2), 85–93.
Reddy, W. B., Lippert, K. M. (1980). Studies of the processes and dynamics within experiential groups. In P. B. Smith (Ed.),Small groups and personal change (pp. 56–84). London: Methuen.
Rutan, S. J., & Stone, W. N. (1984).Psychodynamic group psychotherapy. MA: D. C. Heath.
Sameroff, A. J. (1975). Early influences on development: Fact or fancy?Merrill-Palmer Quarterly, 21, 267–294.
Sameroff, A. J., & Chandler, M. J. (1975). Reproductive risk and the continuum of caretaking casuality. In F. D. Horowitz, M. Hethering, S. Scarr-Salapatek, & G. Siegal (Eds.),Review of child development research (Vol. 4). Chicago: University of Chicago.
Silver, R., Lubin, B., Miller, D., & Dobson, N. (1980). Group psychotherapy literature: 1980.International Journal of Group Psychotherapy, 31, 469–526.
Silver, R., Lubin, B., Miller, D., & Dobson, N. (1981). Group psychotherapy literature: 1981.International Journal of Group Psychotherapy, 32, 481–554.
Weiner, M. (1984). Outcome of psychoanalytically oriented group psychotherapy.Group, 8, 3–12.
Whiteley, J., & Gordon. J. (1979).Group approaches in psychiatry. London: Routledge & Kegan Paul.
Wile, D. B. (1970). GTQ C: An alternate form of the Group Therapy Questionnaire Unpublished manuscript. Available from the author. California State University. 25800 Hillary Street, Hayward, CA 94542.
Wile, D. B., Bron, G. D., & Pollack, H. B. (1970a). The Group Therapy Questionnaire: An instrument for study of leadership in small groups.Psychological Reports, 27, 263–273.
Wile, D. B., Bron, G. D., & Pollack, H. B. (1970b). Preliminary validational evidence for the Group Therapy Questionnaire.Journal of Consulting and Clinical Psychology, 34, 367–374.
Wile, D. B. (1972). Nonresearch uses of the Group Leadership Questionnaire (GTQ-C). In J. W. Pfeiffer & J. E. Jones (Eds.),The 1972 annual handbook for group facilitators (pp. 36–37). Iowa City: University Associates.
Wile, D. B. (1973). What do trainees learn from a group therapy workshop?International Journal of Group Psychotherapy, 23, 185–203.
Wile, D. B. (1977). Test-retest reliability for the GTQ-C. Unpublished manuscript. Available from the author, see above address.
Yalom, I. (1975).The theory and practice of group psychotherapy. New York: Basic Books.
Zastowny, T. & Frank, R. (1986). Empirical investigation: Research strategy. In E. Janosik & L. Phipps (Eds.),Life cycle group work in nursing. Boston: Jones and Bartlett.
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The authors would like to thank Robert Dies, Ph.D., for his helpful suggestions in the early phase of this study; Roy MacKenzie, M.D., for permission to use the Group Climate Questionnaire; Diane DePalma, Ph.D., for permission to use the Global Leadership Behavior Index; Chris Boltwood, B.A., for her untiring efforts in administering the instruments and coding and entering the data; and most importantly, the psychotherapy group members and the group therapists for their cooperation in this endeavor—without their help, this clinical study would not have been possible.
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Phipps, L.B., Zastowny, T.R. Leadership behavior, group climate and outcome in group psychotherapy: A study of outpatient psychotherapy groups. Group 12, 157–171 (1988). https://doi.org/10.1007/BF01456565
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DOI: https://doi.org/10.1007/BF01456565