[Group therapy and sensitivity training. 3. Renewal in institutionalization and sensitivity training].
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Following an historical summary of the broader group helping field, the article differentiates among clinical group psychotherapy, "therapeutic" groups, human relations and training groups, as well as mutual-help and self-help groups. Twelve major theoretical models of group interventions are delineated, followed by an account of the current status of group treatment theory, practice and research. The role of group interventions in the fields of physical, sexual and substance abuse, chronic illness, and trauma--as in the aftermath of the September 11, 2001 terrorist attacks--are highlighted. A glimpse at the future of group treatments considers the obstacles and prospects occasioned by the managed care "revolution" in mental health.
Human relations training has moved from the original T-group emphasis on group process, through focusing on the individual's mode of interacting in the group, to the use of the encounter situation for fostering personality change. Psychotherapy is moving out of the dyadic relationship into groups using increasing degrees of confrontation. The resulting overlap in group techniques calls for examination of the part each can play in the overlap area between the clear-cut functions of each specialty. The theoretical basis for differentiation lies in the respective models of awkward ("neurotic") behaviour: psychotherapy starts from the pathological and emphasizes intrapersonal structure, while encounter starts from full-functioning behaviour and emphasizes interpersonal interaction. Practical responsibilities can be divided between encounter and psychotherapy on the basis of the level achieved by an individual moving through a hierarchy of ascending personal achievement levels. Because of the high probability of individuals interchanging between encounter and psychotherapy, practitioners will need to have at least basic knowledge of both systems. Rapprochement could eventually come through the systematic extension of existential psychotherapy.
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