More than one way home - Student raters' impressions of interventions and group processes in mentalisation based group psychotherapy and group analytic psychotherapy

Submitted: June 15, 2022
Accepted: October 11, 2022
Published: December 29, 2022
Abstract Views: 4273
PDF: 322
HTML: 16
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

In a study comparing mentalisation-based group therapy (MBT-G) and group analytic psychotherapy (GAP) in a day clinic, both group psychotherapy forms were found to be highly effective. But how did specific interventions and processes in both groups differ? The present article describes student raters' impressions. Twelve psychology students listened to 100 audio recordings of 90 minutes group psychotherapy sessions of GAP and MBT-G. Each session was randomly assigned to two student raters, who were asked to write down their impressions. These were analysed. Group conductors in MBT-G used more questions, had short shares of speech, used group dynamics and fostered multiple perspectives on the issues discussed. Affect perception was stimulated by asking questions. In PDGT, conductors used more interpretations, confrontations and supportive interventions, and they had longer share of speech. Handling of affects was based on ‘allowing to get infected’. It is hypothesized that symptom reduction in both groups occurred via different ways: in GAP the pathic (affective contagion) function of interactions was more relevant, while in MBT-G it was the phatic (contact keeping) function. Results are also discussed in relation to previous findings on group processes and interventions.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Rosendahl, J., Alldredge, C. T., Burlingame, G. M., & Strauss, B. (2021). Recent developments in group psychotherapy research. American Journal of Psychotherapy, 74(2), 52-59. DOI: https://doi.org/10.1176/appi.psychotherapy.20200031
Blackmore, C., Beecroft, C., Parry, G., Booth, A., Tantam, D., Chambers, E., Simpson, E., Roberts, S. & Saxon, D. (2009). A systematic review of the efficacy and clinical effectiveness of group analysis and analytic/dynamic group psychotherapy. Centre for Psychological Services Research, School of Health and Related Research, University of Sheffield, UK.
last visited 13.6.2022
Janssen, P. L., & Sachs, G. (2018). Psychodynamische Gruppenpsychotherapie: Theorie, Setting und Praxis. Stuttgart: Klett-Cotta.
Schultz-Venrath, U., & Döring, P. (2009). Hat die Ausbildung in Gruppenanalyse und analytischer Gruppenpsychotherapie eine Zukunft?. Gruppenpsychotherapie und Gruppendynamik, 45(2), 139-163. DOI: https://doi.org/10.13109/grup.2009.45.2.139
Lorentzen, S. (2011). One Group Analysis or many? Does a ‘main-stream group analysis’ exist? Group Analysis 44(4) 38-42.
Dalal, F. (2018). Back to the rough ground: From predictability to radical uncertainty. Group Analysis, 51(3), 315-333. DOI: https://doi.org/10.1177/0533316418779855
Weber, R., Ogrodniczuk, J., Schultz-Venrath, U., & Strauß, B. (2013). Zum Verhältnis von Forschung und klinischer Praxis - Ergebnisse der Mitgliederbefragung der Deutschen Gesellschaft für Gruppenanalyse und Gruppenpsychotherapie (D3G) zur Wahrnehmung von Psychotherapieforschung. Gruppenpsychotherapie und Gruppendynamik, 49, 47-63. DOI: https://doi.org/10.13109/grup.2013.49.1.37
Castonguay, L. G., & Hill, C. E. (2017). How and why are some therapists better than others?: Understanding therapist effects. Washington, D. C.: American Psychological Association. DOI: https://doi.org/10.1037/0000034-000
Pries, J., Vetter, A., Petrowski, K., & Schultz-Venrath, U. (2019). Expertenumfrage zu Interventionsarten in psychodynamischen Gruppenpsychotherapien – eine Pilotstudie. Gruppenpsychotherapie und Gruppendynamik, 55(1), 28-50. DOI: https://doi.org/10.13109/grup.2019.55.1.28
Perepletchikova, F. (2011). On the topic of treatment integrity. Clinical Psychology: Science and Practice, 18(2), 148-153. DOI: https://doi.org/10.1111/j.1468-2850.2011.01246.x
Piper, W. E., & Ogrodniczuk, J. S. (1999). Therapy manuals and the dilemma of dynamically oriented therapists and researchers. American journal of psychotherapy, 53(4), 467-482. DOI: https://doi.org/10.1176/appi.psychotherapy.1999.53.4.467
Silverman WH (1996). Cookbooks, manuals, and paint-by-numbers: Psychotherapy in the 90s. Psychotherapy, 33, 207-215. DOI: https://doi.org/10.1037/0033-3204.33.2.207
Ogrodniczuk, J. S., & Piper, W. E. (1999). Measuring therapist technique in psychodynamic psychotherapies: Development and use of a new scale. The Journal of psychotherapy practice and research, 8(2), 142.
Lorentzen, S. (2013). Group analytic psychotherapy: working with affective, anxiety and personality disorders. London: Routledge. DOI: https://doi.org/10.4324/9780203796887
Whittingham, M. (2017). Attachment and interpersonal theory and group therapy: two sides of the same coin. International Journal of Group Psychotherapy, 67(2), 276-279. DOI: https://doi.org/10.1080/00207284.2016.1260463
Tasca, G. A., Balfour, L., Ritchie, K., & Bissada, H. (2006). Developmental changes in group climate in two types of group therapy for binge-eating disorder: A growth curve analysis. Psychotherapy Research, 16(4), 499-514. DOI: https://doi.org/10.1080/10503300600593359
Strauß, B., & Mattke, D. (2018 [2012]). »By the crowd they have been broken…«: Gruppentherapie im Wandel. In B. Strauß & D. Mattke (Hrsg.). Gruppenpsychotherapie,1-5. Berlin: Springer. DOI: https://doi.org/10.1007/978-3-662-54644-4_1
Brand, T., Hecke, D., Rietz, C., & Schultz-Venrath, U. (2016). Therapieeffekte mentalisierungsbasierter und psychodynamischer Gruppenpsychotherapie in einer randomisierten Tagesklinik-Studie. Gruppenpsychotherapie und Gruppendynamik, 52(2), 156-174. DOI: https://doi.org/10.13109/grup.2016.52.2.156
Burlingame, G. M., MacKenzie, K. R., & Strauss, B. (2004). Small group treatment: Evidence for effectiveness and mechanisms of change. Handbook of psychotherapy and behavior change, 5, 647-696.
Burlingame, G. M., Strauss, B., & Joyce, A. (2013). Change mechanisms and effectiveness of small group treatments. Bergin and Garfield’s handbook of psychotherapy and behavior change, 6, 640-689.
Karterud, S. (2015). Mentalization-Based Group Therapy (MBT-G): A theoretical, clinical, and research manual. Oxford: Oxford University Press. DOI: https://doi.org/10.1093/med:psych/9780198753742.001.0001
Bales, R. F. (1950). Interaction process analysis; a method for the study of small groups. Cambridge: Addison-Wesley.
Blackmore, C., Tantam, D., Parry, G., & Chambers, E. (2012). Report on a systematic review of the efficacy and clinical effectiveness of group analysis and analytic/dynamic group psychotherapy. Group Analysis, 45(1), 46–69. DOI: https://doi.org/10.1177/0533316411424356
Folmo, E. J., Karterud, S. W., Bremer, K., Walther, K. L., Kvarstein, E. H., & Pedersen, G. A. (2017). The design of the MBT‐G adherence and quality scale. Scandinavian journal of psychology, 58(4), 341-349. DOI: https://doi.org/10.1111/sjop.12375
Foulkes, S. H. (1975). Group Analytic Psychotherapy. Methods and Principles. London: Karnac.
Schlapobersky, J. & Pines, M. (2009). Group methods in adult psychiatry. In M. Gelder, N. Andreasen, J. Lopez-Ibor & J. Geddes (Hrsg.). The New Oxford Textbook of Psychiatry. Oxford: Oxford University Press.
Pries, J. (2021). Adherence in psychodynamic group psychotherapy. Unpublished dissertation. University of Witten/Herdecke.
Mayring, P. (2015 [1983]). Qualitative Inhaltsanalyse. Grundlagen und Techniken, 12. Aufl. Weinheim: Beltz.
Steinert, L. M., Gries, S., Kästner, D., Wulf, S., Molitor, A., & Gumz, A. (2022). Die Sprache der Psychotherapeut* innen. Psychotherapeut, 1-9. DOI: https://doi.org/10.1007/s00278-022-00580-3
Anzieu, D. (1996): Das Haut-Ich. Frankfurt a. M.: Suhrkamp.
Felsberger, H. (2017). Vokale Matrix und Gruppenbindung – wie Hören und Sprechen in der Gruppe mentalisierte Affektivität und epistemisches Vertrauen ermöglichen. Gruppenpsychotherapie und Gruppendynamik, 53(3), 188-225. DOI: https://doi.org/10.13109/grup.2017.53.3.188
Schultz-Venrath, U., & Felsberger, H. (2016). Mentalisieren in Gruppen. Stuttgart: Klett-Cotta.
Henry, W.P., Strupp, H.H., Butler, S.F., et al. (1993). Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior. Journal of Consulting and Clinical Psychology, 61, 434-140. DOI: https://doi.org/10.1037/0022-006X.61.3.434
Schultz-Venrath, U. (2012). Gruppenanalyse. In B. Strauß & D. Mattke (Hrsg.). Gruppenpsychotherapie, 119-130. Berlin: Springer. DOI: https://doi.org/10.1007/978-3-642-03497-8_10
Schilder, P. (1936). The analysis of ideologies as a psychotherapeutic method, especially in group treatment. American Journal of Psychiatry, 93, 601–615. DOI: https://doi.org/10.1176/ajp.93.3.601
Hecke, D., Brand, T., Rietz, C., & Schultz-Venrath, U. (2016). Prozess-Outcome-Studie zum Gruppenklima in psychodynamischer und mentalisierungsbasierter Gruppenpsychotherapie in einem tagesklinischen Setting. Gruppenpsychotherapie und Gruppendynamik, 52(2), 175-192. DOI: https://doi.org/10.13109/grup.2016.52.2.175
Sabel, E. (2007). Wirkung und Wirksamkeit von Therapieprozessen einer psychoanalytischen Gruppentherapie in einer Tagesklinik unter besonderer Berücksichtigung von Mentalisierungphänomenen. Diss.Phil., Universität Bremen.
Alder, M. L., & Buchholz, M. B. (2017). Kommunikative Gewalt in der Psychotherapie. In S. Bonacchi (Hrsg.): Verbale Aggression: Multidisziplinäre Zugänge zur verletzenden Macht der Sprache (171-208). Berlin: De Gruyter. DOI: https://doi.org/10.1515/9783110522976-008
Whitaker, D. S. (1992). Making research a part of group therapeutic practice. Group analysis, 25(4), 433-448. DOI: https://doi.org/10.1177/0533316492254006
Piper, W. E. (2004). Implications of psychotherapy research for psychotherapy training. The Canadian Journal of Psychiatry, 49(4), 221-229. DOI: https://doi.org/10.1177/070674370404900402
Fonagy, P., & Luyten, P. (2019). Fidelity vs. flexibility in the implementation of psychotherapies: time to move on. World Psychiatry, 18(3), 270. DOI: https://doi.org/10.1002/wps.20657
Yalom, I., & Leszcz, M. (2005). The theory and practice of group psychotherapy. New York: Basic Books.
Mattke, D. (2018 [2012]). Psychodynamische Gruppenpsychotherapie und ihre Veränderungsmechanismen. In B. Strauß & D. Mattke (Hrsg.). Gruppenpsychotherapie, 131-146. Berlin: Springer. DOI: https://doi.org/10.1007/978-3-662-54644-4_11
Leichsenring, F., Abbass, A., Beutel, M., Gündel, H., Heuft, G., Hoffmann, S. O., Kächele, H., Kruse, J., Rüger, U., Rudolf, G., Spitzer, C., Salzer, S., Luyten, P., Wampold, B. & Steinert, C. (2019). Vom Sinn des Verfahrenskonzepts und der Verfahrensvielfalt–und warum das Baukasten-System in der Psychotherapie nicht funktioniert. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 65(4), 321-340. DOI: https://doi.org/10.13109/zptm.2019.65.4.oa1
Garland, C., Kennard, D., Roberts, J. P., Winter, D. A., Caine, T. M., Dick, B., et al. (1984). What Is a Group Analyst? A Preliminary Investigation of Conductors' Interventions. Group Analysis, 17 (2), 137-145. DOI: https://doi.org/10.1177/053331648401700207
Gumz A, Neubauer K, Horstkotte JK, Geyer M, Löwe B, Murray AM, Kästner D (2017) A bottom-up approach to assess verbal therapeutic techniques. Development of the Psychodynamic Interventions List (PIL). PLoS ONE. DOI: https://doi.org/10.1371/journal.pone.0182949
Wilke, G. (2015). Konflikt und Potenz innerhalb und zwischen Gruppen. Gruppenpsychotherie Gruppendynamik, 51(4), 270-287. DOI: https://doi.org/10.13109/grup.2015.51.4.270
Rosenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. American journal of Orthopsychiatry, 6(3), 41 DOI: https://doi.org/10.1111/j.1939-0025.1936.tb05248.x

How to Cite

Pries, J., Niecke, A., Vetter, A., & Schultz-Venrath, U. (2022). More than one way home - Student raters’ impressions of interventions and group processes in mentalisation based group psychotherapy and group analytic psychotherapy. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3). https://doi.org/10.4081/ripppo.2022.642

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.