Self-help and support groups

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Kathleen Degen and Ellen Nasper

By the mid-eighties, the provision of psychotherapy for people who could not get out of bed, bathe, get dressed, prepare meals, and manage their own money had diminished. Treatment centered on case management and rehabilitation. This virtual elimination of psychotherapy made sense economically as well as therapeutically: traditional psychotherapy had little success with people suffering from schizophrenia. However, the advent of novel antipsychotic medications has created a need for psychotherapy tailored to this population. Sudden reduction in pervasive, persistent delusions and hallucinations, and recovery of motivation, energy, volition, and the ability to experience pleasure from something other than cigarettes is a mixed blessing. Patients are relieved of terrible suffering but left with new problems. Shedding the lifelong identity of a mental patient, they no longer need case management but require help adjusting to major changes in their thinking and functioning. Kathleen Degen and Ellen Nasper describe group therapy that helps patients identify and cope with unexpected, intense feelings such as sadness or painful memories of childhood trauma, increase their interpersonal skills, and advance their sense of self beyond that of their label as mental patients. Degen and Nasper show how to build on the phenomenal changes that the new medications provide.

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Marcela Serrano

"Un grupo de mujeres, muy distintas entre sí y que nunca se han visto antes, comparten sus historias. Natasha, su terapeuta, ha decidido reunirlas en la convicción de que las heridas empiezan a sanar cuando se rompen las cadenas del silencio. No importa el origen ni la extracción social, la edad o la profesión: todas acarrean sobre sus hombros el peso del miedo, la soledad, el deseo, las inseguridades. A veces ante un pasado que no pueden dejar atrás; otras, ante un presente que no se parece a lo que habrían deseado, o un futuro que las asusta. Madres, hijas, esposas, viudas, amantes: guiadas por Natasha, las protagonistas aceptan el desafío de comprender y reinventar sus vidas."-- Page [4] of cover. Ten women, who are very different and who have never seen each other, share their life stories. Natasha, a therapist, has decided to bring them together since she is convinced that wounds begin to heal when the chains of silence are broken. Regardless of origin, social class, age or profession, all of them carry the weight of fear, loneliness, desire and insecurity.

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Gaie Houston

The ways in which people struggle to establish a sense of belonging, and their need to preserve their individuality, has long fascinated psychologists, therapists and group-workers. Overvaluing separateness may be at least as damaging as abandoning personal judgment to the dictates of the group. We all belong; yet many people are far less skilled at recognising and managing themselves as group members than at behaving as isolates. This highly original book brings new insights to this fundamental issue and examines the ways in which different theoretical interpretations of group processes may be integrated. The author gives an account of how the reality of belonging is dealt with during a residential group experience. The fictional participants talk for themselves but, at the same time, they also represent a range of theoretical perspectives. By means of this compelling dialogue, and commentary, the reader is guided through a series of crucial issues in the struggle to understand what happens when people attend to their experience in and between groups. This book is both a powerful drama and a handbook for all those working with groups as counsellors, therapists and facilitators.

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Barbara Moe

Discusses eating disorders in relation to support groups, the interactions occurring in such groups, what happens in a meeting, how to start a group, and the positive benefits available from such support.