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Handbook of Behavioral Group Therapy PDF

518 Pages·1985·14.368 MB·English
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Handbook of Behavioral Group Therapy APPLIED CLINICAL PSYCHOLOGY Series Editors: Alan S. Bellack, Medical College of Pennsylvania at EPPI, Philadelphia, Pennsylvania, and Michel Hersen, University of Pittsburgh, Pittsburgh, Pennsylvania Recent Volumes in this Series REHABILITATION OF THE BRAIN-DAMAGED ADULT Gerald Goldstein and Leslie Ruthven SOCIAL SKILLS ASSESSMENT AND TRAINING WITH CHILDREN An Empirically Based Handbook Larry Michelson, Don P. Sugai, Randy P. Wood, and Alan E. Kazdin BEHAVIORAL ASSESSMENT AND REHABILITATION OF THE TRAUMATICALLY BRAIN DAMAGED Edited by Barry A. Edelstein and Eugene T. Couture COGNITIVE BEHAVIOR THERAPY WITH CHILDREN Edited by Andrew W. Meyers and W. Edward Craighead TREATING CHILD-ABUSIVE FAMILIES Intervention Based on Skills Training Principles Jeffrey A. Kelly ISSUES IN PSYCHOTHERAPY RESEARCH Edited by Michel Hersen, Larry Michelson, and Alan S. Bellack SUBSTANCE ABUSE AND PSYCHOPATHOLOGY Edited by Arthur I. Alterman HANDBOOK OF BEHAVIORAL GROUP THERAPY Edited by Dennis Upper and Steven M. Ross forthcoming RESEARCH METHODS IN APPLIED BEHAVIOR ANALYSIS Issues and Advances Edited by Alan Poling, R. Wayne Fuqua, and Roger Ulrich SEVERE BEHAVIOR DISORDERS IN THE MENTALLY RETARDED Nondrug Approaches to Treatment Edited by Rowland P. Barrett A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual shipment. For further information please contact the publisher. Handbook of Behavioral Group Therapy EDITED BY DENNIS UPPER Lahey Clinic Medical Center Burlington, Massachusells and Harvard Medical School Basion, Massachusells AND STEVEN M. ROSS Veterans Administration Medical Cenler and University of Utah School of Medicine Salt Lake City, Utah PLENUM PRESS • NEW YORK AND LONDON Library of Congress Cataloging in Publication Data Main entry under title: Handbook of behavioral group therapy. (Applied clinical psychology) Includes bibliographies and index. 1. Behavior therapy. 2. Group psychotherapy. I. Upper, Dennis, 1942- . II. Ross, Steven M. III. Series. [DNLM: 1. Behavior Therapy. 2. Psychotherapy, Group. WM 425 H2358j RC489.B4H349 1985 616.89'142 85-20496 ISBN-13: 978-1-4684-4960-0 e-ISBN-13: 978-1-4684-4958-7 001: 10.1007/978-1-4684-4958-7 © 1985 Plenum Press, New York Softcover reprint of the hardcover 1st edition 1985 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical. photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Con tribu tors o. DAVID ANTONUCCIO Veterans Administration Medical Center, Reno, Nevada BILLY A. BARRIOS University of Mississippi, University, Mississippi JEFFREY R. BEDELL University of South Florida and Florida Mental Health Institute, Tampa, Florida PERRY L. BELFER Newton-Wellesley Hospital, Newton Lower Falls, Massachusetts and Harvard Med ical School, Boston, Massachusetts JAMES N. BRECKENRIDGE Veterans Administration Medical Center, Palo Alto, California JULIA STEINMETZ BRECKENRIDGE Veterans Administration Medical Center, Palo Alto, California NANCY B. COHN Veterans Administration Medical Center, Salt Lake City, Utah GERARD J. CONNORS University of Texas Medical School at Houston, Houston, Texas PAUL M. G. EMMELKAMP Academic Hospital, Groningen, Netherlands JOHN V. FLOWERS Chapman College, Orange, California DOLORES E. GALLAGHER Veterans Administration Medical Center, Palo Alto, California v vi CONTRIBUTORS BRUCE S. GOTILIEB Pain Management and Behavioral Medicine Center, Farmington, Connecticut J. STEPHEN HAzEL University of Kansas, Lawrence, Kansas STEVEN H. JENSEN Private practice, 1225 N. W. Murray Road, Suite 215, Portland, Oregon LYLE E. KANTOR Department of Behavioral Medicine and Psychiatry, Lahey Clinic Medical Center, Burlington, Massachusetts DAVID J. KOLKO Western Psychiatric Institute and Clinic and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania ANTOINETTE C. M. KUIPERS Psychiatric Hospital "Lichten Kracht," Assen, Netherlands RONALD J. KULICH Lahey Clinic Medical Center, Burlington, Massachusetts CRAIG W. LECROY Arizona State University, Tempe, Arizona PHILIP LEVENDUSKY McLean Hospital, Belmont, Massachusetts and Harvard Medical School, Boston, Massachusetts PETER M. LEWINSOHN University of Oregon, Eugene, Oregon STEPHEN A. MAISTO Veterans Administration Medical Center, Providence, Rhode Island NEAL H. MAYERSON Behavioral Medicine Associates, Salt Lake City, Utah KEVIN B. MCGOVERN Private practice, 1225 N. W. Murray Road, Suite 214, Portland, Oregon DIANN DEE MICHAEL University of South Florida and Florida Mental Health Institute, Tampa, Florida CONTRIBUTORS vii PETER M. MONTI Brown University and Veterans Administration Medical Center, Providence, Rhode Island SHELDON D. ROSE University of Wisconsin, Madison, Wisconsin STEVEN M. Ross Veterans Administration Medical Center and University of Utah School of Medi cine, Salt Lake City, Utah JEAN BRAGG SCHUMAKER University of Kansas, Lawrence, Kansas BERNARD SC~ARTZ Santa Ana College, Santa Ana, California JAN SHELDON University of Kansas, Lawrence Kansas JAMES A. SHERMAN University of Kansas, Lawrence, Kansas LINDA C. SOBELL Addiction Research Foundation and University of Toronto, Toronto, Ontario, Canada MARK B. SOBELL Addiction Research Foundation and University of Toronto, Toronto, Ontario, Canada MARTIN SUNDEL Graduate School of Social Work, The University of Texas at Arlington, Arlington, Texas SANDRA STONE SUNDEL Private practice, Arlington, Texas LINDA TERI University of Washington, Seattle, Washington LARRY W. THOMPSON Veterans Administration Medical Center, Palo Alto, California REx W. TURNER Veterans Administration Medical Center, Salt Lake City, Utah Preface In 1977, the current editors contributed a review article on behavioral group therapy to a volume of Hersen, Miller, and Eisler's Progress in Behavior Modi fication series (1977). At that time we noted that, despite the advantages to both clinicians and clients of conducting behavioral treatments in groups, clinical developments and research in this area were still at a relatively rudimen tary level. The majority of studies in the behavioral group therapy literature we reviewed reported the direct transfer of an individual behavior therapy pro cedure, such as systematic desensitization, to a group of clients with homoge neous problems, such as snake phobia or test anxiety. Groups were used in many studies merely to generate sufficient numbers of subjects to allow various types of interventions to be compared, rather than to examine group process variables per se. Only a limited amount of attention had been given to whether these group interaction variables (such as group discussion, sharing ideas and feelings, and mutual feedback and reinforcement) might enhance individually oriented procedures applied in a group. The 8 years since this original chapter was written have seen a significant growth in both the breadth and depth of clinical research and work in the behavioral group therapy field. This growth was documented in part in a three volume series on behavioral group therapy by the current editors (Upper & Ross, 1979, 1980, 1981). Although each of these books focused on some aspects of behavioral group therapy (e.g., descriptions of institutional programs, group therapy with court-adjudicated clients), non~ attempted to provide a state-of the-art overview of the field, as this present handbook does. In designing this handbook, we endeavored to present chapters that cover the most significant issues, clinical populations, and problems being addressed by behavioral group therapists and that were written by experienced and knowl edgeable clinicians and researchers in this field. Chapter authors were asked to review and critique the relevant literature in the area being discussed, to de scribe and discuss their own behavioral group therapy work, and to speculate upon the directions of future developments. They especially were encouraged to provide detailed descriptions of intervention procedures, to make liberal use of clinical case or group examples, and to offer specific suggestions for dealing with potential problems or pitfalls. This handbook is intended to address both theoretical issues, such as whether behavioral group approaches will allow us to better understand group ix x PREFACE psychotherapy as a lawful and predictable process, and practical ones, such as how we can better match behavioral group interventions to the clinical popula tions and problematic behaviors being addressed. It is intended not only to provide clinicians, researchers, and students "state-of-the-art" information about a broad variety of behavioral group approaches, but also to raise interest ing questions and to identify promising areas for future research as well. DENNIS UPPER STEVEN M. Ross REFERENCES Upper, D., & Ross, S. M. Behavioral group therapy: 1. Emotional, avoidance, and social skills problems of adults. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 5). New York: Academic Press, 1977. Upper, D., & Ross, S. M. (Eds.), Behavioral group therapy, 1979: An annual review. Champaign, Ill.: Research Press, 1979. Upper, D., & Ross, S. M. (Eds.), Behavioral group therapy, 1980: An annual review. Champaign, Ill.: Research Press, 1980. Upper, D., & Ross, S. M. (Eds.), Behavioral group therapy, 1981: An annual review. Champaign, Ill.: Research Press, 1981.

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