Cover image © naqiewei via Getty Images Cover copyright © 2020 Hachette Book Group, Inc. Hachette Book Group supports the right to free expression and the value of copyright. The purpose of copyright is to encourage writers and artists to produce the creative works that enrich our culture. The scanning, uploading, and distribution of this book without permission is a theft of the author’s intellectual property. If you would like permission to use material from the book (other than for review purposes), please contact permissions@hbgusa.com. Thank you for your support of the author’s rights. Basic Books Hachette Book Group 1290 Avenue of the Americas, New York, NY 10104 www.basicbooks.com First published by Basic Books in 1970 Sixth Edition: December 2020 Published by Basic Books, an imprint of Perseus Books, LLC, a subsidiary of Hachette Book Group, Inc. The Basic Books name and logo is a trademark of the Hachette Book Group. The Hachette Speakers Bureau provides a wide range of authors for speaking events. To find out more, go to www.hachettespeakersbureau.com or call (866) 376-6591. The publisher is not responsible for websites (or their content) that are not owned by the publisher. Library of Congress Cataloging-in-Publication Data Names: Yalom, Irvin D., 1931- author. | Leszcz, Molyn, 1952- author. Title: The theory and practice of group psychotherapy / Irvin D. Yalom and Molyn Leszcz. Description: Sixth edition. | New York : Basic Books, [2020] | Includes bibliographical references and index. Identifiers: LCCN 2020035476 | ISBN 9781541617575 (hardcover) | ISBN 9781541617568 (epub) Subjects: LCSH: Group psychotherapy. Classification: LCC RC488 .Y3 2020 | DDC 616.89/152—dc23 LC record available at https://lccn.loc.gov/2020035476 ISBNs: 978-1-5416-1757-5 (hardcover), 978-1-5416-1756-8 (ebook) E3-20201110-JV-NF-ORI
COVER TITLE PAGE COPYRIGHT DEDICATION PREFACE TO THE SIXTH EDITION ACKNOWLEDGMENTS 1 THE THERAPEUTIC FACTORS Instillation of Hope Universality Imparting Information Altruism The Corrective Recapitulation of the Primary Family Group Development of Socializing Techniques Imitative Behavior 2 INTERPERSONAL LEARNING The Importance of Interpersonal Relationships The Corrective Emotional Experience The Group as Social Microcosm Dynamic Interaction Within the Social Microcosm Recognition of Behavioral Patterns in the Social Microcosm The Social Microcosm: Is It Real? Transference and Insight Overview 3 GROUP COHESIVENESS The Importance of Group Cohesiveness Mechanism of Action Summary 4 THE THERAPEUTIC FACTORS: AN INTEGRATION Comparative Value of the Therapeutic Factors: The Client’s View Comparative Value of the Therapeutic Factors: Differences Between Clients’ and Therapists’ Views Therapeutic Factors: Modifying Forces
Creation and Maintenance of the Group Building a Group Culture How Does the Leader Shape Norms? Therapeutic Group Norms 6 THE THERAPIST: WORKING IN THE HERE-AND-NOW Definition of Process Process Focus: The Power Source of the Group The Therapist’s Tasks in the Here-and-Now Techniques of Here-and-Now Activation Techniques of Process Illumination Helping Clients Assume a Process Orientation Helping Clients Accept Process-Illuminating Comments Process Commentary: A Theoretical Overview The Use of the Past Group-as-a-Whole Process Commentary 7 THE THERAPIST: TRANSFERENCE AND TRANSPARENCY Transference in the Therapy Group The Psychotherapist and Transparency 8 SELECTING CLIENTS AND COMPOSING GROUPS Criteria for Exclusion Criteria for Inclusion Summary: Client Selection Group Composition The Prediction of Client Behavior in the Group Summary: Predicting Client Behavior Principles of Group Composition Homogeneity or Heterogeneity? General Clinical Considerations Summary: Group Composition 9 CREATING THE GROUP Setting and Structure Brief Group Therapy Pregroup Meetings and Preparation for Group Therapy 10 IN THE BEGINNING
The Impact of Clients and Other Factors on Group Development Membership Problems 11 THE ADVANCED GROUP How Interpersonal Learning Works Subgrouping Conflict in the Therapy Group Self-Disclosure Termination 12 THE CHALLENGING GROUP MEMBER The Monopolist The Silent Client The Boring Client The Help-Rejecting Complainer The Acutely Psychotic Client The Schizoid Client The Characterologically Difficult Client 13 SPECIALIZED FORMATS AND PROCEDURAL AIDS Concurrent Individual and Group Therapy Combining Group Therapy and Twelve-Step Groups Co-Therapy Dreams Audiovisual Technology Written Summaries Monitoring Group Therapy Outcome and Process Structured Exercises Group Therapy Record Keeping 14 ONLINE PSYCHOTHERAPY GROUPS VTC Groups: Early Findings Guidelines for Group Psychotherapists VTC Group Challenges and Opportunities 15 SPECIALIZED THERAPY GROUPS Modifications for Specialized Clinical Situations: Basic Steps The Acute Inpatient Therapy Group Groups for the Medically Ill Adaptation of CBT and IPT to Group Therapy
16 TRAINING THE GROUP THERAPIST Observation of Experienced Clinicians Clinical Supervision A Group Experience for Trainees Personal Psychotherapy Summary Beyond Technique DISCOVER MORE APPENDIX: GROUP THERAPY INFORMATION AND GUIDELINES FOR CLIENTS ABOUT THE AUTHORS NOTES ALSO BY IRVIN D. YALOM PRAISE FOR THE THEORY AND PRACTICE OF GROUP PSYCHOTHERAPY
I would like to dedicate this book to Marilyn, my beloved wife of sixty-five years, who died in 2019 MOLYN LESZCZ: To the next generation: Sid, Pete, Lucy, and Margot
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