Group Therapy as an Ecological Bridge to New Community for Trauma Survivors

Abstract Group therapy counteracts the isolating effects of interpersonal trauma and enables survivors to connect with sources of resilience within themselves and others. By providing an alternative relational experience in which the survivor and her safety are valued, groups empower members to establish self-affirming and supportive relationships in their outside lives. The current paper reviews the psychological impact of chronic interpersonal violence and the relevant literature regarding group therapy for trauma survivors. We describe an approach to group treatment for complexly traumatized patients developed at the Victims of Violence Program, and through a clinical vignette, illustrate some of the ways in which group therapy can expand the relational world of survivors.

[1]  M. Harvey.  Towards an Ecological Understanding of Resilience in Trauma Survivors , 2007 .

[2]  G. K. James.  Toward an Ecological Conception of Preventive Interventions , 2006 .

[3]  J. Ford,et al.  Treatment of complex posttraumatic self-dysregulation. , 2005, Journal of traumatic stress.

[4]  R. Anda,et al.  Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences study. , 2003, The American journal of psychiatry.

[5]  B. Liang,et al.  A Multidimensional Approach to the Assessment of Trauma Impact, Recovery and Resiliency , 2003 .

[6]  R. Moos.  2001 INVITED ADDRESS: The Mystery of Human Context and Coping: An Unraveling of Clues , 2002, American journal of community psychology.

[7]  D. Chapman,et al.  Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. , 2001, JAMA.

[8]  J. Coid,et al.  Relation between childhood sexual and physical abuse and risk of revictimisation in women: a cross-sectional survey , 2001, The Lancet.

[9]  C. Classen,et al.  A Preliminary Report Comparing Trauma-Focused and Present-Focused Group Therapy Against a Wait-Listed Condition Among Childhood Sexual Abuse Survivors with PTSD , 2001 .

[10]  I. Sandler.  Quality and Ecology of Adversity as Common Mechanisms of Risk and Resilience , 2001, American journal of community psychology.

[11]  S. Riger.  Transforming Community Psychology , 2001, American journal of community psychology.

[12]  A-Mm Williams,et al.  Construing stress: A constructivist therapeutic approach to posttraumatic stress reactions. , 2001 .

[13]  Susan M Johnson,et al.  An Empirical Investigation of Group Treatment for a Clinical Population of Adult Female Incest Survivors , 1999 .

[14]  L. Tutty,et al.  The efficacy of group treatment for survivors of childhood abuse. , 1999, Child abuse & neglect.

[15]  D. Johnson,et al.  Efficacy of Psychoeducational Group Therapy in reducing symptoms of posttraumatic stress disorder among multiply traumatized women. , 1998, The American journal of psychiatry.

[16]  D. Williamson,et al.  Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. , 1998, American journal of preventive medicine.

[17]  C. Zlotnick,et al.  An affect-management group for women with posttraumatic stress disorder and histories of childhood sexual abuse. , 1997, Journal of traumatic stress.

[18]  K. Gorey,et al.  Group Work Intervention with Female Survivors of Childhood Sexual Abuse , 1997 .

[19]  D. Deering,et al.  Compassion Fatigue: Coping With Secondary Traumatic Stress Disorder In Those Who Treat the Traumatized , 1996 .

[20]  J. Herman,et al.  Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma. , 1996, The American journal of psychiatry.

[21]  M. Harvey.  An ecological view of psychological trauma and trauma recovery. , 1996, Journal of traumatic stress.

[22]  P. Saigh.  Cognitive processing therapy for rape victims: A treatment manual. By Patricia A. Resick and Monica K. Schnicke. Newbury Park, CA: Sage Publications, 1992, 192 pages, $38.95 hard cover, $17.95 soft cover , 1996 .

[23]  A. Boudewyn,et al.  Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood , 1995, Journal of traumatic stress.

[24]  J. Yassen.  Preventing secondary traumatic stress disorder. , 1995 .

[25]  S. Allen,et al.  Group and family treatment of post-traumatic stress disorder. , 1994, The Psychiatric clinics of North America.

[26]  E. Cowen.  The enhancement of psychological wellness: Challenges and opportunities , 1994, American journal of community psychology.

[27]  A. Hazzard,et al.  Factors affecting group therapy outcome for adult sexual abuse survivors. , 1993, International journal of group psychotherapy.

[28]  J. Herman,et al.  A Stage-by-Dimension Model of Recovery From Sexual Trauma , 1993 .

[29]  R. Flannery,et al.  A structured stress-reduction group approach modified for victims of psychological trauma. , 1993 .

[30]  Judith Lewis Herman,et al.  Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. , 1992 .

[31]  Judith Lewis Herman,et al.  Trauma and Recovery , 2015 .

[32]  J. C. Perry,et al.  Childhood origins of self-destructive behavior. , 1991, The American journal of psychiatry.

[33]  M. Koss,et al.  The rape victim: Clinical and community interventions, 2nd ed. , 1991 .

[34]  M. Koss,et al.  The rape victim : clinical and community interventions , 1991 .

[35]  D. Drossman,et al.  Sexual and physical abuse in women with functional or organic gastrointestinal disorders. , 1990, Annals of internal medicine.

[36]  Sandy K. Wurlel,et al.  Childhood Sexual Abuse Among Chronic Pain Patients , 1990, The Clinical journal of pain.

[37]  R. Loewenstein.  Somatoform disorders in victims of incest and child abuse. , 1990 .

[38]  C. Stalker,et al.  The Impact of Group Therapy for Adult Survivors of Childhood Sexual Abuse* , 1989, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[39]  J. C. Perry,et al.  Childhood trauma in borderline personality disorder. , 1989, The American journal of psychiatry.

[40]  J. G. Kelly.  Context and process: An ecological view of the interdependence of practice and research , 1986 .

[41]  J. Herman,et al.  Time-limited group therapy for women with a history of incest. , 1984, International journal of group psychotherapy.

[42]  J. W. Carter.  Research contributions from psychology to community mental health , 1968 .

[43]  G KONOPKA,et al.  Group therapy. , 1949, The American journal of orthopsychiatry.