Abstract
This paper discusses the development of a group psychotherapy process for adolescents on a residential treatment unit. We found that consideration of four factors were important in the creation of a productive group. (1) Group therapy should be tailored to the developmental level and needs of this age group. (2) Group leaders need to remain aware of staff and patient dynamics outside of group. (3) Group psychotherapy should be clearly defined as different than other groups within the structure of the unit. (4) Co-leaders should be knowledgeable about the basic group dynamics. Vignettes are provided to illustrate how an effective group psychotherapy was established in the context of an adolescent residential unit. The use of a nonparticipant-observer is discussed.
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