Abstract
Group therapy in an out-patient setting has been well established for over 40 years. Today, most acute wards offer some in-patient group therapy experience. Duration of in-patient stay (Yalom, 1983), the type of group therapy offered (Cox, 1976; Kanas, 1980) and patient psychopathology, can all alter efficacy of in-patient group therapy. However, in-patient units do appear to benefit from group therapy programmes, although some approaches are more effective than others and psychotic patients may suffer from the traditional group therapy approach (Cox, 1983).
Highlights
Group therapy in the context of a secure setting for offender-patients has been described by Cox (1976)
The principles and format of our in-patient group therapy programme did not, Thohweyevwere,refboallsoewd oann Yinatleormpr'setamtiovdeel dfyonr aLmoiwc ermLoedveel.l and Team groups where the aims are to provide an experience of success in an atmosphere of low anxiety arantdhercotnhsaindearnab'loepensuinpgpourpt;' oanes.ealing over process who are in effect resident 'without limit of time'
Others in remission from a functional psychosis, and others recovering from a drug-induced psychosis
Summary
Most acute wards offer some in-patient group therapy experi ence. Group therapy in the context of a secure setting for offender-patients has been described by Cox (1976). Such patients often have fantasies of aggression and violence which can cause considerable stress to the group, and therapist; poss ibly this is why Cox recommends carrying no more than one current psychotic patient in each group. The principles and format of our in-patient group therapy programme did not, Thohweyevwere,refboallsoewd oann Yinatleormpr'setamtiovdeel dfyonr aLmoiwc ermLoedveel.l and Team groups where the aims are to provide an experience of success in an atmosphere of low anxiety arantdhercotnhsaindearnab'loepensuinpgpourpt;' oanes.ealing over process who are in effect resident 'without limit of time'. The morale amongst the staff was low; some considered their role as solely custodial
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