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Related Experiment Video

Updated: May 2, 2026

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Process-oriented inpatient groups: alive and well?

Catherine Gray Deering1

  • 1Professor of Psychology at Clayton State University in Morrow, Georgia, and Associate Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the Emory University School of Medicine in Atlanta.

International Journal of Group Psychotherapy
|March 12, 2014
PubMed
Summary

This study examines the decline of process-oriented groups in inpatient settings due to shorter stays and higher patient acuity. It proposes a structured model for these groups, highlighting their unique benefits alongside other therapeutic approaches.

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Area of Science:

  • Psychiatry and Mental Health
  • Group Therapy Research

Background:

  • Inpatient psychiatric units are shifting away from process-oriented groups.
  • Factors influencing this trend include decreasing patient lengths of stay and increasing acuity levels.
  • There is a prevailing bias toward psychoeducational and cognitive-behavioral treatments in current practice.

Purpose of the Study:

  • To explore the reasons behind the decline in process-oriented inpatient groups.
  • To present a structured model for conducting effective process-oriented groups in inpatient settings.
  • To advocate for the continued relevance and benefits of process-oriented groups, both independently and complementarily to other modalities.

Main Methods:

  • Exploration of current trends and biases in inpatient group therapy.
  • Development and presentation of a flexible model for process-oriented groups.
  • Use of clinical vignettes to illustrate group dynamics and themes.

Main Results:

  • Process-oriented groups face challenges in inpatient settings due to logistical and treatment biases.
  • The proposed model offers a framework for successful implementation, fostering emergent themes and interaction.
  • Clinical examples demonstrate the unique value and applicability of process-oriented dynamics in inpatient care.

Conclusions:

  • Process-oriented groups offer distinct benefits that complement other therapeutic approaches in inpatient settings.
  • A structured yet flexible approach can facilitate effective process-oriented groups despite current challenges.
  • Re-evaluating and implementing process-oriented groups can enhance the therapeutic milieu for acutely ill patients.