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A comparative study of six different inpatient groups with respect to their basic assumption functioning.

S Karterud

    International Journal of Group Psychotherapy
    |July 1, 1989
    PubMed
    Summary

    This study analyzed inpatient psychiatric group therapy sessions, finding most functioned as fight-flight groups. Significant differences in aggression and dependency were observed between fight-flight and dependency group dynamics.

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    Area of Science:

    • Psychiatry
    • Group Therapy
    • Social Psychology

    Background:

    • Inpatient psychiatric wards utilize group therapy to manage patient dynamics.
    • Understanding group functioning is crucial for effective treatment in psychiatric settings.
    • Different ward types (short-term, intermediate, long-term) may foster distinct group cultures.

    Purpose of the Study:

    • To analyze the functioning of inpatient psychiatric team groups.
    • To categorize group dynamics using established analytical tools.
    • To identify differences in aggression and dependency across group types.

    Main Methods:

    • Utilized Group Focal Conflict Analysis and the Group Emotionality Rating System.
    • Observed seventy-five group therapy sessions across six different inpatient team groups.

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  • Classified sessions into fight-flight, pseudogroup, and dependency categories.
  • Main Results:

    • The majority of sessions (41) were classified as fight-flight groups.
    • Twenty-four sessions functioned at a pseudogroup level, and ten were dependency groups.
    • Statistically significant differences in aggression and dependency were found between fight-flight and dependency groups.

    Conclusions:

    • Fight-flight and pseudogroup dynamics were prevalent, particularly in short-term wards with emergency roles.
    • Distinct group cultures (fight-flight vs. dependency) exhibit significant differences in patient aggression and dependency.
    • The study highlights the assets and shortcomings of various group cultures within psychiatric wards.