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Group therapy during a modified fasting diet: themes and process.

T N Wise, J N Cooper

International Journal of Psychiatry in Medicine

|January 1, 1983

Summary

Group therapy for individuals on a 400-calorie diet failed to promote acceptance of severe caloric restriction. Dependency and pairing themes distracted from the primary goal of weight control.

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Area of Science:

Behavioral Psychology
Clinical Psychology
Obesity Research

Background:

Severe caloric restriction is a common strategy for weight management.
Group therapy is a potential modality for supporting individuals undergoing dietary changes.

Purpose of the Study:

To evaluate the effectiveness of weekly group therapy for individuals on a 400-calorie daily diet.
To understand the group dynamics and psychological factors influencing adherence to severe caloric limitation.

Main Methods:

Weekly group therapy sessions were provided to participants restricted to 400 calories per day.
The study observed group cohesiveness, common themes, and participant responses to the dietary regimen.

Main Results:

Group cohesiveness developed due to shared experience, but participants struggled to accept the necessity of severe caloric limitation.
Themes of dependency and pairing emerged, diverting attention from the core task of adhering to the diet.
Behavioral techniques and insight-oriented approaches were not effective in promoting acceptance.

Conclusions:

The group format, focused on severe caloric restriction, presented significant challenges for participants.
Factors such as dependency and interpersonal dynamics may impede the effectiveness of group therapy in extreme dietary interventions.

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