Large group treatment of severely disturbed/conduct-disordered adolescents

Group psychotherapy is an effective treatment modality for many teenagers. Although group treatment usually refer to a group of 10 or fewer members, this article argues that larger groups are an even better choice when the members are severely disturbed/conduct-disordered adolescents. Although challenging and exciting, group psychotherapy with these youngsters can be a difficult task. Their narcissistic vulnerability, impaired ability to mediate between internal and external events, and their propensity for violently expressing their frustration, rage, and despair demand a structure that is both firm and flexible, and carefully planned strategies. A structure and technique that maximizes safety during and following group meetings, that positively influences behavior, and that may facilitate an altered perception of self and others are discussed.