Psychodynamic group therapy with adolescents: exploration of HIV-related risk taking

Recent research shows that adolescents are a high-risk group for HIV infection, and that educational campaigns designed to reduce risk taking concerning HIV/AIDS have been largely ineffective with this population. It is probable that irrational psychodynamic processes underlie this risky behavior. In order to explore these behaviors, a sample of low-risk high-school adolescents and one of high-risk institutionalized juvenile offenders were formed into small groups for psychodynamic group therapy. This article presents preliminary findings based on qualitative analysis of the group process. Several sources of participants' difficulties in forming realistic appraisals of HIV/AIDS risk and of acting in accordance with them were unidentified, especially attempts to cope with experiences of loss, developing sexuality, and sexual identity and changing relations with adults. Certain problems were developmentally salient with all adolescents, whereas others were especially marked for the high-risk population of developmentally disturbed adolescents.