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Clinician reluctance to refer to group psychotherapy
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Kociol, Brett E.. Clinician reluctance to refer to group psychotherapy. Retrieved from https://doi.org/doi:10.7282/T3PN951S

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TitleClinician reluctance to refer to group psychotherapy
NameKociol, Brett E. (author); Gantwerk, Lewis (chair); Panzer, David (internal member); Rutgers University; Graduate School of Applied and Professional Psychology
Date Created2011
Other Date2011-05 (degree)
SubjectClinical Psychology, Group psychotherapy, Psychotherapy--Methodology, Psychotherapists--Attitudes
Extentix, 82 p. : ill.
DescriptionDecades after the heyday of the encounter group movement, it appears that group
treatment may be dying a slow death of attrition. There is reason to suspect that some
clinicians have a bias against group treatment that may account for a dearth of new group
referrals. This bias can be measured indirectly using an instrument being developed in
support of Attachment Theory (Bowlby, 1988). It is called the Social Group Attachment
Scale (SGAS) (Smith et al., 1999) and scores on this instrument have been shown to be
associated with a measure of clinicians’ attitudes towards group treatment (Marmarosh et
al., 2006). While most measures of attachment focus on dyadic attachment (mother-child
attachment, romantic attachment), the SGAS has been shown to measure social group attachment as distinct from dyadic attachment. This dissertation seeks to determine whether scores on the SGAS are associated with differences in clinicians’ own feelings
about group therapy and/or their beliefs about their patients’ feelings about group therapy
as measured by the Group Psychotherapy Survey – Revised (Carter et al., 2001).
Additionally, it seeks to determine whether differences in social group attachment can
predict actual clinical referral decisions (as measured by percentage of referrals to group
treatment as opposed to other forms of treatment). Finally, this dissertation seeks to
determine whether other factors might predict referral decisions. A step-wise multiple
regression analysis was performed on the data and the results did not support the
hypothesis that group attachment scores predict referral decisions. A somewhat surprising result was that referral decisions can be predicted by the length of time a clinician has been practicing. Clinicians who have been practicing for a longer period of time, most of whom work in private practice, refer fewer patients to group than newer clinicians, most
of whom work in mental health agencies. Other results suggested that differences in
social group attachment were associated with differences in clinicians’ attitudes and
beliefs towards group treatment and that clinicians generally believe that their patients
hold more positive views of group treatment than they themselves do. Implications and limitations of the study are discussed and directions for future research are proposed.
NotePsy.D.
NoteIncludes bibliographical references
NoteBrett E. Kociol
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T3PN951S
Languageeng
CollectionGraduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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