Cognitive-Behavioral Group Therapy for Sex Addiction
Although group therapy has traditionally been carried
out from a psychodynamic perspective, cognitive and
behavioral therapists are developing their own group
techniques. The focus of cognitive-behavioral group
therapy is on increasing the skills and comfort of people
in social situations.
The themes of particular sessions are often
programmed by the therapist from prior
knowledge of the members' problems.
The therapist may model alternative ways of handling
these situations. The role playing is accompanied by social
reinforcement and feedback, and homework tasks
are assigned. Other techniques are used as well, including
graded task assignments, examination of specific
types of distortions that may arise in social interactions
(such as over generalization and Catastrophizing), and
discussion of types of cognitions that have negative and
positive influences in group situations.
Cognitive-behavioral group therapy is more
highly structured than group therapy conducted along
psychodynamic lines. Although it is a relatively new approach,
group members not only seem to value the task oriented
sessions but also exhibit improved behavior.
From a psychodynamic point of view, group psychotherapy
represents an opportunity to deal with transference
in a social situation and to compare one's attitude
toward participation in a group with those of other
group members. The group is often seen as an extension
of the family. For example, a frequent topic that arises
in group therapy is the competition of group members
for the therapist's attention. A psychoanalyst might see
echoes of the members' relationships to parents and siblings
in their performances in the group. A cognitively
oriented clinician, on the other hand, would be interested
primarily in the often irrational ideas of group
members concerning what goes on, or should go on, in
social situations. Client-centered therapists see the therapist's
role in groups as basically the same as in individual
counseling; in both situations the therapist is a facilitator
of personal growth for the sex addict. Cognitive-behavioral
therapists are increasingly using techniques such as
modeling and behavior rehearsal in groups.
out from a psychodynamic perspective, cognitive and
behavioral therapists are developing their own group
techniques. The focus of cognitive-behavioral group
therapy is on increasing the skills and comfort of people
in social situations.
The themes of particular sessions are often
programmed by the therapist from prior
knowledge of the members' problems.
The therapist may model alternative ways of handling
these situations. The role playing is accompanied by social
reinforcement and feedback, and homework tasks
are assigned. Other techniques are used as well, including
graded task assignments, examination of specific
types of distortions that may arise in social interactions
(such as over generalization and Catastrophizing), and
discussion of types of cognitions that have negative and
positive influences in group situations.
Cognitive-behavioral group therapy is more
highly structured than group therapy conducted along
psychodynamic lines. Although it is a relatively new approach,
group members not only seem to value the task oriented
sessions but also exhibit improved behavior.
From a psychodynamic point of view, group psychotherapy
represents an opportunity to deal with transference
in a social situation and to compare one's attitude
toward participation in a group with those of other
group members. The group is often seen as an extension
of the family. For example, a frequent topic that arises
in group therapy is the competition of group members
for the therapist's attention. A psychoanalyst might see
echoes of the members' relationships to parents and siblings
in their performances in the group. A cognitively
oriented clinician, on the other hand, would be interested
primarily in the often irrational ideas of group
members concerning what goes on, or should go on, in
social situations. Client-centered therapists see the therapist's
role in groups as basically the same as in individual
counseling; in both situations the therapist is a facilitator
of personal growth for the sex addict. Cognitive-behavioral
therapists are increasingly using techniques such as
modeling and behavior rehearsal in groups.
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