Everybody needs a group: A qualitative study looking at therapists’ views of the role of psychotherapy groups in working with older people with dementia and complex needs

Abstract

Our objective was to evaluate clinicians’ views of the impact of conducting inpatient psychotherapy groups for older adults with enduring mental health issues and/or cognitive impairment.

We conducted a literature review. A focus group was held with four group facilitators using a semi-structured format and open questioning. The transcript was analysed by the interviewer using Interpretative Phenomenological Analysis. Using guidelines provided by Smith and Osborn, themes were identified, clustered and a final set of themes developed. On completion, the researcher reported the findings back to one participant to increase the validity and trustworthiness of the analysis.

Facilitators described impacts that were intra-personal, inter-personal and extra-personal. The capacity and desire to communicate and belong demonstrated by group members challenged their own views (and ageism) and that of staff members.

The facilitators’ experience was of the beneficial and normalising effects of these groups in enabling and enhancing communication, emphasising common humanity, facilitating the expression of emotion and combating isolation by promoting a sense of belonging. Research is needed into the views of the group members. Thought is given to the challenges inherent in this.

Keywords

older adult psychotherapy groups dementia mental health complex needs consent

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References

Agronin

(2009) Group therapy in older adults. Current Psychiatry Reports 11(1): 27–32.

Anderson

(2011) Group analysis and Dementia: Reflections on conducting an analytic space. Group Analysis 44(4): 385–394.

British Psychological Society (Professional Practice Board) (2008) Conducting research with people not having the capacity to consent to their participation. Available at: http://www.psy.ed.ac.uk/psy_research/documents (accessed 29 June 2016).

Brownbridge

(2009) Sex, death and chocolate: Or group analytic psychotherapy in later life. ISPS UK Newsletter. Available at: http://www.ispsuk.org (accessed 29 June 2016).

Canete

Stormont

Ezquerro

(2000) Group-analytic psychotherapy with the elderly. British Journal of Psychotherapy 17(1): 94–105.

Cheston

(2009) Group psychotherapy for people with early Dementia. In: Moniz-Cook

Manthorpe

(eds) Early Psychosocial Interventions in Dementia: Evidence-based Practice. London: Jessica Kingsley Publishers, pp. 165–194.

Cheston

Jones

(2009) A small-scale study comparing the impact of psycho-education and exploratory psychotherapy groups on newcomers to a group for people with Dementia. Aging & Mental Health 13(3): 420–425.

Davenhill

(2007) Looking into Later Life: A Psychoanalytic Approach to Depression and Dementia in Older Age. London: Karnac Books.

Evans

Garner

(2004) Talking Over the Years: A Handbook of Dynamic Psychotherapy with Older Adults. Hove: Brunner-Routledge.

10.

Evans

Chisholm

Walshe

(2001) A dynamic psychotherapy group for the elderly. Group Analysis 34(2): 287–298.

11.

Hepple

(2004) Psychotherapies with older people: An overview. British Journal of Psychiatry: Advances 10(5): 371–377.

12.

Husaini

Cummings

Kilbourne

et al . (2004) Group therapy for depressed elderly women. International Journal of Group Psychotherapy 54(3): 295–319.

13.

Kegerreis

(2012) Work with older people: A bibliography. British Journal of Psychotherapy 28(1): 117–124.

14.

Krishna

Jauhari

Lepping

et al . (2011) Is group psychotherapy effective in older adults with depression? A systematic review. International Journal of Geriatric Psychiatry 26(4): 331–340.

15.

Manthorpe

Moniz-Cook

(2009a) Developing group support for men with mild cognitive difficulties and early Dementia. In: Manthorpe

Moniz-Cook

(eds) Early Psychosocial Interventions in Dementia: Evidence-based Practice. London: Jessica Kingsley Publishers, pp. 174–185.

16.

Manthorpe

Moniz-Cook

(2009b) Early Psychosocial Interventions in Dementia: Evidence-based Practice. London: Jessica Kingsley Publishers.

17.

Payne

Marcus

(2008) The efficacy of group psychotherapy for older adult clients: A meta-analysis. Group Dynamics: Theory, Research and Practice 12(4): 268–278.

18.

Schwartz

(2004) Concurrent group and individual psychotherapy in a psychiatric day hospital for depressed elderly. International Journal of Group Psychotherapy 54(2): 177–201.

19.

Scocco

De Leo

Frank

(2002) Is interpersonal psychotherapy in group format a therapeutic option in late-life depression? Clinical Psychology and Psychotherapy 9(1): 68–75.

20.

Shaw

(2001) Why use interpretative phenomenological analysis in health psychology? Health Psychology Update 10(4): 48–52.

21.

Smith

Osborn

(2008) Interpretative phenomenological analysis. In: Smith

(ed.) Qualitative Psychology: A Practical Guide to Research Methods (2nd edn). London: SAGE, pp. 53–80.

22.

Steuer

Mintz

Hammen

et al . (1984) Cognitive-behavioural and psychodynamic group psychotherapy in treatment of geriatric depression. Journal of Consulting and Clinical Psychology 52(2): 180–189.

23.

Terry

(2008) Counselling and Psychotherapy with Older People: A Psychodynamic Approach (2nd edn). Houndmills: Palgrave Macmillan.

24.

Watkins

Cheston

Jones

et al . (2006) ‘Coming out’ with Alzheimer’s disease: Changes in awareness during a psychotherapy group for people with dementia. Aging and Mental Health 10(2): 166–176.