Group Therapy within the NHS V: Patients' Views on the Benefit of Group Therapy for Women Survivors of Child Sexual Abuse

Abstract

This article reports on a study of how members of a slow-open analytic group for women survivors of childhood sexual abuse felt about the helpfulness of the group. The respondents' views and comments are analysed and related to their age, their termination of the group, length of follow-up, number of sessions, final stage of depression and overall change in depression since before the group. The proportion of patients who found the group helpful (46 percent) was significantly higher than those who found it unhelpful (19 percent). The length of time since the group made no difference to satisfaction with the group. Satisfied patients tended not to lapse but to plan their departure from the group. They were more likely than dissatisfied patients to have depressive ratings which had improved considerably since before the group and were now within the normal range. A descriptive account is presented of patients' comments, giving an insight into their views on the group and on the therapists, and their thoughts about themselves in the years afterwards. Their views were, on the whole, positive, though negative views were also clearly stated. A quarter of those responding felt they needed further help. Group analysis appeared to be an effective method of treating women survivors who benefited from their acceptance by the group and the mirroring back to them of their worth. Group therapy diminished their sense of isolation, guilt and shame. It increased their well-being and confidence, enabling them to make positive changes in their lives.