Contraindica Tion

There is one relative contraindication for the use of such a direct approach. When groups are in an extremely oppositional phase of the group's life, this may cause a direct approach to fail. With a solid therapeutic alliance, however, this contraindication is mitigated.


Agazarian, Y. M. & Gantt, S. (2005). The systems-centered approach to the group-

as-a whole. Group, 29, 163-185. Agazarian, Y. & Peters, R. (1981). The visible and the invisible group. London:

Routledge & Kegan Paul. Rutan, J. S., Stone, W. N., & Shay, J. J. (2007). Psychodynamic group psychotherapy (Fourth edition). New York: Guilford. Ulman, K. H. (2005). Axis II had me spinning. In L. Motherwell & J. J. Shay (Eds.). Complex dilemmas in group therapy: Pathways to resolution (pp. 92-95). New York: Brunner-Routledge. Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (Fifth edtion). New York: Basic Books.

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