Contraindica Tions

Therapists need to be skilled in both cognitive behavioral and psy-chodramatic therapies before attempting to implement group cognitive behavioral techniques. We suggest avoiding using psychodra-matic techniques during session one and focus on psychoeducation. From our experience, the preferred size of a group is between five and ten members with sessions lasting two to three hours. The duration of treatment can be brief, fifteen weeks or extended. Patients need to be screened before matriculation into the group.

Based on our observations, the following exclusions are recommended: (1) individuals with self-centered and aggressive disorders display strong resistance to group work, especially when assuming auxiliary roles. They tend to lack spontaneity and are rigid in their portrayals of significant others; that is, they either insulate or attempt to dominate others in the group; (2) it is better to rule out individuals with narcissistic, obsessive compulsive (severe), and antisocial personality disorders since individual therapy is more suitable for them; and (3) individuals with Cluster A personality disorders and impulse control disorders, such as intermittent explosive disorders, have difficulty functioning in a group composed of individuals with different diagnoses.


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drama. Philadelphia: Jessica Kingsley. Moreno, J. L. (1934). Who shall survive? A new approach to the problem of human interrelations. Washington, DC: Nervous & Mental Disease. Treadwell, T., Kumar, V.K., & Stein, S. (1988). A review of psychodramatic warm-up techniques for children, adolescents, and adults. British Journal of Group Psychotherapy Psychodrama and Sciometry, 3 (1), 5-18.

Treadwell, T„ Kumar, V. K„ Stein, S. (1990). A review of psychodramatic action and closure techniques for adolescents and adults. Journal of Group Psychotherapy, Psychodrama, and Sociometry, 43 (3), 102-115.

Treadwell, T„ Kumar, V.K & Wright, J. (2004). Enriching psychodrama via the use of cognitive behavioral therapy techniques. Journal of Group Psychotherapy, Psychodrama, & Sociometry, 55, 55-65.

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