Due to the nature of this particular patient population there is a very real contraindication, that is, the possibility of patient decompen sation. Care and judgment should be utilized. During these events, patients are encouraged to avoid self-blame and are encouraged to use new behaviors and bring feelings and reassurances back to the group. Another serious contraindication, although obvious, is that the clinician must enjoy working with a much older population. If the clinician does not enjoy or feel comfortable with an older population, there is the possibility of therapist elder abuse.


Cory, G. (1995). Theory and Practice of Group Counseling (Fourth edition). California: Brooks/Cole.

Fehr, S. S. (2003). Introduction to Group Therapy: A Practical Guide (Second edition). Binghamton, NY: Haworth Press. Yalom, I. (1985). The Theory and Practice of Group Psychotherapy (Third edition). New York: Basic Books.

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