The Frame Or Boundary

We think of "the frame/boundary" in group therapy on many levels (Yalom, 1995). Most therapy groups are conducted in a regular clinical setting, be that in the practitioner's office, outpatient clinic, hospital, or agency setting. Establishing and maintaining this frame/ boundary is crucial to the development of trust and safety in the group, regardless of the type of group, or the theoretical orientation of the group leader.

Disaster/trauma groups are unique in that these groups are rarely held in traditional settings and usually are led at or near the site of the disaster, be the disaster a natural occurance such as a hurricane or tornado, or an act of terrorism.

The author was privileged to lead therapy groups for people impacted by the terrorist attacks on September 11, 2001, and the devastating hurricanes Katrina, Wilma, and Rita. The intervention to be discussed in this chapter took place in one of the trauma groups led in New York City after the terrorist attack on the World Trade Center.

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