LARGE GROUP TREATMENT OF SEVERELY DISTURBED CONDUCT-DISORDERED ADOLESCENTS

Group psychotherapy is an effective treatment modality for many teenag ers. Although group treatment usually refers to a group of 10 or fewer members, this article argues that larger groups are an even better ch oice when the members are severely disturbed/conduct-disordered adoles cents. Although challenging and exciting, group psychotherapy with the se youngsters can be a difficult task. Their narcissistic vulnerabilit y, impaired ability to mediate between internal and external events, a nd their propensity for violently expressing their frustration, rage, and despair demand a structure that is both firm and flexible, and car efully planned strategies. A structure and technique that maximizes sa fety during and following group meetings, that positively influences b ehavior, and that may facilitate an altered perception of self and oth ers are discussed.