An exploration of clients’ experiences of group therapy

Abstract

Purpose – Much previous research has explored the impact of group work on the therapist. The purpose of this paper is to examine how group members tolerate the powerful material discussed in groups in a prison-based therapeutic community. The authors briefly describe the regime at HMP Grendon and previous research into the impact of group work on therapists. Design/methodology/approach – A qualitative approach using a focus group was used to explore the impact of group work from the perspective of the group members. Themes emerging from the focus group were analysed using thematic analysis (Braun and Clarke, 2006). Participants included adult male violent and sexual offenders (n=10). The focus group was facilitated by two therapists, both based within HMP Grendon. Findings – Overarching themes emerged from the data which included – the type of material that has an impact on residents; the impact of this material on group members; and how residents manage it. A series of subthemes within these were identified, with salient themes including: the difficulty in listening to others offence histories and past experiences, managing the feelings of guilt and shame which can be overwhelming, feeling vulnerable/exposed, experiencing positive feelings for the first time as well as the benefits of therapy in eliciting change. Research limitations/implications – Uniquely the current study explores the impact of group therapy from the perspective of the group members. This is a previously unexplored area of research. As the study was conducted on a prison sample, it is unclear how well the findings would generalise to other populations. As such it is recommended that further research be conducted to validate the findings here. Practical implications – The present study indicates that group members process transference and counter-transference similar to therapists. It is suggested that therapists can use these findings to build resilience in group members. Originality/value – Previous research has described the impact of group work on therapists, uniquely this paper goes on to describe how group members process the material they are exposed to and how they manage their heightened emotions rather than acting on them. This should help therapists consider how best to develop resilience in group members.