Everybody needs a group: A qualitative study looking at therapists’ views of the role of psychotherapy groups in working with older people with dementia and complex needs

Abstract

Our objective was to evaluate clinicians’ views of the impact of conducting inpatient psychotherapy groups for older adults with enduring mental health issues and/or cognitive impairment. We conducted a literature review. A focus group was held with four group facilitators using a semi-structured format and open questioning. The transcript was analysed by the interviewer using Interpretative Phenomenological Analysis. Using guidelines provided by Smith and Osborn, themes were identified, clustered and a final set of themes developed. On completion, the researcher reported the findings back to one participant to increase the validity and trustworthiness of the analysis. Facilitators described impacts that were intra-personal, inter-personal and extra-personal. The capacity and desire to communicate and belong demonstrated by group members challenged their own views (and ageism) and that of staff members. The facilitators’ experience was of the beneficial and normalising effects of these groups in enabling and enhancing communication, emphasising common humanity, facilitating the expression of emotion and combating isolation by promoting a sense of belonging. Research is needed into the views of the group members. Thought is given to the challenges inherent in this.