Becoming even more precise, we put forth a definition of “group process” that
aims to operationalize the variables involved. Group process is the set of factors
that arise from conducting therapy within a group setting. Factors that
we considered in our definition of process in CBT groups include the following:
• The effects of group members’ symptoms on one another.
• The effects of group members’ personality styles on one another.
• The effects of improvement/worsening in one group member on the
others.
• The ways in which group members interact with one another.
• The therapeutic relationship between the therapist and group (e.g.,
whether they like and trust one another).
• The therapeutic relationship among group members (e.g., whether they
like and trust one another).
• The therapeutic relationship between cotherapists (if cotherapist is
present).
• The effects of dropout and absenteeism on the group.
• The effect of individual variables on the group:
• patient expectations
• patient satisfaction with treatment
• patient variables that predict outcome
• patient suitability for group treatment
• Group mechanisms of change:
• inspiration
• inclusion