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PrOFESSIONAL DEVELOPMENT 

Small Groups Under the Microscope

2/11/2015

2 Comments

 
How does a “group” work? It was 1984, early in my mental health studies, when Professor McCarthy went on a rant in class about the loose application of the term “group” in the mental health field. “Twenty college kids jam themselves in a phone booth and they call it group,” he would shout. There are such things as therapeutic groups: self-help groups such as AA have helped millions, but the group meeting is very closely tethered to the “Big Book” of AA principles. In the 1960’s and beyond the focus of group work was the new emphasis on marriage and family counseling, families being the ultimate group. Today there are a multitude of self-help groups: grief groups, victims groups, you name it. The critical factor is the professional structure and leadership of a goal. I was invited a few years ago in my capacity as a mental health counselor to simply maintain a presence at a Project Rachel retreat conducted by my diocese in case of traumatic or emotional breakdown. I might add here that the leaders were quite well trained and the three-day group structure was balanced and purposeful.

I see a lot of “groups” in diocesan and parish life. I commend the efforts of the founders, whose motivations seem targeted toward more bonding among members of parish, or spiritual growth, or education, or the addressing of a particular need. (Hats off, by the way, to parishes who invite outside groups like AA or CHADD to use parish facilities.) My pastoral and psychological concerns run more along the lines of purpose, training, effectiveness, and legal understanding.

The purpose of a group needs concrete statement. Making our big parish feel more like a home is at least a start, and it is a good intention, but can it be more focused? Given that the underlying goal involves community, here might be a place to start. Meaningful personal communities of active, affective connectedness lose intimacy at some point, perhaps 10 or 12. You may think of your parish as a spiritual, interactive, territorial community; an anthropologist or sociologist would be much more conservative about that kind of claim. I recently signed up for one such group, and discovered that no one else in my group attended the same Mass that I do. Given that parishes contain substrata of multiple communities, among them the various Mass time congregations, would it help to work a small group system where people of the same Eucharistic celebration gathered in common from time to time? There are many other possibilities, of course.

The training of group leaders is probably one of the most overlooked and neglected aspects of religious ministering formation. Yes, I have seen the how-to manuals of church group leadership for multitudes of various programs, dating back to CFM (my parents were members in the 1960’s) to RENEW (which my home diocese adopted in the 1980’s). My impression was and is that the success and longevity (not to mention the retention rates) of any group depends not just upon written direction, but on “seat skill.” As a leader, how do you engage, stay on focus, assist the members in helping one another, keep an eye open for a member in stress, etc.?

I take a dim view of the assumptions underlying proliferation of “study groups,” and particularly those involving Scripture. Tell me if this isn’t the common template: the group reads a passage, there is a period of silence, and then each member is asked to share his or her reaction or “feelings” about the passage. At best, you will leave with your neighbor’s well intentioned but limited impressions; at worst, you may actually hear something inimical to the faith—fundamentalist interpretations condemning peoples or other religious faiths.

I have been involved in two kinds of successful group learning experiences: college comprehensive exam preparation, where each member is responsible for a thorough review of one aspect of the discipline; and second, graduate school, where students read at least a book a week and meet for two hours with the professor to describe the key points of each book to classmates. The key component is preparation. In parish bible study, for example, while the Bible is the center of attention, it is hard for me to imagine a discussion of any book of the Bible without each member progressing through an adult-level commentary that provides an overview of the entire book, such as our Year B Gospel of St. Mark.

And finally, there are some legal considerations, believe it or not. A group leader or group literature cannot guarantee confidentiality. “Everything you say here is confidential.” We have no control of that. We urge people to practice confidentiality, but we have no idea if they will or not. Medical professionals must warn group patients of this fact as part of an informed choice.

“Group” is a word we take for granted in our church work. Perhaps it is time to revisit what it means.

2 Comments
Teknik Elektro link
5/25/2025 06:31:09 am

Can group leaders or group literature guarantee confidentiality?
What must medical professionals do regarding confidentiality in group settings?

Reply
Thomas J. Burns, LMHC link
5/25/2025 10:06:25 am

I just renewed my Florida practitioners' license a few months ago, which includes classes on ethics and legal concerns--though I was the oldest member of most of those classes, LOL. But to your immediate question, in Florida [and presumably elsewhere] any licensed or intern practitioner in the mental health field must advise his or her group that confidentiality cannot be guaranteed.

First of all, practitioners are mandated reporters of abuse of vulnerable populations, period, no matter whether the setting be individual or group. I have had to call police during a marriage counseling session because the recent and on-going abuse of minors was admitted.

I used a form listing the times I had to break confidentiality: for the patient's medical file, obviously, should; the patient switch counselors; for billing with third-party payers; and in instances where abuse of the vulnerable is shared. I have the new patient sign the form before we begin the diagnostic interview.

Patients in group work under medical supervision must receive the same information from the identified supervisors [s]. However, the therapist cannot guarantee that everyone else in the group will use discretion outside the group. I would remind them from time to time, but I can't guarantee it.

Interestingly, Pope Francis, before he died, introduced the Catholic Church to "Synodality," frank group discussions about faith and life in the Church. If his successor, Pope Leo XIV, follows through on this, as I think he will, the Church will need to educate its members on the group process, including privacy.

Thanks for writing. Stay in touch. It is probably time to update some of these early entries in the Cafe blog

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  • HOME
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  • The Boys of Aroma Hill-Callicoon
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  • Book Reviews Adult Education