Therapy groups for schizophrenic patients on acute care units.

Issues in selecting a format for group therapy for schizophrenic patients on a short-term acute care unit are discussed. After comparing the relative merits of open and closed groups and of diagnostically homogeneous and heterogeneous groups, the author suggests an open, homogeneous format as most appropriate. A model therapy group for schizophrenic patients is described. The group is led by unit staff and focuses on discussions of improving relationships and coping with psychotic experiences. Patients are encouraged to interact with each other and to deal with current problems. The effectiveness of the group has been supported by a series of empirical studies involving patients' ratings of the group, process studies of group interaction, and a content analysis of topics discussed.