ABSTRACT

The therapist who introduces structure by suggesting procedures, providing definitions, and offering reassurances probably does so in an attempt to find a short cut to establishing a feeling of safety in the group. Therapists agree that the maintenance of confidences is an important source of a sense of safety in the group. The therapist must avoid unduly cooperating with the patient in establishing such a pattern, for it may restrict the therapeutic usefulness of the group for the patient. The therapist feels that certain standards should be established in the group. Decisions include not only settling on a policy, but also on appropriate ways of putting the policy into operation. The range of policy matters just discussed is intended to be illustrative rather than comprehensive. In some matters of policy, the crucial decision concerns the best way of implementing the policy.