Many colleges have devoted institutional resources to retention initiatives, particularly those targeting students who have been placed on academic probation, but assessment of academic enhancement courses for students on academic probation has generally been limited to correlational studies in which the entire intervention serves as the independent variable. This study, guided by that of Kivlighan et al. (2018), applied knowledge of therapeutic factors related to positive outcomes in group psychotherapy to academic enhancement seminars in order to determine whether the same factors might also be associated with positive outcomes, as measured by semester grade point average (GPA) and participants’ reported college self-efficacy and perception of the college environment. Ratings of therapeutic factors from 145 first-year college students enrolled in 11 sections of an academic enhancement seminar were modeled as predictors of change in participants’ grade-point average (GPA), college self-efficacy, and perception of the college environment. We did not find an association between any of the therapeutic factors and the outcome variables. The intraclass correlation (ICC) coefficient (ρ) for post-intervention semester GPA was 0.09 (p = .021), meaning 9% of the variance in adjusted post-intervention GPA was accounted for by a student’s course section. Further research is needed to understand differences in sections that contributed to this.

Tiek psichoterapeutų praktikų, tiek mokslo darbuose galima aptikti prielaidų, kad kliento lytis lemia tam tikrus psichoterapijos proceso ir terapinio santykio ypatumus, tačiau būtent šiai problemai skirtų mokslo tyrimų yra labai mažai ir jų duomenys kol kas prieštaringi. Šiuolaikinės žinios apie lyties psichologiją rodo, kad, atliekant tokius tyrimus, svarbu atsižvelgti ir į psichologines su lytimi susijusias tyrimo dalyvių savybes, arba gelminį lyties tapatumą. Šio tyrimo tikslas - atskleisti moterų ir vyrų analitinės psichoterapijos procesuose veikiančius terapinius bei keistis trukdančius veiksnius ir juos susieti su tyrimo dalyvių gelminio lyties tapatumo pobūdžiu. Tyrime dalyvavo 4 vyrai ir 4 moterys, kurių amžius – nuo 25 iki 44 metų. Buvo atlikta po du pusiau struktūruotus interviu – po 4 - 8 ir po 18 – 22 psichoterapijos sesijų. Interviu tekstas buvo analizuojamas taikant indukcinę teminę analizę ir atvejų analizę bei interpretuojamas remiantis analitinės psichologijos teorija. Nors dalis tyrimo metu išskirtų veiksnių buvo bendri abiem lytims, išryškėjo ir moterų bei vyrų psichoterapiniam procesui specifiniai veiksniai: moteris psichoterapijos procese keistis stipriausiai skatino empatiškas terapinis santykis, o vyrus – analitiškas terapinis santykis, ir, psichoterapijai tęsiantis, su lytimi susiję dėsningumai stiprėjo. Taip pat pastebėta, kad ir terapiniai, ir keistis trukdantys veiksniai yra susiję su gelminio juos išskiriančių klientų lyties tapatumo pobūdžiu. / Gender of a client is often considered an important factor in psychotherapy process and in the development of the therapeutic relationship, however, there has been little scientific research into this area and the results of the existing studies are contradictory. There is also evidence that psychological gender-related characteristics, or the depth gender identity, of the participants of such studies, should be taken into account. This study aimed to identify the therapeutic and hindering factors as seen by male and female clients of analytical psychotherapy, and to relate these factors to the depth gender identity of the participants. 4 women and 4 men, aged 25-44, were interviewed between sessions 4 - 8 and 18 – 22. The interviews were analyzed using inductive thematic analysis and case study, taking analytical psychology as a theoretical basis for data interpretation. The results showed that while some factors identified by the study were significant for both genders, there were also some factors typical only of psychotherapy process of women or of men: therapeutic factors related to the empathic function of the therapeutic relationship were most helpful for women, and factors related to the analytical function were most helpful for men. These gender-related tendencies grew stronger as psychotherapy proceeded. Also, both the therapeutic and hindering factors turned out to be related to the type of depth gender identity of the participants of the study.

Gender of a client is often considered an important factor in psychotherapy process and in the development of the therapeutic relationship, however, there has been little scientific research into this area and the results of the existing studies are contradictory. There is also evidence that psychological gender-related characteristics, or the depth gender identity, of the participants of such studies, should be taken into account. This study aimed to identify the therapeutic and hindering factors as seen by male and female clients of analytical psychotherapy, and to relate these factors to the depth gender identity of the participants. 4 women and 4 men, aged 25-44, were interviewed between sessions 4 - 8 and 18 – 22. The interviews were analyzed using inductive thematic analysis and case study, taking analytical psychology as a theoretical basis for data interpretation. The results showed that while some factors identified by the study were significant for both genders, there were also some factors typical only of psychotherapy process of women or of men: therapeutic factors related to the empathic function of the therapeutic relationship were most helpful for women, and factors related to the analytical function were most helpful for men. These gender-related tendencies grew stronger as psychotherapy proceeded. Also, both the therapeutic and hindering factors turned out to be related to the type of depth gender identity of the participants of the study. / Tiek psichoterapeutų praktikų, tiek mokslo darbuose galima aptikti prielaidų, kad kliento lytis lemia tam tikrus psichoterapijos proceso ir terapinio santykio ypatumus, tačiau būtent šiai problemai skirtų mokslo tyrimų yra labai mažai ir jų duomenys kol kas prieštaringi. Šiuolaikinės žinios apie lyties psichologiją rodo, kad, atliekant tokius tyrimus, svarbu atsižvelgti ir į psichologines su lytimi susijusias tyrimo dalyvių savybes, arba gelminį lyties tapatumą. Šio tyrimo tikslas - atskleisti moterų ir vyrų analitinės psichoterapijos procesuose veikiančius terapinius bei keistis trukdančius veiksnius ir juos susieti su tyrimo dalyvių gelminio lyties tapatumo pobūdžiu. Tyrime dalyvavo 4 vyrai ir 4 moterys, kurių amžius – nuo 25 iki 44 metų. Buvo atlikta po du pusiau struktūruotus interviu – po 4 - 8 ir po 18 – 22 psichoterapijos sesijų. Interviu tekstas buvo analizuojamas taikant indukcinę teminę analizę ir atvejų analizę bei interpretuojamas remiantis analitinės psichologijos teorija. Nors dalis tyrimo metu išskirtų veiksnių buvo bendri abiem lytims, išryškėjo ir moterų bei vyrų psichoterapiniam procesui specifiniai veiksniai: moteris psichoterapijos procese keistis stipriausiai skatino empatiškas terapinis santykis, o vyrus – analitiškas terapinis santykis, ir, psichoterapijai tęsiantis, su lytimi susiję dėsningumai stiprėjo. Taip pat pastebėta, kad ir terapiniai, ir keistis trukdantys veiksniai yra susiję su gelminio juos išskiriančių klientų lyties tapatumo pobūdžiu.

This dissertation examines the question how do group therapy members perceive the therapeutic relationship in process group therapy? The study fits within the interpretivist paradigm and employs a phenomenological qualitative research approach (Moustakas, 1994). The theoretical framework used to orient the study drew on process group theory according to Rutan, Stone, and Shay’s (2007) psychodynamic group psychotherapy approach and Yalom and Leszcz’s (2005) interpersonal process model of group psychotherapy. Participants were 10 university counseling center clients who were members of process therapy groups at a large urban university. Data collection consisted of in-depth interviews and demographic questionnaires. Phenomenological data analysis procedures followed recommendations by Creswell (2007) and Moustakas (1994). To enhance the rigor and trustworthiness of the study, the researcher engaged in member checking, use of an external auditor, reflexive and methodological journaling, and negative case analysis. Results of the study are presented as descriptions of how participants perceived the therapeutic relationship and the relationship’s influence on the experience of group therapy. Eight categories emerged from the interviews: (a) presence of group leaders; (b) safety; (c) caring; (d) sharing; (e) running the group; (f) levels of leadership; (g) developing understanding; and (h) intimacy with boundaries. Categories consisted of one or more related themes. There is a consideration of how the researcher’s experiences and beliefs played a role in the study. The results are discussed in relation to relevant group therapy theory and research. Strengths, weaknesses, and considerations of the study findings are offered. Implications of the study findings for group therapy practice and research are noted.

Lately scientists highlight the necessity of better understanding the subjective side of psychotherapeutic process. The aim of this research was to reveal subjectively important psychotherapeutic changes, significant therapeutic factors, and the transformation of anger expression in psychotherapy. Seven female clients, who had accomplished their long-term therapy course and finished it in 1 – 3-year period, participated in the study. Data were collected using the method of psychotherapeutic story. Participants were asked to tell their psychotherapy story, mentioning what was most important in the process of their psychotherapy. The processing of data was based on the principles of thematic analysis (Braun, Clarke, 2006). The analysis of psychotherapeutic stories revealed a dynamic and miscellaneous picture of the respondents’ therapeutic change, encompassing their direct therapeutic experience, its prehistory, and after-therapy processes. Emotional experiences, the development of interpersonal relationship, awareness of the motivational sphere of needs are mentioned as subjectively important therapeutic changes. Psychotherapeutic stories revealed the importance of change of anger expression in subjective psychotherapeutic experience. Respondents relate psychotherapeutic changes to their own active involvement, the quality of therapeutic relationship, and the dynamics of inner processes. / Pastaraisiais dešimtmečiais pabrėžiama būtinybė tyrinėti psichoterapijos pokyčius bei veiksnius pasitelkiant kokybinius tyrimo metodus, pažvelgti į psichoterapijos procesą per kliento prizmę. Šiame darbe siekiama atskleisti subjektyviai išgyvenamus psichoterapinius pokyčius, su jais siejamus terapinius veiksnius ir pykčio kaitą psichoterapiniame procese. Tyrime dalyvavo septynios moterys, per pastarųjų 1-3 metų laikotarpį baigusios ilgalaikę psichoterapiją. Tyrime buvo pritaikyta nauja interviu struktūruojanti forma – psichoterapinės istorijos pasakojimas. Tiriamųjų buvo prašoma papasakoti savo psichoterapijos istoriją įvardijant tai, kas joms buvo svarbiausia terapijoje. Tyrimo rezultatai buvo analizuojami remiantis teminės analizės metodu (Braun, Clarke, 2006). Psichoterapinių istorijų analizė atskleidė dinamišką ir daugialypį terapinių pokyčių vaizdą, apimantį tiek tiriamųjų tiesioginę terapinę patirtį, tiek jos priešistorę bei po terapijos vykstančius procesus. Subjektyviai išgyvenami terapiniai pokyčiai apima emocinius išgyvenimus, tarpasmeninių santykių kaitą, motyvacinės poreikių srities įsisąmoninimą. Pykčio raiškos kaita subjektyviai patiriama kaip svarbus terapinis pokytis. Kalbėdamos apie terapinius veiksnius, tiriamosios akcentuoja savo aktyvaus indėlio į terapiją svarbą, kalba apie terapinių santykių kokybę, vidinių procesų dinamiką.

Pastaraisiais dešimtmečiais pabrėžiama būtinybė tyrinėti psichoterapijos pokyčius bei veiksnius pasitelkiant kokybinius tyrimo metodus, pažvelgti į psichoterapijos procesą per kliento prizmę. Šiame darbe siekiama atskleisti subjektyviai išgyvenamus psichoterapinius pokyčius, su jais siejamus terapinius veiksnius ir pykčio kaitą psichoterapiniame procese. Tyrime dalyvavo septynios moterys, per pastarųjų 1-3 metų laikotarpį baigusios ilgalaikę psichoterapiją. Tyrime buvo pritaikyta nauja interviu struktūruojanti forma – psichoterapinės istorijos pasakojimas. Tiriamųjų buvo prašoma papasakoti savo psichoterapijos istoriją įvardijant tai, kas joms buvo svarbiausia terapijoje. Tyrimo rezultatai buvo analizuojami remiantis teminės analizės metodu (Braun, Clarke, 2006). Psichoterapinių istorijų analizė atskleidė dinamišką ir daugialypį terapinių pokyčių vaizdą, apimantį tiek tiriamųjų tiesioginę terapinę patirtį, tiek jos priešistorę bei po terapijos vykstančius procesus. Subjektyviai išgyvenami terapiniai pokyčiai apima emocinius išgyvenimus, tarpasmeninių santykių kaitą, motyvacinės poreikių srities įsisąmoninimą. Pykčio raiškos kaita subjektyviai patiriama kaip svarbus terapinis pokytis. Kalbėdamos apie terapinius veiksnius, tiriamosios akcentuoja savo aktyvaus indėlio į terapiją svarbą, kalba apie terapinių santykių kokybę, vidinių procesų dinamiką. / Lately scientists highlight the necessity of better understanding the subjective side of psychotherapeutic process. The aim of this research was to reveal subjectively important psychotherapeutic changes, significant therapeutic factors, and the transformation of anger expression in psychotherapy. Seven female clients, who had accomplished their long-term therapy course and finished it in 1 – 3-year period, participated in the study. Data were collected using the method of psychotherapeutic story. Participants were asked to tell their psychotherapy story, mentioning what was most important in the process of their psychotherapy. The processing of data was based on the principles of thematic analysis (Braun, Clarke, 2006). The analysis of psychotherapeutic stories revealed a dynamic and miscellaneous picture of the respondents’ therapeutic change, encompassing their direct therapeutic experience, its prehistory, and after-therapy processes. Emotional experiences, the development of interpersonal relationship, awareness of the motivational sphere of needs are mentioned as subjectively important therapeutic changes. Psychotherapeutic stories revealed the importance of change of anger expression in subjective psychotherapeutic experience. Respondents relate psychotherapeutic changes to their own active involvement, the quality of therapeutic relationship, and the dynamics of inner processes.

Self-help groups are an interesting phenomenon and they could serve as a significant complement to the social services. Nevertheless they don't attract much attention in the Czech republic. In the theoretical part this thesis is trying to describe in detail how the self-help groups work, how they can complement social services and what are their risks and limitations. In the practical part a research was conducted in order to understand and map the situation of Czech self-help groups. This research was based on the internet search engine and registry of social services providers. The goal of the research was to map the self-help groups in the Czech republic in relation to geographical and typological allocation. The outcome of the research is a directory of active self-help groups that should serve both social workers and potencial clients of the self-help groups.

Inledning: Psykodynamisk parterapi handlar om interaktion mellan tre personer. Möten som syftar till förändring i samspel och att finna ny förståelse för varandras livsberättelse. Syftet med detta arbete var att undersöka psykodynamiska parterapeuters upplevelser och erfarenheter av förändring i parterapi. Frågeställningar: Vilka terapeutiska egenskaper är av betydelse för mötet i parterapin? Vilka terapeutiska egenskaper påverkar att parrelationens samspel förändras? Vilka möjligheter och svårigheter ställs en parterapeut inför? Metod: Fem terapeuter intervjuades utifrån en kvalitativ metod och en tematisk metod användes i analysen. Resultat: Det intersubjektiva mötet mellan terapeut och par var av betydelse för förändringsarbetet i psykodynamisk parterapi. Personlig hållning och receptiv förmåga att uppfatta kommunikativ allians skapade ett terapeutiskt rum där accepterande av olikheter och förmåga att stå ut med motsatser utvecklades. Diskussion: Den terapeutiska ramen, och informanternas simultanförmåga att upprätta och bevaka allians, var faktorer av särskild betydelse för parterapins tre parallellt pågående relationer. Informanternas samtidiga förmåga att uppfatta och undersöka kommunikativ allians var en faktor som påverkade den terapeutiska relationen positivt. Informanterna skapade sådana samspel att parets engagemang ökade. Genom att vara personliga och använda sig av primärt mjuka känslor engagerades paret till att vara personliga och nå djupare känslomässiga upplevelser. Dessa intersubjektiva möten ledde till en förändrad relation med tryggare emotionella band och en ökad psykisk närhet. / Introduction: Psychodynamic couple therapy is about the interaction in between three people. Meetings which aim to change the interaction and find new understanding of each other’s life experiences. The purpose of this study was to analyse psychotherapists’ understanding and experience of changes in couple therapy. Topics of discussion: Which therapeutic factors are relevant for couple therapy? Which therapeutic factors affect the interaction of the couple? What benefits or difficulties is a therapist posed to? Method: Five therapists were interviewed with respect to both qualitative and thematic methods. Conclusion: The intersubjective interaction between therapist and couples has relevance for implementing changes in psychodynamic couple therapy. Personal attitude and receptive ability to perceive communicative alliance created through a therapeutic environment in which acceptance of inequalities and difference of opinions was developed. Discussion: The therapeutic framework, and the informants’ simultaneous ability to establish and monitor the alliance, were factors of particular significance for the three parallel ongoing relationships of the couple therapy. The informants’ simultaneous ability to perceive and investigate communicative alliance was a factor that positively affected the therapeutic relationship. The therapists’ application of such interactions increased the couple's engagement in the therapy. By being personal and making use of primarily soft emotions, the couple became more open and were able to reach deeper emotional experiences. These intersubjective meetings led to a changed relationship with more secure emotional ties and an increased psychological presence.

The Group Questionnaire (GQ) is a 30-item, self-report measure of the group relationship that was developed in the present study. It is based off of Johnson's new three factor model of the group relationship which includes Positive Bonding, Positive Working, and Negative Relationship. This study involved two parts, the creation of the GQ followed by the validation and refinement of the GQ using 486 participants from three populations - outpatient university counseling center, inpatient state hospital, and non-patient AGPA process groups. Confirmatory Factor Analysis (CFA) was used to test the goodness-of-fit of Johnson's model to each of the populations separately and as a whole. Following the refinement process, results showed the GQ to have good fit to the model for each population. Distinct differences in response pattern were found between the three populations. Reliability estimates were predominantly in the good range. Implications for future utility of the GQ include using it as a clinically relevant and efficient assessment tool to inform clinicians of the quality of the group psychotherapy relationship and to potentially predict group outcome.

Estudos evidenciam a eficácia da terapia cognitivo-comportamental em grupo (TCCG) para pacientes com transtorno de pânico (TP) e para pacientes com transtorno obsessivo-compulsivo (TOC). O processo das terapias em grupo é complexo e apresentam fatores considerados terapêuticos por facilitarem novas aprendizagens. Entretanto, estudos sobre o processo terapêutico de TCCG ainda são escassos. Os objetivos deste estudo foram: avaliar o efeito dos fatores terapêuticos na resposta à TCCG para pacientes com TP e para pacientes com TOC; identificar e relacionar os fatores terapêuticos que ocorrem na TCCG com a fase e as técnicas cognitivo-comportamentais. Trata-se de um ensaio clínico de 12 sessões de TCCG para TP e para TOC. A gravidade dos sintomas foi avaliada antes e depois da TCCG. Em pacientes com TP, utilizou-se a Escala de gravidade do TP (PDSS), a Impressão Clínica Global (CGI), a Hamilton Ansiedade (HAM-A) e o Inventário de Depressão de Beck (BDI). Em pacientes com TOC, a gravidade específica foi avaliada pela Escala Obsessivo-Compulsivo de Yale-Brown (Y-BOCS) e pela CGI, bem como pela HAM-A e pelo BDI. O Questionário de Fatores Terapêuticos de Yalom foi aplicado no final de cada sessão para avaliar os 12 fatores: altruísmo, coesão, universalidade, aprendizagem interpessoal-input, aprendizagem interpessoal-output, orientação, catarse, identificação, redefinição familiar, autocompreensão, instilação de esperança e fatores existenciais. O estudo foi aprovado pelo CEP/HCPA (nº 130400). Todos os pacientes assinaram o termo de consentimento livre e esclarecido. A amostra foi composta por 31 pacientes, sendo 16 no grupo do TP com idade média de 36,2(DP=9,98) anos e 15 pacientes no grupo do TOC com idade média de 37,4(DP=11,10) anos. Os fatores terapêuticos totalizaram 192 observações no grupo do TP e 180 no grupo do TOC. Houve melhora significativa da gravidade dos sintomas de ansiedade, depressivos e específicos comparados com a avaliação inicial em ambos os grupos (p<0,001). Oito fatores foram considerados de utilidade significativa para os pacientes ao longo das sessões do grupo do TP. Observou-se interação significativa no grupo dos pacientes com TP entre o efeito do fator reedição familiar na melhora dos sintomas de ansiedade e depressivos. Os fatores existenciais foram significativos com a melhora dos sintomas depressivos e com os específicos do TP verificado pela PDSS. Quanto à CGI no TP, não se verificou interação significativa com nenhum fator terapêutico. No grupo de pacientes com TOC, os fatores considerados mais úteis foram dois. Constatou-se interação significativa no grupo do TOC entre o efeito de nove fatores e a melhora dos sintomas de ansiedade, porém nenhuma interção com sintomas depressivos. Também houve interação significativa entre a melhora dos sintomas obsessivo-compulsivos verificado pela YBOCS com altruísmo, universalidade, aprendizagem interpessoal-input e output, reedição familiar, autocompreensão e fatores existenciais. Quanto à CGI no TOC, houve interação significativa com os fatores aprendizagem interpessoal-input, autocompreensão e fatores existenciais. Os resultados demonstram que fatores terapêuticos de grupo influenciam positivamente a resposta da TCCG para ambos os grupos. Contudo, existem diferenças de efeito a serem consideradas para que haja melhor compreensão do processo terapêutico e aprimoramento da terapia de grupo. / Studies have demonstrated the effectiveness of cognitive-behavioral group therapy (CBGT) for patients with panic disorder (PD) and those with obsessive-compulsive disorder (OCD). The group therapy process is complex and has factors deemed to be therapeutic, in that they facilitate new learning. However, studies on the CBGT therapeutic process are still scarce. The objectives of this study were: assess the effect of therapeutic factors in the response to CBGT of PD patients and OCD patients; identify and relate the therapeutic factors that occur in CBGT with the stage and cognitive-behavioral techniques. This study is a clinical trial involving 12 CBGT sessions for PD and OCD. Severity of symptoms was assessed before and after CBGT. In PD patients, the PD Severity Scale (PDSS), Clinical Global Impression (CGI), Hamilton Anxiety Scale (HAM-A) and Beck Depression Inventory (BDI) were used. In OCD patients, specific severity was assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), CGI, HAM-A and BDI. Yalom's Curative Factors Questionnaire was administered at the end of each session to evaluate 12 factors, namely: altruism, cohesiveness, universality, interpersonal learning input, interpersonal learning output, guidance, catharsis, identification, family re-enactment, self-understanding, instillation of hope and existential factors. The study was approved by the CEP/HCPA (No. 130400). All patients signed a free and informed consent form. The sample consisted of 31 patients: 16 in the PD group with a mean age of 36.2 (SD=9.98) years and 15 patients in the OCD group with a mean age of 37.4 (SD=11.10) years. The therapeutic factors totaled 192 observations in the PD group and 180 in the OCD group. There was significant improvement in severity of symptoms of anxiety, depression and specific ones, compared to the baseline assessment in both groups (p<0.001). Eight factors were considered to provide significant benefits to patients over the course of the PD group sessions. There was significant interaction in the PD group related to the effect of the family re-enactment factor in improving the symptoms of anxiety and depression. Existential factors were significant in the improvement of depressive symptoms and PD-specific ones as seen with the PDSS. As far as CGI in the PD group, no significant interaction with any therapeutic factor was noted. In the OCD group, two factors were considered to be the most helpful. There was significant interaction in the OCD group between the effect of nine factors and improvement of the symptoms of anxiety. However, no interaction with depressive symptoms was noted. There was also significant interaction between improvement in obsessive-compulsive symptoms as seen with the YBOCS, in terms of altruism, universality, interpersonal learning input and output, family re-enactment, self-understanding and existential factors. With respect to CGI in the OCD group, there was significant interaction with the factors of interpersonal learning input, self-understanding and existential factors. The results show that group therapeutic factors positively influence the response to CBGT in both groups. However, there are differences of effect to be considered, in order to better understand the therapeutic process and improve group therapy. / Estudios evidencian la eficacia de la terapia cognitivo-actitudinal en grupo (TCCG) para pacientes con trastorno de pánico (TP) y para pacientes con trastorno obsesivo-compulsivo (TOC). El proceso de las terapias en grupo es complejo y presenta factores considerados terapéuticos por facilitar nuevos aprendizajes. Sin embargo, estudios sobre el proceso terapéutico de TCCG todavía son escasos. Los objetivos de este estudio fueron: evaluar el efecto de los factores terapéuticos en la respuesta a la TCCG para pacientes con TP y para pacientes con TOC; identificar y relacionar los factores terapéuticos que ocurren en la TCCG con la etapa y las técnicas cognitivo-actitudinales. Se trata de un ensayo clínico de 12 sesiones de TCCG para TP y para TOC. La gravedad de los síntomas se la evaluó antes y después de la TCCG. En conjunto con TP, se utilizó la Escala de Gravedad del TP (PDSS), la Impresión Clínica Global (CGI), la Hamilton Ansiedad (HAM-A) y el Inventario de Depresión de Beck (BDI). En pacientes con TOC, la gravedad específica fue evaluada por la Escala Obsesivo-Compulsivo de Yale-Brown (Y-BOCS) y por la CGI, así como por la HAM-A y por el BDI. El cuestionario de factores terapéuticos de Yalom se aplicó al final de cada sesión para evaluar los 12 factores, a saber: altruismo, cohesión, universalidad, aprendizaje interpersonal-input aprendizaje interpersonal- output, orientación, catarsis, identificación, redefinición familiar, autocomprensión, instilación de esperanza y factores existenciales. El estudio lo aprobó el CEP/HCPA (nº 130400). Todos los pacientes firmaron el término de consentimiento libre y aclarado. La muestra estuvo compuesta por 31 pacientes, 16 en el grupo do TP con edad promedio de 36,2(DP=9,98) años y 15 pacientes en el grupo do TOC con promedio de edad de 37,4(DP=11,10) años. Los factores terapéuticos totalizaron 192 observaciones en el grupo del TP y 180 en el grupo del TOC. Hubo mejora significativa de la gravedad de los síntomas de ansiedad, depresivos y específicos comparados con la evaluación inicial en ambos grupos (p<0,001). Ocho factores fueron considerados de utilidad significativa para los pacientes a lo largo de las sesiones del grupo del TP. Se observó interacción significativa en el grupo de los pacientes con TP entre el efecto del factor reedición familiar en la mejora de los síntomas de ansiedad y depresivos. Los factores existenciales fueron significativos con la mejora de los síntomas depresivos y con los específicos del TP verificado por la PDSS. Cuanto a la CGI en el TP, no se verificó interacción significativa con ningún factor terapéutico. En el grupo de pacientes con TOC, los factores considerados más útiles fueron dos. Se constató interacción significativa en el grupo del TOC entre el efecto de nueve factores y la mejora de los síntomas de ansiedad, pero ninguna interacción con síntomas depresivos. También hubo interacción significativa entre la mejora de los síntomas obsesivo-compulsivos verificado por la YBOCS con altruismo, universalidad, aprendizaje interpersonal input y output reedición familiar, autocomprensión y factores existenciales. Cuanto a la CGI en el TOC, hubo interacción significativa con los factores aprendizaje interpersonal input, autocomprensión y factores existenciales. Los resultados demuestran que factores terapéuticos de grupo influyen positivamente la respuesta de la TCCG para ambos grupos. Sin embargo, existen diferencias de efecto a ser consideradas para que haya mejor comprensión del proceso terapéutico y perfeccionamiento de la terapia de grupo.