Although group therapy is used in a number of multidisciplinary pain treatment centres, few published accounts of procedures are available. The present report describes the use of a moderately directive group therapy method, integrating psychodynamic, cognitive, and behavioural models of therapy. Content of sessions was structured to address problems specific to chronic pain patients. The therapist provided interpretations and confronted patients when appropriate. Problems encountered are described, and two examples are presented. Ideas for improved approaches to group therapy are discussed, with special emphasis on a method integrating physical and psychological therapy.
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