Primary Therapist Melanis Rivera-Rodriguez, PsyD co-facilitates a weekly process group at Oliver-Pyatt Centers. She shares about the use of Yalom’s therapeutic factors in her work with group therapy.
When it comes to the treatment of eating disorders at a residential level of care, a sense of community and ways of one patient relating to another can be weaved into the daily focus of treatment and recovery. The concept of community and relationships dates back to our ancestors, and from a scientific perspective speaks of the gregarious nature within the instincts of survival and collaborative work that humans possess. From a therapeutic stance, Irvin Yalom, an existential psychiatrist, speaks of 12 therapeutic factors defining them as “the actual mechanisms of effecting change in the patient” (Yalom, 1995) in a therapeutic community and/or group therapy setting.
In my experience as a primary therapist, and in co-facilitating process group once a week at Oliver-Pyatt Centers, a sense of community can be observed being established among the women in which several of Yalom’s therapeutic factors can be identified in the group dynamics. Being attuned and aware of these factors has aided in facilitating not only the group process but the individual process as well. Yalom’s therapeutic factors consist of:
From the previously listed therapeutic factors, universality seems to inherently facilitate connections in which possibly the treatment experience creates an exchange among the women that may enhance empathy, compassion and self-awareness. Additionally, the elements of time (length of stay) and environment (24/7 care) seem to play crucial ingredients as the women begin to navigate treatment for their specific struggles with an eating disorder and/or other co-occurring issues. Change can be identified not only cognitively and behaviorally, but also holistically, in which the integration of these factors, insight of recovery and relationships might parallel the woman’s circumstances outside of treatment possibly facilitating change in deeper, consistent and meaningful ways in the path of recovery from an eating disorder.
For more information about Oliver-Pyatt Centers and Clementine adolescent treatment programs, please call 866.511.HEAL (4325), visit our website, subscribe to our blog, and connect with us on Facebook, LinkedIn, Twitter, and Instagram.