FALL 2017www.gpala.org

PRESIDENT’S MESSAGEGPALA 2017BOARD MEMBERS

PRESIDENTVanessa Spooner

PRESIDENT-ELECTEddie Hunt

PAST PRESIDENTJohn Chebultz

SECRETARY Eleanor Moreh

PR/MARKETINGMargot Coggins

SOCIAL CHAIRAshley Graber

EVENTS CHAIRRena Pollak

MEMBERSHIP CHAIRChanda Lam

NEWSLETTER EDITOR William Whitney

HISTORIANMarvin Kaphan

CURRICULUMEran Solomon

OUTREACH COMMITTEEMaria Gray

PARLIMENTARIANMichael Frank

ANNUAL CONFERENCE CHAIR John Peloian

TREASURERCori Rosenthal

Six expert group therapists give their perspectives on the most important tasks and characteristics of group leadership. Respondents include Molyn Leszcz, Elliot Ziesel,Ronnie Levine, Jerome Gans, Francis Kaklauskas, and Stewart Aledort.

WW: What do you see as the most important tasks and characteristics of the group leader?

Molyn Leszcz: The most important tasks of a group leader are attention to process, and a commitment to creating an environment that’s cohesive and safe. We do this much better when we are alert and in tune with our own

Vanessa Spooner

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PERSPECTIVES ON GROUP LEADERSHIP: THE TASKS AND CHARACTER OF THE GROUP LEADER INTERVIEW BY: WILLIAM WHITNEY, PHD, LMFT

Newsletter Editor William Whitney | Assistant Editor Stephen Burton | Graphic Designer Margaret Miyuki

Dear GPALA friends,

I am writing this message to you all just after our annual GPALA Board retreat. Our Board takes time each year to refl ect on how we can be service to the group therapy community here in Los Angeles. The Board is also making sure to take care of our Board members. I have been actively involved and volunteering in GPALA in a variety of roles, starting back in 2010 when I reached out to volunteer to help with our December holiday party. Each year that passes I am so moved by all the GPALA members who donate their time and energy to making

sure that our events each year run smoothly. I want to thank everyone who has ever volunteered for GPALA (or in the past for LAGPS or GPASC) in roles big and small — especially our current Board members and the people who will be joining the Board in 2018. Without all of you, GPALA would not be able to continue to provide the enriching trainings and the wonderful social events that truly make us a vibrant community, and not just a place to get CEUs and pass out your business cards.This President’s message in the GPALA newsletter will be my last, and is another step towards me transitioning out of my leadership role, and handing over the reins to Eddie Hunt, LMFT. I am very excited to support Eddie as he settles into his new role in January, as well as help our community to get ready to host the AGPA Annual Meeting in 2019. The conference will be held in downtown Los Angeles at the Westin Bonaventure Hotel from Monday, February 25 to Saturday, March 2, 2019. Please carry your enthusiasm for group to your colleagues and clients. We have seen a renaissance in group therapy here in LA over the past few years, and GPALA has had a large part to play in that. I am privileged to have been GPALA’s president. Thank you for your support.

Warmly,

Vanessa

MolynLeszcz

ElliotZiesel

RonnieLevine

JeromeGans

FrancisKaklauskas

StewartAledort

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Hello GPALA and other readers, I wanted to introduce myself as William Whitney’s successor as newsletter editor. I hope to be able to add as much as he has done to our publication. I am an MFT working in private practice in Hollywood. I graduated from Antioch University Los Angeles in 2014, and gained my MFT License this time last year. Until 2010, I had been an MD and psychiatrist in London, where I worked on and off for over 30 years, I have extensive experience working in an environment of multiple cultures, made up of colleagues and patients from all over the world. My former patients spanned the range of age, and, like my colleagues, the spectrum of race, ethnicity and religion.

Working successfully in a world with multiple cultures, you learn how to listen and be curious before jumping to conclusions. My primary responsibility as newsletter editor will be to listen to the GPALA membership. I love working with groups, and that is perhaps a consequence of growing up the eldest of eight children! I added to my medical and psychiatric training, through taking a Masters in ‘Group and Intercultural Therapy’, at Goldsmiths College in London for four years. Finally becoming a licensed Group Therapist in 2006. As importantly, I was a member of an analytical group for seven years with an inspirational therapist. As some readers with long memories may recall, I have been a fan of Bion, Melanie Klein and Sigmund Fuchs. However, my interest in psychotherapy has been stimulated in the last few years by practicing Narrative therapy,

although I am still very interested in all therapeutic approaches, especially group. I am presently trying to fi gure out how to bring Narrative practices into the group therapy situation. It’s been an interesting journey.

As a gay man, I faced prejudice and hostility as a child, teenager and young adult. I felt it keenly from the medical establishment in England, but I learned how to turn my consequential anger about institutional homophobia outwards, not inwards. I am married to my partner of 32 years, he is also called Stephen. He has been my fellow warrior for gay (now LGBTQIA) rights, and we founded and ran ‘The Pink Paper’ a Lesbian and Gay newspaper back in the 80s. As a former editor of that newspaper, Stephen will be a useful coach to me at the Newsletter.

Send me your ideas for articles, for people you think I could interview, and that our readers would like to know more about. Email me, at info@psych2c.com, or if you prefer, call and leave a message on my cell phone (310) 343-2691.

Stephen W. Burton, LMFT, CGP, Hollywood Narrative and Group Therapy6311 Romaine Street, Suite 7329, Hollywood, CA 90038.

STEPHEN W. BURTON, LMFT, CGP

WILLIAM WHITNEY

NEW NEWSLETTER EDITOR

FAREWELL NOTES

Letter From the Editor: When I think about my work as the Editor of the GPALA Newsletter over the

past 6 years I cannot help to think of this role without remembering Carla Derhy-Snijders, who served as President of GPALA in 2011 and 2012. When I originally received her phone call in 2011 asking me to consider serving as the Newsletter Editor, I resisted—I didn’t need one more task to do. At the time I was seeing approx. 15-17 clients per week, teaching as an adjunct at two institutions, prepping new class material, and trying to fi nish editing my dissertation for publication. Carla listened to my concerns, and in a way that was completely Carla, she held space for these feelings and gently nudged me to consider how the role of working with the newsletter could be seen as more than one more task to do. Perhaps, she suggested, that it could be an extension of the work I’m already doing. Perhaps, she continued, it could have a formative role for me, and be fun. “Try it out,” she said, “If it is not these things in a year, you don’t have to continue.”Looking back now, 6 years later, I did not anticipate that taking on the role of editor would be so gratifying and rewarding—Carla was right. Since 2012, the mission of the Newsletter editorial team has been to produce a professional and informative newsletter that centered around 3 foundational areas: (1) Promoting Group Therapy in the Los Angeles Area; (2) Connecting the GPALA community; (3) Providing and encouraging professional development of group therapists through interviews and articles written by leaders in the fi eld. We strive to continue this mission, and are always open to your thoughts and suggestions. Since 2012 I have had the real pleasure of working under an array of talented GPALA presidents (Carla Derhy-Snijders, Ryan Spencer,

John Chebultz, and Vanessa Spooner) who have been a constant source of encouragement and support. I have learned much from each of them. In addition to these folks, I have also had the support, guidance, careful proofi ng and writing skills of some very dedicated and talented assistant editors over the years (Ashley Hurdle, Andrew Sears, and Stephen Burton). Ashley, Andrew and Stephen are not always recognized since their work has often been behind the scenes, and yet, I guarantee that GPALA would not be able to have the quality newsletter that we do without the work of these fi ne individuals. I also want to sincerely thank each one of you who has contributed to the newsletter through written piece or advertisement. These contributions over the years have added the life and vitality to the newsletter. And fi nally, thanks to Margaret Miyuki who has consistently provided her graphic design skills and help in producing an eye-catching and professional looking newsletter. With these thanks being expressed, this will be the last newsletter that I will edit and produce. I am turning over my role to the very capable Stephen Burton, who has served as assistant editor for the past 2.5 years. He will now serve the board and GPALA in the capacity of Newsletter Editor. Stephen is extremely qualifi ed and wise, and it’s a real pleasure to pass the baton on to him (please see his offi cial introduction below). For now, I will be directing my energy to my teaching and writing, but will still be a very active part of GPALA. I look forward to seeing you at a GPALA event soon, and as always, thank you for reading and contributing to our group community here in Los Angeles with your support of our local newsletter.Warmly,William Whitney

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emotional needs and emotional vulnerabilities. We shouldn’t use the group any more than we would use an individual patient to protect our self-esteem or to enhance our self-worth.

Group leaders who are best at what they do are those that are well grounded, not driven by too demanding of a superego, and are empathic. We know that the things that most translate to success in psychotherapy have to do with therapist empathy, both in terms of understanding others and being able to express that understanding in an attuned fashion. In general, you have to have affection for people.

In addition to these things, work should be gratifying—but it shouldn’t be the only thing that is important in one’s life. If work becomes too important then boundaries become vulnerable because we are seeking too much from our work. We need to be sure that we are getting our emotional needs supplied also from our families, friends, our communities, and from other endeavors. Balance is critically important. If you look at the literature on characteristics of exemplar therapists, what comes up repeatedly is that being well grounded, tolerating countertransference, being able to deal with anxiety effectively, not being superego driven and having empathy—are all traits that are necessary.

Jerome Gans: The thing leaders need to remember is to trust in the group—really believe that the group does have healing potential and that everyone’s subjectivity is important. The group will try to assign roles to people

because it’s easier to assign roles than to really get to know people. The group needs people to take on certain roles (someone to be the moralist, the feeler, the thinker, bad guy, good guy, etc.). If people assume those roles, don’t be so ambitious to try to get people out of them. For example, I heard of one woman who came into the group and was asked why she was there. She said that she had failed at life. The group leader said, “That’s fi ne, groups need all kinds of people, and we need someone who feels like they have failed.”

Second, there’s a paper that talks about the narcissistic triad of the therapist to know all, heal all, and love all. The gradual replacement of that constellation with one where the therapist has a realistic ego ideal rather than a grandiose ideal is an antidote to

shame. Being more realistic about one’s therapeutic interests and abilities is part of one’s professional development.

Elliot Ziesel: One of the most basic characteristics of a group leader is having lot of curiosity about people, yourself and your relationships— that’s essential. Lou Ormont said, “Those who are successful in group,

will be successful in life.” In addition to this, group leaders need to create a culture where all feelings are welcomed. When I fi rst joined a group there were things that I wanted to feel and things that I didn’t want to feel. Over time, I came to learn that there is no such thing as a positive or negative feeling—all feelings are welcome. They’re primitive messages from your mind to you that are available for you to work with.

The goal for us as therapists and for our patients is to develop receptivity to all feeling states and an ability tolerate the stimulation. We say that in the unconscious mind people either want to make love to you or want to kill you—so we strive to get comfortable with the range of emotions that accompany love, sexual excitement and aggressive experience. You learn to manage the stimulation with words only. A primary goal in group is to be able to sit in your seat, hear things about yourself, experience things towards people and fi nd language to describe it. You become a person who’s safe to be with. I call it affect education. If you build a culture in the group where all feelings are welcome, you create an environment for people to tell you things that are quite remarkable. They learn to recognize what they are feeling in the moment, why they feel that way and what they choose to say about it. The most helpful way to invite this culture of engagement as a group leader is to live it. As I said earlier, it happens over weeks, months and years of practice.

A key ingredient in building a culture of engagement is the insulation barrier that we build in ourselves and in each member of the group. Anything anyone says to you is fi ltered through this barrier that’s comprised of newly introjected voices, those of the group’s members. It’s made up of nutritious voices that slowly replace the voices of negativity that one arrived in group with. When things are said to me, I think about the enactment that I’m being invited into and explore it with freedom. This skill can vary from day to day, from hour to hour if

(continues on page 4)

The goal for us as therapists and for our patients is to develop receptivity to all feeling states and an ability tolerate the stimulation. We say that in the unconscious mind people either want to make love to you or want to kill you — so we strive to get comfortable with the range of emotions that accompany love, sexual excitement and aggressive experience. – Elliot Ziesel

(continued from page 1)

PERSPECTIVES ON GROUP LEADERSHIP: THE TASKS AND CHARACTER OF THE GROUP LEADER INTERVIEW BY: WILLIAM WHITNEY, PHD, LMFT

3

something is impinging on my psyche. That’s why I stay in treatment, group and individual, 40 years into

Ronnie Levine: One of the main tasks of a group leader i s to try to help group members put their thoughts and

feelings into words. If group members are able to know what their thoughts and feeling are, they are able to

have a clearer sense of self. The articulation of experience also allows for an increased capacity of self-refl ection and modulation of feelings. As members become more come comfortable and effective in expressing their feelings, maturation develops.

This requires the leader to provide the right environment to address emotional needs so group members can be free to have their feelings, their fears, their desires and vulnerabilities. There are two kinds of feelings to explore with group members. In approaching this I may do the following: First, is the building up of the self, that is, helping a person understand the feelings they might have within themselves and their “self” feelings (for example, shame and embarrassment are feelings that relate to the self). Second, are the feelings that members have toward one another—relational feelings—such as anger and love. Expressing these feelings sometimes feels like more of a risk—the group member might fear negative consequences for communicating their feelings toward another. Frequently, a person may be reluctant to express those feelings to another and may be more comfortable sticking with him or herself. I try to create an environment where everything can be said, and as each member becomes more comfortable expressing feelings, a wider range of feelings becomes tolerable and containable for everyone in the group.

I see myself as a maturational agent who helps group members have their experience. In groups we move from narcissistic ways of relating to more mature forms of relating. We start by identifying their feelings, knowing the effects of their feelings, and being able to communicate about it. This is no easy task and becoming effective with communication is a maturational achievement. All of us at times regress and progress with this ability, so that it’s not a static achievement. We move from an unawareness of the other to an awareness of the other and then back again – so there is fl uidity to this process.

My understanding of emotional experience is derived from a psychological developmental approach. I engage with each group member differently depending on where they are developmentally. Many of the modern, object relational and relational psychoanalysts have a developmental model in mind. Winnicott has particularly infl uenced me. Winnicott speaks of the environmental mother (the holding, bearing, mirroring mother) and the object mother (the object mother is one where the child can express aggression and the mother won’t retaliate, fall apart or operate in a destructive retaliatory way).

Both of these “mothers” are needed. Part of being a maturational group analyst is trying to fi gure out what and when a certain emotional stance is needed. Sometimes a group member developmentally might just need someone to mirror them (modern psychoanalysts call that joining) or sometimes they might need to be able to express aggression or loving feelings. The treatment is a lived experience – it is not just cognitive. You can’t read about having a mother—you’ve got to have one or a primary caregiver, and have the maturational experience with a parent to learn how to regulate yourself and to tolerate experience. The group provides maturational interactions to help facilitate development. My approach is to study and inquire what the group member or group needs, and be open to respond in a way that they can facilitate more maturational relating within the group.

Francis Kaklauskas: Basically, group leaders are responsible for creating a culture or a structure that creates enough comfort where people can do the work. We talk about moderating tension levels—if a group is

too tense, you are only going to see one side of people, and if it’s too comfortable you’ll just see other sides of people. It’s important for group members to build connections with other group members so that they feel supported. I also want them to build a connection with me. Some will bond quickly and others will be fi lled with ambivalence and mistrust. All of this is okay.

When I lead, I try to say at least one thing to each person during each group session. Throughout the group as people talk, I think about how the theme may relate to other members. I often look at that group member that I believe can relate in some manner and try to help them fi nd a way to talk. If people feel connected to, and to some

(continued from page 3)

PERSPECTIVES ON GROUP LEADERSHIP: THE TASKS AND CHARACTER OF THE GROUP LEADER INTERVIEW BY: WILLIAM WHITNEY, PHD, LMFT

i s

Frequently, a person may be reluctant to express those feelings to another and may be more comfortable sticking with him or herself. I try to create an environment where everything can be said, and as each member becomes more comfortable expressing feelings, a wider range of feelings becomes tolerable and containable for everyone in the group. – Ronnie Levine

(continues on page 64 4

For more information and registration: www.GPALA.ORG

PREPARING AND SCREENING PROSPECTIVE GROUP MEMBERSKeith Rand, LMFT, CGP, FAGPA

A WORKSHOP TO BE HELD ON NOVEMBER 12, 2017

Experienced group therapists understand the importance of

thoroughly screening prospective group members and of preparing them adequately to get the most benefit out of the therapy experience. Too often, when this process is not given the attention it deserves, group members struggle to know how to use the group and may even terminate their participation prematurely. In this workshop, we will discuss why this process is so crucial and how to conduct these individual meetings so that group members begin their participation on the right foot.

The individual meetings that group leaders have with prospective

group members are informed by three goals: (1) assessing the client’s fit with group therapy and with the particular group at hand; (2) developing a beginning therapeutic alliance between therapist and client so that the client has at least a minimum attachment to the therapist upon entering; and (3) preparing the client to get the most benefit from group therapy through a discussion that might include the client’s expectations, the goals of the therapy, and the frame within which the therapy is conducted, also known as the group contract.

Many group therapists feel ill equipped to conduct these sessions

and may therefore give this step in the process shorter shrift than is ideal. We will discuss questions to be asked by the therapist as well as ways for the therapist to respond to questions and concerns that

come from the client. Workshop participants will gain greater comfort and understanding of the pre-group interview, including how to gain insight into the client’s relationship dynamics that are likely to become evident once the group begins.

I didn’t understand this when I was new to being a group therapist. It is only through years of experience running psychotherapy groups that I’ve come to understand the benefits, indeed the importance, of investing time up front meeting with potential group participants. Some clients will find this to be too onerous for their liking— both too expensive and too time-consuming — preferring to just be put into a group quickly. But we wouldn’t take our infants to a playground and plop them into the sandbox any more than it makes sense that we not get our clients off to a good start. The result of my taking this to heart has been that people stay in group longer, feel more invested in the process, and get more from it than was the case when I met with people just one time to do a fairly cursory assessment. I now have a much better sense when someone joins a group how I can be helpful to them, what to watch for, and what their particular growth might look like. I invite you to join me on November 12th when we’ll talk about this in greater depth.

Register for this workshop through www.GPALA.org, under Events.

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PERSPECTIVES ON GROUP LEADERSHIP: THE TASKS AND CHARACTER OF THE GROUP LEADER INTERVIEW BY: WILLIAM WHITNEY, PHD, LMFT

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PERSPECTIVES ON GROUP LEADERSHIP: THE TASKS AND CHARACTER OF THE GROUP LEADER INTERVIEW BY: WILLIAM WHITNEY, PHD, LMFT

degree understood by the leader, it helps them endure the grueling work of being in a group membership, which sometimes is really great, and at other times is really hard.

Stewart Aledort: Group Leaders need to contain. Contain, Contain, Contain. You have to contain feelings like learning to be the object of desire and to show the group that desires are o.k. Early shame corrupts

desires and it gets it fi lled with aggression or dependent yearnings, masochism or sadism. You want to show the group that desire is normal. Group leaders should encourage the group to desire him or her and feel comfortable with that. Group leaders need to contain whatever is inside of people and allow them to have a parent that can be relied upon. Group members need to see that the parent is not empty – the parent needs to help you to grow up and then leave. Most people who come to therapy have not had that – most have had parents who are sad, depressed, empty, or have left, and the group leader is the model of being the parent.

A BRIEF HISTORY OF GPALA Marvin N. Kaphan, LCSW, CGP, LFAGPA

It was shortly after the Second World War that there was an explosion of excitement and experimentation about group techniques that stemmed from the English experiments at Northfi eld and especially from Lewin’s encounter groups. Much of the most creative and experimental work took place in Southern California. This technique attracted schools of education and business, non-professionals, and a broad range of clinicians. Early in the 1950s, the professional pioneers in this area began meeting to discuss their progress. They soon decided to incorporate as a new professional organization called the Group Psychotherapy Association of Southern California (GPASC).

In New York, even before the war, a young engineer named S. R. Slavson, who had volunteered to help in a children’s agency that was using group methods, decided to learn more about the practice. He studied with every expert he could fi nd and used his great energy and marketing talents to spread the word about this new approach to psychotherapy. As the war was ending, he decided to found a national organization, the American Group Psychotherapy Association (AGPA) and an International Journal of Group Psychotherapy. One of Slavson’s most important decisions was that the new organization would not be respected unless it was closely connected with classical Psychoanalysis. Psychiatrists were welcomed, but other professionals would have to have proof of considerable group experience.

GPASC had been in existence only a few years, when the question arose of affi liation with AGPA. There were powerful arguments on both sides. There was a great attraction to affi liation with a powerful national organization. At the same time, there was considerable fear

that affi liation with an organization, known at that time for its rigidity and insistence on conformity, might limit the experimentation and originality that GPASC was known for.

When the time came for a vote, the tally was 50% for and 50% against affi liation. The deciding vote not to affi liate was cast by the President of GPASC, Esther Sommerfeld-Ziskin, M.D. When that decision was made, many of the Psychoanalysts left GPASC to found a new organization called Los Angeles Group Psychotherapy Society (LAGPS), which affi liated with AGPA.

Over the years, many changes took place in all three organizations, bringing them closer together, but any of us who wanted to be in touch with all our colleagues needed to maintain membership in both GPASC and LAGPS.

For over 50 years, the two Los Angeles group psychotherapy organizations remained separate. Although the duplication and wastefulness were obvious, and the dream of re-uniting was raised from time to time, confl icting loyalties, some differences in philosophies and fear of being swallowed up, discouraged us.

It wasn’t until the year 2000 that GPASC affi liated with AGPA, and it was only in 2010, that GPASC and LAGPS re-united as a new organization—The Group Psychotherapy Association of Los Angeles (GPALA).

Molyn Leszcz, M.D. is Psychiatrist-in-Chief at Mount Sinai Hospital, University of Toronto

Elliot Ziesel, PhD., LCSW, CGP, is Distinguished Fellow of AGPA and founder of the Center for Group Studies, New York

Ronnie Levine, PhD, ABPP, CGP, has been practicing for over 35 years in individual, couples and group psychotherapy and is an AGPA fellow.

Stewart Aledort, M.D., CGP, has his group practice in Washington D.C. and is an AGPA fellow.

Jerome Gans, M.D., has over 45 years of clinical experience working with individuals, couples and therapy groups and is the author of Diffi cult Topics in Group Psychotherapy: My journey from shame to courage.

Francis Kaklauskas, PsyD, CGP, CACIII, FAGPA, is the author of many articles and books, and serves as core faculty as Assistant Professor at Naropa University in Boulder, Colorado.

6

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