Skip to main content
Log in

Confrontation Group Psychotherapy with Gifted, Dually Diagnosed, and Self-Destructive Adolescents in a Residential Setting

  • Published:
Group

Abstract

An adolescent mutation has proliferated since the late 1960s who has been immune to traditional therapeutic and educational approaches. It takes a new breed of group leader to work with this difficult-to-treat youth, who either self-medicates abusing psychoactive substances and/or takes prescribed and potent psychotropic medication. Innovative and humanistic treatment techniques are needed to convince an unconvinced youth to use, rather than abuse, superior intellectual and artistic abilities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Azima, F. J. C. (1996). Status of adolescent research. In P. Kymissis & D. A. Halperin (Eds.), Group therapy with children And adolescents (pp. 369-386). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Bratter, B. I., Bratter, C. J., & Bratter, T. E. (1995). Beyond reality: The need to (re)gain self-respect. Psychotherapy: Theory, Research & Practice, 32, 59-69.

    Google Scholar 

  • Bratter, B.I., Bratter, C. J., Bratter, T. E., Maxym, C., & Steiner, K. S. (1997). The John Dewey Academy: A moral caring community: An amalgamation of the professional model and self-help concept of the therapeutic community. In G. De Leon (Ed.)Community as method: Modified therapeutic communities for special populations and special settings (pp. 179-194). Westport, CT: Greenwood Press.

    Google Scholar 

  • Bratter, T. E. (1972). Group therapy with affluent, alienated, adolescent drug abusers. Psychotherapy: Theory, Research & Practice, 9, 308-313.

    Google Scholar 

  • Bratter, T. E. (1973). Treating alienated, drug-abusing adolescents. American Journal of Psychotherapy, XVII, 585-598.

    Google Scholar 

  • Bratter, T. E. (1974). Helping affluent families and their acting-out, alienated, drug-abusing adolescents. Journal of Family Counseling, 2, 22-31.

    Google Scholar 

  • Bratter, T. E. (1975a). Wealthy families and their drug abusing adolescents. Journal of Families, 3, 62-76.

    Google Scholar 

  • Bratter, T. E. (1975b). Responsible therapeutic eros: The psychotherapist who cares enough to set limits with potentially suicidal adolescents. Counseling Psychologist, 5, 97-104.

    Google Scholar 

  • Bratter, T. E. (1977). Confrontation groups: The therapeutic community's gift to psychotherapy. In P. Vamos, & J. Devlin (Eds.), Proceedings of the First World Conference on Therapeutic Communities (pp. 164-174). Montreal, Canada: Portage Press.

    Google Scholar 

  • Bratter, T. E. (1983). Games mental institutions play: Iatrogenic disturbances caused by oppression and repression. International Journal of Therapeutic Communities, 4, 57-66.

    Google Scholar 

  • Bratter, T. E. (1985). Special clinical concerns for alcoholic and drug-addicted individuals. In T. E. Bratter & G. G. Forrest (Eds.), Alcoholism and substance abuse: Strategies for clinical intervention (pp. 523-574). New York: Free Press.

    Google Scholar 

  • Bratter, T. E. (1989). Group psychotherapy with alcohol and drug addicted adolescents: Special clinical concerns and challenges. In F. J. C. Azima & L. Richmond (Eds.), Adolescent group psychotherapy (pp. 163-189). Madison, CT: International Universities Press.

    Google Scholar 

  • Bratter, T. E. (1990). Uses and abuses of power: A view from the top. Journal of Residential Treatment for Children & Youth, 8, 61-78.

    Google Scholar 

  • Bratter, T. E. (1997). Major challenges of working with gifted, suicidal adolescents. Psychiatric Times, XIV, 50-53.

    Google Scholar 

  • Bratter, T. E. (2002). Group psychotherapy with gifted, self-destructive, drug dependent, dually diagnosed, unconvinced adolescents in a residential setting. In D. W. Book & H. I. Spitz (Eds.), The group therapy of substance abuse (pp. 293-308). New York: Hayworth Medical Press.

    Google Scholar 

  • Bratter, T. E., Bratter, B. I., & Radda, H. T. (1986). The John Dewey Academy: A residential therapeutic high school. Journal of Substance Abuse, 3, 53-58.

    Google Scholar 

  • Bratter, T. E., Bratter, B. I., Radda, H. T., & Steiner, K. (1993). The residential caring community. Psychotherapy: Theory, Research and Practice, 30, 299-304.

    Google Scholar 

  • Bratter, T. E., Bratter, E. P., & Heimberg, J. F. (1986). Uses and abuses of power and authority within the American self-help residential therapeutic community. In G. DeLeon & T. Zeigenfuss (Eds.), Therapeutic communities and addictions: Readings in Theory and Practice (pp. 191-207). Springfield, IL: Charles C. Thomas.

    Google Scholar 

  • Brook, W. (1996). Adolescents who abuse substances. In P. Kymissis & D. A. Halperin (Eds.), Group therapy with children and dolescents (pp. 243-264). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Cohen, A. I. (1982). Confrontation analysis: Theory and practice. New York: Grune & Stratton.

    Google Scholar 

  • Collobolletta, E. A., Gordon, D., & Kaufman, S. (2000). The John Dewey Academy: Motivating unconvinced, ADD/ADHD, oppositional students to use, rather than continue to abuse, their superior assets. International Journal of Reality Therapy, XVIII, 38-45.

    Google Scholar 

  • Gans, J. S., & Weber, R. L. (2000). The detection of shame in group psychotherapy: Uncovering the hidden emotion. International Journal of Group Psychotherapy, 50, 381-396.

    Google Scholar 

  • Garner, H. H. (1970). Psychotherapy: Confrontation problem-solving technique. St Louis: Warren H. Green.

    Google Scholar 

  • Giovacchini, P. (1974). The difficult adolescent patient: Countertransference problems. In S. Feinstein & P. Giovacchini (Eds.), Adolescent psychiatry, Vol. 3: Developmental and clinical studies (pp. 271-288). Chicago, IL: University of Chicago Press.

    Google Scholar 

  • Giovacchini, P. (1985). Countertransference and the severely disturbed adolescent. In S. Feinstein, M. Sugar, A. Esman, V. Looney, A. Schwartzberg, & A. Sorosky (Eds.), Adolescent psychiatry, Vol. 15: Developmental and clinical studies (pp. 449-467). Chicago, IL: University of Chicago Press.

    Google Scholar 

  • Glasser, W. (1990). The John Dewey Academy: A residential, college preparatory therapeutic high school. A dialogue with Tom Bratter. Journal of Counseling Development, 68(5), 582-585.

    Google Scholar 

  • Gossett, J. H., Lewis, J. M., Barnhart, F. D. (1983). To find a way: The outcome of hospital of disturbed adolescents. New York: Brunner/Mazel.

    Google Scholar 

  • Liff, Z. A. (1975). The charismatic leader. In Z. A. Liff (Ed.), The leader in the group (pp. 114-122). New York: Jason Aronson.

    Google Scholar 

  • Phillips, S., Hargis, M. B., Kramer, T. L., Lensing, S. Y., Taylor, J. L., Burns, B. J., & Robbins, J. M. (2000). Toward a level playing field: Predictive factors for the outcomes of mental health treatment for adolescents. Journal of the American Academy for Child and Adolescent Psychiatry, 39, 1485-1495.

    Google Scholar 

  • Rachman, A. W. (1989). Identity group psychotherapy with adolescents: A reformation. In F. J. C. Azima & L. H. Richmond (Eds.), Adolescent group psychotherapy (pp. 21-41). Madison, CT: International Universities Press.

    Google Scholar 

  • Rachman, A. W. (1999). Sandor Ferenczi's ideas and methods and their relevance to group psychotherapy. GROUP, 23, 121-132.

    Google Scholar 

  • Rutan, J. S. (2001). Growth through shame and humiliation. International Journal of Group Psychotherapy, 50, 511-516.

    Google Scholar 

  • Shaw, G. B. (1916). Pygamalion: A romance in five acts. London: Constable.

    Google Scholar 

  • Strome, S. S., & Loutsch, E. M. (1996). A structured, educative form of adolescent psychotherapy. In P. Kymissis & D. A. Halpern (Eds.), Group therapy with children and adolescents (pp. 175-187). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Welpton, D. F. (1991). Confrontation in the therapeutic process. In G. Adler & P. G. Myerson (Eds.), Confrontation in psychotherapy (pp. 251-269). Northvale, NJ: Jason Aronson.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bratter, T.E. Confrontation Group Psychotherapy with Gifted, Dually Diagnosed, and Self-Destructive Adolescents in a Residential Setting. Group 27, 131–146 (2003). https://doi.org/10.1023/A:1025106307945

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025106307945

Navigation