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The Termination Phase in Group Therapy

Usually the work of group therapy proceeds along a continuum of development or stages. There is a beginning or orientation phase in which members evaluate one another, find commonalities, and establish norms and goals. Interaction may be reserved with heavy dependence on the leader for support and direction. As the group forms a sense of cohesiveness it passes into the working phase. Here thoughts and feelings are expressed more openly and problem solving with mutual support takes place. In the final or termination phase, the members deal with separation or anxiety and attempt to come to terms with the meaning of the group experience. It may be hypothesized that geriatric group would have a particularly difficult time with termination because of their unique position in relation to the issues of loss and dependency. Dependency is a major problem of aging. As one grows old health and strength decrease and social relationships are disrupted by retirement, deaths of friends and relatives, the