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Pacific University CommonKnowledge School of Professional Psychology eses, Dissertations and Capstone Projects 7-25-2011 Group Psychotherapy Contributions to Leadership Development in the Workplace Jami B. Howell Pacific University is Dissertation is brought to you for free and open access by the eses, Dissertations and Capstone Projects at CommonKnowledge. It has been accepted for inclusion in School of Professional Psychology by an authorized administrator of CommonKnowledge. For more information, please contact CommonKnowledge@pacificu.edu. Recommended Citation Howell, Jami B. (2011). Group Psychotherapy Contributions to Leadership Development in the Workplace (Doctoral dissertation, Pacific University). Retrieved from: hp://commons.pacificu.edu/spp/200

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Page 1: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

Pacific UniversityCommonKnowledge

School of Professional Psychology Theses, Dissertations and Capstone Projects

7-25-2011

Group Psychotherapy Contributions to LeadershipDevelopment in the WorkplaceJami B. HowellPacific University

This Dissertation is brought to you for free and open access by the Theses, Dissertations and Capstone Projects at CommonKnowledge. It has beenaccepted for inclusion in School of Professional Psychology by an authorized administrator of CommonKnowledge. For more information, pleasecontact [email protected].

Recommended CitationHowell, Jami B. (2011). Group Psychotherapy Contributions to Leadership Development in the Workplace (Doctoral dissertation,Pacific University). Retrieved from:http://commons.pacificu.edu/spp/200

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Group Psychotherapy Contributions to Leadership Development in theWorkplace

AbstractThis study addresses the question whether lessons can be learned from the group psychotherapy literature toimprove leadership development trainings in the workplace. A literature review was conducted to examinecross sections from the group therapy literature and the organizational literature. In addition, informationabout current leadership development training programs was collected through interviews with four hospitalsystems. Outcomes from both the literature review and hospital interviews supported the hypothesis thatleadership development training programs in the workplace lack core aspects of group therapy theory andpractice. The results of this study indicated the most important knowledge to incorporate in future leadershipdevelopment programs from the group psychotherapy literature pertained to cohesion, interpersonal learning,and insight as well as levels of group process and stages of group development.

Degree TypeDissertation

RightsTerms of use for work posted in CommonKnowledge.

CommentsLibrary Use: LIH

This dissertation is available at CommonKnowledge: http://commons.pacificu.edu/spp/200

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Copyright and terms of use

If you have downloaded this document directly from the web or from CommonKnowledge, see the“Rights” section on the previous page for the terms of use.

If you have received this document through an interlibrary loan/document delivery service, thefollowing terms of use apply:

Copyright in this work is held by the author(s). You may download or print any portion of this documentfor personal use only, or for any use that is allowed by fair use (Title 17, §107 U.S.C.). Except for personalor fair use, you or your borrowing library may not reproduce, remix, republish, post, transmit, ordistribute this document, or any portion thereof, without the permission of the copyright owner. [Note:If this document is licensed under a Creative Commons license (see “Rights” on the previous page)which allows broader usage rights, your use is governed by the terms of that license.]

Inquiries regarding further use of these materials should be addressed to: CommonKnowledge Rights,Pacific University Library, 2043 College Way, Forest Grove, OR 97116, (503) 352-7209. Email inquiriesmay be directed to:. [email protected]

This dissertation is available at CommonKnowledge: http://commons.pacificu.edu/spp/200

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GROUP PSYCHOTHERAPY CONTRIBUTIONS TO

LEADERSHIP DEVELOPMENT IN THE WORKPLACE

A DISSERTATION

SUBMITTED TO THE FACULTY

OF SCHOOL OF PROFESSIONAL PSYCHOLOGY

PACIFIC UNIVERSITY

HILLSBORO, OREGON

BY

JAMI B. HOWELL

IN FULFILLMENT OF THE

REQUIREMENTS FOR THE DEGREE

OF

DOCTOR OF PSYCHOLOGY

JULY 25, 2011

APPROVED BY THE COMMITTEE:

Jon E. Frew, Ph.D., ABPP

Jay Thomas, Ph.D., ABPP

PROFESSOR AND DEAN:

Michel Hersen, Ph.D., ABPP

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ii

Abstract

This study addresses the question whether lessons can be learned from the group psychotherapy

literature to improve leadership development trainings in the workplace. A literature review was

conducted to examine cross sections from the group therapy literature and the organizational

literature. In addition, information about current leadership development training programs was

collected through interviews with four hospital systems. Outcomes from both the literature

review and hospital interviews supported the hypothesis that leadership development training

programs in the workplace lack core aspects of group therapy theory and practice. The results of

this study indicated the most important knowledge to incorporate in future leadership

development programs from the group psychotherapy literature pertained to cohesion,

interpersonal learning, and insight as well as levels of group process and stages of group

development.

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Table of Contents

page

Abstract………………………………………………………………….……………………ii

Introduction……………………….…………………………………………..……………...1

Review of the Literature…..…….………………………………….………..……………….3

Statement of the Problem……..….……………………………………….…..……………..34

Purpose of the Study.……………..…………………………………….……..………….....35

Methods…………………………………………………………………………..………….36

Results……………………………………………………………………………..………...37

Leadership Development Program…………..……………………………………….……..43

Discussion.…………….………………………………………..…………………..…….…49

References……..……….………………………………………….………………...………52

Appendix: Interview Questions….…………...…………………………………….……..…63

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Introduction

Group counseling and psychotherapy in the United States predates the recent resurgence

and interest in leadership development and teams in the workplace. In fact, formal group

psychotherapy is often “traced back to 1905 when Joseph Pratt, a physician, used a group or

‘class’ format to assist patients with tuberculosis” (Stockton, Morran, & Krieger, 2004). Stockton

et al. reported that psychotherapy groups throughout the 20th

century have grown increasingly

more prevalent, and recently group methods have become popular across a wide variety of

settings helping clients with a diverse range of goals and concerns.

In contrast, the organizational team literature began surfacing in the 1970’s. Since the

1980’s and 1990’s, there has been greater interest in organizing employees in the workplace into

teams. Organizations of all sizes have been spending billions of dollars each year on team

building (Crother-Laurin, 2006). To a degree, teams have replaced managers reducing layers of

hierarchical management (Levi, 2007). In some settings, teams have now taken over traditional

management functions.

Even though the use of teams in the workplace has dramatically expanded, teams have

not been universally successful. The transition of the workplace into teams has created a

challenge for supervisors who knew how to motivate and lead individuals but lack the

knowledge and skills to lead teams. This transition has also created challenges for training new

managers as they are hired into team-oriented companies. Traditionally, most managers

concentrate their efforts on managing individuals instead of building teams, possibly because

management and leadership training tends to emphasize the one-on-one manager-subordinate

relationship (Carew, Parisi-Carew, & Blanchard, 1986).

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While this study initially focuses on team leaders in the workplace, very little research

exists specifically on leadership development for team leaders in organizations. Therefore, the

scope of this research will be expanded to include leadership development at all organizational

levels. In addition, the organizational literature tends to use the terms leader and manager

interchangeably when discussing training programs. To maintain consistency, the term leader

will be used in this study when referring to individuals who lead or manage groups or teams at

various levels within an organization.

Many organizations have expressed concern about the inadequacies of their leaders and

are committed to investing in education and training to develop their skills, perspectives, and

competencies (Conger & Benjamin, 1999). There is considerable research on leadership

development in the workplace. However, this is a young field, and little research exists that

distinguishes between effective and ineffective leadership trainings (Conger & Benjamin, 1999).

This is primarily because organizations are spending insufficient time evaluating and reporting

the results of their leadership interventions (Collins & Holton, 2004). Therefore, many

organizations are not aware of the effectiveness of these development programs despite their

significant popularity in practice (Phillips & Phillips, 2001).

This research focuses specifically on leadership development programs in the context of

hospitals in the Portland, Oregon metropolitan community. The goal is to assess what programs

are being utilized in practice and to determine how effective they are. Interviews were conducted

across four major hospitals with individuals from each hospital who were knowledgeable about

the development and implementation of these programs. Utilizing this information and the

research discussed in the literature review, I will develop a leadership training program for

external consultants that integrate lessons learned from the group psychotherapy literature.

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Review of the Literature

In this literature review, selected group therapy literature was examined with an emphasis

on which factors make group therapy and therapists effective. Next, specific aspects of the

literature on teams in the workplace were reviewed with a focus on the factors that make leaders

at work effective. Then, I explored whether there are references to the group therapy literature in

team literature. In the next phase, I reviewed the literature on leadership development programs

looking for training programs that were effective as well as the factors that made them so.

Group Psychotherapy Literature

Group psychotherapy is a special type of therapy. Group members share personal

feelings, ideas, and difficulties with each other and explore their behavior patterns (Nicholas,

1984). The therapy group provides the opportunity for group members to experience and learn

about interpersonal relationships and affective interactions within a social context. Group therapy

is a complex process which makes researching it complicated as well.

Therapeutic factors. In the field of group psychotherapy, Dr. Irvin Yalom is a leading

researcher who has published many articles and books including The Theory and Practice of

Group Psychotherapy (2005). Currently in its fifth edition, this text has sold almost one million

copies. It has been praised for its empirical evidence and has been widely used to train therapists.

In this book, Yalom articulated how group therapy helps clients. Then, he using this as a

foundation, he outlined how therapists could be most effective with a variety of groups. He

suggested that therapeutic change or improvement was caused by the interplay of the following

therapeutic factors: instillation of hope, universality, imparting information, altruism, the

corrective recapitulation of the primary family group, development of socialization techniques,

imitative behavior, interpersonal learning or feedback, group cohesiveness, self-understanding or

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insight, catharsis, and existential factors. Andrews (1995) asserted that “knowledge of the

therapeutic factors enabled leaders to increase the possibility of positive change in their

participants” (p.91). Thus, by understanding and promoting these therapeutic factors in

psychotherapy groups, therapists help facilitate client improvement.

Due to modifying forces such as the type of group therapy, the stage of therapy,

extragroup forces and individual differences, it is not possible to create a definitive hierarchy of

therapeutic factors (Yalom & Lezcz, 2005). However, in a review of the literature, some

therapeutic factors, such as catharsis, interpersonal feedback, insight, and cohesiveness, have

been found to be more powerful change agents than others. For example, in an attempt to

evaluate which therapeutic factors most significantly affected the change process, Yalom,

Tinklenberg, and Gilula (1970) found the majority of participants agreed that insight, catharsis,

group cohesion, and interpersonal feedback affected their growth the most. Bloch and Reibstein

(1980) found similar results. They administered direct questionnaires using Yalom’s therapeutic

factors to ask both therapists and group members to identify which factors they deemed most

influential for member change. In their results, interpersonal feedback, insight, and self-

disclosure were rated most highly. In another study by Sherry and Hurley (1976), members of

three short-term personal growth groups were surveyed to assess which of Yalom’s therapeutic

factors were most beneficial to their improvement. According to the results, the majority of

participants stated that they benefited most from interpersonal feedback and catharsis.

Rohrbaugh and Bartles (1975) took items directly from Yalom’s 1970 study to use in a survey

administered to group participants as well as therapists. Their results mirrored those of Yalom’s

original study: catharsis, interpersonal feedback, insight, and cohesion led to the greatest change.

According to Butler and Fuhriman’s study (1980) comparing day treatment and outpatient

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psychotherapy groups, insight, cohesiveness, and interpersonal feedback were again among the

top four most therapeutic factors. In 1983, Butler and Fuhriman conducted another study to

determine if the length of treatment influenced which factors were most significant. They found

all of the same factors were considered most beneficial. In addition, they determined that the

importance of cohesion was directly related to the length of treatment.

The overall results of these six studies indicated that insight, interpersonal feedback, and

cohesiveness have been ranked by therapists and group members across various settings as the

factors that create the greatest change amongst group members. Likewise, catharsis was rated as

highly as these factors; however, the regular practice of emoting feelings did not seem to be

applicable or beneficial in organizational settings. Therefore, for the purpose of this study, I

focused only on the therapeutic factors that seemed to be transferable to organizational settings:

insight, interpersonal feedback, and cohesiveness. Yalom believed therapists should direct their

efforts toward the development of these therapeutic factors. However, he cautioned that a

consistent, positive relationship between the therapist and client was essential before all

considerations of technique (Yalom & Lezcz, 2005, p. 117). Therefore, the therapist must relate

to group members with concern, genuiness, acceptance, and empathy. After reviewing various

factors that contribute to leader effectiveness, insight, interpersonal feedback, and cohesiveness

will be revisited in more detail with a focus on how leaders can effectively facilitate their

growth.

Leader Factors in Group Psychotherapy

Experience and competence. Dies (1994) provided an overview research since 1980,

including articles from more than 50 different professional journals, regarding the therapist’s

influence during group treatment. He revealed in his research that therapist experience and

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competence are major factors mediating treatment outcome. For example, in his study, Dies

found that beginners were not able to anticipate the impact of their comments or to execute their

interventions skillfully. Kivlighan and Quigley (1991) also found discrepancies between novice

and expert therapists regarding their conceptualization of group process. They determined that if

a group was led by someone without proper training, there was potential for the group to be more

detrimental than beneficial. In fact, Azim and Joyce (1986) found in their study that patients’

expressed satisfaction specifically related to their perception of the therapist’s increased skill and

knowledge.

Personal characteristics. It is also important to realize that the therapists’ knowledge,

techniques, and effectiveness are related to their personal characteristics and behaviors (Corey &

Corey, 2006). However, “it is difficult to list all the traits of successful leaders and even more

difficult to agree on one particular personality type associated with effective leadership” (Corey

& Corey, 2006, p. 28). Even though there is still much to learn about what makes group

psychotherapists effective, according to Stockton, Morran, and Velkoff (1987), “some aspects of

effective leadership can be defined with relative precision at this time” (p. 163). For example,

Fiedler (1967) found group leaders need to be flexible in order to respond to changing group

dynamics and needs. Smith (1980) also provided support for the importance of adaptability and

found certain leader behaviors such as supportiveness, trustworthiness, and influence had

positive therapeutic effects.

There are many leadership factors that affect the development, processes, and outcomes

of group psychotherapy. For the purpose of this literature review, I focused on three well-

researched therapeutic factors that should be emphasized by leaders: insight, interpersonal

feedback, and cohesiveness. More specifically, I discussed the importance of the therapist’s

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ability to be insightful, ability to give effective feedback, and ability to foster cohesiveness. It

was also significant to note that these factors spanned the three levels of group process occurring

at all times during therapy: intra-personal process (within the individual), inter-personal process

(between two people), and group level process (amongst all group members). By selecting three

factors that spanned three levels of group process, (intrapersonal, interpersonal, and group) this

research provided a more thorough approach to effective group leadership. In essence,

addressing insight, interpersonal feedback, and cohesiveness, enables the leader to tend to all

three of the levels of interaction present in the group process.

Therapeutic Factors Revisited

Across multiple studies, researchers found that four of Yalom’s therapeutic factors

(insight, interpersonal feedback, cohesiveness, and catharsis) evidenced the most growth and

improvement in patients. For the purpose of this literature review, only the first three were

discussed because catharsis was not considered amenable to most or all work environments.

Again, when tending to these three factors, the therapist intervenes at all three levels of group

process (intrapersonal, interpersonal, and group). By doing so, the therapist can provide a more

holistic and effective approach.

Insight. Insight occurs within the individual at the intrapersonal level. Broadly, Yalom

defined insight as “self-understanding” (Yalom & Leszcz, 2005, p 91). He elaborated that insight

was “gaining perspective on one’s interpersonal behavior” as well as an effort to illuminate

unconscious elements of ourselves (Yalom & Leszcz, 2005, p 87). This definition was similar to

what Corey and Corey (2006) called intrapersonal awareness. They defined intrapersonal

awareness as a central characteristic for all therapists that included understanding one’s identity,

cultural heritage and perspective, goals, motivations, needs, limitations, strengths, values,

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feelings, and problems. Therapist self-awareness was considered crucial because therapists used

aspects of their personality as a primary therapeutic instrument; therefore, therapists needed to be

aware of how they related to and affected group members by constantly attending to the changes

that were occurring in themselves (Weiner, 1993). Insight has been shown to help the therapist

maintain clarity in his interaction with members. In an effort to gain greater insight, “effective

group therapists usually require some personal therapy experience to become aware of their own

needs and thus to monitor their expression” (Rosenberg, 1993, p.654).

With limited insight, Corey and Corey (2006) argued that therapists were unable to

facilitate insight within their clients which according to Yalom’s research is a crucial component

in client improvement. Further, therapists lacking insight were more likely to be ineffective

therapists and potentially harm their clients. According to Rosenbaum (1993), therapeutic

failures were often linked to the therapist’s own defenses. “Socially maladapted therapists were

eager to find acceptance from their own group members, and they relished the position of being

admired, respected, and needed” (Weiner, 1993, p. 97).

Therapists should not force their values on group members. Rather, therapists should help

group members explore and clarify their own values (Posthuma, 2002). Yet, for a leader to avoid

imposing their personal values on the group while helping members discover their own values,

they needed to achieve self-awareness. Ultimately, therapists must maintain insight through

periodic self-scrutiny…as “their needs and vulnerabilities change over time” (Weiner, 1993,

p.97). Personal insight freed the therapist to focus on fulfilling the needs of his or her patients.

Positive therapeutic experiences increased the patients’ insight and as well as the patients’ ability

to establish warm and caring relationships which is imperative for therapeutic success

(Rosenberg, 1993). Ideally, an effective therapist continually works to develop their own insight

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at the intrapersonal level. Then, with greater clarity, he or she is able to assist their patients to do

the same.

Interpersonal feedback. Interpersonal feedback occurs between people at the

interpersonal level. Feedback is the “catalyst” of group psychotherapy; “it is the mechanism by

which positive reinforcement is given, self-examination is sparked, and behavioral change is

promoted” (Nicholas, 1984, p. 65). Feedback occurs when both members and leaders share their

personal reactions and insights about one another with each other (Stockton, Morran, & Krieger,

2004). Facilitating and managing interpersonal feedback is an important therapist skill. Feedback

that occurs between members of a group is essential for both group development and the

interpersonal growth of members. Feedback exchange promotes self-reflection and insight,

allowing members to better understand themselves and what is necessary for personal growth

and behavior change.

Research indicated that certain types of leader communication and feedback were more

beneficial than others (Riva, Wachtel, & Lasky, 2004). According to Stockton et al. (2004), both

positive and corrective feedback should be used and should focus on observable and specific

behaviors. Riva, Wachtel, and Lasky (2004) suggested group members were more receptive to

corrective feedback if it followed positive feedback or if it was both preceded and followed by

positive feedback. “Group members’ receptivity to negative feedback was also related to the

stage of the group” (Riva, Wachtel, & Lasky, p. 42). Riva and colleagues suggested that in the

beginning stages, the therapist should mostly emphasize positive feedback; however, they

determined that as groups developed, members became more receptive to corrective feedback. In

addition, therapist feedback should be timed well. An effective therapist will evaluate the

readiness of the member receiving feedback as well as the readiness of the group before

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providing input. One purpose of therapist directed feedback is to model and encourage effective

feedback techniques to the group members. It is also essential that the therapist is open to

member feedback and is non-defensive in order to deal effectively with criticism they might

receive (Corey & Corey, 2006; Rosenburg, 1993; Stockton, Morran, & Krieger, 2004).

Empathy, “an attitude of wanting to know the member on his or her own terms”

(Stockton, Morran, & Velkoff, 1987, p. 162) is crucial to establish an alliance or meaningful and

trusting relationships with group members (Weiner, 1993), and it helps leaders to be open to

criticism without being defensive. A related aspect of empathy is goodwill and caring, or a

sincere interest in the welfare of others. This was also frequently referred to in the literature as

being nurturing, warm, or genuine; this is an essential quality in a group leader (Corey & Corey,

2006; Rosenburg, 1993; Stockton, Morran, & Krieger, 2004; Weiner, 1993). By giving genuine

feedback to a group member, either positive or corrective, ideally the leader provides the

member with the opportunity to grow and make changes if necessary.

Cohesiveness. Cohesiveness occurs at the group level and involves all group members.

In group psychotherapy, cohesiveness is analogous to the therapist-client relationship in

individual therapy. Some of the best research available in individual psychotherapy has shown a

good therapist-client relationship characterized by trust, warmth, empathetic understanding, and

acceptance, is imperative for positive outcomes. In fact, the absence of a positive relationship

causes interventions to be ineffective and potentially harmful (Yalom & Leszcz, 2005).

According to Riva, Wachtel, and Lasky (2004), most researchers have concluded there is

a strong positive relationship between cohesion and therapeutic outcomes (Marziali, Munroe-

Blum, & McCleary, 1997; Tschuschke & Dies, 1994). According to Rosenbaum (1993) and

Bloch and Crouch (1985), group cohesion was the most curative factor in group therapy. Some

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researchers such as Burlingame, Fuhriman, and Johnson (2004) disagreed. They stated that there

were mixed reviews predicting the outcome of cohesion as some studies have found more

tenuous correlations (Budman, Soldz, Demby, Feldstein, Springer, & Davis, 1989). Yet,

Burlingame and colleagues (2004) asserted that results of various studies indicated cohesion was

“universally valued as helpful across populations” (p. 51) inferring its usefulness was not limited

to any specific domain.

Even though cohesiveness has been described as analogous to the therapist-client

relationship in individual therapy, it is much more complex. The relationship in group therapy

includes the individual’s relationship to the therapist, to other group members, and to the group

as a whole. Yalom and Leszcz (2005) referred to the combination of these relationships as group

cohesiveness. This group level phenomenon can also be defined as the “result of all the forces

acting on all the members to remain in the group” or more simply the group members’ level of

attraction to the group (Yalom & Leszcz, 2005, p. 55). Due to the complexity of groups, the

therapist must be able to track and respond to all three relationship dimensions (Riva, Wachtel,

& Lasky, 2004). An effective group therapist knows that to contribute most to the group, he or

she must foster relationships among the members and teach them to help each other

(Burlingame, Fuhriman, & Johnson, 2001). Dies (1983) reported hat the quality of relationships

among members was fundamental to therapeutic change. Therefore, it is essential for group

leaders to spend significant time cultivating helpful interpersonal group norms. Further,

cohesiveness is a constantly evolving group level phenomenon. It is a dynamic process that

changes over the lifespan of a group, and therefore, it should be continually attended to by the

leader (Riva, Wachtel, & Lasky, 2004; Yalom & Leszcz, 2005). Leaders should be mindful of

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“each member’s personal experience of the group and address problems with cohesion quickly”

(Yalom & Leszcz, 2005, p. 61).

When group members are in a cohesive group, they feel a sense of warmth, comfort and

belonging. They value the group, and as a result, they feel valued as well (Yalom & Leszcz,

2005). Further, as cohesiveness in a group increases, the rate of attendance, participation, mutual

support, and influenceability of members also increases (MacKenzie, 1994; Hoag & Burlingame,

1997; Riva, Wachtel, & Lasky, 2004; Yalom & Leszcz, 2005). In fact, Lieberman, Yalom, and

Miles (1973) determined, in their encounter group study, that there was a high correlation

between low cohesiveness and dropout rates. Those individuals who dropped out reportedly felt

rejected, attacked, or unconnected. In addition, the relationship between cohesiveness and

member retention affects the group as a whole. For example, noncohesive groups with higher

dropout rates ultimately are less therapeutic for the remaining group members. In fact, “clients

who drop out challenge the group’s sense of worth and effectiveness” (Yalom & Leszcz, 2005, p.

70). They also asserted that a sense of belonging to the group increased individual self-esteem

and fostered responsibility and autonomy. To be successful and accomplish more challenging

work in later stages of the group, it is imperative that therapists establish cohesion and

engagement early in each session and early in the group’s development. In addition to being a

powerful therapeutic force, group cohesiveness is a precondition for other therapeutic factors to

function optimally. For example, cohesiveness in group psychotherapy encourages the client to

engage in self-reflection and personal exploration.

A leader’s ability to foster insight, provide interpersonal feedback, and facilitate

cohesiveness are essential therapist skills. Researchers have found that these three factors are the

most important foci for leaders to emphasize in order to achieve the greatest growth within group

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members. In effect, group leaders maximize the benefits of therapy by focusing on these three

factors because they provide the opportunity for the most growth and because the leader is able

to intervene at all of the group process levels: intra, inter, and group.

Further exploration in this literature review will reveal whether organizational research

has mentioned Yalom’s therapeutic factors and the three levels of group process.

Organizational Team Literature

Development of work teams. The study of work groups began in the 1920’s and 1930’s

(Porter & Bayerlein, 2000). Throughout the 30’s, the focus of the research was on the human

relations movement which emphasized collective efforts at work in contrast to the individual

efforts and hierarchical approaches previously proposed by scientific management theorists. In

the 1940’s, the emphasis shifted to the study of group dynamics and the development of the

social science theory (Kogler-Hill, 2004). Throughout the 1950’s sensitivity training and T-

groups became the new emphasis. Then, in the 1960’s and 1970’s, organizational development

began adopting techniques to create effective teams and leaders. During this period,

sociotechnical systems theory provided a way to analyze what people at work do as a means to

best organize them into groups (Appelbaum & Batt, 1994).

Competition from Japan as a manufacturing power in the 1980’s prompted a movement

that focused on quality teams, benchmarking, and continuous improvement (Kogler-Hill, 2004).

By the 1990’s, quality remained the emphasis but the focus expanded to include maintaining a

competitive advantage nationally and globally. Currently, organizations have less hierarchical

tiers and flatter organizational structures that rely on teams and new technology to communicate

across time and geographical distance (Porter & Beyerlein, 2000). Today, approximately 85% of

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organizations with over 100 employees use some type of work team (Levi, 2007; Cohen &

Bailey, 1997).

Function of work teams. Work teams are a special form of groups because they have

highly defined tasks and roles, and they demonstrate high group commitment (Katzenbach &

Smith, 1999). There is still no universally agreed upon definition of work teams. However,

Hackman, Wageman, Ruddy, and Ray’s (2000) definition, seemed to align with the

conceptualization of many other researchers. They stated that organizational teams, or work

teams, had three features.

First, they are real groups—intact social systems, complete with

boundaries, interdependence among members, and differentiated member roles.

Second, they have one or more group tasks to perform, producing some outcome

for which members bear collective responsibility and whose acceptability

potentially can be assessed. Finally, such teams operate in an organizational

context. (p.111)

Hackman et al. (2000) stated that effective teams finished their tasks or goals efficiently and met

or exceeded their clients’ expectations. In addition, the social processes that occur during work

phases improve members’ ability to work together in the future. Further, effective teams’

experiences positively contribute to the learning and personal well-being of individual members.

All of these factors are influenced by the team leader. Therefore, for the purpose of this thesis, I

will focus on the role of the team leader as a key individual influencing team processes and

outcomes.

Leadership and Teams

Leadership research is likely “the most important topic in the realm of organizational

behavior” (Lord & Maher, 1991, p. 129). Understanding the team leadership process is complex

and poses significant challenges to researchers (Ilgen, Major, Hollenbeck, & Sego, 1993). The

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current state of the field of leadership in organizations is in a “state of ferment and confusion”

(Yukl, 1989, p. 253). This researcher also asserted that most of the proposed theories have

conceptual weaknesses and lacked sufficient empirical support.

Leadership Theories

The study of leadership has evolved over the last 100 years from focusing on the internal

dispositions of effective leaders to broader emphases such as “attributes, behaviors, and contexts

in which leaders and followers are dynamically embedded and interact over time” (Avolio, 2007,

p.25). The first research on leadership began in the early 1900’s when Carlyle (1907) proposed

the “Great Man Theory” which argued that successful leaders possessed internal qualities that set

them above others from birth. Related to the Great Man Theory, trait theory emerged in the

1920’s with the aim of identifying innate attributes of great social, political and religious leaders.

According to trait theorists, leaders were individuals “who possessed special inborn

characteristics that propelled them into leadership roles” (Wheelan, 1999, p. 73). Stogdill (1948)

reviewed 30 years of trait studies and found that a few traits, most notably intelligence, were

sometimes associated with reliable differences between leaders and followers. However, he

found that no single trait or even cluster of traits related to leadership across a variety of

situations (Chemers, 2000). By the 1990’s, researchers found that the majority of leadership

traits previously identified could fit within the Big Five personality framework which included

extraversion, agreeableness, conscientiousness, emotional stability, and openness to experience

(Robins & Judge, 2007). However, researchers ultimately determined that even though many

good leaders had some of these personality characteristics in common, they were not strongly

correlated with leader effectiveness.

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At Ohio State, researchers began developing behavioral theories of leadership in the

1940’s (Robins & Judge, 2007). These researchers identified two primary categories that

incorporated most of the behaviors described by employees: initiating structure and

consideration. Initiating structure refers to the degree to which a leader structures their role and

the roles of their employees to attain team goals. In contrast, consideration refers to the degree to

which a leader emphasizes developing and nurturing mutually respectful and trusting

relationships with their employees. The results of the Ohio State studies indicated that initiating

structure was correlated with higher productivity and more positive performance evaluations

while consideration was correlated with higher employee job satisfaction, greater respect for

their leader, and increased motivation.

At the same time as Ohio State researchers were developing behavioral theories,

University of Michigan researchers were identifying leader behaviors correlated with

performance effectiveness (Robbins & Judge, 2007). These researchers also constructed a model

with two leadership dimensions: employee-oriented and production-oriented. While employee-

oriented leaders emphasized interpersonal relationship with their employees, production-oriented

leaders focused on technical aspects of the job and goal attainment. The University of Michigan

researches’ results indicated positive correlations between employee-oriented managers and job

satisfaction and productivity. Conversely, negative correlations were found between production-

oriented leaders and job satisfaction and productivity.

In the 1960’s, Fiedler (1967) developed the first contingency theory model, the trait

contingency model. He found that groups led by task-oriented leaders performed best in high and

low control and predictability situations whereas groups led by relationship-oriented leaders

performed best in moderate control or predictability situations (Chemers, 2000). Other

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contingency models developed shortly thereafter included Hersey and Blanchard’s (1969)

situational theory, Vroom and Yetton’s (1973) normative contingency model, and House and

Mitchell’s (1974) path-goal theory. All of these theoretical models linked different leadership

styles to specific contextual demands to determine effective leadership based on best

performance outcomes. This research followed up on Stogdill’s proposal that leadership

effectiveness should be based on the interaction between leader traits and contextual or

environmental factors (Chemers, 2000).

Since the 1980’s, many researchers have focused their attention on transformational

leadership which emphasizes the processes that change employees. Essentially, transformational

leadership focuses on employee performance and helping employees realize their fullest

potential (Avolio, 1999). “Transformational leadership focuses beyond the immediate

operational processes” (Garman et al., 2003, p. 804) and “influences followers to transcend

personal interests and transform themselves into agents of collective achievement” (Chemers,

2000, p.34). Unfortunately, the results of studies conducted to measure transformational

leadership have been inconsistent and imply that transformational leadership has a trait-like

quality (Northouse, 2004).

While all of these theories provide some understanding of leader effectiveness, none of

these theories is universally applicable across cultures and situations. Today, most researchers

assert that successful leadership results predominantly from a person’s ability to learn how to be

effective by acquiring the right skills and knowledge (Wheelan, 1999). However, for new team

leaders, managers, and those transitioning from supervisors to leaders, ascertaining the

appropriate skills and knowledge can be challenging. Ultimately, “Managers trained and

experienced in traditional supervision are faced with the most challenging and striking paradox

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in modern leadership, leading employees to lead themselves” (Manz & Sims, 1987, p.14).

Further, Fullan (2001) asserts,

The more complex society gets, the more sophisticated leadership must become.

Complexity means change, but specifically it means rapidly occurring, unpredictable,

non-linear change (p.ix).

Change is inevitable, and effective leaders are able to respond to the changing needs of their

context (Hallinger, 2003).

Leader Factors in Organizations

Experience and competence. According to Bennis (1984), there are four

“competencies” that contribute to successful leadership: management of attention (the ability to

attract people due to being highly committed to the work), management of meaning (the ability

to integrate information to impart its significance to others), management of trust (the ability to

portray reliability and have visible values), and management of self (the ability to recognize and

utilize one’s skills and learn from one’s mistakes). Yukl (1989) asserted that an experienced

leader had strong technical, conceptual, and interpersonal skills. However, most often leaders in

the workplace are chosen based on their technical talent without consideration of their

experience and competence as a leader (Hogan, Curphy, & Hogan, 1994). Therefore, while

experience related to technical abilities are considered when selecting team leaders, a leader’s

actual ability to lead is often overlooked.

Personal characteristics. Some researchers assert that, leadership effectiveness usually

evolves from the leader’s basic personality (Tollerund, Holling, & Dustin, 1992). Personality

characteristics such as self-confidence, openness to risk, decisiveness, and assertiveness are

considered important qualities for leaders to have in order to be effective (Yukl, 1989). Stogdill

(1948) concluded that dominance, extraversion, sociability, ambition, responsibility, integrity,

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self-confidence, emotional stability, diplomacy, and cooperativeness were positively correlated

with effective leadership. In fact, these characteristics emphasized by Stogdill are similar to the

big-five model of personality structures. This five-factor model includes the following

personality dimensions considered to have significant correlations with job performance:

extraversion, agreeableness, conscientiousness, emotional stability, and openness to experience

(Robbins & Judge, 2007). Yet, which factors are most crucial for leaders to have, partially

depends on the environment in which they work.

As it pertains to effective performance, I have considered the role of leaders’ personal

characteristics, behaviors, and competence. However, as previously stated, these aspects of

leadership do not fully account for effective leadership. Effective leaders must also be sensitive

to the delicate balance which varies from team to team and organization to organization

(Katzenbach & Smith, 1999). As teams evolve, leaders need to be flexible to adapt to role

changes. In effect, leaders should continually reevaluate what the team needs or does not need to

help the team perform. Leaders must show a belief in the team’s purpose, the team as a group,

and each individual member.

In the following section, I will discuss relevant team leadership literature to ascertain

whether the therapeutic factors that were determined to be significant in the group psychotherapy

literature were mentioned. More specifically, I will search for these specific terms or related

terms to see if there is any cross pollination.

Insight. Hodgson and White (2003) asserted that the most effective leaders accessed an

‘Inner Sense’ which they say includes intuition, experience, and instinct. This can be achieved

through personal growth and exploration. An individual who experiences personal growth will

understand himself and his motives more clearly, will feel more integrated, and will perform

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more efficiently. In addition, they will become more self-directed, more self-confident, more

understanding and accepting of others, and better able to cope with problems. In order to help

facilitate this development among individual members, the leader must be genuine--aware of and

willing to share their own feelings--, empathetic, and have positive regard or respect and

acceptance for others (Rogers, 1961; Baveja & Porter, 1996). A lack of awareness of one’s own

behavior patterns and how they affect others has significant interpersonal consequences (Varney,

1989). Potentially the most detrimental consequence is the distrust and antagonism that develops

amongst team members. Therefore, it is essential for team leaders to be self-aware.

In the literature that I reviewed, only a minimal amount of team literature refers to

elements related to insight. Moreover, these references are not as clearly defined as those in the

group psychotherapy literature. The reader has to piece together multiple aspects of the team

research to gain a greater understanding of what insight entails. Yet, in their book on group

psychotherapy, Yalom and Leszcz (2005) clearly defined insight as self-understanding, an effort

to illuminate unconscious elements of ourselves, and an ability to gain perspective on one’s

interpersonal behavior. Further, in the team literature there is an emphasis on intrapersonal

awareness but little acknowledgement of interpersonal awareness, which is a pivotal aspect of

insight as described in the group psychotherapy research. The team literature did refer to self-

awareness in less detail however than Corey and Corey (2006) did in the group psychotherapy

literature. In addition, according to the group literature, increased insight is fostered amongst

group members by the leader, whereas in the team literature, the focus is on the leader

developing his or her own insight. Ultimately, there was very little mentioned in the team

literature about the significance of leaders’ ability to help team members develop insight and

how this enhances team effectiveness.

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Feedback. Communication is a fundamental team activity. Feedback is one aspect of

communication that is essential for team improvement (LaFasto & Larson, 2001; Levi, 2007). It

is the only way to know what needs to be improved (Harris & Sherblom, 1999). When utilized

optimally, feedback should improve both the team’s functioning and the individual’s

development (Wheelan, 1999). It should not be judgmental, exaggerated, ambiguous, or

evaluative (Harris & Sherblom, 1999). Instead, effective feedback should be well timed and

honest. It should take into account the team’s needs and help the team move forward. According

to Wheelan (1999), high performance team members get regular feedback, positive and

corrective, about their effectiveness and productivity from other members within the group as

well as the leader. Therefore, it is important for leaders to establish an environment where

members are encouraged to give feedback (Nygren & Levine, 1996). Building the commitment

and confidence of each individual and the team as a whole helps foster this type of environment

(Katzenbach & Smith, 1999). Leaders should model corrective feedback that is not ambiguous

or harmful to the recipient’s self-esteem (LaFasto & Larson, 2001). This can be achieved by

targeting the individual’s behavior rather than the individual himself. Giving only negative is not

constructive. Corrective feedback should include “corrective alternatives” to avoid making the

recipient defensive, discouraged or embarrassed (Levi, 2007, p. 103). Another aspect of

providing effective feedback is active listening (Harris & Sherblom, 1999). Members who are

good listeners convey their desire to comprehend the message and improve their understanding.

“The goal of active listening is to provide feedback to the sender of a communication, to clarify

the communication, and to promote discussion” (Johnson & Johnson, 1997).

The team literature and group psychotherapy literature seem to overlap the most in the

domain of feedback. Both emphasize that feedback is an interpersonal phenomenon, and

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researchers from both fields articulate that feedback is an important mechanism for behavioral

change. In addition, researchers agree that interpersonal feedback is essential for both group

development and the interpersonal growth of individual members. The group psychotherapy

literature defines feedback a little more clearly than the team literature. Specifically, Stockton et

al. (2004) stated that both members and leaders shared their personal reactions and insights about

one another with each other when providing feedback. Researchers from both fields clearly

identify the best methods for engaging in feedback exchange. What the team literature does not

address that the group psychotherapy literature does is that interpersonal feedback promotes self-

reflection and insight, allowing members to better understand themselves and what is necessary

for personal growth and behavior change.

Cohesiveness. According to some researchers, “the primary condition for maximizing

team performance is cooperation” (Shen & Chen, 2007, p.644). However, to facilitate

cooperation, cohesion is necessary (Wheelan, 1999). Larson and LaFasto (1989) describe this

condition as a “collaborative climate” (p. 94). In a collaborative or cohesive climate, team

members communicate openly, disclose problems, share information, work together to develop

solutions, and achieve success. Cohesion is based on the emotional bonds team members have

with each other (Levi, 2007). The more members are committed and attracted to the team, the

greater the cohesion. Keyton and Springston (1990) define cohesion as the “force that binds

group members together” (p.234). In order to foster this type of environment, leaders need to

help build trust (Larson & LaFasto, 1989; Shen & Chen, 2007), team spirit, solidarity,

commitment (Larson & LaFasto, 1989), and a sense of belonging amongst all team members

including the leader (Wolff, Pescosolido, & Druskat, 2002). Furthermore, research has shown

that cohesion is positively correlated with performance and organizational outcomes (Wech,

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Mossholder, Steel, & Bennet, 1998; Borkowski, 2005). In fact, in highly cohesive teams,

members like the task, are personally invested in their work, enjoy collaborating with other

members, and take pride in the team’s performance (Levi, 2007).

The team literature seems to address many aspects of cohesion and its importance in team

dynamics. However, the group psychotherapy literature appears to be more comprehensive. The

team literature did not discuss that cohesion occurs at the group level amongst all group

members. In addition, the team literature did not mention that the relationships in teams include

the individual’s relationship to the leader, to other group members, and to the group as a whole.

Group psychotherapy literature emphasizes that cohesiveness is a precondition for other

therapeutic factors to function optimally. Applied to organizational team settings, this could

mean that cohesion is necessary for optimal functioning of other team variables such as

intrapersonal insight and interpersonal feedback. In addition, group psychotherapy researchers

assert that to be successful and accomplish more challenging work in later stages of the group, it

is imperative that leaders establish cohesion and engagement early in each session and early in

the group’s development. Team research does however mention the positive performance and

organizational outcomes associated with cohesion. Ultimately, maximizing both team and

organizational performance can be strongly influenced by investing in leadership development

and training.

Leadership Development

Leadership development research and practice are growing increasingly more popular.

The literature suggests that organizations are realizing now more than ever that leadership

expertise is essential to maintaining optimal performance (Herling, 2000; Krohn, 2000), and

companies that emphasize training and development yield significant financial payoffs (Huselid,

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1995; Swanson, 1994; Ulrich, 1997). One clear indicator of this is reflected in survey results that

highlight the increased attention and money allocated to leadership development (The

Conference Board, 1999). Another indicator is the amount of literature written on this topic

(Day, 2001). Organizations’ need for effective leaders is ongoing, and even though many

organizations recruit and hire leaders, a significant part of the ongoing need is met through leader

development (McCauley, Kanga, & Lafferty, 2010). On a systemic level, organizations can help

facilitate leader development via leadership development programs. Ultimately, many

organizations perceive investment in leadership as a “source of competitive advantage and are

investing in its development accordingly” (Day, 2001, p.581; McCall, 1998).

For this review, it is essential to more clearly define leadership development and

differentiate it from management development. Despite overlap between these two domains,

there are many key differences. Management development includes managerial education and

training (Latham & Seijts, 1998) that incorporates obtaining specific types of knowledge, skills,

and abilities to improve task performance in management roles (Baldwin & Padgett, 1994).

Leadership development is broadly defined as “the expansion of a person’s capacity to be

effective in leadership roles and processes” (McCauley, Kanga, & Lafferty, 2010, p. 29).

Leadership roles come with and without formal authority compared to managerial roles that are

formally defined (Day, 2001). Leadership processes enable people to work together

meaningfully versus management processes that are position and organization specific (Keys &

Wolfe, 1988). Leadership development involves increasing problem-solving, solution forming

capabilities in groups of people and is oriented toward preparing for unforeseen challenges (Day,

2001).

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Another distinction has emerged in the literature between leader development and

leadership development. Even though leadership development literature does not always

delineate this difference, the focus of leader development is on the individual leader and his or

her acquisition of skills, as well as self-awareness, self-regulation, and self-motivation (Riggio,

2008; Day, 2001). In contrast, leadership development focuses on the collective leadership

capacity of the organization including interpersonal competencies of leaders such as social

awareness (e.g. empathy, service orientation, and developing others) and social skills (e.g.

collaboration and cooperation, building bonds, and conflict management) (Day, 2001;

McCauley, 2000). Day (2001) proposes that “the most value resides in combining what is

considered the traditional, individualistic approach to leader development with a more shared

relational (interpersonal) approach” (p. 586). Boyatzis (2008) suggests that leader change and

development can occur at individual, group/team, and organizational levels, and in order for it to

be successful, it requires support on all three levels. However, the majority of the emphasis in

research as well as in practice is on individual leaders. Lastly, leadership development is an

ongoing process. According to Senge (2006) an organization, like the individual, does not arrive

at excellence; rather “it is always in the state of practicing the disciplines of learning” (p. 10).

Leadership Development Theories

Leadership interventions should be based on leadership theories. Therefore, the content

of leadership development programs should be grounded in the theories and research on what

makes leaders effective (London & Maurer, 2004). As previously mentioned, multiple leadership

theories have been developed over the years including the great man theory, trait theories,

behavioral theories, contingency theories, and transformational leadership theory. However, thus

far, most the research in leadership literature focuses on determining what causes leaders to

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emerge and be effective versus explaining how these leaders develop (Avolio, 2007). Arvey et

al. (2006) asserts that future research should attend to “determining more precisely the kinds of

environmental experiences that are most helpful in predicting and/or developing leadership and

the ways in which these experiences possibly interact and/or correlate with genetic factors”

(p.16).

Leadership Development Methods and Practices

Traditionally, leadership development programs have been created and implemented by

professional trainers from corporate or site training departments who have little or no knowledge

of the organization’s business strategy (Casner-Lotto et al., 1988). However, outside training

professionals who function as performance consultants and learning advisers, are normally seen

as a more cost-effective alternative to internal staffing for some training activities, and they are

able to contribute areas of expertise not available in the company or at educational institutions

(Lusterman, 1985).

Regardless of whether leadership development programs are created in-house or by

external consultants, it is essential that leadership development training strategies be linked to

individual, team, and organizational goals, and they should define the organization’s strategic

learning imperatives including the learning tools necessary to help leaders obtain and retain skills

and knowledge (Heery, 2002; Tannenbaum, 2002). By linking the organization’s goals with the

development program strategies the quality of training improves and the results more closely

align with the organization’s aspirations (Casner-Lotto et al., 1988).

Learning. Learning processes should be considered when creating a leadership

development training model. These processes should include the conceptual understanding of

new leadership behaviors and skills, observing role models, practicing, and receiving feedback.

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The learning imperatives should also be based on the organizational climate, knowledge of

organizational aspirations, and awareness of multiple training and learning options

(Tannenbaum, 2002).In contrast to traditional learning, continuous learning, similar to Senge’s

(2006) “learning organization,” is an ongoing, every day process of acquiring and integrating

new knowledge and skills and not just a one time event. This type of learning is essential in

today’s corporate environment where changes are constant (Casner-Lotto et al., 1998). In his

discussion about the learning organization, Senge (2006) describes how learning involves a

“fundamental shift or movement of mind” (p. 13). In a learning organization, adaptive learning

should be joined by “generative learning,” or “learning that enhances the capacity to create”

(Senge, 2006, p.14).

In many ways, a business’ success is directly related to its ability to manage change.

According to Heery (2002) there are four elements in an efficient and effective learning system:

performance improvement, data-driven training (linked to core operational needs), flexible

learning opportunities, and outcome evaluation. McCauley et al. (2010) agree that learning from

experience is essential to the growth and success of leaders and that the following types of

developmental events are most useful to leaders in the learning process: challenging

assignments, developmental relationships, adverse situations, course work and training, and

personal experiences. Challenging assignments include difficult tasks and promotions.

Developmental relationships include relational feedback, coaching, as well as one-on-one, peer

and group mentoring. Further, developmental relationships have been found to be the second-

most important domain of learning experiences (APQC, 2006; Conference Board, 2005).

Adverse situations include crisis, mistakes, career setbacks, and ethical dilemmas. Course work

and training can be initiated by the leader or employer and includes information, knowledge, and

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experiences that are not available in the leader’s daily work. Lastly, personal experiences include

emotion-laden memories of how values or one’s approach to life or work were formed and can

occur throughout the lifespan and across multiple environments (McCauley et al., 2010).

Training approaches. Woodall and Winstanley (1998) indicate that leadership

development methods can be categorized as on-the-job (action learning, mentoring, job rotation,

special task forces and projects) and off-the-job methods (readings, short courses, seminars,

educational programs, specialist packages, outdoor development, customized approaches).

In addition, Yukl (2002) identifies three main development approaches: formal training and

education, development activities (e.g. mentoring and special assignments), and self-help

activities (e.g. reading books, viewing videos, and using interactive computer programs). Even

though research has demonstrated that traditional (formal education) training programs are not

the primary source of leaders’ learning and have low levels of learning transferability, 90% of all

corporate education was still classroom based in the early 1990’s (Vierce, 2000). As a result,

there is a growing trend toward experiential leadership development methods (Farrington, 2003)

and “practicing leadership development more effectively in the context of the work itself” (Day,

2001, p.586). Internal programs are beneficial because they provide the opportunity to link

learning to the company’s specific challenges and goals (Neary & O’Grady, 2000). However to

be effective, experiential learning should incorporate structured mechanisms that help leaders

articulate what they have learned on the job, to share what they have learned with their

colleagues, and to integrate the knowledge of these lessons at the individual, team, and

organizational level (Suutari & Viitala, 2007).

Training practices. A variety of practices has been created and implemented in

organizations for leadership development and will be discussed here. One of the most popular

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methods used by nearly all Fortune 500 companies is 360-degree feedback (London & Smither,

1995). Also known as multi-source feedback, 360-degree feedback is a systematic method of

accumulating perceptions of an individual’s performance from all relevant sources or angles

(Warech et al., 1998). Rating sources typically include subordinates, supervisors, peers, direct

reports, and sometimes external sources such as customers and suppliers. This comprehensive

approach provides a more accurate picture of an individual’s performance across contexts and

links assessment with opportunities for development and growth via critical and supportive

feedback (Van Velsor, McCauley, & Moxley, 1995). Multi-source feedback can be useful for

developing an individual’s interpersonal competence by fostering self-knowledge and self-

awareness of his or her impact on others (Barney & Hansen, 1994) which can also enhance an

individual’s trust in others, in turn facilitating the cooperation essential for effective teamwork in

organizations (Nahapiet & Ghoshal, 1998). However, research shows that feedback interventions

do not always result in positive change, and for any leadership development efforts to be

effective, the individual must be open to change and be willing to accept feedback as relevant

and useful (Day, 2001).

Executive coaching is another ongoing leadership development practice involving goal-

oriented one-on-one learning and behavior change (Peterson, 1996) with the aim to improve an

individual’s performance and personal satisfaction and ultimately increase organizational

effectiveness (Kilburg, 1996). This is a comprehensive approach that integrates assessment (such

as 360-degree feedback), challenge, and support. Unfortunately, there is little research

evaluating the effectiveness of executive coaching aside from case studies (Kilburg, 1996)

especially pertaining to leadership development and enhancing performance. However, executive

coaching that followed a training program showed an 88% increase in productivity in managers,

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demonstrating a significantly greater gain compared with training alone (Olivero, Banc, &

Kopelman, 1997).

Another method of leadership development is mentoring, a type of developmental

relationship, which can be established formally by the organization or may arise informally, or

unplanned (Day, 2001). Mentoring can be a valuable source of assessment, challenge, and

support (McCauley & Douglas, 2004); however, mentoring programs often are too skewed

toward support, with some focus on challenge, but very little attention on assessment (Day,

2001). In most formal mentoring programs, a junior manager is paired with a more senior

executive. Although, sometimes the mentee is paired with a peer or an external consultant

(Douglas, 1997). Observing and interacting with a senior executive helps the mentee increase his

or her interpersonal competence by forming a more “sophisticated and strategic perspective”

(Day, 2001, p. 594).

Networking is a leadership practice that fosters broader individual networks with the goal

of developing leaders beyond knowing what and how, to knowing who in respect to problem-

solving (Day, 2001). This creates an opportunity for leaders to challenge their paradigms through

exposure to others’ thinking. Organizations that promote networking are investing in social

capital with an emphasis on building support (Day, 2001). While networking can be an informal

process, organizations can also create structured seminars or meetings for members from

different groups who have common training or job experiences to share their mutual challenges

and successes as part of leader development and learning. One benefit of networking is that it

fosters peer relationships that are often long lasting. It also allows individuals to benefit in terms

of knowledge acquisition and entrepreneurial opportunities (Burt, 1992).

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Often considered to be the epitome of development in context, job assignments—an

experiential method of learning—provide individuals with challenge and sometimes support

(Day, 2001). Jobs assignments considered to be more developmental create growth opportunities

by putting an individual in new situations with unfamiliar responsibilities, especially when the

jobs are high-responsibility and high-latitude. Although successful outcomes of job assignments

are positive in nature and assumed to be preferable, negative experiences or failures are

developmental as well and tend to effectively promote learning and prompt self-reflection

(Moxley, 1998). Job assignments are often key to succession planning, and promotions are often

considered to be developmental in nature (Ruderman & Ohlott, 1994). Job rotations, or lateral

transfers of individuals within organizations, are another form of job assignments that foster the

development of broader perspectives on the business, adaptability and flexibility, and leadership

skills (Campion, Cheraskin, & Stevens, 1994). Research shows, however, that job assignments

typically lack intentionality in terms of implementation and follow-up assessment to determine

the amount and type of development that has occurred (Day, 2001).

Action learning is a continuous process that provides real-work challenges in contrast to

traditional, lecture-based learning. Action learning projects are tied to business imperatives

which require individuals to be carefully paired with the projects (Day, 2001). For optimal

success, structured reflection on the action should follow the project itself (Froiland, 1994).

Overall, mentoring programs, along with action learning and 360-degree feedback, have been

determined to be the most successful leadership development practices.

Content. McCauley et al. (2010) suggest three overarching domains for leadership

development training: leading oneself, leading others, and leading the organization. Leading

oneself includes developing effective self-management capabilities including self-awareness,

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balancing conflicting demands, ability to learn, and leadership values. Leading others involves

interpersonal skills such as building and maintaining relationships, building effective work

groups, effective communication, and the ability to develop others. Leading the organization

entails facilitative work such as management skills, the ability to think and act strategically and

creatively, and the ability to initiate and implement change.

Summary

This review has demonstrated that within organizational literature, some research exists

that addresses the importance of insight, feedback, and cohesion to varying degrees, as three

factors that can significantly affect team dynamics. The hypothesis that to date there is little or

limited overlap between what the group psychotherapy literature indicates about leadership

effectiveness and what the organizational literature reveals that makes leaders effective is

confirmed but with some qualification. In particular, the importance of insight (self-awareness)

and cohesion is not well underscored or documented in the team literature. Further, the team

literature does not address the significance of the three levels of intervention that exist within

groups: intra-group, inter-group, and group level. More specifically, organizational literature

does not mention how the leader always has the choice to intervene at one of these three levels,

and that by alternating their focus amongst insight (intrapersonal), feedback (interpersonal), and

cohesion (group level), the leader maximizes their effectiveness. In addition, organizational team

literature compared to group psychotherapy literature is unorganized, inconsistent, and relatively

new. Thus, even though research from various fields of psychology has been utilized to some

degree, it seems that the group psychotherapy literature still has more to contribute to teams in

the workplace.

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“Most leadership research makes the explicit or implicit assumption that leadership is an

important determinant of organizational effectiveness” (Yukl, 1989, p. 275). It is clear that those

who lead teams in the workplace need better and more precise training. Some researchers assert

that leadership training is crucial to make the transition to a team-based workplace. “Leaders of

teams need to know how to facilitate…and evaluate group processes and progress” (London &

Maurer, 2004). In addition, leaders at all organizational levels must have knowledge about group

development and skills in effective group leadership (Carew, Parisi-Carew, & Blanchard, 1986,

p. 50).

In the field of organizational development, there has been a demand since the mid 1960’s

for group specialists training, team building, and experiential workshops to improve the

effectiveness of teams at work (Reddy, 1985). This is important because the cost of ineffective

leadership can adversely affect productivity, employee retention, product outcome, and customer

satisfaction. Thus, leadership development training programs have grown increasingly more

popular and integral within organizations.

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Statement of the Problem

There is considerable body of literature in both the fields of group psychotherapy and

teams in the workplace as well as in the domain of leadership development in organizations. As

mentioned previously, the literature and research on group therapy came first. The central

proposition of this paper is that little attention has focused on bridging the fields of group

psychotherapy and leadership development in organizations. If this proposition is accurate,

newly hired managers and managers transitioning to team leadership positions in the workplace

have not been educated in lessons learned from group psychotherapy. Could team leaders and

leaders in general in the workplace benefit from exposure to what we know about factors that

make group psychotherapy and therapists effective?

In today’s competitive environment, many organizations realize the critical impact

leaders have on their system at the individual, team, and organizational levels. As a result,

organizations are spending significant amounts of time, money, and energy to develop their

leadership talent (Wexley & Baldwin, 1986). However, organizations often fail to adopt and

fully implement what the psychological literature prescribes as effective training practices

(Dipboye, 1997). Even though in the last 35 years considerable knowledge has accumulated on

how people learn and methodologies have been proposed for scientifically and systematically

guiding the training process, a gap still exists between this research and the actual practice of

training in organizations (Dipboye, 1997). As a result, further studies should incorporate aspects

of group psychotherapy literature and should focus on creating effective leadership development

models that are rooted in theory and empirical evidence.

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Purpose of the Study

The current research on leadership development and teams in the workplace has not been

informed by the rich history of literature on group psychotherapy. As a result, the factors that

have been identified as effective in group psychotherapy literature are not generally mentioned

or operationalized in the organizational team and leadership development literature. Team

leaders and leaders in general in the workplace are not benefiting from the psychological

research that is available. Failure to acknowledge this research may mean these leaders are

functioning below their potential which could translate into costs to the organization such as lost

worker productivity, increased turnover, a sub-optimal product, and decreased customer

satisfaction. Current and future leaders would benefit from training processes that are informed

by what is evident in the group psychotherapy literature. Leadership development training

programs for consultants based on theory and field study results that can be adapted to a variety

of different organizations and is amendable to empirical testing will be proposed.

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Methods

The purpose of this study was to create a leadership development training program that

incorporated the wisdom of group therapy, with specific attention to insight, interpersonal

learning, and cohesion while also including contemporary best practices in leadership

development training. Due to the fact that there is such a wide range in theory and practice of

leadership development across different organizational settings, one setting, hospitals, was

chosen for this study to maintain greater consistency within results and for the leadership

development program.

Thus, a sample of leadership development training programs was reviewed within hospital

networks in the Portland, Oregon metropolitan area. This particular metropolitan area was

chosen for proximity to limit transportation costs for the interviewer. Then, specific hospitals

were selected by collaborating with the Director of the Masters of Healthcare Administration

program at Pacific University in Hillsboro, Oregon who had connections with key individuals at

four local hospitals. These initial contacts facilitated direct contact with each hospital’s director

of organizational development, the department that was primarily responsible for leadership

development. Then, I interviewed these four directors to see how they institute leadership

development while listening for elements in line with the group psychotherapy literature. Results

from the literature review and interviews were incorporated into my leadership development

program as well as included in my recommendations for organizational consultants.

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Results

Information about leadership development training practices in the Portland, Oregon

metropolitan area was acquired through interviews with one key individual at each of four non-

profit hospital networks. These hospital networks range in size from two hospitals with a few

affiliated medical offices to 35 hospitals with approximately 450 affiliated medical offices.

Leadership development training programs have been developed and are currently being utilized

at these four hospitals. Information was collected via interviews with the directors of

organizational development from these hospital systems.

Overall, each director of organizational development provided some general information

about their training programs, but they provided little specific, detailed data. None were able to

share training manuals and documents. This seemed to be due to a few possible factors: lack of

time to retrieve that information, efforts to protect their investment and knowledge, and lack of

formal collection and documentation of data regarding their programs.

About 10 years ago, all four of these hospital systems began creating leadership

development training programs that have been managed through each hospital’s organizational

development department. Each of these programs continues to be modified and evolves over

time in response to data from program evaluations and updated research on best practices. All of

these programs are developed partially in-house and incorporate varying degrees of external

resources such as research, vendors, and consultants. Directors from all four hospital systems

said they have utilized literature from the business sector related to leadership, group dynamics,

teams, organizational development, conflict resolution, and emotional intelligence to inform their

programs. In addition, trainings developed by outside consultants and vendors have been used by

three of the four hospital networks. Specific consultants and vendors mentioned by two of these

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directors included: The Advisory Board, Linn Benton Community College, Development

Dimensions International, Franklin Covey, American Society for Training and Development, and

American Management Associates. In addition to including these resources, the content of

leadership development can be influenced by other factors. For example, one director stated that

leadership development programs should be linked to the organization’s mission. In the case of

one hospital system, their program is heavily based on managers’ self-reports of current training

needs.

All four directors agree that assessments are valuable tools and essential components of

leadership development programs because they inform the effectiveness of these programs and

the content of future trainings. One such method used by all four hospital systems and

implemented immediately after trainings is a post-training evaluation of the program itself by the

individuals (trainees) who attend the trainings. Three of the four programs include assessments

of training effectiveness based on evaluations of leaders’ performance post-trainings compared

to performance pre-trainings. For example, one director meets with trainees shortly after the

training to obtain reports from the individual as well as his or her boss about what was gained

from the training and how it influenced the individual’s effectiveness. Another director does a

performance assessment 10 weeks after a leadership development training to determine if leaders

are implementing what they have learned and if they are accomplishing the goals they set for

themselves after the training. Both of these examples use feedback from the trainee and/or his or

her boss, but leader performance in hospitals can also be evaluated indirectly by patients. For

example, one of the four programs incorporates outcome feedback in the form of performance

ratings on quality of care and services solicited from the hospital’s patients.

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All of the directors focused on lecture based trainings, developed either in-house or by

outside consultants and vendors. These lecture based trainings are disseminated in classroom-like

settings, but one director mentioned using web-based learning as well. When inquiring about the

specific content of these trainings, only one director provided detailed descriptions of all of the

trainings in that organization, the other three directors named topics recalled from memory at the

time of the interview. There is considerable overlap in the curriculum across the four

organizations: leadership concepts (e.g. leading change, effective skills and behaviors,

challenges), communication skills (e.g. conflict mediation/resolution, crucial conversations,

delivering feedback, listening, professional communication), goal setting, problem-solving and

innovation, diversity topics, performance improvement, succession planning, enhancing the

customer/patient experience, productivity, finance, human resources management, and

team/group dynamics. All four directors said these trainings are formalized in facilitator

manuals. One director mentioned they had participator manuals as well. To help integrate

information from the trainings, one director said trainees are also required to follow up after the

trainings and do presentations on what they learned and how they anticipate applying the

information. Ultimately in the interviews conducted, lecture based trainings were emphasized

with little attention to other methods such as 360 degree feedback, mentoring, networking, job

assignments, and action learning. However, one director mentioned using “applied project

management” which blends job assignments with networking, and another director mentioned

using “individual professional development” that incorporates some mentoring. Only one

hospital organization incorporated multiple methods such as networking, one-on-one coaching,

and mentoring in conjunction with lecture-based trainings. However, this multi-modal approach

is used only for new leaders to support them as they transition into the organization.

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Certificates of completion are given to trainees after finishing a series of trainings in three

of the four programs. The first hospital organization’s leadership development program includes

two formal certification programs: one track for individuals who are interested in and have the

potential for a leadership role, and another track for new or experienced supervisors, managers,

and directors. In these programs, specific courses are required for each track. In addition, a

minimum requirement of 22 hours for the first program and a minimum of 80 hours for the

second program must be completed to “graduate.” These training programs are repeated

quarterly. This organization has also created an additional leadership development program that

last two days and is designed specifically for executives. The director highlighted the following

strengths of this program: high quality trainings and instructors, offered on site, opportunity to

connect with a larger network of people. According to this director, the infrequency of the

trainings is a drawback; missing one class can result in waiting three months to take it. To be

more effective, this director suggests incorporating action learning and better assessment of

training needs and objectives for executive level leaders.

The second hospital network that incorporates completion certificates has a minimum

requirement of 70 hours, and trainees can select from a range of classes. In this organization, the

program is offered to all managers and new directors who are encouraged but not mandated to

attend. Training programs are offered twice per year and are comprised of training modules that

last for five weeks with trainings once per week. The director of this program cited greater

networking opportunities and interdisciplinary information sharing as strengths. The weaknesses

of this program, according to the director, are that trainings are sometimes too general and fail to

meet the needs of different types of leaders, and the information from these trainings is not being

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applied in real time. The director of this program suggests increasing the involvement of

trainees’ supervisors would improve it.

In the third hospital network, neither a specific number of hours nor number of courses

was identified, but to receive completion certificates, trainees must complete all trainings offered

in a given year. These trainings are not mandatory and are available to leaders at all levels within

the organization including formal leaders (e.g. managers, assistant managers, executive team

members) and informal leaders. They occur anywhere from monthly to quarterly, and the

individuals who attend are self-selected. However, with some specialty trainings, individuals are

selected by executive team members. Executives are always invited, but they are not the target

audience because it is assumed they already have acquired these skills. According to the director

of this program, the strength include: incorporating external resources, the variety & creativity of

curriculum, fit with the organization’s mission, and providing support for leaders’ learning. The

director said the greatest weakness and most fertile ground for improvement of the program is a

lack of outcome assessments that provide information to help improve future trainings.

In the fourth hospital system, certificates are not included, and all leaders within the

organization are required to attend at least one training per year which entails three, two day

sessions. In this program, sessions are offered monthly and individuals select courses from a

catalogue. This leader articulated the following strengths of this program: skills learned are

directly transferable, trainings are developed specifically for the healthcare industry, in the

moment training, and e-learning is a more efficient way to addresses common topics. This

director mentioned that the primary weakness of this program is the lack of valid assessment

tools beyond self-report surveys. Improving this program, according to this director, would entail

linking education to experience while increasing exposure.

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Ultimately, results from all four interviews corroborate the findings of the literature

review that essential elements of group therapy literature have not been integrated yet into

leadership development training programs in the workplace.

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Leadership Development Program

As previously stated it has been determined that leadership development programs need

to be linked to organizational goals and mission statements. Therefore, each program should be

specifically designed for each individual organization. As a result, in this program, I propose

more general concepts and procedures that should be included in any leadership development

program, with an emphasis on leaders of teams in hospital systems. This program is designed for

consultants who are designing and directing a leadership development program.

Phase 1

First and foremost, it is essential at the onset for consultants developing and

implementing these programs to talk with the executives about their goals and aspirations for the

leadership development program as well as talking with leaders who are the intended trainees.

This is important because these different groups may have different ideas about what should be

addressed in the trainings. Discussions with both groups allows for the opportunity to confront

any discrepancies and ultimately find mutual goals, otherwise it may be challenging to get either

group on board and motivated for the trainings.

After determining the overarching goals for the leadership development program, various

types of assessments are necessary before creating and implementing the program. First, an

organizational analysis should be conducted to determine systemic components that may

influence the delivery of the training program (Goldstein, 1993). In addition to organizational

goals, this assessment would focus on the congruence between training objectives such as

available resources, constraints, and support (Salas & Cannon-Bowers, 2001). Because many

organizations fail to reach their training goals due to organizational constraints and conflicts, it is

especially important to identify and address these before starting the trainings.

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Another component of assessment prior to implementing the training program, is to

decide where training is needed, what needs to be taught, and who needs to be trained

(Goldstein, 1993). This process helps specify learning objectives, which shapes the design and

delivery of training as well as the process of content development. More specifically related to

trainees, it is important to assess what trainees bring to the training (e.g what skills they already

have as well as personality factors), variables that engage the trainee to learn and participate, and

how the trainee can be prepared to maximize the learning experience (Tannenbaum et al., 1993).

This could be achieved through self-report inventories for the trainees with specific questions

related to the skills and factors that are needed to maximize participation and learning in the

training. Another factor is how motivated the individual is for training to ensure he or she is

ready to participate (Kraiger, 2003). Results of the research show that leaders’ job involvement,

organizational commitment, and perceptions of the work environment (e.g. perceived support

and recognition) were predictive of pre-training self-efficacy, which relates to pre-training

motivation (Aguinis & Kraiger, 2009). Thus, utilizing self-report inventories as well as peer- or

manager-report inventories would help determine these factors, which would determine trainees’

overall motivation for the program.

Lastly, after determining which departments need training within the organization and

who needs to be trained, the consultant should assess the developmental stage of the leader’s

team. This is a key area that is best informed by the group psychotherapy literature. Tuckman

and Jensen (1997) articulated the following group phases: forming, storming, norming,

performing, and adjourning. For the purpose of this program, I focus on a leadership

development program designed for the storming phase of teams and the leader’s role within that

phase.

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Phase 2

Phase 2, training design and delivery, is informed by Phase 1. The design of this program

primarily includes didactic trainings with some on-the-job training as well as web-based

trainings before the classroom didactic. Prior to the classroom didactic portion of the training,

leaders will engage in technology-delivered trainings that are web-based and include instruction

on single work stations. The purpose of these pre-trainings is to prepare the leaders for the

classroom and on-the-job training phase of the training by helping increase leaders’ self-efficacy

for the next phase. The web-based portion of the program will be designed for each individual

leader based on their training needs with awareness of the skills and knowledge they already

have, and as a result the skills and knowledge they still need to acquire prior to the next phase of

training. These trainings will begin two weeks prior to classroom trainings and will be completed

at a pace determined by each individual leader. Then, once these web-based trainings are

finished, each leader will be tested to assess their level of knowledge and skills prior to the

classroom training. The purpose of this assessment is to provide a baseline measure of leaders’

abilities and knowledge to be compared to their abilities and knowledge post-training. This is

accomplished by utilizing inventories of self-report, manager-report, and team member reports.

Phase 3

Phase 3 expands on the design and delivery of the program and addresses the content of

the classroom trainings. In this program, I will focus on the knowledge and skills needed by

leaders during the storming phase of a team. This will include four modules addressing

principles gleaned from the group psychotherapy literature combined with best practices from

the organizational research, specifically pertaining to the storming phase of teams, cohesion,

insight, and interpersonal feedback.

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Storming. In the group psychotherapy literature, there are five stages of group

development that proceed in the following order: forming, storming, norming, performing, and

adjourning (Tuckman, . The storming phase of team development is often the most challenging

phase for leaders. Hallmarks of this phase often include a focus on control, power, status,

competition, and individual differences (Yalom & Leszcz, 2005). The leader needs to navigate

the following potential situations: hostility toward the leader, negative comments and

intermember criticism, struggle amongst members, including the leader, for power and control.

These challenges can be mitigated by attending to group cohesion, interpersonal feedback, and

insight.

Cohesion. As previously established, cohesion is the most important factor in the success

of teams and their leaders, and it the essential foundation for all other factors to develop and

work effectively. Part of developing stronger cohesion amongst team members is to foster a trust,

warmth, empathetic understanding, and acceptance. Leaders will learn about the principles and

benefits of cohesion to create greater commitment on their part to invest in the development of

cohesion within their teams. In addition, they will learn how to recognize different phases of

cohesiveness as well as how to foster deeper cohesion. This includes how to track and respond to

all dimensions of the team including each individual team member’s relationship with the leader,

his or her relationship to other group members as well as his or her relationship to the group as a

whole. An aspect of this is how the leader cultivates helpful interpersonal team norms. Lastly,

the leader needs to be taught how to continually attend to the ongoing changes and dynamic

processes of cohesion within the team. For example, it is possible for teams to move back a stage

related to cohesion. How to identify problems with cohesion and how to address these problems

quickly and effectively will be emphasized.

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Insight. Teaching the leaders about intrapersonal and interpersonal insight as well as how

to foster insight in team members will be included in a didactic portion of the program. Then, the

leaders will be provided opportunities to practice these skills both on-the-job as well as in

collaborative learning experiences, which provides the opportunity for vicarious learning as well

as networking by interacting with peers. In the storming phase, it is common for leaders to

become discouraged by and frustrated with the hostile, critical, and dominating dynamics of

team members. Therefore it is essential for leaders to be knowledgeable about the norms of the

storming phase. The leader needs to be extremely aware of his or her reactions to the team and

its members as well as be aware of how he or she is influencing and affecting them. Awareness

of the typical dynamics and challenges of this phase and normalizing them helps leaders have

realistic expectations and decreases the potential for disenchantment.

Interpersonal Feedback. Skills and knowledge about feedback provided by leaders to

team members during the storming phase will be taught and then practiced experientially via

collaborative and on-the-job trainings. Specifically, this will include how to provide feedback to

individuals as well as the team as a whole as well as how to model and encourage team members

to give feedback themselves. In addition, leaders will learn about how both positive and

corrective feedback should be used and how interpersonal feedback should focus on observable

and specific behaviors. During the storming phase, leaders should be conscientious and careful

about how and when they deliver corrective feedback because the cohesiveness of the team is

still in an early phase of development which means that trust has not been fully established and

team members have not yet achieved self-efficacy within the group. Therefore, team members’

receptiveness to corrective feedback is lower than it is as the team develops beyond the storming

phase. Leaders will also learn about the benefits of empathy and how to be empathetic toward

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team members. This is crucial for establishing greater cohesion though meaningful and trusting

relationships amongst team members as well as with the leader, which ultimately helps the team

move past the storming phase.

Phase 4

Across all the content training models disseminated in phase 3, practice and feedback will

be incorporated during and after the didactic trainings, including collaborative learning and on-

the-job experiences. This program will also include high-challenge on-the-job trainings which

introduce difficulties for the leader. During this portion of the training, consultants shadow the

leaders in the real process of leading his or her team, providing feedback and support. During

high-challenge on-the-job trainings, leaders are explicitly encouraged to make errors and engage

in reflection to understand the cause of the errors and the strategies to avoid making them in the

future. According to the research, this helps leaders develop a deeper understanding that

facilitates and enhances transfer to novel tasks (Aguinis & Kraiger, 2009). This is linked to the

group psychotherapy literature that emphasizes the importance of leader insight into behaviors

through learning and reflection.

Phase 5

Follow up assessment instruments will be used post-trainings to evaluate what individual

leaders have learned using self-report inventories, performance measures, and behavioral

observations of the leaders by managers and team members. These evaluations will be conducted

immediately after the trainings and again 6 weeks later. This information will also help inform

future trainings by highlighting what was most and least effective. Finally, self-report inventories

will be used to obtain feedback from the trainees about the effectiveness of the program as well

as what information was most useful.

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Discussion

The group psychotherapy literature predates the literature on leadership development and

teams in the workplace and has yet to be utilized in the organizational domain. Even though the

use of teams in the workplace has dramatically expanded, teams have not been universally

successful. In fact, the transition toward teams in the workplace has created a challenge for

supervisors who knew how to lead and motivate individuals but lack the skills and knowledge to

lead teams. In turn, this has created a challenge for training managers to transition to team-

oriented organizations. Organizational executives have expressed concern about the inadequacies

of their leaders and are committed to investing in education and training to develop their skills,

perspectives and competencies (Conger & Benjamin, 1999).

While this study initially focused on team leaders in the workplace, little literature exists

specifically on leadership development for team leaders in organizations. Therefore, I expanded

the scope of this research to include leadership development at all organizational levels. This

research is then specifically applied to leadership development of team leaders in hospital

settings. Interviews were conducted at four hospitals in the Portland, Oregon metropolitan area.

The goal was to assess what leadership development programs are being utilized in practice and

to determine how effective they are. Through these interviews, I found that all of the hospitals

have organizational development departments that are frequently adapting their leadership

training programs to align with what is determined best practice in the business domain.

However, these organizational departments and training programs have only existed for the past

decade and still have not integrated essential components of the group psychotherapy literature.

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Regarding limitations of this study, none of the interviewees at any of the hospitals

included in this study discussed leadership training methods aside from didactic, classroom style

modalities so it was assumed they did not use them. However, in hindsight, it seems possible that

these hospitals may incorporate other training methods (e.g. 360-degree feedback, action

learning, networking, etc), but never mentioned them during the interview because the interview

questions developed for this study did not directly target these training modalities. Also, it is

possible that other training methods are in fact being utilized by leaders’ mentors or bosses that

are not formally routed via the human resources or organizational development departments.

Another limitation of this study was the lack of concrete data or detailed, thorough

information provided by the interviewees. For example, none of the interviewees shared their

leadership development training manuals, and despite sending them the questions well before the

interviews were conducted, interviewees’ answers overall were too general, vague, and

unprepared. These outcomes were possibly due to interviewees’ time constraints and

consequential inability to collect the necessary data and information before the interview took

place. It is also possible that the interviewees felt obligated to protect their organization’s

specific information, or assets in the spirit of wanting to maintain competitive advantage over the

other organizations. In addition, all interviewees admitted that their program assessment, data

collection, and documentation procedures are inadequate which undoubtedly affected the

interviewees’ ability to accurately report such information in the interviews.

In the future, in addition to adapting the interview questions to assess for the use of non-

didactic training methods, research on this topic could be enhanced if multiple rounds of

interviews were conducted across a range of organizational levels (e.g. directors of

organizational development, leaders of teams who have participated in these trainings, hospital

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executives). After developing the leadership development program, it could be implemented at a

single hospital and then assessed for its effectiveness.

After completing this research, I developed a leadership development program for

consultants implementing leadership development training programs in which I introduced

principles from the group psychotherapy literature that would enhance leadership development

trainings in organizations. I specifically emphasized the importance of including information on

stages of group development and factors essential to producing optimal, effective outcomes such

as cohesion, insight, and interpersonal awareness. In sum, this study supports researching and

practicing the infusion of group psychotherapy principles in leadership development trainings for

organizational settings. Further, this study supports organizational investment in consultants

with expertise in psychology to develop and implement leadership development trainings.

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References

Aguinis, H., & Kraiger, K. (2009). Benefits of training and development for individuals and

teams, organizations, and society. Annual Review of Psychology, 60, 451-474.

Andrews, H. B. (1995). Group design and leadership: Strategies for creating successful

common-theme groups. Boston, MA: Allyn & Bacon.

Appelbaum, E., & Batt, R. (1994). The new American workplace. Ithaca, NY: IRL.

APQC (2006). Leadership development strategy: Linking strategy, collaborative learning, and

individual leaders. Houston: Author.

Arvey, R. D., Rotundo, M., Johnson, W., Zhang, Z., & McGue, M. (2006). The determinants of

Leadership role occupancy: Genetic and personality factors. Leadership Quarterly, 17,

1-20.

Ash, R. A., Levine, E. L., & Sistrunk, F. (1983). The role of jobs and job-based methods

in personnel and human resource management. In K. Rowland & G. Ferris (Eds.),

Research in personnel and human resources management (Vol. 2, pp. 261-298).

Greenwich, CT: JAI.

Avolio, B. J. (1999). Full leadership development: Building the vital forces in organizations.

Thousand Oaks, CA: Sage.

Avolio, B. J. (2007). Promoting more integrative strategies for leadership theory-building.

American Psychologist, 62, 25-33.

Azim, H. F., & Joyce, A. S. (1986). The impact of data-based program modifications on the

satisfaction of outpatients in group psychotherapy. Canadian Journal of Psychiatry, 31,

119-122.

Baveja, A., & Porter, G. (1996). Creating an environment for personal growth: The

challenge of leading teams. In M. Beyerlein, D. Johnson, & S. Beyerlein (Eds.),

Advances in interdisciplinary studies of work teams, Vol. 3 (pp. 127-143). Greenwich,

CT: JAI.

Baldwin, T. T., & Padgett, M. Y. (1994). Management development: A review and commentary.

In C. L. Cooper, I. T. Robertson, & Associates (Eds.), Key reviews in managerial

psychology: Concepts and research for practice (pp. 270-320). Cichester, UK: Wiley.

Barney, J. B., & Hansen, M. H. (1994). Trustworthiness as a source of competitive advantage.

Strategic Management Journal, 15, 175-190.

Page 59: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

53

Beer, M., & Spector, B. A. (1984). Human resource management: The integration of

industrial relations and organization development. In K. Rowland & G. Ferris

(Eds.), Research in personnel and human resources management (pp. 45-84).

Greenwich, CT: JAI.

Bennet, R. (1982). Management development for real. Journal of Management

Development, 1(4), 38-51.

Bennis, W. (1984). The 4 competencies of leadership. Training & Development Journal,

38(8), 14-19.

Bloch, S., & Crouch, E. (1985). Therapeutic factors in group psychotherapy. Oxford,

England: Oxford University.

Bloch, S., & Reibstein, J. (1980). Perceptions by patients and therapists of therapeutic

factors in group psychotherapy. British Journal of Psychiatry, 137, 274-278.

Borkowski, N. (2005). Overview of group dynamics. Organizational behavior in

healthcare (pp. 311-330). Sudbury, MA: Jones and Bartlett.

Boyatzis, R. E. (2008). Leadership development from a complexity perspective. Counseling

Psychology Journal: Practice and Research, 60 (4), 298-313.

Budman, S. H., Soldz, S., Demby, A., Feldstein, M., Springer, T., & Davis, S. (1989).

Cohesion, alliance, and outcome in group psychotherapy. Psychiatry, 52, 339-350.

Burke, M.J., & Day, R. R. (1986). A cumulative study of the effectiveness of

managerial training. Journal of Applied Psychology, 71(2), 232-245.

Burlingame, G., Fuhriman, A., & Johnson, J. (2001). Cohesion in group psychotherapy.

Psychotherapy, 38(4), 373-379.

Burlingame, G., Fuhriman, A., & Johnson, J. (2004). Process and outcome in group

counseling and psychotherapy: A perspective. In J. L. Delucia-Waack, D. A.

Gerrity, C. R. Kalodner, & M. T. Riva (Eds.), Group counseling and

psychotherapy (pp. 49-61). Thousand Oaks, CA: Sage.

Burt, R. S. (1992). Structured holes: The social structure of competition. Cambridge, MA:

Harvard University.

Butler, T., & Fuhriman, A. (1980). Patient perspective on the curative process: A

comparison of day treatment and outpatient psychotherapy groups. Small Group

Behavior, 11, 371-388.

Page 60: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

54

Butler, T. & Fuhriman, A. (1983). Level of functioning and length of time in treatment:

Variables influencing patients’ therapeutic experience in group psychotherapy. The

International Journal of Group Psychotherapy, 33, 489-505.

Campbell, J. P. (1971). Personnel training and development. Annual Review of

Psychology, 22, 565-602.

Carew, D., Parisi-Carew, E., & Blanchard, K. (1986). Group development and situational

leadership: A model for managing groups. Training and Development Journal,

June 1986.

Carlyle, T. (1841). Heroes and hero worship. Boston: Adams.

Casner-Lotto, J., & Associates. (1998). Successful training strategies: Twenty-six

innovative corporate models. San Francisco, CA: Jossey-Bass.

Chemers, M. (2000). Leadership research and theory: A functional integration. Group

Dynamics: Theory, Research, and Practice, 4(1), 27-43.

Cohen, S., & Bailey, D. (1997). What makes teams work: Group effectiveness research

from the shop floor to the executive suite. Journal of Management, 23, 239-290.

Collins, D. B., & Holton III, E. F. (2004). The effectiveness of managerial leadership

development programs: A meta-analysis of studies from 1982-2001. Human

Resource Development Quarterly, 15(2), 217-248.

Conference Board. (2005). The business value of leadership development. New York.

Conger, J. A., & Benjamin, B. (1999). Building leaders. San Francisco: Jossey-Bass.

Corey, M., & Corey, G. (2006). Groups: Process and practice (7th

ed.). Pacific Grove,

CA: Thompson Brooks & Cole.

Crother-Laurin, C. (2006). A symptom of healthy leadership. The Journal for Quality and

Participation, Fall 2006.

Day, D. V. (2001). Leadership development: A review in context. Leadership Quarterly, 11(4),

581-613.

Dies, R. (1983). Clinical implications of research on leadership in short-term group

psychotherapy. In R. R. Dies & R. K. MacKenzie (Eds.), Advances in group

psychotherapy: Integrating research and practice (pp. 27-75). New York:

International Universities.

Page 61: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

55

Dies, R. (1994). Therapist variables in group psychotherapy research. In A. Furhiman &

G. M. Burlingame (Eds.), Handbook of group psychotherapy: An empirical and

clinical synthesis (pp. 114-154). New York: John Wiley & Sons.

Dipboye, R. L. (1997). Organizational barriers to implementing a rational model of

training. In M. A. Quinones & A. Ehrenstein (Eds.), Training for a rapidly

changing workplace (pp. 31-60). Washington, DC: American Psychological

Association.

Douglas, C. A. (1997). Formal mentoring programs in organizations: An annotated

bibliography. Greensboro, NC: Center for Creative Leadership.

Farrington, B. (2003). Action-centered learning. Industrial and Commercial Training,

35(2), 112-119.

Fiedler, F. E. (1967). A theory of leadership effectiveness. New York: McGraw Hill.

Froiland, P. (1994). Action learning: Taming real problems in real time. Training, 31(1), 27-34.

Fullan, M. (2001). Leading a culture of change. San Fransico: Jossey-Bass.

Goldstein, I. L. (1980). Training in work organizations. Annual Review of Psychology,

31, 229-272.

Goldstein, I. L. (1993). Training in organizations: Needs assessment, development, and

evaluation (3rd

Ed). Monterey, CA: Brooks Cole.

Hackman, R. J., Wageman, R., Ruddy, T. M., & Ray, C. L. (2000). Team effectiveness in

theory and in practice. In C. L. Cooper & E. A. Locke (Eds.), Industrial and

organizational psychology: Linking theory with practice. (pp. 109-129). Malden, MA:

Blackwell.

Hallinger, P. (2003). Leading educational change: Reflections on the practice of instructional

and transformational leadership. Cambridge Journal of Education, 33(3), 329-351.

Harris, T. E., & Sherblom, J. (1999). Small group and team communication. Boston, MA:

Allyn & Bacon.

Heery, K. (2002). An organizational model for continuous learning. In P. L. Spath (Ed.),

Guide to effective staff development in health care organizations: A systems

approach to successful training (pp. 23-46). San Francisco, CA: Jossey-Bass.

Herling, R. W. (2000). Operational definitions of expertise and competence. In R. W.

Herling & J. Provo (Eds.), Strategic perspectives of knowledge, competence, and

expertise (pp. 8-21). San Francisco: Berrett-Koehler.

Page 62: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

56

Hersey, P., & Blanchard, K. H. (1969). Life cycle theory of leadership. Training and

Development Journal, 23, 26-34.

Hinrichs, J. R. (1976). Personnel training. In M. D. Dunnette (Ed.), The handbook of

industrial and organizational psychology (pp. 829-860). Chicago, IL: Rand

McNally.

Hoag, M. J., & Burlingame, G. M. (1997). Evaluating the effectiveness of child and

adolescent group treatment. Journal of Clinical Child Psychology, 26, 234-246.

Hodgson, P. V., & White, R. P. (2003). Leadership, learning, ambiguity, and uncertainty

and their significance to dynamic organizations. In R. S. Peterson & E. A. Mannix

(Eds.), Leading and managing people in the dynamic organization (pp. 185-199).

Mahwah, NJ: Lawrence Erlbaum Associates.

Hogan, R., Curphy, G. J., & Hogan, J. (1994). What we know about leadership:

Effectiveness and personality. American Psychologist, 49(6), 493-504.

Hogan, R. & Warrenfeltz, R. (2003). Educating the modern manager. Academy of

Management Learning and Education, 2(1), 74-84.

House, R. J., & Mitchell, T. R. (1974). Path-goal theory of leadership. Journal of

Contemporary Business, 3, 81-97.

Huselid, M. A. (1995). The impact of human resource management practices on turnover,

productivity, and corporate financial performance. Academy of Management

Journal, 38(3), 635-672.

Ilgen, D. R., Major, D. A., Hollenbeck, J. R., & Sego, D. J. (1993). Team research in the

1990’s. In M. M. Chemers & R. Ayman (Eds.), Leadership theory and research:

Perspectives and directions (pp. 245-270). San Diego, CA: Academic.

Johnson, D., & Johnson, F. (1997). Joining together: Group theory and group skills (6th

ed.). Boston, MA: Allyn & Bacon.

Katzenbach, J. R., & Smith, D. K. (1999). The wisdom of teams: Creating the high

performance organization. Boston, MA: Harper Collins.

Keys, J. B., & Wolfe, J. (1988). Management education and development: Current issues and

emerging trends. Journal of Management, 16, 307-336.

Keyton, J., & Springston, J. (1990). Redefining cohesiveness in groups. Small Group

Research, 21(2), 234-254.

Page 63: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

57

Kibel, H. D. (1993). Introduction: Tavistock tradition in organizational psychology.

In H. I. Kaplan & B. J. Sadock (Eds.), Comprehensive group psychotherapy (3rd

ed.) (pp.45-46). Baltimore, MD: Williams & Wilkins.

Kilburg, R. R. (1996). Toward a conceptual understanding and definition of executive

coaching. Consulting Psychology Journal: Practice and Research, 48, 134-144.

Klivlighan, D. M., & Quigley, S. T. (1991). Dimensions used by experienced and novice

group therapists to conceptualize group process. Journal of Counseling

Psychology, 31, 415-423.

Kogler-Hill, S. E. (2004). Team leadership. In P. G. Northouse (Ed.), Leadership: Theory

and practice (3rd

ed.) (pp. 203-234). Thousand Oaks, CA: Sage.

Kraiger, K. (2003). Perspectives on training and development. In W. C. Borman, D. R., Ilgen,

& R. J. Klimosk (Eds.), Handbook of psychology: Industrial and organizational

psychology (Vol. 12) (pp. 171-192). Hoboken, NJ: Wiley.

Krohn, R. A. (2000). Training as a strategic investment. In R. W. Herling & J. Provo (Eds.),

Strategic perspectives of knowledge, competence, and expertise (pp. 8-21). San Francisco:

Berrett-Koehler.

LaFasto, F., & Larson, C. (2001). When teams work best. Thousand Oaks, CA: Sage.

Larson, C., & LaFasto, F. (1989). Teamwork: What must go right, what can go wrong.

London: Sage.

Latham, G. P., & Seijts, G. H. (1998). Management development. In P. J. Drenth. H. Thierry,

& Associates (Eds.), Handbook of work and organizational psychology, 3 (2), (pp. 257-

272). Hove, UK: Psychology Press/Erlbaum.

Levi, D. (2007). Group dynamics for teams. (2nd

ed.) Thousand Oaks, CA: Sage.

Liberman, M., Yalom, I., & Miles, M. (1973). Encounter groups: First facts. New York:

Basic Books.

London, M., & Maurer, T. J. (2004). Leadership development. In J. Antonakis, A. T.

Cianciolo, & R. J. Sternberg (Eds.), The nature of leadership (pp. 222-245).

London, M., & Smither, J. W. (1995). Can multi-source feedback change perceptions of goal

accomplishment, self-evaluations, and performance-related outcomes? Theory based

applications and directions for research. Personnel Psychology, 48, 803-839.

Lord, R. G., & Maher, K. J. (1991). Leadership and informational processing: Linking

perceptions and performance. London: Unwin Hyman.

Page 64: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

58

Lusterman, S. (1985). Trends in corporate education and training. New York: The

Conference Board.

MacKenzie, K. R. (1994). Group development. In A. Fuhriman & G. M. Burlingame

(Eds.), Handbook of group psychotherapy: An Empirical and clinical synthesis (pp. 559-

562). New York: Wiley.

Manz, C. C., & Sims, H. P., Jr. (1987). Superleadership: Leading others to lead

themselves: The external leadership of self-managing work teams. Administrative

Science Quarterly, 32,106-128.

Marziali, E., Munroe-Blum, H., & McCleary, L. (1997). The contribution of group

cohesion and group alliance to the outcome of group psychotherapy. International

Journal of Group Psychotherapy, 47, 475-497.

McCall, M. W., Lombardo, M. M., & Morrison, A. M. (1988). The lessons of experience:

How successful executives develop on the job. Lexington, MA: Lexington Books.

McCauley, C. D. (2000). A systems approach to leadership development. Paper presented at

the 15th

Annual Conference of the Society for Industrial and Organizational Psychology,

New Orleans, LA, April.

McCauley, C. D., & Douglas, C. A. (2004). Developmental relationships. In C. D. McCauley &

E. Van Velsor (Eds.), The Center for Creative Leadership handbook of leadership

development (2nd

ed., pp.85-115). San Fransisco: Jossey-Bass.

McCauley, C. D., Van Velsor, E., & Ruderman, M. N. (2010). Introduction: Our view of

leadership development. In E. Van Velsor, C. D. McCauley, & M. N. Ruderman (Eds.),

The Center for Creative Leadership handbook of leadership development (pp. 1-61).

San Fransisco, CA: John Wiley & Sons.

Moxley, R. S. (1998). Hardships. In C. D. McCauley, R. S. Moxley, & E. Van Velsor (Eds.).

The Center for Creative Leadership handbook of leadership development (pp. 194-213).

San Fransisco, CA: Jossey-Bass.

Nahapiet, J., & Ghoshal, S. (1998). Social capital, intellectual capital, and the organizational

advantage. Academy of Management Review, 23, 242-266.

Neary, D. B., & O’Grady, D. A. (2000). The role of training in developing global leaders:

A case study at TRW Inc. Human Resource Management, 29(2,3), 185-193.

Nicholas, M. W. (1984). Change in the context of group therapy. New York: Bruner &

Mazel.

Northouse, P. G. (2004). Leadership: Theory and practice (3rd

ed.). Thousand Oaks, CA:

Sage.

Page 65: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

59

Nygren, R., & Levine, E. L. (1996). Leadership of work teams: Factors influencing team

outcomes. In M. M. Beyerlein, D. A. Johnson, & S. T. Beyerlein (Eds.), Advances in

interdisciplinary studies of work teams: Team leadership, Vol. 3 (pp.67-104). Greenwich,

CT: JAI.

Olivero, G., Banc, D. K., & Kopelman, R. E. (1997). Executive coaching as a transfer of training

tool: Effects on productivity in a public agency. Public Personnel Management, 26, 461

-469.

Peterson, D. B. (1996). Executive coaching at work: The art of one-on-one change. Consulting

Psychology Journal: Practice and Research, 48, 78-86.

Phillips, P. P., & Phillips, J. J. (2001). Symposium on the evaluation of training.

International Journal of Management Development, 5(5), 240-247.

Porter, G., & Beyerlein, M. (2000). Historic roots of team theory and practice. In M. M.

Beyerlein (Ed.), Work teams: Past, present, and future (pp. 3-24). The

Netherlands: Kluwer.

Posthuma, B. W. (2002). Small groups in counseling and therapy: Process and

leadership. Boston, MA: Allyn & Bacon.

Reddy, B. W. (1985). The role of the change agent in the future of group work. The

Journal for Specialists in Group Work, 10(2), 103-107.

Riggio, R. E. (2008). Leadership development: The current state and future expectations.

Counseling Psychology Journal: Practice and Research, 60(4), 383-392.

Riva, M., Wachtel, M., & Lasky, B. (2004). Effective leadership in group counseling and

psychotherapy: Research and practice. In J. L. Delucia-Waack, D. A. Gerrity, C. R.

Kalodner, & M. T. Riva (Eds.), Group counseling and psychotherapy (pp. 37-48).

Thousand Oaks, CA: Sage.

Robbins, S. P., & Judge, T. A. (2007). Organizational behavior. Hoboken, New Jersey:

Prentice Hall.

Rogers, C. (1961). On becoming a person. Boston, MA: Houghton Mifflin.

Rohrbaugh, M., & Bartles, B. D. (1975). Participants’ perceptions of ‘curative factors’ in

therapy and growth groups. Small Group Behavior, 6, 430-456.

Rosenbaum, M. (1993). Existential-humanistic approach to group psychotherapy. In H. I.

Kaplan & B. J. Sadock (Eds.), Comprehensive group psychotherapy (3rd

ed.)

(pp.235-243). Baltimore, MD: Williams & Wilkins.

Page 66: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

60

Rosenburg, P. P. (1993). Qualities of the group psychotherapist. In H. I. Kaplan & B. J.

Sadock (Eds.), Comprehensive group psychotherapy (3rd

ed.) (pp.648-656).

Baltimore, MD: Williams & Wilkins.

Ruderman, M. N., & Ohlott, P. J. (1994). The realities of management promotion. Greensboro,

NC: Center for Creative Leadership.

Salas, E., & Cannon-Bowers, J. A. (2001). The science of training: A decade of progress. Annual

Review of Psychology, 52, 471-499.

Seibert, K. W., Hall, D. T., & Kram, K. E. (1995). Strengthening the weak link in

strategic executive development: Integrating individual development and

global business strategy. Human Resource Management, 34(4), 549-567.

Senge, P. M. (2006). The fifth discipline: The art and practice of the learning organization.

New York: Doubleday.

Shen, M., & Chen, M. (2007). The relationship of leadership, team trust and team

performance: A comparison of the service and manufacturing industries. Social

Behavior and Personality, 35(5), 643-658.

Sherry, P., & Hurley, J. R. (1976). Curative factors in psychotherapeutic and growth

groups. Journal of Clinical Psychology, 32(4), 835-837.

Smith, P. B. (1980). The t-group trainer: Group facilitator or prisoner of circumstances?

Journal of Applied Behavioral Science, 16, 63-77.

Stockton, R., Morran, D., & Krieger, K. (2004). An overview of current research and best

practices for training beginning group leaders. In J. L. Delucia-Waack, D. A. Gerrity, C.

R. Kalodner, & M. T. Riva (Eds.), Group counseling and psychotherapy (pp. 65-75).

Thousand Oaks, CA: Sage.

Stockton, R., Morran, D., & Velkoff, P. (1987). Leadership of therapeutic small groups.

Journal of Group Psychotherapy, Psychodrama, and Sociometry, 39(4), 157-165.

Stogdill, R. M. (1948). Personality factors associated with leadership: A survey of the

literature. Journal of Personality, 25, 35-71.

Stogdill, R. M. (1974). Handbook of leadership. New York: Free Press.

Suutari, V., & Viitala, R. (2007). Management and development of senior executives:

Methods and their effectiveness. Personnel Review, 37(4), 375-392.

Page 67: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

61

Swanson, R. A. (1994). Analysis for improving performance: Tools for diagnosing

organizations and documenting workplace expertise. San Francisco: Berrett-

Koehler.

Tannenbaum, S. I., Cannon-Bowers, J. A., & Mathieu, J. E. (1993). Factors that influence

training effectiveness: A conceptual model and longitudinal analysis. Naval Training

System Center: Orlando, FL.

Tannenbaum, S. (2002) A strategic view of organizational training and learning. In K.

Kraiger (Ed.), Creating, implementing, and managing effective training and

development, (pp.10-52). San Francisco, CA: Jossey-Bass.

The Conference Board. (1999). Developing leaders. HR Executive Review, 7(1), 1-19.

Tollerud, T. R., Holling, D. W., & Dustin, D. (1992). A model for teaching in group

leadership: The pre-group interview application. Journal for Specialists in Group

Work, 17(2), 96-104.

Tschuschke, V., & Dies, R. R. (1994). Intensive analysis of therapeutic factors and

outcomes in long-term inpatient groups. International Journal of Group

Psychotherapy, 44, 185-208.

Tuckman, B. W., & Jensen, M.A. (1977). Stages of small group development revisited. Group

and Organizational Studies, 2(4), 419-427.

Ulrich, D. (1997). Measuring human resources: An overview of practice and a prescription for

results. Human Resource Management, 36, 303-320.

Van Velsor, E., McCauley, C. D., & Moxley, R. S. (1998). Our view of leadership development.

In C. D. McCauley, R. S. Moxley, & E. Van Velsor (Eds.), The Center for Creative

Leadership handbook of leadership development (3rd

ed., pp.1-25). San Fransisco:

Jossey-Bass.

Varney, G. H. (1989). Building productive teams: An action guide and resource book.

San Francisco, CA: Jossey-Bass.

Vierce, A. A. (2000). Ten observations on e-learning and leadership development.

Human Resource Planning, 23(4), 34-36.

Vroom, V. H., & Yetton, P. W. (1973). Leadership and decision-making. New York: Wiley.

Warech, M. A., Smither, J. W., Reilly, R. R., Millsap, R. E., & Reilly, S. P. (1998). Self-

monitoring and 360-degree ratings. Leadership Quarterly, 9, 449-473.

Page 68: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

62

Wech, B., Mossholder, K., Steel, R., & Bennett, N. (1998). Does work group cohesion

affect individuals’ performance and organizational commitment? Small Group

Research, 29, 149-159.

Weiner, M. F. (1993). Role of the leader in group psychotherapy. In H. I. Kaplan & B. J.

Sadock (Eds.), Comprehensive group psychotherapy (3rd

ed.) (pp.84-98). Baltimore, MD:

Williams & Wilkins.

Wexley, K. N., & Baldwin, T. T. (1986). Management development. 1986 Yearly

Review of Management of the Journal of Management, 12(2), 277-294.

Wheelan, S. A. (1999). Creating effective teams: A guide for members and leaders.

Thousand Oaks, CA: Sage.

Wolff, S. B., Pescosolido, A. T., & Druskat, V. U. (2002). Emotional intelligence as the

basis of leadership emergence in self-managing teams. The Leadership Quarterly,

13, 505-522.

Woodall, J., & Winstanley, D. (1998). Management Development: Strategy and

Practice. Oxford: Blackwell.

Yalom, I., Tinklenberg, J., & Gilula, M. (1970). Curative factors in group psychotherapy.

In I. D. Yalom, The theory and practice of group psychotherapy (2nd

ed.). New

York: Basic Books.

Yalom I., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th

ed.)

New York: Basic Books.

Yukl, G. (2002). Leadership in organizations, 5th

ed. New York: Prentice-Hall.

Page 69: Group Psychotherapy Contributions to Leadership Development … · 2017-01-05 · In the field of group psychotherapy, Dr. Irvin Yalom is a leading researcher who has published many

63

Appendix

Interview Questions

1) Do you have any leadership development training programs in place?

a. How do you determine what kind of training is necessary?

b. Who developed the program (external/internal)?

c. Who attends the training?

d. How often are the trainings?

e. How many have been done here?

2) What does the leadership training involve?

a. What are the goals and how are they determined?

b. Who leads the training?

c. How is it scheduled? Weekends? During week? How frequently? How long?

d. Do you have a manual or information about the details of the training you could

share with me?

3) Have you evaluated the outcomes of the training?

a. What did the assessment entail?

b. What were the outcomes?

4) Do you modify the training based on the evaluations you get back and if so how?

5) What do you see as the strengths of the program?

6) How could leadership training be enhanced to yield optimal outcomes?

7) Are any aspects of your training program informed by research on transformational or

transactional leadership? If so, how is this research incorporated?

8) Do you know if any parts of the training are drawn from principles of psychology

specifically group dynamics or group therapy literature?