When Group Spirit Meets Personal Journeys: Exploring Motivational Dynamics and Design Opportunities in Group Therapy
Geng, Shixian; Shimojima, Ginshi; Yang, Chi-Lan; Sramek, Zefan; Norihama, Shunpei; Takano, Ayumi; Hosio, Simo; Yatani, Koji (2025-05-02)
ACM
02.05.2025
Shixian Geng, Ginshi Shimojima, Chi-Lan Yang, Zefan Sramek, Shunpei Norihama, Ayumi Takano, Simo Hosio, and Koji Yatani. 2025. When Group Spirit Meets Personal Journeys: Exploring Motivational Dynamics and Design Opportunities in Group Therapy. Proc. ACM Hum.-Comput. Interact. 9, 2, Article CSCW205 (April 2025), 27 pages. https://doi.org/10.1145/3711103
https://rightsstatements.org/vocab/InC/1.0/
© 2025 Copyright held by the owner/author(s). This is the author's version of the work. It is posted here for your personal use. Not for redistribution. The definitive Version of Record was published in Proceedings of the ACM on Human-Computer Interaction, Volume 9, Issue 2, https://doi.org/10.1145/3711103
https://rightsstatements.org/vocab/InC/1.0/
© 2025 Copyright held by the owner/author(s). This is the author's version of the work. It is posted here for your personal use. Not for redistribution. The definitive Version of Record was published in Proceedings of the ACM on Human-Computer Interaction, Volume 9, Issue 2, https://doi.org/10.1145/3711103
https://rightsstatements.org/vocab/InC/1.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202505163515
https://urn.fi/URN:NBN:fi:oulu-202505163515
Tiivistelmä
Abstract
Psychotherapy, such as cognitive-behavioral therapy (CBT), is effective in treating various mental disorders. Technology-facilitated mental health therapy improves client engagement through methods like digitization or gamification. However, these innovations largely cater to individual therapy, ignoring the potential of group therapy-a treatment for multiple clients concurrently, which enables individual clients to receive various perspectives in the treatment process and also addresses the scarcity of healthcare practitioners to reduce costs. Notwithstanding its cost-effectiveness and unique social dynamics that foster peer learning and community support, group therapy, such as group CBT, faces the issue of attrition. While existing medical work has developed guidelines for therapists, such as establishing leadership and empathy to facilitate group therapy, understanding about the interactions between each stakeholder is still missing. To bridge this gap, this study examined a group CBT program called the Serigaya Methamphetamine Relapse Prevention Program (SMARPP) as a case study to understand stakeholder coordination and communication, along with factors promoting and hindering continuous engagement in group therapy. In-depth interviews with eight facilitators and six former clients from SMARPP revealed the motivators and demotivators for facilitator-facilitator, client-client, and facilitator-client communications. Our investigation uncovers the presence of discernible conflicts between clients' intrapersonal motivation as well as interpersonal motivation in the context of group therapy through the lens of self-determination theory. We discuss insights and research opportunities for the HCI community to mediate such tension and enhance stakeholder communication in future technology-assisted group therapy settings.
Psychotherapy, such as cognitive-behavioral therapy (CBT), is effective in treating various mental disorders. Technology-facilitated mental health therapy improves client engagement through methods like digitization or gamification. However, these innovations largely cater to individual therapy, ignoring the potential of group therapy-a treatment for multiple clients concurrently, which enables individual clients to receive various perspectives in the treatment process and also addresses the scarcity of healthcare practitioners to reduce costs. Notwithstanding its cost-effectiveness and unique social dynamics that foster peer learning and community support, group therapy, such as group CBT, faces the issue of attrition. While existing medical work has developed guidelines for therapists, such as establishing leadership and empathy to facilitate group therapy, understanding about the interactions between each stakeholder is still missing. To bridge this gap, this study examined a group CBT program called the Serigaya Methamphetamine Relapse Prevention Program (SMARPP) as a case study to understand stakeholder coordination and communication, along with factors promoting and hindering continuous engagement in group therapy. In-depth interviews with eight facilitators and six former clients from SMARPP revealed the motivators and demotivators for facilitator-facilitator, client-client, and facilitator-client communications. Our investigation uncovers the presence of discernible conflicts between clients' intrapersonal motivation as well as interpersonal motivation in the context of group therapy through the lens of self-determination theory. We discuss insights and research opportunities for the HCI community to mediate such tension and enhance stakeholder communication in future technology-assisted group therapy settings.
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