For example, because different etiologies require corresponding therapeutic designs and mechanisms (Spector, 2000; Steefel, 2002), specific support group makeup must consider the need to develop different strategies and methodologies for the following types of patients at a minimum if support groups are to provide equal benefit to all patients:
Elderly Patients and Lifelong Laborers - This group typically presents with psychological issues in the realm of a direct link between their sense of purpose and self-worth and their ability to continue to function productively in their community. Their need for acute medical and ancillary services, particularly in the Longview/East Texas community are often precipitated by chronic physical deterioration from a lifetime of relatively hard labor. Therefore, support group rehabilitation services must address the issues of self-esteem as a function of vocational productivity and lifestyle changes necessitated by medical conditions.
Prime-of-Life Victims of Traumatic Injury - This group typically presents with psychological issues in the realm of life-changing loss of physical function and a direct link between their emotional outlook and the life changes that correspond to their injuries. Whether their need for acute medical and ancillary services, are precipitated by combat wounds received overseas or traumatic injuries associated with vehicular or vocational accidents or sports injuries, their psychological needs, and therefore the design of appropriate support group services differ tremendously from other groups of patients (Clark & Robinson, 2000; Spector, 2000).
Pediatric Patients - This group typically presents with psychological issues in the realm of those associated with all pediatric areas of medical practice including the increased involvement of primary caretakers and extended family. While pediatric support groups require their own methodologies, it is anticipated that some area of direct overlap emphasizing direct interaction between their group support systems and those provided to prime-of-life patients might benefit both groups substantially.
Drug Abusers - This group typically presents with severe psychological, social, and physiological issues...
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