الفهرس 
Introduction and Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
Factors affecting change were divided into factors facilitating change and factors obstructing change. Factors facilitating change were divided into six items; the role of regular attendance, the role of the group climate, the role of group interactions, role of other group clients, role of the therapists and co-therapists and lastly role of the used model (Four-step Integrative Model).
Regarding the regular attendance; the clients reported that being regular in attending the group helps them to continue in their change or at least prevent being worse. Regular attendance helps them to feel more companionship, love, care and support added to putting light into new areas inside them.
Concerning the role of the group climate; the clients attending the Four-step group valued the group climate that contains care & concern, companionship, acceptance, safety, unconditioned love and unconditioned respect.
As for the role of group interactions; the most helpful interactions were working about acceptance, worthiness, femininity, marriage and relation with parents and God. Also the clients reported that the doctors’ comments to them were beneficial either it was in positive or negative.
The role of other group clients was highly valued. Other clients were providing companionship, understanding, care, love, support, acceptance to each other. Also the clients reported that feeling of jealousy from other members’ change was helpful.
The role of the therapist and co-therapists was considered as helpful to induce change as they were able to provide care, acceptance, safety, respect, love, understanding, feel the clients’ suffering and work as a mirror for the them. They also were providing an idol for being honesty, having responsibility, having true femininity, masculinity and motherhood.
The presence of more than one experienced therapist was preferred by the clients as they reported feeling more safe. Lastly the doctors’ work for themselves inside the group was considered as helpful from the perspective of the majority of the clients as it helps the clients to see the doctors with their reality; they are human being, we are similar and equal.
Within the factors affecting change positively, the used model in Minia Psychotherapy Groups (the Four-step Model) was reported by the members as natural, beneficial model that helps self-discovery and it is characterized by his gradual steps that permits the clients adequate time to feel, live, and practice it (there is a space between the need an the decision). So the model was perceived by most of the members as a facilitating factor to change.
Regarding factors obstructing change they were divided into; factors in other group clients, factors in the clients themselves, factors in the therapist or co-therapists.
The other group clients could obstruct other clients’ change either by their aggressive, careless or neglect behaviors or by their infrequent attendance as other clients waste time in the group while they wait them.
Factors in the clients themselves as carrying fears during attending the group or feeling of frustration, or leaving their resistance to control their attendance as they had to became late after the beginning of the group or not trusting the expressed love and care inside the group.