Bennett Roth’s review appears in GROUP  Summer 2016: Pepper is on to something here… Pepper bravely brings in his own treatment by a therapist and that therapist’s treatment errors… I want to recommend Chapter 6. Everyone should read this Chapter.

 Dr. Gans’ review of my book; “Emotional Incest in Group Psychotherapy–A Conspiracy of Silence” Rowman & Littlefield ( 2014) appears in the “International Journal of Group Psychotherapy”  Vol.66, No.1, 2016 — “Dr. Robert Pepper has shown courage and provided an important service to the field of analytic group psychotherapy….The passion with which Pepper writes reflects his personal as well as his professional motives…A refreshing honesty pervades Pepper’s personal quest to unravel how frame alterations and dual relations cause harm….I recommend this book to neophyte and senior leaders alike.

Dr. Robert S. Pepper’s groundbreaking study of the often neglected, but vastly important subject of abuses of power in group psychotherapy, will surely stand the test of time — a classic in its field. His book clearly charts a clear path for the resolution of this vexing problem.  The book is extraordinarily well researched and exceptionally well written.Dr. A. J. Abraham, John Jay College of CUNY and the New York Institute of Technology

Dr. Pepper’s newly published book is a crisp and compact little package, easily carried in your handbag or backpack, but delivers its message with the visceral impact needed to jar our awareness of the dangers associated with the dual relationships many of us may have encountered in our own group therapy treatment and training and which are often perpetuated in our work with patients. Dr. Pepper’s anecdotal account of his own experiences during his many years of training and practice are meticulously researched and referenced with writings of his own and others, who both share and disagree with his premises. I urge you to join the controversy and/or share the conversation. In any event, Dr. Pepper’s book is definitely professional library material.Elizabeth Lanier, DCSW, CGP

This is a particularly generous and honest treatise…This work should be read by all clinicians in the field…I believe Dr. Pepper’s work should be a training manual for every therapist.Helen Hinckley Krackow, LCSW, BCD

Rob, this review could not be better! Congratulations on having your hard work and thought acknowledged by an authority who was obviously impressed by this endeavor. I look forward to reading the book and including it in my bibliography for those I teach group.Dr. Philip B. Luloff, MD

I just finished reading your book.  It is fascinating.  I was particularly struck by the passion and forcefulness of your presentation.Joan Dulchin PhD. Faculty, NYU

This volume represents a culmination of Robert Pepper’s carefully and thoughtfully considered thesis about the potential abuses of power by those who practice, teach or supervise group psychotherapy. Masterfully crafting together his own professional experiences with a comprehensive review of the extant literature, he cogently and compellingly warns of the ensuing, harmful consequences when psychotherapists embark on the slippery slope of boundary violations in their work.Les R. Greene, PhD, Yale University

Insightful and illuminating text! Many clinical therapists will eventually seek out advance institute training as a way to enhance their skills and be better prepared for the rigorous demands of being a psychotherapist. In this training, it may become apparent that things are not the way they should be. It may be a rude awakening to see that even in the health field, things can go wrong. Dr. Pepper brings light to this issue in his insightful and illuminating text. He points out many examples of how boundaries, which are needed to protect the client and the leader, are crossed. In this process, he also helps us see how when groups are done right, this form of therapy can be a powerful and constructive force allowing the client to view his or her relationships in a new way. Earl Hopper, in his text, Trauma and Organization, discusses a similar adverse reaction which he calls, ‘failed dependency’ where the leader/organizational heads, don’t adhere to proper boundaries and the problems that follow. I highly recommend this text to those starting training (a necessary step in one’s professional development) and advance therapists as well.Greg MacColl, LCSW, CGP, FAGPA, Psychotherapist

This extremely well-written and highly accessible book is a brave and brilliant expose on the dangers of altered frame therapy relationships. This book is a must read for any patient, trainee or clinician who wishes to recognize and prevent iatrogenic treatment reactions that result from altered frame therapy relationshipsDr. Jamie Turndorf, creator of, the web's first relationship advice site

I never read books but I couldn’t put Dr. Pepper’s book down. I never realized how complicated relationships between therapists and patients could be. The book is so interesting to me….I was particularly fascinated by the concept of “gaslighting.”Steven C.

It took me a while to read the book because I’ve been going through it with two different color markers, underlining passages and sentences. As a new therapist, I find this book a wealth of information on how to run a group, what pitfalls to avoid and how it’ll affect group dynamics. As a participant in a group psychotherapy myself, it was an invaluable resource of how to be an educated consumer and advocate on my own needs and rights. The book is very well written: it’s entertaining, endearing, wise and vulnerable, just like it’s author. Can’t wait to read Dr. Pepper’s next work.Nadia Greenspan

I am impressed with the depth and breadth of Dr. Pepper’s research and his exhaustive bibliography on the important but little studied topic of boundaries in group psychotherapy. No one has addressed this subject to the extent to which Dr. Pepper has. I would like to extend a note of gratitude to him for opening the door to the discussion of this overlooked dynamic in our profession.Dr. Lena Furgeri

This book is fascinating. I thought it would be another dry textbook on group therapy. Was I surprised. It’s an engaging, smart, touching, sometimes funny, somewhat memoir-like story of Dr. Pepper’s journey as a group therapist. I found myself immersed in the stories and his brilliant description of the dangers of blurred boundaries between therapy and not therapy in analytic group treatment. While written for group leaders and their patients, I think any psychologically minded person with an interest in an insider’s look at his profession will find it as fascinating as I did.Amazon Reader

Dr. Pepper’s book was an eye-opener for me. I’ve often thought of joining a therapy group but never considered that a therapist’s own therapy had such an impact on their work with patients. I recommend this book to anyone who is in group therapy or who is considering joining one. It helped me to think through more carefully my decision about which one to join.Amazon Reader

Thank you so much Dr. Pepper for a unique experience while reading your book. I began to understand the depth and critical thinking behind boundaries. I now see many broken boundaries. I realize the consequences about a broken boundary in everyday life as well as in analytic therapy. Good work Doctor Pepper.Amazon Reader

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