Large-group awareness training
Large-group awareness training (LGAT) refers to activities usually offered by groups linked with the human potential movement which claim to increase self-awareness and bring about desirable transformations in individuals' personal lives. They are noted for being unconventional and often take place over several lengthy days.
LGAT programs may involve several hundred people at a time. Though early definitions cited LGATs as featuring unusually long durations, more recent texts describe the trainings as lasting from a few hours to a few days. In 2004, DuMerton, citing "Langone (1989)", estimated that "[p]erhaps a million Americans have attended LGATs".: 39 Forsyth and Corazzini cite Lieberman (1994) as suggesting "that at least 1.3 million Americans have taken part in LGAT sessions".
Definitions of LGAT
DuMerton described Large Group Awareness Training as "teaching simple, but often overlooked wisdom, which takes place over the period of a few days, in which individuals receive intense, emotionally-focused instruction".  Rubinstein compared large-group awareness training to certain principles of cognitive therapy, such as the idea that people can change their lives by interpreting the way they view external circumstances.
In Consumer Research: Postcards from the edge, discussing behavioral and economic studies, the authors contrasted the "enclosed locations" used with Large Group Awareness Trainings with the "relatively open" environment of a "variety store".
The Handbook of Group Psychotherapy described Large Group Awareness Training as focusing on "philosophical, psychological and ethical issues." These relate to desires to increase people's personal effectiveness.
Psychologist Dennis Coon's textbook, Psychology: A Journey, defined the term "LGAT" as referring to: "programs claiming to increase self-awareness and facilitate constructive personal change". Coon further defines Large Group Awareness Training in his book Introduction to Psychology.
The evolution of LGAT-providers
Lou Kilzer, in The Rocky Mountain News, identified Leadership Dynamics (in operation 1967-1973) as the first of the genre of what psychologists termed "Large Group Awareness Training". It is noted many permutations of large-group transformation trainings were directly or indirectly influenced by Leadership Dynamics.
While working for Holiday Magic, Lifespring founder John Hanley attended a course at Leadership Dynamics. Chris Mathe, at the time a Ph.D. candidate in clinical psychology, wrote that most of today's current forms of Large Group Awareness Training were modeled after the Leadership Dynamics Institute. Mathe cited Lifespring, Insight Seminars, PSI Seminars, New Warriors, and Impact as groups that were influenced by Leadership Dynamics.
In their self-published book, Navarro and Navarro identify Mind Dynamics (in operation 1968-1973) as the major forerunner of large group awareness trainings. They write that, although Mind Dynamics itself existed only briefly, it sparked an industry of similar trainings.
Groups and trainings such as Lifestream Lifespring (1974-ca 1995), Erhard Seminars Training (abbreviated est in lowercase) (1971-1981), IMPACT Trainings, (1985-Current)The Forum (1981-1991), Newfield Consulting, Seres Naturales, Landmark Education/Landmark Worldwide (1991-current), and Benchmark claimed to have worked to improve people's overall level of satisfaction and interpersonal relations through group interaction. 
There is a style of LGAT to carry out in the outdoors for using methods of an American Indian and other therapy. When James Ray International hosted it in 2009, it resulted in many injury and loss of three lives. This provider had attracted attention in the opinion of curing cancer, and had been often covered by the media before.
Academic analyses, studies
"Large Group Awareness Training", a 1982 peer-reviewed article published in Annual Review of Psychology, sought to summarize literature on the subject of LGATs and to examine their efficacy and their relationship with more standard psychology. This academic article describes and analyzes large group awareness training from a psychological perspective. Influenced by the work of humanistic psychologists such as Carl Rogers, Abraham Maslow and Rollo May and sometimes associated with the human potential movement, LGATs as commercial trainings took many techniques from encounter groups. They existed alongside but "outside the domains of academic psychology or psychiatry. Their measure of performance was consumer satisfaction and formal research was seldom pursued."
The article describes an est training, and discusses the literature on the testimony of est graduates. It notes minor changes on psychological tests after the training and mentions anecdotal reports of psychiatric casualties among est trainees. The article considers how est compares to more standard psychotherapy techniques such as behavior therapy, group and existential psychotherapy before concluding with a call for "objective and rigorous research" and stating that unknown variables might have accounted for some of the positive accounts. Psychologists advised borderline or psychotic patients not to participate.
Psychological factors cited by academics include emotional "flooding", catharsis, universality (identification with others), the instillation of hope, identification and what Sartre called "uncontested authorship".
In 1989 researchers from the University of Connecticut received the "National Consultants to Management Award" from the American Psychological Association for their study: Evaluating a Large Group Awareness Training. The study concluded that participation in the LGAT studied (the Forum) had very little impact on participants.
Psychologist Chris Mathe has written in the interests of consumer-protection, encouraging potential attendees of LGATs to discuss such trainings with any current therapist or counselor, to examine the principles underlying the program, and to determine pre-screening methods, the training of facilitators, the full cost of the training and of any suggested follow-up care.
Finkelstein's 1982 article provides a detailed description of the structure and techniques of an Erhard Seminars Training event, noting an authoritarian demeanor of the trainer, physical strains on the participants from a long schedule, and the similarity of many techniques to those used in some group therapy and encounter groups. The academic textbook, Handbook of Group Psychotherapy regards Large Group Awareness Training organisations as "less open to leader differences", because they follow a "detailed written plan" that does not vary from one training to the next.
Specific techniques used in Large Group Awareness Trainings may include:
- relaxation techniques
- neuro-linguistic programming
LGATs utilize such techniques during long sessions, sometimes called a "marathon" session. Paglia describes "EST's Large Group Awareness Training": "Marathon, eight-hour sessions, in which [participants] were confined and harassed, supposedly led to the breakdown of conventional ego, after which they were in effect born again."
In his book Life 102, LGAT participant and former trainer Peter McWilliams describes the basic technique of marathon trainings as pressure/release and asserts that advertising uses pressure/release "all the time", as do "good cop/bad cop" police-interrogations and revival meetings. By spending approximately half the time making a person feel bad and then suddenly reversing the feeling through effusive praise, the programs cause participants to experience a stress-reaction and an "endorphin high". McWilliams gives examples of various LGAT activities called processes with names such as "love bomb," "lifeboat", "cocktail party" and "cradling" which take place over many hours and days, physically exhausting the participants to make them more susceptible to the trainer's message, whether in the participants' best interests or not.
Although extremely critical of some LGATs, McWilliams found positive value in others, asserting that they varied not in technique but in the application of technique.
Evaluations of LGATs
Finkelstein noted the many difficulties in evaluating LGATs, from proponents' explicit rejection of certain study models to difficulty in establishing a rigorous control group. In some cases, organizations under study have partially funded research into themselves.
Not all professional researchers view LGATs favorably. Researchers such as psychologist Philip Cushman, for example, found that the program he studied "consists of a pre-meditated attack on the self". A 1983 study on Lifespring found that "although participants often experience a heightened sense of well-being as a consequence of the training, the phenomenon is essentially pathological", meaning that, in the program studied, "the training systematically undermines ego functioning and promotes regression to the extent that reality testing is significantly impaired". Lieberman's 1987 study, funded partially by Lifespring, noted that 5 out of a sample of 289 participants experienced "stress reactions" including one "transitory psychotic episode". He commented: "Whether [these five] would have experienced such stress under other conditions cannot be answered. The clinical evidence, however, is that the reactions were directly attributable to the large group awareness training."
The Vatican has opined on "New Age training courses":
- New Age training courses (what used to be known as “Erhard seminar trainings” [EST] etc.) marry counter-cultural values with the mainstream need to succeed, inner satisfaction with outer success [...]
In Coon's psychology textbook (Introduction to Psychology) the author references many other studies, which postulate that many of the "claimed benefits" of Large Group Awareness Training actually take the form of "a kind of therapy placebo effect". DuMerton writes that "... there is a lack of scientific evidence to quantify the longer-term positive outcomes and changes objectively ..." Jarvis described Large Group Awareness Training as "educationally dubious" in the 2002 book The Theory & Practice of Teaching.
Tapper mentions that "some [unspecified] large group-awareness training and psychotherapy groups" exemplify non-religious "cults". Benjamin criticizes LGAT groups for their high prices and spiritual subtleties. In an academic research-paper on "Choices", a type of LGAT, researchers credited LGAT programs with having had perhaps a million American attendees, many of whom gave positive testimonials of "healing effects" and "positive outcomes in their lives".
LGATs and the Anti-Cult Movement
After commissioning a report by Dr. Margaret Singer , the American Psychological Association subsequently rejected and strongly criticised  a report by the APA Task Force on Deceptive and Indirect Techniques of Persuasion and Control, in which the anti-cult psychologist Margaret Singer included large group awareness trainings as one example of what she called "coercive persuasion". The APA characterized Singer's hypotheses as "uninformed speculations based on skewed data"  and stated that the report "[i]n general" lacked "the scientific rigor and evenhanded critical approach necessary for APA imprimatur."  The APA also claimed that "the specific methods by which Drs. Singer and Benson have arrived at their conclusions have also been rejected by all serious scholars in the field." Singer sued the APA, and lost on June 17, 1994 Despite the APA rejection of her report, Singer remained in good standing in the psychological research community. Singer reworked much of the report material into the book Cults in our Midst: The Hidden Menace in Our Everyday Lives (1995, second edition: 2003), which she co-authored with Janja Lalich.
Singer and Lalich stated that "large group awareness trainings" tend to last at least four days and usually five. Their book mentions Erhard Seminars Training and its derivatives such as the Forum, "Lifespring, Actualizations, MSIA/Insight and PSI Seminars.
In her book, Singer differentiated between the usage of the terms cult and Large Group Awareness Training.[page needed] while pointing out some commonalities. Elsewhere she groups the two phenomena together in that they both use a shared set of thought-reform techniques.
- For example, Eret, Dylan C. (January 1, 2001). "Capitalizing on self-fulfilling prophecies: The vernacular dimensions of Anthony Robbins' self-empowerment enterprise". University of Pennsylvania dissertation. Retrieved August 5, 2009.
Abstract[: ...] the numerous intensive therapies of the Human Potential Movement and LGATs during the 1960s and 1970s within American culture
- Coon, Dennis (2004). Psychology: A Journey. Thomson Wadsworth. pp. 520, 528, 538. ISBN 0-534-63264-5.
- Mass Marathon Trainings, excerpted, The Politics of Transformation: Recruitment – Indoctrination Processes in a Mass Marathon Psychology Organization, St. Martin's Press 1993, Philip Cushman, Ph.D.
- Weigel, Richard G. (2002). "The marathon encounter group—vision and reality: Exhuming the body for a last look". Consulting Psychology Journal: Practice and Research. American Psychological Association. 54 (3): 186–198. doi:10.1037/1061-4087.54.3.186. ISSN 1065-9293. Retrieved January 9, 2010.
The groups I'm talking about are est (and its more recent descendant, The Forum) and Lifespring, both of which use structured activities; involve several hundred or more participants and one central leader [...]
- DuMerton, C. Lynn (July 2004). "Tragic Optimism and Choices: The Life Attitudes Scale with a First Nations Sample" (PDF). [Master's Thesis]. Trinity Western University [Hosted on university web-site] (Master of Arts, Graduate Counseling Psychology Program). Retrieved June 22, 2009.[dead link]
- Forsyth, Donelson R.; Corazzini, John G. (2000). "Groups as Change Agents" (PDF). In Snyder, Charles Richard; Ingram, R E. Handbook of psychological change: Psychotherapy processes and practices for the 21st century. New York: Wiley.
Lieberman suggests that at least 1.3 million Americans have taken part in LGAT sessions.
- Rubinstein, Gidi (2005). "Characteristics of participants in the Forum, psychotherapy clients, and control participants: A comparative study". Psychology and Psychotherapy: Theory, Research and Practice. British Psychological Society. 78 (4): 481–492. doi:10.1348/147608305X42721. ISSN 1476-0835. PMID 16354440.
- Brown, Stephen I.; Darach Turley (1997). Consumer Research: Postcards from the edge. Routledge. p. 279. ISBN 0-415-17317-5. ISBN 0-415-15684-X.
- Burlingame, Gary M. (1994). Handbook of Group Psychotherapy: An Empirical and Clinical Synthesis. John Wiley and Sons. pp. 528, 532, 535, 539, 549, 550, 555, 556, 581, 583. ISBN 0-471-55592-4.
- Coon, Dennis (2003). Introduction to Psychology: Gateways to Mind and Behavior. Thomson Wadsworth. pp. 648, 649, 655. ISBN 0-495-59913-1. ISBN 0-534-61227-X.
- Kilzer, Lou (July 18, 1999). "Desperate Measures Network of Behavior Modification Compounds Known as Teen Help Has Straightened Out Hundreds of Defiant Adolescents, But Its Methods Aren't For the Faint-hearted.". Rocky Mountain News. E. W. Scripps Company.
"The first of the genre psychologists call "large group awareness training" was the Leadership Dynamics Institute..."
- Langone, Michael (1998). "Large Group Awareness Trainings". Cult Observer. 15 (1). ISSN 1539-0152.
- Fisher, Marc (October 25, 1987). "I Cried Enough to Fill a Glass: In One Lifespring Session, Trainees May Find Themselves Crawling on Their Hands and Knees, Wailing Like Infants and Tightly Hugging 200 Total Strangers - All to Get Control of Their Lives. Does it Work? Sometimes.". The Washington Post. 1987 The Washington Post.
- Mathe, Ph.D., Chris., Choosing a Personal Growth Program: Ten questions to help you make an informed decision, Chris Mathe 1999. Alternate site
- Brewer, Maryilyn B.; Miles Hewstone (2004). Applied Social Psychology. Blackwell Publishing. p. 81. ISBN 1-4051-1067-8.
- Tindale, R. Scott (2001). Group Processes: Blackwell Handbook of Social Psychology. Blackwell Publishing. p. 630. ISBN 1-4051-0653-0.
"EST, FORUM and LIFESPRING are all examples of LGATs, for members seek to improve their overall level of satisfaction and interpersonal relations by carrying out such experiential exercises as role-playing, group singing and chanting, and guided group interaction."
- Zeig, Jeffrey K. (1997). The Evolution of Psychotherapy: The Third Conference. Psychology Press. pp. 352, 357. ISBN 0-87630-813-2.
"Training or T-groups, sensitivity training, and encounter groups spread and were followed by commercially sold large group awareness training programs, such as est, Lifespring and other programs."
- Self-Help guru convicted sweat lodge deaths. updated 6/22/2011. NBC NEWS com. Retrieved February 4, 2016.
- Does Positive Thinking Have Power to Cure Cancer? June 28, 2010. abc NEWS com. Retrieved February 4, 2016.
- See for example: Fisher, Jeffrey D. (1990). Evaluating a large group awareness training: a longitudinal study of psychosocial effects. Springer-Verlag. p. 1. ISBN 978-0-387-97320-3.
Large Group Awareness Training: An Historical Context. Groups associated with the human potential movement have been a controversial feature of American life during the last three decades.
- Note also: Safigan, Steve J. (2009). "Experiential Learning Groups: History, an Exploratory Case Study, and Possible Mechanisms of Change" (PDF). Positive Psychology Center: Master of Applied Positive Psychology (MAPP) Capstone Projects. University of Pennsylvania. p. 73. Retrieved November 17, 2009.
As the human potential movement exploded in the sixties, so did the popularity and variety of encounter groups. [...] In the words of Richard Weigel (2002), encounter groups and other experiential learning groups 'spread like wildfire from being therapy, to being the ultimate personal growth experience, to being a full-fledged social movement... hoopla, epidemic, fad, and cash cow.'[...] Experiential learning groups have lost most of their momentum and popularity, though several continue to thrive. [...] The most popular format is the large group awareness training (LGAT). LGATs attempt to attract a more business-oriented clientele who have access to corporate training budgets. Hundreds of thousands of individuals participate every year in these types of seminars, run by Anthony Robbins, Landmark Education, Lifespring, and hundreds of other programs.
- Finkelstein, P.; Wenegrat, B.; Yalom, I. (1982). "Large Group Awareness Training". Annual Review of Psychology. 33 (1): 515–539. doi:10.1146/annurev.ps.33.020182.002503. ISSN 0066-4308. Cite error: Invalid
<ref>tag; name "finkelstein" defined multiple times with different content (see the help page).
- Fisher, Jeffrey D.; Silver, Chinsky; Goff, Klar (1990). Evaluating a Large Group Awareness Training. Springer-Verlag. p. vii. ISBN 978-0-387-97320-3.
The research reported in this volume was awarded the American Psychological Association, Division 13, National Consultants to Management Award, August 13, 1989.
- Choosing a Personal Growth Program: Ten questions to help you make an informed decision, Chris Mathe, Ph. D., 1999
- "Intruding into the Workplace", Dr. Margaret Singer, excerpted from Singer, Margaret; Janja Lalich (1995). Cults in our Midst. San Francisco: Jossey-Bass Publishers. ISBN 0-7879-0051-6. Retrieved November 19, 2007.
Aside from complaining that they were being put through programs tantamount to a forced religious conversion, employees also objected to specific techniques being used: meditation, neurolinguistic programming, biofeedback, self-hypnosis, bizarre relaxation techniques, mind control, body touching, yoga, trance inductions, visualization, and in some cases, intense confrontational sessions akin to the "attack" therapy methods that emerged in the 1960s and 1970s.
- Partridge, C. (2004). New Religions: A Guide; New Religious Movements, Sects and Alternative Spiritualities. Oxford University Press. p. 407. ISBN 0-19-522042-0.
- Paglia, Carmen (Winter 2003). "Cults and Cosmic Consciousness: Religious Vision in the American 1960s" (PDF). Arion. Boston University. 10 (3): 106. Archived from the original (PDF) on July 24, 2009. Retrieved August 5, 2009.
- Peter McWilliams, Life 102: What to Do When Your Guru Sues You (Prelude Press: Los Angeles, 1994). ISBN 0-931580-34-X., pp 6–7.
- Lieberman, "Effects of Large Group Awareness Training on Participants' Psychiatric Status", American Journal of Psychiatry v 144 p 460-464, April 1987.
- Cushman, "Iron Fists/Velvet Gloves: A Study of A Mass Marathon Psychology Training", Psychotherapy vol 26, Spring 1989.
- Haaken, J. and Adams, R., "Pathology as 'Personal Growth': A Participant-Observation Study of Lifespring Training", Psychiatry, vol 46, August 1983.
- See A Christian reflection on the New Age: Pontifical Council for Culture, Pontifical Council for Interreligious Dialogue (eds.). "A Christian reflection on the "New Age"". The Vatican. Retrieved 2013-11-30.
New Age training courses (what used to be known as “Erhard seminar trainings” [EST] etc.) marry counter-cultural values with the mainstream need to succeed, inner satisfaction with outer success [...]
- Jarvis, Peter (2002). The Theory & Practice of Teaching. Routledge. p. 97. ISBN 0-7494-3409-0.
- Tapper, A (September 2002). "The Impact of Cults on Health" (PDF). Nursing Spectrum.
- Benjamin, Ph.D., Elliot (June 2005). "Spirituality and Cults" (PDF). Integral Science. Retrieved 2013-11-30.
[...] the dogma, recruitment focus, and high prices of Avatar courses are in themselves enough reason to be very much on guard with this organization.
- University of Virginia Library
- CESNUR – APA Brief in the Molko Case
- Decision Against Margaret Singer (CESNUR)
- Blim, Andrew: 'Cult Experts Sue Lawyers, Others" in National Law Journal, August 31, 1992, Vol 33, Issue 19: "Berkeley professors Margaret Singer and Richard Ofshe ... are viewed by even the lawyer-defendants as reputable scholars".
- Intruding into the Workplace, Dr. Margaret Singer, excerpted from Cults in our Midst (book), 1995
- Singer, Margaret Thaler (1995). Cults in our midst. Jossey-Bass social and behavioral science series. with Janja Lalich ; foreword by Robert Jay Lifton. San Francisco: Jossey-Bass Publishers. p. 381. ISBN 0-7879-0051-6. Retrieved May 26, 2010.
- Singer, Margaret Thaler (1995). Cults in our midst. Jossey-Bass social and behavioral science series. with Janja Lalich ; foreword by Robert Jay Lifton. San Francisco: Jossey-Bass Publishers. p. 85. ISBN 0-7879-0051-6. Retrieved May 26, 2010.
[...] cultic groups use large group awareness training (LGAT) techniques [...]
- Singer, Margaret Thaler (2003). "The Process of Brainwashing, Psychological Coercion, and Thought reform". In Dawson, Lorne L. Cults and new religious movements: a reader. Blackwell readings in religion. 2 (2 ed.). Wiley-Blackwell. pp. 149–150. ISBN 978-1-4051-0181-3. Retrieved May 26, 2010.
There is [...] an important distinction [...] between the version of though reform prevalent in the 1940s and 1950s and the version used by a number of contemporary groups, including cults, large group awareness training programs, and assorted other groups. These latter-day efforts have built upon the age-old influence techniques to perfect amazingly successful programs of persuasion and change. What's new – and crucial – is that these programs change attitudes by attacking essential aspects of a person's sense of self, unlike the earlier brainwashing programs that primarily confronted a person's political beliefs.
- Singer, Margaret, Ph. D. (1996). "Intruding into the Workplace". Cults in our Midst. Jossey-Bass. ISBN 0-7879-0266-7.
- McWilliams, Peter (1994). Life 102: What To Do When Your Guru Sues You. Mary Book / Prelude Pr. ISBN 0-931580-34-X.
- Fisher; et al. (1990). Evaluating a Large Group Awareness Training: A Longitudinal Study of Psychosocial Effects. Springer-Verlag. ISBN 0-387-97320-6.
- Carroll, Robert Todd (2003). The Skeptic's Dictionary: A Collection of Strange Beliefs, Amusing Deceptions, and Dangerous Delusions. John Wiley & Sons. ISBN 0-471-27242-6.
- Finkelstein, Peter; Brant Wenegrat; Irvin Yalom (January 1982). "Large Group Awareness Training". Annual Review of Psychology. 33 (1): 515–539. doi:10.1146/annurev.ps.33.020182.002503.
- Lieberman, MA (1 April 1987). "Effects of large group awareness training on participants' psychiatric status". American Journal of Psychiatry. 144 (4): 460–464. PMID 3565614. Retrieved May 26, 2007.
- Fisher, Jeffrey; Silver, Roxane C.; Chinsky, Jack M.; Goff, Barry; et al. (December 1989). "Psychological Effects of Participation in a Large Group Awareness Training". Journal of Consulting and Clinical Psychology. 57 (6): 747–755. doi:10.1037/0022-006X.57.6.747. Retrieved May 26, 2007.
- Klar, Yechiel; Mendola, R; Fischer, JD; Silver, RC; Chinsky, JM; Goff, B (February 1990). "Characteristics of Participants in a Large Group Awareness Training". Journal of Consulting and Clinical Psychology. 58 (1): 99–108. doi:10.1037/0022-006X.58.1.99. PMID 2319051. Retrieved May 26, 2007.
- Lieberman, MA (1992). "Perceptions of changes in the self, the impact of life events and large group awareness training". Self change.
- Joyce, N (1992). "Self system factors as an index of change in large group awareness training". San Francisco State University.
- Philip Cushman, Ph. D. (1993). "Mass Marathon Trainings, excerpted, The Politics of Transformation: Recruitment – Indoctrination Processes in a Mass Marathon Psychology Organization". St. Martin's Press.
- Denison, Charles Wayne, Ph. D. (1994). "The Children of est: A study of the Experience and Perceived Effects of a Large Group Awareness Training (The Forum)". University of Denver.
- Langone, Michael, Ph. D. (1998). "Large Group Awareness Trainings". Cult Observer. 15 (1). Retrieved May 26, 2007.
- Hughes, S (1999). "Developmental effects of participation in a large group awareness training". Dissertation Abstracts International.
- Odell, Susan (2001). "Large Group Awareness Training in the 1990s: The Participants' Perspective". University of Leeds (School of Medicine).
- Rubinstein, Gidi (December 2005). "Characteristics of participants in the Forum, psychotherapy clients, and control participants: A comparative study" (PDF). Psychology and Psychotherapy: Theory, Research and Practice. 78 (4): 481–492. doi:10.1348/147608305X42721. PMID 16354440. Retrieved May 26, 2007.
- Cushman, Philip, Ph. D. "Description of the Behavioral Structure of the Training". The Politics of Transformation.
- Neiman, K. "Negotiating the Self in Society: A Large Group Awareness Training Program as a Cultural Scene".
- Polaski, Mary. "The Mary Polaski "L" Series"
- Tennis, Cary (August 2, 2005). "My therapist is hawking awareness training". Salon. Retrieved May 26, 2007.
- "Human Potential: The Revolution in Feeling". Time Magazine. November 9, 1970. Retrieved May 26, 2007.
- "Lifting Principals, Spilling Guts". Houston Press. May 20, 1999. Retrieved December 13, 2009.