Group settings offer the elderly a unique outlet for interpersonal communication and can alleviate social isolation and aloneness. Group cohesiveness and instillation of hope are two curative factors in the group setting. Persons working with the elderly must be aware of their special problems and also be sensitive to their own age bias. Group work with the elderly can be divided into four main levels: (1) reality orientation, which attempts to make the client aware of the present; (2) remotivation, which is highly goal oriented; (3) reminiscing, which is past oriented; and (4) psychotherapy, conducted by a trained professional for self-awareness, self-acceptance, and a sense of personal continuity. While very little experimental research has been conducted in the area of group work with the elderly, one study did assess the interaction of group workers and members in a behavior modification group. Another study found problem solving useful in increasing social skills. Group work with the elderly will likely expand rapidly in the near future, because of its economic and interpersonal benefits. As the increasing numbers of older people gain more information about group functioning, they will probably find participation and leadership in such groups more acceptable. (HTH)