Universality — MRCPsych Paper B MCQ
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Correct answer: A — Recognising that other group members have similar difficulties
Explanation lettering: B = shown as A · E = shown as B · A = shown as C · C = shown as D · D = shown as E
B is correct. Universality is the recognition that other group members have comparable problems, thoughts or feelings. This counters the belief that one's difficulties are unique and can reduce shame and isolation. A describes guidance or the imparting of information rather than universality. C is imitative behaviour, in which members learn by observing the therapist or other members. D describes catharsis, the therapeutic expression and release of emotion. E describes altruism, whereby members benefit through supporting or helping others. The defining feature in universality is therefore the discovery of shared experience and the realisation that one is not alone.
Reference: Royal College of Psychiatrists. Psychotherapies and psychological treatments: Group therapy section. Current web resource, accessed 19 August 2026. https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/psychotherapies