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Irvin Yalom referred to the phenomenon where group members realize they are not alone in their problems as:

  1. Universality

  2. Cohesion

  3. Altruism

  4. Instillation of hope

The correct answer is: Universality

Irvin Yalom referred to this phenomenon as "Universality." This term refers to the idea that in group therapy, individuals come to realize that their struggles and problems are not unique and that others in the group have similar experiences. This can provide a sense of relief and validation for individuals as they realize they are not alone in their struggles. The other options, cohesion, altruism, and instillation of hope, do not fully capture or describe this specific phenomenon. Cohesion refers to the sense of closeness and bonding among group members, altruism refers to the act of helping others, and instillation of hope refers to the therapist's role in providing hope to clients. While these concepts may also apply to group therapy, they do not specifically address the idea of individuals realizing they are not alone in their problems.