Therapeutic Groups Chapter Outline PDF

**Chapter 34: Therapeutic Groups** - Group - Group - Interconnected and independent set of individuals who come together for a shared purpose. - Therapeutic group - group of people who meet for personal development and psychological grow...

**Chapter 34: Therapeutic Groups** - Group - Group - Interconnected and independent set of individuals who come together for a shared purpose. - Therapeutic group - group of people who meet for personal development and psychological growth. - Group therapy - Shared purpose - Mental Health Disorder - DBT- skills group for borderline personality disorder, post-traumatic stress disorder - AA- group for alcohol use disorder - Trauma groups - Grief groups - Advantages and Disadvantages of Group Therapy - Advantages. - Multiple members can be in treatment at the same time, thereby reaching more patients and reducing personnel costs. - Members of a therapeutic group benefit from knowledge, insights, and life experiences of. Both the leader and the participants. - A therapeutic group can be a safe setting to learn new ways of relating to other people and to practice new communication skills. - Groups can promote feelings of cohesiveness. - Disadvantages. - Individual members may feel cheated of participation time, particularly in large groups. - Concerns over privacy. - Disruptive group members reduce a group\'s effectiveness. - Group norms may discourage personal opinions. - Not all patients benefit from group treatments. - Yalom's Curative Factors - Curative Factors in Group Work. - Instillation of Hope. - The leader shares optimism about the successes of the group treatment, and members share their improvements. - Universality. - Members realize that they are not alone with their problems, feelings, or thoughts. - Imparting of information. - Participants receive formal teachings by the leader or advice from peers. - Altruism. - Members gain or profit from giving support to others, leading to improved self-esteem. - Corrective recapitulation of the primary family group. - Members repeat patterns of behavior in the group that they learned in their families; From the safety of the group. With the feedback from the leader and peers, they learn about their own behavior. - Development of socializing techniques. - Members learn new social skills based on others feedback and modeling. - Imitative behavior. - Members may copy the behavior of the leader or peers and thus can adopt healthier habits. - Interpersonal Learning. - The group itself is a laboratory for trying out new interpersonal skills. Members gain insight from others feedback and from trying out new behaviors in the group. - Group cohesiveness. - This factor arises in a mature group when members feel connected to one another, the leader, and the group as a whole. - Catharsis. - A genuine expression of feelings that can be interpreted by both the patient and the group. Overexpression of feelings can be detrimental to group processes. - Existential factors. - Members examine aspects of life- such as loss, meaning, and mortality- that affect everyone in constructing meaning. - Group work terms. - Group content: - All that is verbalized in the group. - Example: the group\'s topics. - Group process: - The dynamics of interaction among the members. - Example: interaction, facial expressions, body language, and progression of group work. - Group Norms: - Expectations for behavior in the group that develop over time and provide structure. - Example: rules about starting on time, not interrupting. - Group Themes: - Members' expressed ideas or feelings that recur and share a common thread. - The leader may clarify a theme to help members recognize it more fully. - Feedback: - Providing group members with feedback about how they affect one another. - Conflict: - Open disagreement among members. - Positive conflict resolution within a group is key to successful outcomes. - Group phases and leader. - Group leader. - Specific roles and challenges to address. - Support of positive interaction, growth, and change. - Group phases. - Represent distinct periods or stages in the process of group development. - Similar to therapeutic relationship. - Planning phase. - The name of the group. - Objectives of the group. - Types of individuals (e.g., diagnosis, age, gender) for inclusion. - Group schedule (frequency, time of meetings) - Physical setting. - Seating configuration. - Description of leader and member responsibilities. - Means or methods of evaluating outcomes. - Orientation phase. - Group forms. - Leader lays ground rules- respect, confidentiality, and trust. - Participants start to interact- may be more reserved. - Working phase. - Leader. - Facilitates communication, flow of processes, and conduct. - Group. - May revert to earlier phases with conflict. - Storming. - Disagreements, attempts at dominance, and personality conflicts addressed. - Leaders ability and authority questioned. - Norming. - Personality clashes and disagreements are resolved. - Cooperation emerges. - Performing. - Establishing norms and roles. - Focus on achieving goals. - Termination phase. - Leader. - Summarizes accomplishments to each participant and to group as a whole. - Shares insights and identifies future goals. - Encourages positive and negative feedback from group. - Participants. - May experience grief as a group comes to a close. - May direct feelings to other participants or the leader. - Rules of the group. - Functional roles of group members. - Task roles. - Elaborator. - Gives examples and follows up the meaning of ideas. - Energizer. - Encourages the group to make decisions or act. - Information giver. - Provides facts or shares experience as an authority figure. - Opinion giver. - Shares opinions, especially to influence group values. - Orienter. - Notes the progress of the group towards goals. - Maintenance roles. - Compromiser. - During conflict, yields to preserve group harmony. - Encourager. - Praises and seeks input from others. - Follower. - Agrees with the flow of the group. - Gatekeeper. - Monitors the participation of all members to keep communication open and equal. - Standard setter. - Verbalizes standards for the group. - Individual roles. - Aggressor. - Criticizes and attacks others' ideas and feelings. - Blocker. - Disagrees with and halts group issues; Oppositional. - Help seeker. - Excessively seeks sympathy from the group. - Recognition Seeker. - Seeks attention by boasting and discussing achievements. - Self-confessor. - Verbalizes feelings or observations beyond the scope of the group topic. - Communication techniques. - Group leader communication techniques. - Active listening. - Eye contact; Head nod, "go on\..."... - Ask questions. - "Could you tell us the last time you did that?" - Giving information. - "Antidepressants may take as long as four weeks or more to show full therapeutic effects." - Clarification. - "What do you mean when you say 'I can\'t go back to work'?" - Confrontation. - "Jane, you\'re saying 'Nothing is wrong', But you are crying." - Empathizing. - "I can see how that experience was very painful." - Reflection. - "I notice you\'re clenching your fists. What are you feeling right now?" "It sounds like that really upset you." - Summarizing. - "We\'ve talked about different types of cognitive distortions, and everyone identified at least one irrational thought that has influenced their behavior in a negative way. In the next session, we\'ll explore. Some strategies for correcting negative thinking." - Support. - "It took a lot of courage to explore those painful feelings. You\'re really working hard on resolving this problem." - Leadership styles. - Autocratic leaders. - Exert control over the group and do not directly encourage much interaction among members. - Does not ask for feedback from group. - Democratic leaders. - Support extensive group interaction in the process of problem solving. - Lead the group, but encourage interaction and support the narrative of the group. - Laissez-faire leaders. - Allow the group members to behave in any way they choose and do not attempt to control the direction of the group. - Minimal directive from leader and allow group to be in control.