psych thera. groups
Card Set Information
psych thera. groups
exam 1 psych pp 3
What is a group?
a collection of individuals whose association is founded on shared commonalities of interest, values, or purposes; memberships is generally by choice, chance or circumstance
What are the characteristics of a group?
size, defined purpose, degree of similarity among members, rules, boundaries, climate, content, process
What are the functions of a group?
Socialization support, task completion, camaraderie, informational, normative, empowerment
What are the types of groups? examples of each?
Time-limited therapy groups
: cognitive-behavioral groups, spiritual groups, behavioral therapy groups
Self help groups
: Alcoholics anonymous, Al-Anon
: bereavement, cancer, sexual assault
What are the types of groups in medical health?
psychoeducational groups: medication, health promotion/restoration, dual-diagnosis, symptom/stress managment
What conditions influence groups?
Seating, size, membership
Group therapy whereby a number of people with emotional problems meet with a therapist in a structured setting for what purposes?
developing a better understanding of themselves/others
modify behavior in a socially acceptable manner
improve relationship with others
What are Yalom's curative factors?
instillation of hope
: see progression of others
: you are not alone
imparting of information
: sharing knowledge
: helping others = felling good in return
development of skills
: learn new skills
: role modeling
: gain insight into perception of self by others
: sense of belonging
: open expression of + and - feelings
Corrective recapitulation of primary family group
what are facilitating techniques for a group?
seeking clarification, encouraging description, presenting reality, focusing, re-framing, giving feedback, helping to gain insight
What are the phases of group development?
: initial/ orientation
Describe Phase I
: goals are being established, meeting times/duration, acquaintance phase
: promote environment of trust, depend on leader for direction
: trust not yet established
honeymoon phase( best behavior)
Describe phase II of group
: cohesiveness established, productive work, problem solving/decision making
: role of leader diminishes to facilitator, stay on course with group goal
: turn more to each other rather than leader, accept criticism, (watch for subgroups)
Describe Phase III of group
: session before last; discuss sense of loss/grief felt by termination
: encourage expression of grief. review goals and outcomes, encourage peer feedback
: grief, abandonment, anger
What does successful termination of groups look like/do?
It is successful if the clients are sad about leaving, and helps group members develop necessary skills to cope with life losses
What are the different leaderships styles?
: My was is the best way; group members depend on leader fo problem solving
: leader provides guidance as needed, group members make own decisions
: Leader gives no direction, undefined goals; members make no decisions, no problem solving, no actions
What are the different member task roles?
: clarifies ideas, brings people together
: examines plans and performance
: explains/expands on group's plans
: motivates group
InitiatorL gets things started
: maintains direction
What are the different member maintenance roles?
: assists members to compromise
: offers recognition of others
: passive participant
: encourages participation
: decreases tension
What are the different member individual (personal) roles?
: sarcasm, negative, hostile
: resists group efforts, rigid
: control, authoritative
: uses group to gain sympathy, no concern for group
: dominates conversation
: fear of self disclosure or attention
: talks about self to gain attention
: shares initmate details early on & frightens
What is a family?
whatever the patient says it is
What are the different frameworks of family therapy?
: assumes that changing any single element in the family system will bring about change in the entire system
: explains family problems from perspective of dysfunctional boundary and role structure
What does Bowen's system approach theory include?
differentiation of self
Identified patient (member that everyone defines as the problem)
multigenerational transmission (genogram)
What are the types of boundaries?
: communication, support
: input from others, clear boundaries
: dependent, over involved, enmeshed
What is considered a healthy system? Dysfunctional?
: open to information/ external resources, able to problem solve, effective communication ,clear boundaries
: closed to outside information/people, reliance on internal resources, unable to problem solve, poor communication, triangulation, blurred boundaries, double-bind communications
What is the goal of therapy? What are the therapeutic roles of the practitioner
: increase level of differentiation of self by encouraging I positions
Role of practitioner
minimize triangles. define/clarify relationships between family members
How can you apply the nursing process to the family?
: constructing a genogram
: paradoxical intervention- continue to engage in behavior you want to change
: relabeling behavior/putting it into a positive perspective
What is a genogram?
a way to plot multigenerational assessment; teaching tool for families; illustrates sibling positions-personalities, overly close or conflicting relationships, nodal events
What is the nursing care for electro-convulsive therapy?
Consent form, NPO after midnight, administer pre-med (atropine) ask client to urinate, remove dentures/hairpins, monitor VS before, during, and after,
: monitor resp. difficulties, mental statues/reorientation, VS q 15 mins, monitor short term memory loss