Therapeutic Groups/Group Therapies/Family Systems

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julianne.elizabeth
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296447
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Therapeutic Groups/Group Therapies/Family Systems
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2015-02-24 16:05:57
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lccc nursing mentalhealth
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For Cummings Exam 1
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  1. What are the characteristics of any group?
    • Size (6-12 is therapeutic)
    • Defined purpose
    • Degree of similarity between members
    • Rules
    • Boundaries
    • Climate
    • Content
    • Process (dynamics b/t group members during therapy/interaction)
  2. What are the functions of a group?
    • Socialization
    • Support
    • Task completion
    • Camaraderie
    • informational
    • Normative
    • Empowerment
  3. What are the different types of groups?
    • Time-limited therapy groups (5wks)
    • -cognitive-behavioral groups
    • -spiritual groups
    • -behavioral therapy groups
    • Self-help groups
    • -AA
    • -al-anon
    • Support groups:
    • -bereavement
    • -cancer
    • -sexual assault
  4. What is a psychoeducational group?
    • Inpatient psych unit group
    • Medication education
    • health promotion/restoration
    • Dual-diagnosis
    • Symptom/stress management
  5. What are Yalom's curative factors of group therapy?
    • Instillation of hope: see progression of others
    • Universality: you are not alone
    • Imparting of information: sharing knowledge
    • Altruism: helping others makes you feel good
    • Development of social skills: learn new skills
    • Imitative behavior: role modeling
    • Interpersonal learning: gain insight into perception of self by others
    • Group cohesiveness: sense of belonging
    • Catharsis: open expression of positive and negative feelings
    • Corrective recapitulation of primary family group: displaying behavior learned in family so it can be corrected
  6. What are the facilitation techniques of group therapy?
    • seeking clarification
    • encouraging description
    • presenting reality
    • focusing
    • re-framing
    • giving feedback
    • helping to gain insight
  7. What are phases of group development?
    • Initiation/Orientation
    • Middle/working
    • Final/termination
  8. Describe the orientation phase of group therapy
    • Group activities:
    • -goals are being est
    • -meeting times/duration est
    • -Acquaintance phase
    • Leader Expectations:
    • -promote environment of trust
    • -depend on leader for direction
    • Member behaviors:
    • -trust not yet est
    • -honeymoon phase- on best behavior
  9. Describe the middle/working phase of group therapy
    • Group activities:
    • -cohesiveness est
    • -productive work
    • -problem solving/decision making
    • Leader expectations:
    • -role of leader diminishes to facilitation
    • -stay on course with group goal
    • Member behaviors:
    • -turn more to each other rather than the leader
    • -accept criticism
    • -watch for subgroups
  10. Describe the final/termination phase of group therapy
    • Group activities:
    • -session before last discuss sense of loss/grief felt by termination
    • Leader expectations:
    • -encourage expression of grief
    • -review goals and outcomes
    • -encourage peer feedback
    • Member behaviors:
    • -grief, abandonment, anger
    • **successful termination helps group members develop necessary skills to cope with life losses
  11. What are the different leadership styles
    • Autocratic:
    • -my way is the best way
    • -group members depend on leader for problem solving
    • Democratic:
    • -leader provides guidance as needed
    • -group members make own decisions
    • Laissez-faire:
    • -leaders give no direction, undefined goals
    • -members make no decision, no problem solving, no actions
  12. What are the "task" roles of members of group therapy?
    • Coordinator: clarifies idea, brings people together
    • Evaluator: examines plans and performance
    • Elaborator: explains/expands on groups's plans
    • Energizer: motivates group
    • Initiators: get things started
    • Orientier: maintains direction of group
  13. What are the "maintenance" roles of members of group therapy?
    • Compromiser: assists members to compromise
    • Encourager: offers recognition of others
    • Follower: passive participant
    • Gatekeeper: encourages participation
    • Harmonizer: decreases tension
  14. What are the "personal" roles of members of group therapy?
    • Aggressor: sarcasm, negative, hostile
    • Blocker: resists group effort, rigid
    • Dominator: control, authoritative
    • help-seeker: uses group to gain sympathy, no concern for group
    • Monopolizer: dominates conversation
    • Mute/silent member: fear of self disclosure or attention
    • Recognition seeker: talks about self to gain attention
    • Seducer: shares intimate details early on and frightens others
  15. What are the strategic and structural models of family therapy?
    • Strategic model: assumes that changing any single element in the family system will bring about change in the entire system
    • Structural model: explains family problems from perspective of dysfunctional boundary and role structure
  16. What is Bowen's systems approach to family therapy?
    • Subsystems
    • Differentiation of self
    • triangles
    • scapegoating
    • boundaries
    • Identified patient: member that everyone defines as the problem
    • Multi-generational tranmission
  17. What are the different boundary styles of family dynamics?
    • Rigid: communication, support, authoritarian
    • Permeable: input from others, clear boundaries
    • Diffuse: dependent, over involved, enmeshed
  18. Describe the difference between healthy and dysfunctional family systems
    • Healthy:
    • -open to information/external resources
    • -able to problem solve
    • -effective communication
    • -clear boundaries
    • Dysfunctional:
    • -closed to outside information/people
    • -reliance on internal resources
    • -unable to problem solve
    • -poor communication
    • -triangulation
    • -blurred boundaries
    • -double-bind (mixed messages/guilt trip) communication
  19. What are goals/techniques of family therapy?
    • Goal: increase level of differentiation of self ("I" positions)
    • Therapeutic role of practitioner is as a coach
    • Minimize triangles in family
    • define/clarify relationships between family members
  20. What is a genogram?
    • Way to plot multi-generational assessment
    • teaching tool for family
    • Illustrates the sibling position
    • Nodal events
    • Overly close or conflictual relations
    • Triangles
  21. Describe paradoxical interventions and reframing
    • Paradoxical interventions: continuing to engage in the behavior you want to change in a structured/limited setting until the behavior becomes moot
    • Reframing: relabeling behavior/putting it into a positive perspective
  22. What is ECT therapy? What is the nurse's role?
    • Electro convulsive therapy
    • Treatment of resistant depression and schizoprenia
    • Nursing care:
    • -consent forms
    • -NPO after midnight
    • -administer pre-med atropine
    • -Ask client to urinate
    • -remove dentures/hairpins
    • -monitor ┬ávitals before, during, after
    • -monitor for resp difficult after procedure
    • -mental status/reorientation
    • -VS q15
    • -monitor for short term memory loss

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