Therapeutic groups and interventions

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Therapeutic groups and interventions
2015-07-04 13:37:53
Therapeutic groups - definitions, etc.
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  1. Define group content
    • All that is said in the group
    • The group topics
  2. Define group process
    • The dynamics of interactions among the members
    • Examples: who talks to whom, facial expressions, body language and progression of group work.
  3. Define group norms
    • Expectations for behavior in the group that develop over time and provide structure
    • Examples: Rules about starting on time, not interrupting
  4. Define 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.
  5. Group dynamics concern the ____ within a group
  6. The power of the group lies in the ___ of each group member and the leader to the ___ ___ of the group.
    • contributions
    • shared purpose
  7. Contributions occur in relation to ___ and ___.
    • Content: all that is said in a group
    • Process: The dynamics of interactions
  8. The level of group power depends upon the group's ___ and ___ in achieving the shared purpose.
    • cohesiveness
    • efficacy
  9. Define cohesiveness in a group.
    • The strength of the member's desire to work together towards a common goal
    • Strength of motivation
  10. General benefits of group treatment
    • Situation repetition occurs in therapeutic context
    • Can receive feedback
    • Interactions can be observed and intervened with
    • Practice skills of collaboration and cooperation
    • Sense of belonging
  11. The key to consideration in selecting group members is that they are ___ ____.
    Functionally homogeneous
  12. For insight-oriented groups, homogeneity of ___ and __ ___ are important
    • vulterability
    • ego strength
  13. The leader's primary task in group is to observe and analyze __ __ in the group
    communication patterns
  14. Specific functions of a group leader
    • Assist/determine content and purpose
    • create safe environment
    • keep group on task
    • facilitate process
  15. Socialization groups focus on...
    Building social skills
  16. Learning groups focus on...
    • specific needs or interests
    • also known as psychoeducational
  17. Self-help groups focus on...
    coping with a specific problem
  18. Task groups focus on...
    project completion
  19. Psychotherapy groups focus on...
    changing pattens of thinking and relating via insight-oriented techniques.
  20. The two theories with evidence based practice most commonly used in psychotherapy groups
    • Cognitive
    • Interpersonal
  21. Therapeutic factor: Define instillation of hope
    The leader shares optimism about successes of group treatment, and members share their improvements.
  22. Therapeutic factor: Define universality
    Members realize that they are not alone with their problems, feelings or thoughts.
  23. Therapeutic factor: Define imparting of information
    Participants receive formal teaching by the leader or advice from peers.
  24. Therapeutic factor: Define alturism
    Members gain or profit from giving support to others, leading to improved self-value
  25. Therapeutic factor: Define corrective recapitulation of the primary family group
    • Members repeat patterns of behavior in the group that they learned in their families
    • with feedback from the leader and peers, they learn about their own behavior.
  26. Therapeutic factor: Define development of socializing techniques
    members learn new social skills based on others' feedback and modeling.
  27. Therapeutic factor: Define imitative behavior
    Members may copy behavior form the leader or peers and can adopt healthier habits
  28. Therapeutic factor: Define interpersonal learning
    Members gain insight into themselves based on the feedback from others during later group phases.
  29. Therapeutic factor: Define group cohesiveness
    • This powerful factor arises in a mature group when each member feels connected to the other members, the leader, ad the group as a whole
    • members can accept positive feedback and constructive criticism
  30. Therapeutic factor: Define catharsis
    Through experiencing and expressing feelings, therapeutic discharge of emotions is shared
  31. Therapeutic factor: Define existential resolution
    • members examine aspects of life that affect everyone in constructing meaning
    • Examples: loneliness, mortality, responsibility
  32. Define transference
    • unconsciously-drive response in which a patient experiences feelings and attitudes toward others that were originally associated with other significant figures in his/her life
    • Example: Don't like someone because they remind you of someone else.
  33. Types of reactions/behaviors associated with transference (two main ones)
    • hostility
    • dependency reactions
  34. Define counter-transference
    therapeutic impasse created by a health care provider's emotional response to a patient's characteristics
  35. Specific task roles to keep group focused
    • information seeker
    • coordinator
    • recorder
    • summarizes progress
    • energizes the group
    • initiates discussion
  36. Specific maintenance functions to help the group stay together
    • harmonizer
    • compromiser
    • standard setter
    • communication facilitator
    • tension reliever
    • active listener
    • interpersonal problem solver
  37. The two specific maintenance functions that are mainstays of therapeutic role
    • active listener
    • interpersonal problem solver
  38. The three group phases
    • orientation
    • working
    • termination
  39. The usual behaviors of members in the orientation phase of groups
    • polite
    • questions leader about purpose of group and their qualifications
    • silences
    • self-protective behaviors
  40. The usual behaviors of members in the working phase of the group
    • risk-taking
    • learning to care for each otehr
    • addressing conflicts oopenly
    • committed to doing work of group
    • supporting each other
  41. The usual behaviors of members in the termination phase of the group
    • expressing feelings about the group ending
    • planning for the future
    • reviewing group experiences (often recapped by leader)
  42. Four general leadership styles
    • democratic
    • authoritarian
    • facilitative
    • laissez faire ("let it be"/"hands off")
  43. The democratic style of leadership is usually used for....... and is useful for tasks which require ___.
    • committee and team meetings
    • participation
  44. Limitations of democratic meetings
    • personal growth is limited
    • group process is only addressed if interfering
  45. The authoritarian style of leadership is usually used for...
    situations in which quick and centralized decision-making is needed.
  46. The strengths of authoritarian leadership
    • maintains organization in times of crisis
    • can be useful for getting tasks done
  47. The facilitative style of leadership is used for...
    growth, therapy and psychoeducation groups
  48. Strengths of facilitative groups
    • personal growth maximized
    • increased sense of cohesiveness and commitment
  49. The limitations of authoritarian leadership
    • growth of members is limited
    • does not address group process
    • negative outcomes when not appropriate for the task
  50. The limitations of facilitative groups
    • does not promote rapid action
    • not well-matched when individuals need a higher degree of structure/direction
  51. The laissez faire style of leadership is best used for ___
    • social gatherings
    • other activities in which there is no specific task
  52. Strengths of laissez faire style of groups
    • allows maximum individual expressoin
    • no structure of rules or expectations
  53. Limits of laissez faire style of groups
    • lack of purpose and structure to guide members
    • commitment to group is low
    • decrease cohesiveness