05a_Group Therapy Flashcards

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1
Q

Group Psychotherapy: Yalom’s Formative Stages

First Stage: Key Terms

A

Orientation

Hesitant Participation

Search for meaning

Dependency

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2
Q

Group Psychotherapy

First Stage: Communication Style

A

Stereotyped

Restricted

Rational

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3
Q

Group Psychotherapy

First Stage: Group Dynamics

A

Members tend to talk directly to leader

Members look to leader for approval and acceptance

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4
Q

Group Psychotherapy:

Second Stage: Key Terms

A

Conflict

Dominance

Rebellion

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5
Q

Group Psychotherapy:

Second Stage: Group Dynamics

A

Members establish preferred amount of initiative and power

Control hierarchy/social pecking order emerges

Advice is replaced by criticism and negative comments

Some members may express hostility toward therapist as a result of resistance

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6
Q

Group Psychotherapy: Formative Stages

Third Stage: Key Function

A

Development of Cohesiveness

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7
Q

Group Psychotherapy: Formative Stages

Third Stage: Chief Concerns

A

Unity

Intimacy

Closeness

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8
Q

Group Psychotherapy: Formative Stages

Third Stage: Group Dynamics

A

Increased trust and self-disclosure

Improved attendance

Members show concern when other member is absent

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9
Q

Group Psychotherapy:

Cohesiveness

A

The client’s relationship to the group therapist, other group members, and the group as a whole

Yalom: Most critical aspect of group therapy

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10
Q

Group Psychotherapy:

Analogue of Cohesiveness in Individual Therapy

A

Therapist-client relationship

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11
Q

Group Psychotherapy:

Proposed Curative Factors

A

Installation of hope

Universality

Altruism

Interpersonal learning

Self understanding and insight

Existential learning

Catharsis

Group cohesiveness

Family reenactment

Guidance

Identification

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12
Q

Group Psychotherapy:

Most Important Curative Factors
As rated by group members

A

Interpersonal input

Catharsis

Self-understanding

Cohesiveness

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13
Q

Group Psychotherapy:

Three Roles of Therapist

A

Creation and Maintenance of the Group

Culture Building

Activation and Illumination of the Here-and-Now

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14
Q

Group Psychotherapy: Role of Therapist

Creation and Maintenance of the Group

A

Initially organize group

Minimize threats to cohesiveness
e.g., absences, tardiness, subgrouping

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15
Q

Group Psychotherapy: Role of Therapist

Culture Building: Main Goals

A

Provide explicit/implicit directives of appropriate behavior

Establish norms

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16
Q

Group Psychotherapy: Role of Therapist

Culture Building: Two roles to establish norms

A

Technical expert

Participant/model

17
Q

Group Psychotherapy: Role of Therapist

Culture Building: “Mass Group Interpretation”

A

Therapist as technical expert identifies non-therapeutic norm and calls attention to the pattern

Group discusses how pattern developed and its potential negative effects

18
Q

Group Psychotherapy: Role of Therapist

Culture Building: Transparency

A

Use of self-disclosure

Therapist acts as participant/model

*Beneficial if used judiciously and responsibly

19
Q

Group Psychotherapy: Role of Therapist

Culture Building: Co-Therapists

A

Provide additional opportunities for modeling

Disagreements between co-therapists also provide opportunity for modeling of conflict resolution

20
Q

Group Psychotherapy: Role of Therapist

Activation and Illumination of the Here-and-Now

A

Refocus attention on the here and now

Process Illumination

21
Q

Group Psychotherapy: Role of Therapist

Process Illumination

A

Therapist helps members understand the processes that are occurring in the present

22
Q

Group Psychotherapy:

Process Illumination: Sequence of Describing Behavior

A

What it is like

How it makes others feel

How it influences others’ opinion of you

How it affects your opinion of yourself

23
Q

Group Psychotherapy: Yalom

Concurrent Group and Individual Therapy

A

Neither necessary nor beneficial

“Drains affect from group”

Reliance on individual therapy rather working on issues in group

24
Q

Group Psychotherapy:

Premature Termination Prevalence

A

10 to 35% dropout during first 12 to 20 sessions

25
Q

Group Psychotherapy:

Methods to Prevent Premature Termination

A

Prescreening of potential group members

Post-selection preparation (clarify expectations)

26
Q

Group Psychotherapy:

Attributes of Good Candidates

A

Primary problems are related to interpersonal issues

Psychological/verbal sophistication

Prefers slow, gradual involvement in therapy

27
Q

Group Psychotherapy:

Contraindications: Symptoms/Diagnoses

A

Severe depression

Severe withdrawal

Paranoia

Acute psychosis

Brain-damage

Sociopathy