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Mental Health, Unit 1 > ATI Ch 8, Group and Family Therapy > Flashcards

ATI Ch 8, Group and Family Therapy Flashcards

1
Q

What is group process?

A

The verbal and nonverbal communication that occurs during group sessions, including how the work progresses and how members interact with one another.

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2
Q

Define group norm.

A

The way the group behaves during sessions, providing structure over time.

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3
Q

Give an example of a group norm.

A

Members raise their hand to be recognized by the leader before they speak.

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4
Q

What is a hidden agenda in group therapy?

A

Goals different from the stated group goals that can disrupt group processes.

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5
Q

How does group dynamics change based on membership type?

A

It is affected by the group being open or closed.

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6
Q

What characterizes a homogeneous group?

A

All members share a certain chosen characteristic (diagnosis or gender).

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7
Q

What is a heterogeneous group?

A

A group where membership is not based on a shared chosen personal characteristic.

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8
Q

Provide an example of a heterogeneous group.

A

All clients on a unit, including a mixture of men and women with a wide range of diagnoses.

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9
Q

What is a subgroup?

A

A small number of people within a larger group who function separately from the group.

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10
Q

What is an open group?

A

A group where new members join as old members leave.

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11
Q

What is a closed group?

A

A group where no new members join after formation.

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12
Q

What is the focus of individual therapy?

A

Client needs and problems, the therapeutic relationship

Individual therapy centers on the unique challenges and relationships of the client.

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13
Q

What are the goals of individual therapy?

A
  • Make more positive individual decisions
  • Make productive life decisions
  • Develop a strong sense of self

These goals aim to enhance the individual’s personal growth and decision-making abilities.

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14
Q

What is the focus of family therapy?

A

Family needs and problems within family dynamics, improving family functioning

Family therapy addresses the interactions and issues that arise within family units.

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15
Q

List the goals of family therapy.

A
  • Learn effective ways for dealing with mental illness within the family
  • Improve understanding among family members
  • Maximize positive interaction among family members

These goals strive to enhance communication and support within the family.

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16
Q

What is the focus of group therapy?

A

Helping individuals develop more functional and satisfying relations within a group setting

Group therapy emphasizes the relational dynamics and interactions among group members.

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17
Q

What are the general goals of group therapy?

A
  • Goals vary depending on type of group
  • Discover that members share some common feelings, experiences, and thoughts
  • Experience positive behavior changes as a result of group interaction and feedback

Group therapy aims to foster connection and facilitate personal growth through shared experiences.

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18
Q

What is a key component of therapy sessions?

A

Use of open and clear communication

Open communication fosters trust and understanding between therapist and client.

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19
Q

What ensures the structure of a therapy session?

A

Cohesiveness and guidelines for the therapy session

Guidelines help maintain focus and create a safe environment for clients.

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20
Q

Therapy sessions should be directed toward what?

A

A particular goal

Goals provide a framework for progress and evaluation in therapy.

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21
Q

What opportunities do therapy sessions provide?

A

Development of interpersonal skills, resolution of personal and family issues, and development of appropriate, satisfying relationships

These opportunities contribute to personal growth and improved mental health.

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22
Q

What is a primary goal of therapy sessions?

A

Encouragement of the client to maximize positive interactions, feel empowered to make decisions, and strengthen feelings of self-worth

This goal focuses on enhancing the client’s self-esteem and decision-making abilities.

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23
Q

What aspect of communication is emphasized in therapy sessions?

A

Communication regarding respect among all members

Respect is fundamental for fostering a supportive therapy environment.

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24
Q

What type of support is provided during therapy sessions?

A

Support and education regarding available community resources for support

Clients are informed about external resources that can aid their therapeutic journey.

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25
Q

What is one of the key goals of group therapy?

A

Sharing common feelings and concerns

This goal helps members connect through shared experiences.

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26
Q

What is another key goal of group therapy?

A

Diminishing feelings of isolation

Group therapy aims to create a sense of belonging among participants.

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27
Q

What is a benefit of group therapy compared to individual therapy?

A

Providing a more cost-effective environment than that of individual therapy

Group therapy often reduces the cost per participant while maintaining therapeutic benefits.

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28
Q

What is a concern related to privacy in group therapy?

A

Privacy

Participants may feel vulnerable sharing personal information in a group setting.

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29
Q

What issue may arise regarding attention among group members?

A

Not all members may receive equal attention

This can lead to feelings of neglect or frustration among some participants.

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30
Q

What can discourage personal opinions in group therapy?

A

Group norms

Norms may influence members to conform rather than express individual views.

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31
Q

What can negatively impact a group’s effectiveness?

A

Disruptive members

Disruptions can hinder the therapeutic process and affect group cohesion.

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32
Q

What is the primary focus of the planning phase in group therapy?

A

Identify group characteristics like member inclusion, group name, seating configuration, and group schedule.

This phase is crucial for establishing the framework within which the group will operate.

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33
Q

What is a key responsibility of the group leader during the planning phase?

A

Consider group composition.

This includes understanding the dynamics between members, such as a withdrawn client interacting with a probing client.

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34
Q

How can room size affect group therapy?

A

An overcrowded room may cause discomfort and anxiety while a large room for a small group does not encourage intimacy.

The physical environment can significantly influence the effectiveness of group interactions.

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35
Q

What seating configuration emphasizes equality in group therapy?

A

Circular seating configuration.

This arrangement is particularly effective in promoting a democratic leadership style.

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36
Q

What is the primary focus of the orientation phase in group therapy?

A

Define the purpose and goals of the group.

Establishing clear objectives helps guide the group’s discussions and activities.

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37
Q

What tone should the group leader set during the orientation phase?

A

Respect, trust, and confidentiality among members.

This foundational atmosphere encourages open communication and sharing.

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38
Q

What do group members do during the orientation phase?

A

Get to know each other and the group leader.

This is essential for building rapport and establishing a safe environment.

39
Q

True or False: The group leader is passive during the orientation phase.

A

False.

The group leader is active and provides the purpose of the group.

40
Q

What is a common method for children to engage in group therapy?

A

In the form of play while talking about a common experience.

This method helps children express themselves in a comfortable way.

41
Q

Why is group therapy especially valuable for adolescents?

A

This age group typically has strong peer relationships.

Group therapy can leverage these relationships for positive development.

42
Q

What benefit does group therapy provide for older adults?

A

Helps with socialization and sharing of memories.

This can enhance quality of life and mental well-being.

43
Q

What is the primary focus of the working phase in group therapy?

A

Promote problem-solving skills to facilitate behavioral changes

Power and control issues can dominate in this phase.

44
Q

What is one responsibility of the group leader during the working phase?

A

Uses therapeutic communication to encourage group work toward meeting goals

45
Q

What can interfere with or favor group progress toward goals in the working phase?

A

Members take informal roles within the group

46
Q

What has been established by the working phase of group therapy?

A

Cohesiveness

47
Q

What happens to the role of the leader during the working phase?

A

Gradually diminishing

48
Q

What is the primary focus of the termination phase in group therapy?

A

Marks the end of group sessions

49
Q

What do group members discuss during the termination phase?

A

Termination issues

50
Q

What does the leader do at the end of the group sessions in the termination phase?

A

Summarizes work of the group and individual contributions

51
Q

What can members of a group take on during the termination phase?

A

Any of a number of roles

52
Q

What feedback is elicited during the termination phase?

A

Feedback regarding the group therapy

53
Q

What are maintenance roles in a group?

A

Roles that help maintain the purpose and process of the group

Example: The harmonizer attempts to prevent conflict in the group.

54
Q

What are task roles in a group?

A

Roles that involve taking on various tasks within the group process

Example: The recorder, who takes notes and records what occurs during each session.

55
Q

What are individual roles in a group?

A

Roles that tend to prevent teamwork by promoting individual agendas

Examples include the dominator, who tries to control other members, and the recognition seeker, who boasts about personal achievements.

56
Q

How do group characteristics vary in an acute mental health setting?

A

Members can vary daily, focus is on relief, and leaders must provide a higher level of structure.

57
Q

What are the characteristics of a group in an outpatient setting?

A

Members are often consistent, focus is on growth, external influences are limited, and leaders can allow members to determine the group’s direction.

58
Q

What defines virtual groups?

A

Members meet remotely through teleconferencing technologies

Ideal for members with limited transportation resources or those living in rural areas.

59
Q

What are some challenges of virtual groups?

A

Difficulties in reading non-verbal cues, losing control of group settings, and a lack of full presence.

60
Q

Fill in the blank: Members in _______ roles help maintain the purpose and process of the group.

A

[maintenance]

61
Q

Fill in the blank: The _______ takes notes and records what occurs during each session.

A

[recorder]

62
Q

True or False: In an outpatient setting, leaders have limited opportunity to allow members to determine the group’s direction.

A

False

63
Q

What characterizes communication in healthy families?

A

Clear, understandable messages and encouragement to express individual feelings and thoughts.

64
Q

In dysfunctional families, what is the pattern of blaming?

A

Members blame others to shift focus away from their own inadequacies.

65
Q

What does manipulating refer to in the context of dysfunctional families?

A

Members use dishonesty to support their own agendas.

66
Q

What is placating in dysfunctional family communication?

A

One member takes responsibility for problems to keep peace at all costs.

67
Q

Define distracting in dysfunctional family interactions.

A

A member inserts irrelevant information during attempts at problem-solving.

68
Q

What does generalizing mean in families with dysfunctional communication?

A

Members use overall descriptions like ‘always’ and ‘never’ in describing family encounters.

69
Q

What characterizes management in healthy families?

A

Adults agree on important issues such as rule-making, finances, and plans for the future

Healthy families exhibit collaborative decision-making among adults.

70
Q

How is management described in dysfunctional families?

A

Management can be chaotic, sometimes with a child making management decisions

Dysfunctional families often lack adult leadership and structure.

71
Q

What are the boundary characteristics of healthy families?

A

Boundaries are distinguishable between family roles, clearly defining each member’s role

Clear boundaries allow family members to function appropriately.

72
Q

What are enmeshed boundaries in dysfunctional families?

A

Thoughts, roles, and feelings blend so much that individual roles are unclear

This leads to confusion about personal identity and responsibilities.

73
Q

What defines rigid boundaries in dysfunctional families?

A

Rules and roles are completely inflexible, leading to isolation and minimal communication

Members do not share thoughts or feelings, impacting emotional connection.

74
Q

How do healthy families support socialization?

A

All members interact, plan, and adopt healthy coping mechanisms, learning to function in society

Healthy families foster social skills and adaptability in children.

75
Q

What socialization issues do children face in dysfunctional families?

A

Children do not learn healthy socialization skills and have difficulty adapting to societal roles

This can lead to challenges in forming relationships outside the family.

76
Q

What emotional characteristics are found in healthy families?

A

Emotional needs of family members are met most of the time, with members showing concern for each other

Healthy families experience manageable conflict without dominating negative emotions.

77
Q

What emotional environment is typical of dysfunctional families?

A

Negative emotions predominate, with members feeling isolated and showing little concern for each other

This environment can foster fear and a lack of emotional support.

78
Q

What is scapegoating in the context of family dysfunction?

A

A member of the family with little power is blamed for problems within the family.

79
Q

Provide an example of scapegoating.

A

One child who has not completed their chores can be blamed for the entire family not being able to go on an outing.

80
Q

What does triangulation refer to in family dynamics?

A

A third party is drawn into the relationship with two members whose relationship is unstable.

81
Q

Give an example of triangulation in a family.

A

One parent can develop an alliance with a child, leaving the other parent relatively uninvolved with both.

82
Q

What are multigenerational issues in a family?

A

Emotional issues or themes within a family that continue for at least three generations.

83
Q

List some examples of multigenerational issues.

A
  • A pattern of substance use or addictive behavior
  • Dysfunctional grief patterns
  • Triangulation patterns
  • Divorce
84
Q

What is the action of disciplining in a family context?

A

Setting limits on children’s behavior to protect their safety and provide security

Discipline can be healthy or dysfunctional depending on how it is applied.

85
Q

What are the key characteristics of effective discipline?

A

Consistent, timely, and age-appropriate

Effective discipline helps to establish boundaries and expectations.

86
Q

When should parents administer discipline?

A

In private and when they are calm

This approach helps ensure that the discipline is effective and not reactive.

87
Q

What defines a family?

A

A group with reciprocal relationships in which members are committed to each other

Family structures can vary widely, including nontraditional forms.

88
Q

What areas of functioning are important for families?

A

Management, boundaries, communication, emotional support, and socialization

Dysfunction can occur in any one or more of these areas.

89
Q

What is the primary focus of family therapy?

A

The family as a system rather than each person as an individual

This holistic approach allows for a better understanding of family dynamics.

90
Q

What methods are used in family assessments?

A

Focused interviews and various family assessment tools

These assessments help identify areas of dysfunction and strengths within the family.

91
Q

How do nurses contribute to family therapy?

A

By providing teaching and mobilizing family resources

Nurses can instruct families on medication administration and managing mental health disorders.

92
Q

What is multi-family therapy?

A

An effective modality for families experiencing similar challenges

It allows families to learn new skills and share experiences.

93
Q

Fill in the blank: Dysfunction can occur in any one or more areas of _______.

A

family functioning

Recognizing dysfunction is crucial for seeking appropriate therapy.

94
Q

True or False: Family therapy focuses on individual treatment rather than family dynamics.

A

False

Family therapy emphasizes the interactions and relationships within the family unit.

Mental Health, Unit 1 (9 decks)

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