Ch 7 Flashcards

closing a group

1
Q

primary activities of group members in closing are to

A

reflect on their past experiences
process memories
evaluate what was learned
acknowledge ambivalent feelings
engage in cognitive decision making

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2
Q

closing provides group members….

A

an opportunity to clarify the meaning of their expereinces
consolidate the gains they have made
express their joys as well as regrets
measure their growth
make decisions about the new behaviors they want to carry and apply to their lives

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3
Q

emotional ambivalence

A

issue and processes in ending a group
feelings of loss, sadness, pain and separation mixed with hope, joy, anticipation, etc.

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4
Q

preparing for closing a group

A

begins in the planning stage (the amount of sessions, etc.)
establish appropriate boundaries
certain amount of meetings dedicated to closing/explaining it (two-four)

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5
Q

boundaries

A

physical and psychological parameters under which a group operates, such as beginning and ending on time or sitting in a certain configuration, such as a circle

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6
Q

two levels of closing

A

at the end of each session
end of a certain number of group sessions

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7
Q

four steps of closing

A

orientation
summarization
discussion of goals
follow-up

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8
Q

in open-ended therapy groups (psychiatric patients)…

A

endings are highly individualized

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9
Q

ideally, group members review…

A

what was completed
assess output versus objectives
assess the groups ability to meet the evolution of those who use or view group output
and prepare group output for final disposition

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10
Q

factors that determine how ending a group impacts individuals

A

whether group was open or close ended
whether members were prepared in advance for the ending
whether the speed and intensity of work within sessions was at an appropriate level to allow participants to properly identify and resolve concerns or problems

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11
Q

farewell-party syndrome

A

when group members emphasize only the positive aspects of what has occurred in the group instead of what they learned
tends to avoid the pain of closure

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12
Q

options to better help group members struggling with closing

A
  1. individual counseling, in which unique concerns can be given greater attention
  2. referral to another group or organization, in which more specific or specialized assistance can be rendered
  3. recycling, in which the individual can go through a similar group experience again and learn lessons missed the first time
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13
Q

premature termination

A

individuals quit a group abruptly
the group experience ends suddenly because of actions by the leader

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14
Q

three types of premature endings that must be dealt with

A

the termination of the group as a whole
the successful ending of a group of an individual member
the unsuccessful ending of a group for a member

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15
Q

how to handle premature closing properly

A

leaders need to have at least one group session to say good bye to group as a whole or contact them directly

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16
Q

reasons individuals leave groups prematurely

A

external factors
group deviancy
problems of intimacy
fear of emotional contagion
inability to share the doctor
complications of concurrent individual and group therapy
early provacatuers
inadequate orientation to therapy
complications arising from subgrouping
immature members

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17
Q

preventing premature closing

A

groups should start and end on time
members should commit to attend a number of sessions
members should be treated in a personal and professional way
clarity and conciseness should be used in taking about individual and group issues
reminders should be sent to members if there are long intervals between group sessions

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18
Q

most effective formats for closing a session are…

A

having the members summarize,
having leader summarize
using a round
using dyads
scaling activities
getting written reactions

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19
Q

member summarization

A

one or more members of the group summarize what has occurred during the session, describing what has happened to them individually, and how they have gained from the particular session

20
Q

leader summarization

A

they give a personal reaction to what they perceive to have occurred in the group
comments on cohesion of the group, the degree to which members freely brought up topics, the willingness of members to take risks and talk about unsafe topics, the degree they interacted with each other

21
Q

go-rounds

A

exercise of rounds
a variation on member summarization, except in this procedure every group member comments briefly about highlights of the group session

22
Q

dyads

A

groups of two members
group leaders make sure all members are involved in the closing, and at the same time, group is energized

23
Q

scaling activities

A

a way of finding out the level of satisfaction group members have in a quick and efficient fashion
can be done end of a group session or end of group itself

24
Q

writing reactions

A

write during the session
write in journals or logs end of session

25
Q

journal letters

A

group members and the leaders write about their experiences and give their letters to each other

26
Q

ways to terminate a group

A

setting a time limit (amount of sessions)
capping (easing out of emotional interaction and into cognitive reflection)
use appropriate closing skills and call the groups attention to what needs to be done to terminate

27
Q

summarizing reflections

A

used in task and psychoeducational groups

28
Q

capping skills for final closing of the group

A
  1. reviewing and summarizing the group experience
  2. assessing members growth, change, or achievement
  3. finishing business
  4. applying change to everyday life
    5.providing feedback
  5. handling good-byes
  6. planning for continued problem resolution
29
Q

assessing members growth and change

A

an emphasis is on individuals memories of themselves at the beginning of the group and now

30
Q

finishing business…

A

is a crucial task at the end of a group

31
Q

unfinished business

A

when someone hurts another, or is hurt by someones, and fails to resolve the problems with the relevant person
clear communication, congruence, and direct confrontation helps

32
Q

rehearsal

A

the process of applying change to everyday life
roleplay, homework

33
Q

sharing homework

A

a transitional exercise that often follows rehearsal and role playing in which group members actually practice in public what they have done experientially in the group

34
Q

homework

A
  1. a continuous technique that may be employed in many different types of group sessions
  2. should always be processed
35
Q

expressing farewells/saying good by

A

members encouraged to own their feelings and express their thoughts at this time, specifically to how group meant to them

36
Q

structured capping exercises

A

awarding of certificiates
pat on the back (outline of their hand and type on back; people write on it)

37
Q

final step to closing a group

A

developing a specific plan for continuing each members progress after the group ends

38
Q

projecting the future

A

in which group members are asked to imaging the changes they would like to make in the short or long term

39
Q

problems in closing of groups

A

detail
transference issues with leader or other members
group leaders countertransference in relation to one or more members
closure and transition may or may not be handled correctly

40
Q

denial

A

acting as if an experience will never end

41
Q

transference

A

the displacement of effect from one person to another
deal with it by becoming aware of them and recognize them for what they are initially in the group
group stories fabric technique

42
Q

group stories fabric technique (GSFT)

A

group members recount personal stories and give as well as receive feedback to these stories by other group members (metastories; stories within the stories reflects transference issues)

43
Q

countertransference

A

usually thought of as the leaders emotional responses to members that are a result of the leaders own needs or unresolved issues with significant others
can occur between members of unequal status
deal with it by recognizing how it is being manifested

44
Q

countertransference is being exhibited when leaders are….

A

overly solicitous, distant, protective, on confrontational, competitive, resistant, overly identified with, or romantically or socially attracted to group members
direct supervision

45
Q

follow-up

A

the procedure of reconnecting with group members after they have had enough time to process what they experienced in the group and work on their goals or objectives
it is planned

46
Q

ways to follow up

A

arrange a private interview with each group members
members hold a reunion of the group as a whole
evaluation questionnaire
writing a journal

47
Q

evaluation questionnaire should cover

A
  1. the leadership of the group
  2. the facilities in which the group was held
  3. the groups effectiveness in achieving its objectives