Chapter 10 Flashcards
Why is Group Therapy beneficial for addicts?
o Patients recognize they are not so unique, different or alone
o They have more of a connection with others –this is a powerful aspect only found in group therapy.
o Offers feedback and interaction between peers trying to get sober.
An effective treatment protocol includes what?
o Combination of individual counseling,
o 12-step meetings
o And group counseling
True or False: • The phenomenon of patients becoming more genuine and honest in a group setting than in individual counseling is because groups are able to see through the manipulation, defenses and deception.
True- can’t bullshit and bullshitter
What are some differences between Group meetings and support meetings?
Therapy group attendance is important and required, most programs do not require 12 step meetings.
Counselors facilitate Group Therapy and adhere to ACA Code of Ethics, and 12 step meetings are chaired by a peer in recovery with no training and no Code of Ethics.
Notes are kept to record Therapy Group and 12-step meetings do not have any notes taken.
Therapy Group sizes are 8 to 13 patients and 12-step meetings have no limit.
What is the difference between Inpatient vs Outpatient Addiction Group Counseling
o Outpatient group therapy ranges from 90 minutes to 3 hours and up to 3 times per week.
o Outpatient group therapy usually has 8 to 10 people to have optimal effect.
o How confrontation is used is different in Inpatient vs Outpatient… Confrontation is a technique whereby the counselor points out discrepancies between pt’s affect, behavior and cognition.
– The best and most effective confrontation comes from other group members and not the facilitator.
- When facilitator does confrontation, what makes it effective is timing and the skill.
- Temper confrontation with support and be mindful what transpires in the group.
What is a psychoeducational group?
This type of group combines counseling and education in one group. Information is provided on a topic and then discussion follows as to how the information applies to each person individually and how to apply in recovery.
What is an open ended group?
continually add clients to the group membership and clients also terminate, resulting in a continuous change in group membership
What is a closed ended group?
begin with a set membership and at no time are new members added.
What does it look like to prescreen a group?
o Step 1 - Identify client needs, expectations and commitment
o Step 2 – Challenge myths and misconceptions about groups
o Step 3 – Convey Information about the group and how it operates / expectations
o Step 4 – Screening – Clients are able to verbalize their reasons for entering group, their hopes and their desire for change. This step involves the counselor proving information on what group therapy consists, what occurs and how it can best be used.
True or False: You can completely ensure confidentiality in group therapy
False- you can encourage and you talk about it but you can’t promise
What is the initial role of the facilitator in the group?
Create an environment of safety and build trust
What the counselors roles in the early stages of group counseling
1) Technical Expert
2) Model-setting participant
Other roles for counselors
Staying in the here and now, recognizing client defenses and facilitating interactions
What are the five stages of group development?
Forming- discussion of trust and expectations- meeting new members
Storming- working through conflicts within the confines of group
Norming- finding out goals, what is acceptable and not.
Performing- takes responsibility within the group
Adjourning- Closure of the group
What are the therapeutic benefits of group therapy?
Hope, Universality, Altruism, Imitative Behavior, Imparting information, Interpersonal Leaving, Group Cohesiveness , Existential Factors , Catharsis
