Chapter 15: Group, Family And Couple-based Interventions Flashcards
Types of groups?
-Directive
-Nondirective
-interpersonal
-gestalt
What is a directive group?
-limited time for client w/ Similar issues
-clients develop skill mastery (confidence, problem solving, etc.)
-effective with young children/adolescents
What is a non directive group?
-less structured than directive
-timing is more flexible
-clients may have different issues
-grounded in psychoanalytic, psychodinamic
What is an interpersonal group?
-psychotherapy used for clients with personality disorders
-members learn from interactions with/ other members
What is a Gestalt group?
-therapy: clients focus on “being in the
world”
-hot seat (person gets feedback from other members
What is the group composition in psychotherapy groups?
-5-10 ppl + 2 therapist
-weekly meet 90-12pm is
-clients also meet therapist individually
What are open groups?
-Groups that admit new members at any point
What are closed groups?
-groups that have specific start/end (CBT’S)
When therapist screen clients what do they avoid including?
-cognitively dysfunctional clients in heterogenous groups
-pessimistic, antagonistic clients who may disrupt
How does confidentially work in group therapy?
-psychologists explain importance of confidentially to clients before it begins
-emphasize keeping member info/discussion private
-no enforceable ethics code exist for confidentially
Are group therapy effective?
-group psychotherapy is more effective than no treatment
-not more effective than individual therapy
- economical (cheaper)
-some treatment work better than others for some
Imparting information
Group members can receive advice and guidance not just from the therapist but also from other group members.
Instilling Hope
Observing others who have successfully grappled with problems helps to instill hope.
Universality
Group members discover that they are not alone and that others have similar problems, fears, and concerns.
Altruism
Helping others in the group leads to greater self-worth.
Interpersonal learning
Interacting with others in the group teaches clients about interpersonal relationships, social skills, sensitivity to others, resolution of conflicts, and so on.
Imitative behavior
Watching and listening to others leads to the modeling of more useful behaviors.
Corrective recapitulation of the primary family
The group context can help clients learn more adaptive methods for coping with
family-related problems
Catharsis
Learning how to express feelings about others in the group in an honest, open way builds a capacity for mutual trust and understanding.
Group cohesiveness
Group members develop relationships with one another that enhance self-esteem through acceptance.
Family based interventions
-one fam member w/ behavioral problems affects all fam members
-person w/ psychological symptoms may belong to a dysfunctional family
Family therapy
behavioral problems arise from
family member interactions known as family
system
What is a double bind?
parents put children in “no-win”
situations; led to schizophrenia in child (didn’t)
General systems theory
– Communication failures cause behavioral and psychological problems
–strives for homeostasis
-adapts temp disturbances
-therapist provides feedback to family to re-establish healthy homeostasis
Process of family therapy
-therapist may be family therapist or use techniques w/ other interventions
-use different forms of therapy (goals)
Families go to therapy when?
• Relational difficulties experienced
• Crisis in family
• Conflicts over values
• An individual diagnosed with a mental health
• Changed family homeostasis
• Generational conflicts, acculturation stress
Conjoint Family Therapy
-one therapist sees all fam members at once
-play passive, non directive role or active in other therapy
- therapist is a resource person who directs better member communication
Placating
Always agreeing, no matter the situation
Blaming
Finding fault with others
Super-reasonable
Using logic even if the person feels differently from what they are saying (not emotional)
Irrelavent
When one’s words are unrelated to the situation
Congruent
When one’s words do relate to the situation
Concurrent Family therapy
therapists work with each family member individually
Collaborative family therapy
each family member sees different therapists who then collaborate
Behavioral family therapy
therapist conducts functional analysis to identify rewards for desired behavior
Cognitive-behavioral therapy
members taught to self-monitor problematic behaviors
Multisystemic therapy (MST)
for juvenile offenders
MST Assumes?
-clinical problems determined by multiple factors: individual, family, school, society
Evidence based techniques (effective)
Culture and Family therapy
-therapists should be culturally sensitive
Effectiveness of Family Therapy
-effective for schizo.., anorexia in youth, non-suicidal injury etc..
-success attributed to therapeutic relationship
-not all fam members have similar views on therapy outcomes
Cognitive-behavioral couples therapy (CBCT):
-based on social learning theories (focuses on partners
-goal is i=to improve relationship quality
Emotion-focused couples therapy (EFCT):
short-term intervention for improving couple attachment and bonding
– Insecure attachment leads to relationship distress; partners distanced
Stages of EFCT:
– De-escalation: recognition of problematic patterns
– Restructuring: acceptance and compassion for each other
– Consolidating: practice newcommunication strategies
• Enactment: guidance from therapist
Couple therapy effectiveness
– 70% couples improve immediately after CBCT
– 50% maintain improvement for up to five years
– EFCT: 50% show improved relationship quality
