chapter 28 group therapy Flashcards
Transactional Group therapy
Eric Berne:
emphasis on here and now interactions
Gestalt group therapy
Fredrick Perls:
enables patients to abreact and express themselves fully
Client centered group therapy
Carl Rogers:
Nonjudgemental expression of feelings among group members.
Which patients prefer group therapy, and who are more anxious about it?
those with authority anxiety will feel more comfortable in a group
those with peer anxiety (e.g. borderline and schizoid) may be anxious in a group setting
types of group therapy- frequency:
supportive analytically oriented psychoanalysis transactional behavioral
supportive- once a week
psychanalysis of group- 1-5/w
analytically oriented, transactional and behavioral- 1-3/w
types of group therapy- duration:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive and behvioral- up to 6 months
* psychoanalysis, psychoanalytically oriented and transactional- 1-3+ yrs.
types of group therapy- primary indications:
supportive analytically oriented psychoanalysis transactional behavioral
- suportive and transactional- psychotic and anxiety disorder.
- psychoanalysis- anxiety and personality disorders
- psychoanalytically oriented- anxiety, personality dis and borderline states
- behavioral- phobias, passivity and sexual problems
types of group therapy- communication content:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive- primarily environmental factors
- analytically oriented- present and past life situations, intragroup and extragroup relationships
- psychoanalysis- primarily past life experiences intragroup relationships
- transactional- primarily intragroup relationshp, rarely history, here and now stressed
- behavioral- specific symptoms without focus on causality
types of group therapy- transference:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive- positive transference encouraged to promote improved functioning
- analytically oriented- positive and negative transference evoked and analyzed
- psychoanalysis- transference neurosis evoked and analyzed
- transactional- positive relationships fostered, negative feeings analyzed
- behvioral- positive relationship fostered, no examination of transference
types of group therapy- dreams:
supportive analytically oriented psychoanalysis transactional behavioral
- supporitve and behaviral- not used
- transactional- rarely
- analytically oriented-frequently
- psychoanalysis- encouraged, and allways used.
types of group therapy- dependance:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive,analytically oriented and transactional: intragroup dependence encouraged.
- in behavioral and psychoanalysis: intragroup dependence not encouraged.
- supportive and behavioral: reliance on leader is high
- transactional: dependence on leader not encouraged
- in psychoanalysis and analytically oriented: dependence on leader variable
types of group therapy- therapist activity:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive- active, gives advice, stregthens defences
- analytically oriented- challanges defenses, active, gives advice and personal response
- psychoanalysis- challanges defenses, no advice or personal response
- transactional- challenges defenses, active, gives personal response rather than advice
- behavioral- creates new defenses, active and directive
types of group therapy- intepretation:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive- no unconscious interpretation
- analytically oriented- unconscious interpretations
- psychoanalysis- extensive interpretation
- transaction- interpretation of current behaviral patterns in the here and now
- in behavioal- not used
types of group therapy- major group processes:
supportive analytically oriented psychoanalysis transactional behavioral
- all but behvioral- reality testing.
- in supportive- universalization
- analytically oriented- cohesion, transference
- psychoanalysis- transference, ventilation, catharsis
- transactional- abreatcion
- behvaioral- cohesion, reinforcement, conditioning.
types of group therapy- socialization outside group:
supportive analytically oriented psychoanalysis transactional behavioral
- encouraged only in supportive.
- in transactional- variable.
- behaviors, psychonalysis and analytically oriented- discouraged
types of group therapy- goals:
supportive analytically oriented psychoanalysis transactional behavioral
- supportive- increased adaptation to environment
- analytically oriented- moderate reconstruction of personality
- psychoanalysis- extensive reconstruction of personality
- transctional- alteration of behavior through mechanism of coscious control
- behavioral- relief of specific symptoms.
therapists role in group therapy
- determine size of group, frequency, patient composition
- confidentiality
- set goals
- preparation of patients
- determine group processes
grup therapy- special considerations and contraindications
1) antisocial- unless a group of antisocials
2) depression-do better after establishing trusting relationship with therapist
3) manic- under psychopharmacological control
4) exclude delusional, as can incoporate group in their delusional system
5) aggressive
advantages for preparation before goup therapy
- patients continue longer
* less anxiety if well prepared
size of group
can vary between 3-15, but optimal usually 8-10
what are alternate group sessions?
groups meet twice a week, once with therapist and once without
What are marathon group therapies
group meets continuously for 12 to 72 hours.
pros and cons of marathon group therapy
pros:
- enforced interactional proximity
- sleep deprivation breaks ego defences, releases affective processes, and promotes open communication.
cons:
dangerous for those with weak ego - e.g. schizophrenia and borderline.
ages in group therapy
adults: all ages. Helps with developing and reliving interpersonal situations such as parent-child, brother- sister etc.
children and adolescents: persons their own age group.
