chapter 3 - group cohesiveness

Question 1

how is group cohesion similar to individual therapy

Answer 1

group cohesion is similar to the client-counselor relationship in individual therapy.

Question 2

are the outcomes from group and individual therapy similar

Answer 2

yes

Question 3

what 3 things is group better for than individual

Answer 3

stigma, social isolation, and learning new skills

Question 4

what qualities make a good therapist x5

Answer 4

empathy, culturally aware, trustworthy, warm, and accepting

Question 5

does a good relationship help pharmacotherapy?

Answer 5

yes

Question 6

is the relationship/positive therapeutic alliance related to the theories used?

Answer 6

no.

Question 7

what happens when the bond is positive

Answer 7

no matter the intervention (Even very technical ones like CBT) become ineffective or harmful.

Question 8

what does greater group cohesion mean for the clients x3

Answer 8

there is a greater sense of solidarity or “we-ness” which makes them value the group more so with more attendance, participation, and supporting of one another.

Question 9

define group cohesion

Answer 9

amount of attractiveness to the gropu from its members.

Question 10

is group cohesion the same for everyone

Answer 10

no, everyone finds different elements of the group attractive/cohesive for different reasons.

Question 11

should group cohesion be present in the early or late stages of group therapy?

Answer 11

early

Question 12

what does group cohesion allow for in therapy

Answer 12

for other factors to take place (without it, certain things can’t take place, like catharsis and universality)

Question 13

are the therapeutic factors dependent, interdependent or independent

Answer 13

interdependent

Question 14

are universality and cathariss complete processes/factors on their own

Answer 14

no. they also require acceptance from others to work which is derivative of group cohesion.

Question 15

how does group cohesion make for accountability

Answer 15

by making it so that membrs don’t want to let the group down since they all create cohesion together, thus, they all have a stake in it.

Question 16

why might a sense of belonging be dismaying for a client

Answer 16

it can bring a sense of the fear of impending loss or a loss of autonomy.

Question 17

what are the 3 parts of a group climate

Answer 17

1- degree of engagement 2- avoidance 3- conflict in the group.

Question 18

what is at the heart of effective group therapy

Answer 18

the relationship made

Question 19

what 2 predictor variables were associated with positive outcome

Answer 19

group cohesion and group popularity (attractiveness to the group and who became very popular in the group).

Question 20

which was rated as a higher predictor variable for positive outcome, popularity or cohesiveness

Answer 20

popularity

Question 21

what does more group engagement lead to x2

Answer 21

intepersonal communication and self-disclosure

Question 22

what attachment style requires extra help in achieving group cohesion x2

Answer 22

dismissive and avoidant

Question 23

what is a good indicator of group cohesion for a therapist

Answer 23

client feedback and outcome.

Question 24

what is considered long term group therapy

Answer 24

20+ sessions

Question 25

does group cohesion work with well with groups of 9 or less?

Answer 25

yes, it doesn’t work well with large groups (too much for us to bring about intimacy).

Question 26

do facilitators accurately assess for the strenght of the connection in groups

Answer 26

no, we tend to overestimate the strenght of the connection of the group.

Question 27

what are the 8 characteristics of an ideal client-therapist relationship

Answer 27

1- client is free to express 2- client tests reality to better understand self. 3- increased awareness of incongruity between experiences and assumptions. 4- aware of feelings that were denied or distorted. 5- concept of self becomes more congruent with experiences. 6- able to experience unconditional positive regard and feel that for towards themselves from the self. 7- sees self as the focus of evaluation of an experience. 8 - lives by what is an effective way to enhance his development

Question 28

what does experiential depth cause for a client

Answer 28

the ability to gain meaning.

Question 29

why would the acceptance and understanding of a group member be more valued than that of the therapist

Answer 29

they are not paid to do as such, it is not their job to care.

Question 30

how does group cohesion create safety x2

Answer 30

it promotes a lowering of the fear of rejection and shame

Question 31

what 3 things do we do to provide regulation for one another

Answer 31

validation, presence,and empathy

Question 32

is acceptance of self and acceptance of others indepdenent or interdependent

Answer 32

interdependent - they both require one another

Question 33

which comes first, acceptance of self or of others?

Answer 33

acceptance of the self.

Question 34

what helps increase the value of a group’s judgement?

Answer 34

the more the person values their insights, thus, the more the group matters to them.

Question 35

if a person doesn’t value a group nor their opinion, how might htey respond to their evaluations

Answer 35

defensively and devalues the group even more so.

Question 36

is it common for members to value a person more than they value themselves

Answer 36

yes

Question 37

how is one’s self-esteem correlated to their public esteem

Answer 37

positively correlated (as one increases/decreases so does the other).

Question 38

what happens when one underestimates their public esteem

Answer 38

the group/public will accept them more (sign of humility as socially acceptable over arrogance).

Question 39

what 2 things increase popularity in a group

Answer 39

previous self disclosure and interpersonal compatibility (individual has needs similar to that of the group members).

Question 40

what are 4 traits of the least popular members of a group

Answer 40

rigid, moralistic, non-introspective, and non-participatory.

Question 41

how does popularity help therapeutically

Answer 41

increased self-esteem and reinforcing adaptive social skills. q

Question 42

what casues many to leave gropu

Answer 42

stress.

Question 43

what does leaving group early cause

Answer 43

they normally get worse.

Question 44

what does high turnover mean for group cohesiveness

Answer 44

less cohesiveness and less therapeutic gain.

Question 45

is high turnover more common in early or late stages of a group

Answer 45

early

Question 46

how do brief group therapies create cohesion x3

Answer 46

strong pregroup prep, homogeneous composition, and structured interventions.

Question 47

what 2 seemingly negative things do cohesive groups make for

Answer 47

hostility and conflict (Able to explore it safely if done right)

Question 48

why must hostility be opnely expressed

Answer 48

because implicit or subtle hositlity can slow development. it can become repressed and this is not what the group is for.

Question 49

how can discomfort be beneificial

Answer 49

it is a matter of cohesion. clients can experience the hostility and discomfort, learn to bear it, and still have meaningful relationships with one another. they learn anger doesn’t have to be lethal

Question 50

what is the leading cause of fragmentation in a group

Answer 50

hostility before group cohesion can be solidified.

Question 51

how can conflict create disclosure

Answer 51

each side must reveal more to clarify where they are coming

Question 52

should a therapist ever avoid anger directed at them?

Answer 52

no. it is best to challenge and let it be faced head on.

Question 53

what happens to cohesion when a therapist can take hostility directed at themselves nondefensively

Answer 53

it increases the cohesion as they can see they are safe to express more things.

Question 54

what is groupthinking

Answer 54

when a group all thinks the same.

Question 55

what 9 things does group cohesion make happen

Answer 55

1- members will try harder to influence others. 2- they will be more open to the influence of others 3- willing to listen and accept others. 4- greater security and relief from tension in the group. 5- participate more. 6- more self disclosure 7- norms are protected in the group. 8- less disruption when people come and go. 9- greater ownership of the group goals.