Chapter 34: Therapeutic Groups Flashcards
some characteristics that influence a group
size
purpose
degree of similarity among members
rules and boundaries
content (what is said)
process (underlying dynamics, how people interact)
instillation of hope
instilling hope
as clients observe other members farther along in the therapeutic process they begin to feel a sense of hope for themselves
universality
not alone, universality feeling
through interaction with other group members, clients realize they are not alone in their problems or pain
imparting of information
formal education/teaching
teaching and suggestions usually come from the group leader but may also be generated by the group members
altruism
members gain profit, personal feeling of success though helping others
through the group process clients recognize that they have something to give to other group members
corrective recapitulation of the primary family group
understanding your own behaviors with in family setting by experiencing time in group setting, correcting and improving and reflecting on own family
many clients have history of dysfunctional family relationships. the therapy group is often like a family and clients can learn more functional patterns of communications interactions and behavior
development of socializing technique
development of social skills takes place in groups, group members give feedback about maladaptive social behavior. clients learn more appropriate ways of socializing with others
initiative behavior
clients often model their behavior after the leader or other group members. this trial process enables them to discover what behaviors work well for them as an individual
interpersonal learning
learn from and through others
through the group process, clients learn the positive benefits of good interpersonal relationships. emotional healing takes place through this process
existential factors
look at different aspects of life and meaning
the group provides opportunities for clients to explore the meaning of life and their place in the world
catharsis
therapeutic discharge of feelings
clients learn how to express their own feelings in a goal directed way, speak openly about what is bothering them and express strong feelings about other members in a responsible way
group cohesiveness
connected to other members
occurs when members feel a sense of belonging
phases of group development
planning
orientation
working
termination
Evaluation
planning pahse
name
objectives
type of individuals
schedule
setting
leader
orientation phase
set rules and boundaries
discuss termination
form group
establish purpose
working phase
work happens
relationships develop
communication
termination/evaluation and follow up
members express feelings about the experience
objective measures
heterogenous groups
range of differences exist among members
homogenous groups
members share central traits
closed group
restricted memberships
open group
new members are added as others leave
subgroup
isolated within the larger group for specific needs
what type of group is one in an acute inpatient group meeting in a hospital setting
open group
roles of group members
task
maintenance
individual
task role
keep the group focused on its main purpose
get work done
maintenance role
keep group together
help others feel included
create cohension
encourage and problem solve
maintain the group so the task role can occur
individual role
relate to specific personalities
personal agendas
desires for having personal needs met
dual diagnosis
one has to be substance abuse and something else
styles of leadership
autocratic
democratic
lazzis faire
autocratic
leader has all power
does not encourage much interaction
reward and punishment
democratic
involves other in decision making
delegates authority
encourages participation
feedback used
laissez faire
hands off
very little leading takes place
little to no dirction
does not control the direction
how to deal with monopoloizing member
remind entire group to provide equal chances to contribute
disruptive member
listen objectively
ask in private about cause of anger
silent patient
determine cause
require response to ease group discomfort
humanism
self actualization
subjective experience
cognitive behavioral
focus on maladaptive behaviors
psychodynamic
resolving intrapsych conflict
educational
practical support
systems
social interactions