chapter 5 - the therapist - basic tasks Flashcards
what 4 things are needed regardless of technique
consistent, positive, empathic and cultural attuned.
what is the basic posture of the therapist beyond techniques x4
concern, genuine, empathy, and emotional engagement
what are 3 fundamental tasks of a therpiast
1- create and keep the group alive. 2- build group culture. 3- activate and illuminate the here and now.
what is the primary unifying force of the group
the therapist as that is the only person the group all knows.
what does continuing themes from session to session do for a gruop
increases effectiveness of a group (don’t topic jump)
where do all issues need to occur to be addressed
the here and now.
whom are the agents of change
the group memmbers because they provide the therapeutic factors (not the therapist)
in regards to the therapeutic factors, what is the role of the therapist then
to maximize the factors to be as effective as possible.
what 2 qualities help to build a social microcosm
honesty and confidentiality.
what does a norm defined as
prescription for or a proscription against behaviors.
do all norms help a gropu
no. sometimes they can cripple a group.
how do norms form
expectations of the group members and from explicit and implicit directions of the facilitator.
what should the leader do if the group expectations are noit fully formed
help gear the expecations towards a culture/norm standard that is more therapeutic.
what causes a person to become a major role in groups
leader attention/commentary
what makes interventions work more
infrequent comments from the leader
are norms shaped implicitly or explicitly
both. it is inevitable and is somethign the therapist should be aware of.
is what one does in group as the therapist as important as what one does NOT do
yes. they express implicit and explicit standings and expectations.
how does a therapist explicitly make norms x2
1- backing instruction with weight of authority and experience 2- explaining the rationale of the group approach towards member goals.
should we set the rules outright or let them mostly take flesh organically as they come along
let htem come along natrually. but use social reinforcement to guid ethem.
have studies show group behavior to be better reinfocred with direct/explict praise or indirect/implicit praise
indirect/implicit praise (head nodding)
can clients tell when we are facilitating growth or manipulating it
yes. they know when we are being authentic.
what does yalom say about operant conditioning
social learning through imitating one another is a useful aspect to implore in group therapy as it pulls from our own style of development as a human.
how does operant conditioning affec one’s ability of using new behaviors
we are more likely to try more adaptive behaviors that we have not tried because we can see how they can be effective (more likley to try things we are scared of - take a risk to make for a reward of growth)
should a therapits apologize should they make a mistake
yes. it is a lesson in reprimands. growth, solidarity, and the ability to make mistakes and learn from them. it shows humility and courage.
what needs to be paired with spontaneity from the therapist
restraint as it cannot always be spontaneous.
what does knowing our own reactions do for us in group
it allows us to use our insight to gain a better understanding of ourselves and the client.
what does a need for being perfect cause in a therapist
they are overly cautious with their words and actions so they are not spontaneous. this disguises their humanness and lose touch
what does self-disclsoing do to help build group work from the therapist
it builds a sense of transparency and brings in balance to the group.
who is truly responsible for the group
the members
who has the ability and the responsiblity to make the group effective
the group members.
what happens if clients don’t self disclose deep things
they will repeat theiri past relationships. sharing makes for change.
how can we assist in sharing big disclosures
practice horizontal self disclosure first (talking about how it feels to be open).
is self disclosure interpersonal or intrapersonal
interpersonal
how do you move the conversation from the group to more individiuall persons
differentiation. ask them who would….
how else can we assist the group to disclose
discuss barriers to disclosure.
should anyone be punished for self-disclosure
no. never. this undermines safety and trust. if this happens we need to stop it immediately and address it within the group. disclosure should always be safe.
does spontaneity come along naturally
no. it takes active culture shaping from the therapist to create this element
who typically will dominate the session in the beginning
the first person to speak and put forth an issue. this typically takes one session per person.
what kind of structure develops from anxious clients
a more structured and formal styling and this helps make for engagement.
why do we try to avoid hihgly structured gorups
it is in the chaos and the natural tendenyc of the group we can see our natural tendencies and addres sthem. it becomes noninteractive and focuses on content and not the process.
how does the importance of the group to the members effect the outcome
group becomes more effectivfe as they are more likely to use group if it is of value to them.
how should we judge what self-disclorues we make
if theya re to be of service to the group.
should we ever tell the group that this group session matters to us
yes. it invites their ability to care about the group as well.
whom is responsible for continuity?
the members - making the work happen between sessions.
whom is the historian of hte group
the therapist - making links from previous sessions into the here and now.
what is one way to create value of the group to its members
to have them see the group as a resource if only they use it.
how does a therapist deflect being seen as the best source of aid
deflection. calling on times that the group has been helpful to one another or teach the group other ways of assisting one another.
how should we greet conflict/strife/rage/arrogance
welcomingly. it is necessary for growth.
why is conflict early on dangerous for a group
the group must feel safe enough and have enough value to be able to tolerate such things.
