exam 3 Flashcards
Psycho-education Groups/Growth Groups
School, rehabilitation, and substance abuse specialists can be called on to lead these types of groups.
* Offered in schools and other settings
* group leaders provides info about:
* careers,
* sex,
* parenting skills,
* job possibilities,
* colleges,etc.
* Focus on preventing problems in the future via encouraging developmental growth
* aids the decision-making process, teaching valuable life skills, and providing useful information.
* Psychoeducational groups are well-suited for many structured interpretations that facilitate self-awareness and values clarification. **
* ** helps with Social issues such as helping to **prevent oppression of marginalized individuals **within a group, and the larger community.
Task Groups
The exact same skills that make you well prepared to lead therapeutic groups also equip you with * **the ability to lead any group **more effectively.
Examples: A meeting, town hall discussion, teach in a classroom, consulting or coaching capacity.
Group Basics (concept)
- Most often, the clientele have few manifestations of psychopathology; they simply wis**h to work on personal concerns in daily living. **
- Also designed to be rather brief treatments, often** focuses on resolving specific problems within a time-limited format.
** Group counseling is **the modality most similar in its goals to those of **individual counseling. **
The techniques and strategies are all designed to help resolve interpersonal conflict, promote greater self-awareness and insight, and help individual members work to eliminate their self-defeating behaviors.
Group counseling is usually focused in the present rather than on the past.
It is relatively short term, spanning a period of weeks or months, and stresses relationship support factors for resolving stated conflicts.
Therapy Groups
- Usually long term in duration.
* Supportive themes -
Identify of behaviors, challenges, struggles
* Goal is to minimize symptoms
* Understand past actions
Self-Help Groups
often** do not have a professionally trained leader.**
**use a more experienced member **who has hopefully resolved the issues with which others are struggling.
purposeSelf-Help Groups
**The purpose of self-help groups is to provide emotional and social support, to develop new ideas about coping with a common issue, and to provide constructive direction for members. **
The membership of self-help groups is open and fluctuates from meeting to meeting.
examples of Self-Help Groups
- Alcoholics Anonymous, an eating disorders group
- Heart-Smart group for individuals with cardiac problems
- a group for people diagnosed with HIV
- and many others on almost any conceivable topic or issue.
Support Groups
Support groups are closely related to** self-help groups;** the terms are sometimes **used interchangeably. **
Support groups are **often developed and sponsored by professional organizations or professional individuals, and they rely on the resources of the sponsoring organization or individual to a greater extent **than self-help groups.
Support Groupsex
- breast cancer survivors
- Parents Anonymous, Parents of Children with Attention Deficit Disorders
- spouse loss/grief groups.
Being A Group Leader
- **difficult to learn to be a group leader without logging considerable experience as a member. **
- it is somewhat hypocritical to expect clients to take risks and share personal concerns when the counselor has been unwilling to do so and is one reason that many training programs provide structured experiences for students to experience the power of groups firsthand, and to learn appropriate group behavior
- The group leader must understand dynamics and assumptions as they are applied to group behavior. *
- Each client comes to the group with different expectations, interests, and goals.
The most basic assumption about groups, therefore, is that there are often discrepancies among the participants’ hopes and expectations and even between those of the leaders and the members.
Coalitions are formed on the basis of these common interests and backgrounds and often on the basis of perceived similarities in attitudes, abilities, or attractiveness. **
The leader may be viewed as the “outsider,**” as a function of his or her expert role, or possibly as the only “insider,” because the counselor alone really knows what is going on during the beginning sessions
Advantages of Using Groups
- Cost-Effectiveness
- Spectator Effects
- Stimulation Value
- Opportunity for Feedback
- Support
- Structured Practice
Stages of A Group
- Forming Stage
- Just thinking about the group before it begins
- Expectations of group and leader
- Screening process
Group Therapy: Initial Stage
- Introductions
- Purpose of group
- Ground rules established
- Trust is explored
- lasts One-three sessions
Group Therapy: Transition Stage
- long silences
- demands for leader structure
- expressions of discomfort or anxiety
- someone acting out as a distraction
- prolonged conflict, or even attacks on the leader
Grpup Therapy: Working Stage
- When there is good movement from one member to another with almost everyone participating
- When there is less reliance on the leader(s) to direct and structure things
- When individuals are accomplishing their stated goals
- When cohesion, intimacy, and trust are operating at consistently high levels
- When game playing, conflicts, and acting-out behaviors are labeled, confronted, and worked through successfully
- When self-disclosure, constructive risk taking, and sharing are high
- When it appears as if people are making consistent progress in their sensitivity and responsiveness to one another
Closing Stage
- group members assess what they have learned
discuss plans for change - explore their feelings about the experience
members attempt to resolve unfinished issues within the group - evaluate the performance of the group
- say good-bye and deal with ending issues
- Chaos will ensue if these behaviors are not redirected. Good leaders know how to redirect the focus in such a way that things remain on task—yet without humiliating the person(s) who need feedback.
How To Know If A Group Is Functioning
expected and consistent rules and respect for each other worldviews. previous action of followup and follow through, resource shared,
if not choas ensued bc behaviors are not redirected and good leader can know how to focus in such a way that that things remain on task w/o humilitaing the person (s) who need feedback
Group Therapy: Intervention Cues
- Counselor relies heavily on “gut wisdom” but also knows that, when a client becomes self-deprecating or self-deceptive or drifts from reality.
- Group situations contain a virtual overload of stimuli to attend to. The most difficult task is to describe not just how and when to intervene but with whom.
- A leader’s behavior can be at best distracting or at worst destructive if ill timed or inappropriately directed.
Other Issues to Attend To
- Abusive behavior/dialogue
- Rambling & digressions
- Withdrawal and passivity
- Lethargy and Boredom
- Sensitivity to language used “I” word
Leadership Skills
- Supporting
- Facilitating
- Initiating
- Setting goals
- Giving feedback
- Linking
- Blocking
“linking” refers to connecting ideas or experiences shared by group members to highlight common themes, while “blocking” involves preventing or redirecting disruptive behaviors or conversations that may hinder the therapeutic process.
1970’s Contributions
Homeostasis and dysfunctional family
Concepts like **homeostasis **emerged— the idea that families experience strong pressures to maintain their typical pattern of functioning, no matter how dysfunctional they are.
Another key term was the identified patient, a client like the girl with the eating disorder who took on the role of expressing psychological symptoms that actually reflected distress of the entire family.
Indeed, the very** term dysfunctional family **was developed by this new school of family system thinkers; the term has become such a part of our everyday language that we forget that it didn’t exist until the latter years of the 20th century.
Individual Verses Family Counseling (Nichols & Schwartz)
Nichols & Schwartz:
Family practitioners view problems as located not within the individual but within the** larger context of interactions between people. **
**Clinicians must generally be more active, directive, and controlling **than they would be in individual sessions.
Rarely can the counselor afford the luxury of operating from one theoretical approach. **Family practitioners tend to be very pragmatic and flexible. **
Focus is directed toward organizational structures and natural developmental processes that are part of all family systems. **This includes attention to family rules, norms, and coalitions. **
A model of circular, rather than linear, causality is favored. This means that when determining the causes of events or behaviors, it is important to look at the bigger picture of how each person’s actions become causes and effects of everyone else’s behavior.
Developmental models are employed that describe the family life cycle, includeing predictable and natural transitions, crises, and conflicts.
Rather than a single notion of “family” structure, counselors recognize that multiple versions are common, depending on the dominant culture.
Family Counseling Training
family counseling involves additional training and **specialization, **especially considering that there is a different orientation to look far beyond the symptoms of the identified client who was referred for treatment and explore issues within a larger context that takes into consideration relational patterns.
in order to attain a degree of competence in this type of work you must have specialized training in family systems dynamics, family theories, family interventions, couples counseling, sex counseling, and professional/ethical issues unique to this practice.
family counseling has all the challenges of individual and group counseling—plus the added burden of dealing with the fact that everyone is related to one another;
each case, comes with a history of interactions you have not been privy to.
consider that one or more family members are often working actively to sabotage any of your therapeutic efforts. It is for this reason you need a solid grounding in family theory, research, and practice.
Universal Features of Family Counseling
Most family counselors rely on the same set of skills, such as
* “joining the family” or building rapport,
* assessing power hierarchies within the family system
* restructuring coalitions among family members
* reframing problems to make them more solvable
* and engaging all members in resolving their difficulties.
* All family counselors think in terms of social systems. Rather than viewing problems in terms of simple cause–effect relationships—that Mother causes Child to act out—they are seen in terms of circular causality
Chain reactions influence each family member, who in turn influences everyone else
Family counselors, by and large, are more flexible, more active, and more structuring than practitioners of other treatment modalities.
Structural Family Therapy (Salavdor Minuchin)
A dysfunctional family supports the sysetmatic behavior
Purpose of Counselor: disrupt family dysfunctional patterns
Power In Relationships
Minuchin introduced the notion of boundaries to describe how the various coalitions in family relationships tend to intersect.
Sometimes, for example, the boundaries between parents and children are clearly defined and at other times an alignment may develop between mother and son, with a disengaged boundary between them and the father
Power within the family must also be carefully understood and balanced.** Each family has a regimented hierarchy, within which each person has a specified amount of control and responsibility. **
Counseling often takes the form of reestablishing a single hierarchical organization in which the boundaries are more clearly delineated so that the parents are in charge and the children have less power.
Family counselors tend to see psychological symptoms like depression, anxiety, and eating disorders in terms of the roles they play within a family’s power dynamics.
Balance of power between spouses can be viewed as a metaphor for other communications in the marriage.
Avoidance In Family Therapy
**A child will often develop problems as a way to protect the parents from having to face their own difficulties. **
As a counselor, you will often see families who present a “problem” child and view themselves as concerned parents who have no problems of their own.
Counselors in a variety of settings observe this phenomenon, and it accounts for why even school counselors are now attempting more and more family counseling interventions
family therapy:Symptoms As Solutions (Haley’s Contributions)
Family systems analysis provides a larger context within which to view the problems of the identified client.
Rather than approaching treatment with the usual intention of promoting individual insight and then helping the client to make specific changes, the family counselor often looks at the behavior of the disruptive family member as helpful or constructive in some regard.
The disruptive behavior continues because it is unconsciously supported and maintained by others within the family system.