Exam 3: Group therapy and research in counseling psychology Flashcards
group
two or more individuals who are connected to one another by a particular social relationship
group therapy
psychotherapy in which one or more therapists treat a group of clients together as a group
types of groups
- support group
- psychoeducation group
- process groups
support groups
focuses on providing support for specific issues and offering comfort and connectedness to others ⇒ focus on the clients supporting and validating one another
psychoeducation groups
focuses on providing information about particular topics and developing skills ⇒ more information based, less personal sharing, less self disclosure
- May feel like a presentation/lecture rather than therapy
process groups
focuses on the process of being in the group, guiding the clients to note how they interact with other group members and how that mirrors their lived experiences ⇒ attention is paid to feelings, thoughts, and experiences that arise in there group
- There will be opportunities to explore the meaning of these behaviors
who benefits from group therapy? (2)
- People who have difficult time in relationships may benefit significantly from a process groups ⇒ interpersonal process group
- Almost anyone can benefit from a group
Note: Usually form a group by creating exclusion criteria
reasons for group exclusion (4)
- Acute situational crisis ⇒ if you are in your own crisis it is difficult to help others
- May need to do crisis or individual counseling first - Suicidal clients ⇒ these clients usually need more focused attention to themselves to make sure they are safe
- Members who are unable to attend regularly ⇒ especially true for process group interpersonal connections
- It can disrupt the dynamic of the group - Clients with antisocial personality disorder ⇒ unlikely they will support others
- these patients often wouldn’t seek therapy as they don’t see themselves as having problems but in reality have more difficulty (less empathy and may hurt others )
- May be better for individual therapy
considerations for groups (4)
- group size
- duration of sessions
- group structure
- ethics
group size considerations
varies from 3 to several hundred group members depending on the type of group
- process groups usually work best with 6-8 members ⇒ enough to share but not too many to have anxiety about sharing
- Several hundred is usually the psychoeducation groups
duration of session considerations
groups sessions usually range from 1-2 hours ⇒ depending on how often they meet as well
group structure considerations (2)
- Open: allowing members to enter and leave the group as needed
- Typically psychoeducation group - Closed: only the group members who started at the beginning are in the group at the end
- Process groups shouldn’t have new members added because they will be behind
ethics considerations
confidentiality cannot be guaranteed ⇒ everyone will agree about this at beginning but this works as an honor system and you cannot monitor that
therapists role in group therapy (3)
- express concern, acceptance, genuineness, and empathy toward all group members
- facilitate dialogue
- Serve as a role model of how to give and receive feedback to group members
→ In psychoeducational groups, instructors often instruct, educate and give examples
process group components (4)
- who communicates, how long, how often, to who, who interrupts, are there patterns related to gender/age/race?
- what roles conflict on the surface (what, who, resolution)
- what is the emotional content of the discussion
- what are some of the unstated assumptions underlying the discussion
techniques of group therapy (3)
- Creation and maintenance of the group
- group screening interview - Culture building
- Norms of process
- Therapist models desired behavior - Using the here and now (often immediacy technique)
- Process illumination
- Self reflect
process illumination
help group members figure out what’s going on inside of them
who created the group stages in 1965?
Tuckman
- Originally 4 stages and later added a 5th to address termination
Tuchman’s stages
- forming
- storming
- norming
- performing
- adjourning
forming stage
orientation stage
- Typically polite, limited interactions
- Members are getting to know their role
- Greater dependency on therapist
therapist role in forming (2)
provide structure and direction
storming stage
conflict stage ⇒ challenging but healthy
- Ideas are criticized and challenged; coalitions begin to form
- Members may be judgemental of one another
- Power struggle among members
therapist role in storming
distinguish between an attack on your person and an attack on your role/ideas ⇒ therapist models ways of providing feedback
- Unpleasant stage for most therapists
- Maintain safety for people and show they are valued but practice confrontation
norming stage
structure stage
- Agreement on procedures
- “We” feeling among group members
- Cohesion
concerns for group members during norming
- Not being liked
- Not being close enough with others
therapist role in norming
foster group cohesion so group can be optimally effective
performing stage
work stage
- High task orientation
- Emphasize performance and cooperation
- Full expression of positive and negative emotions
- Most productive therapy at this stage
therapist role in performing
look out for subgrouping, conflict, and self disclosure