Group therapies Flashcards
Group therapy
consists of 2+ ppl with common goals and interests
char that influence group therapy
similarity, size, rules, boundaries, defined purpose, content, process
Psychoeducational groups
inc knowledge and skills about a specific psych or somatic subject (dual dx, rec activity, sx management, goal setting, interpersonal skills)
Which nurses can do psychotherapy?
APRN
therapeutic community meeting group
often in morning, talk about unit, any probs and reinforce rules
- every intx on an inpt milieu can be therapeutic
Support and self-help group
maintain personal and social fxn thru understanding life’s challenges
- AA, bereavement, cancer survivers
Instillation of hope
optimism of successes of group tx and members share tx; dec hopelessness
Universality
members feel less alone (not the only one who hears voices)
Imparting of info
participants get formal teaching by th leader of advice from peers
Altruism
members gain/profit from giving support to others and improve self-value (when I hear voices, hear is what helps me)
correct recapitulation
members repeat patterns of behavior learned from fam and learn healthy patterns of behavior
Dev of socializaing skills
members learn new social skills based on other feedback and models
imitative bx
copy from leaders/peers and adopt healthier habits
interpersonal learning
get insight based on feedback
group cohesiveness
mature group, accept pos feedback and constructive criticism
Catharsis
thru experiencing and expressing feelings, therapeutic emo are shared
existenial resolution
members examine life aspects (loneliness, mortality) that affect everyone in constructing meaning
Adv of group therapy
engage multiple pt in tx, make belonging, safe space for new comm and behavior, share feedback, life, knowledge
disadv of group therapy
time constraints when ind may feel cheat of participation, time, confidentiality concerns, disruptive members, not all pt benefit
group roles (task roles)
help ID and solve problems
- initator-contributor
- info seeker
- info giver
- coordinator
- orienteer
- recorder
Group maintenance roles
maintain progress of group
- encourager
- harmonizer
- gatekeeper
- group observer
- follower
initiator-contributor
suggest new ideas and methods for prob/goal
info seeker
clarify roles
info giver
give facts or experiences as authority figures
coordinator
clarify how ideas work
orienteer
note progress towards goals
Recorder
group’s memory
encourager
praise and seek input from others
harmonizer
reconcile differences among members
gatekeeper
encourage/facilitate contributions of others, keep comm open
group observer
note and report what is occurring to the group process
follower
go along with ideas of others, audience roles
Individual roles of the group
non-productive and only serve the ind
aggressor
attacks others ideas
blocker-oppositional
resist progress, argue beyond reasonr
recognition seeker
boast, attn grabbing
play person
on phone, joking
dominator
assert superiority and authority, interrupt
How to deal with a dominator
remind everyone of equal changes, may need to speak privately
3 challenging role behaviors
- monopolizing
- demoralizing (listen objectively, ask privately about emo)
- silent (figure out whats going on, how to ease discomfort, may need extra time to process)
