group therapies (329 E1) Flashcards
a group
-a group consists of two or more people
-pursuing common goals &/or interests
-each group has characteristics that influence its progress and outcomes
can RNs lead a psychotherapy group
no -> need to be an advanced practice nurse
psycho educational
groups to increase knowledge or skills about a specific psychological or somatic subject
ex: meds or health edu, dual dx, sx mgt, goal setting, rec activity
therapeutic community meeting group
every interaction occurring on an inpatient milieu has the potential to be therapeutic. The community meeting is the essential venue at which unit happenings are processed and integrated into treatment
(be able to process all the different personalities on the unit)
support & self help group
these groups are structured to provide patients w/ the opportunity to maintain or enhance personal and social functioning through cooperation and shared understanding of life’s challenges
(ex: AA, survivors of cancer, bereavement)
group psychotherapy
this is a specialized group intervention requiring skilled leaders such as an advanced practice nurse d/t the goal being to bring out personality change
therapeutic factors of group therapy: instillation of hope
leader shares optimism about successes of group treatment and members share their improvements
therapeutic factors of group therapy: universality
members realize that they are not alone
therapeutic factors of group therapy: imparting of information
participants receive formal teaching by the leader or advice from peers
therapeutic factors of group therapy: altruism
members gain/profit from giving support to others improving self value
therapeutic factors of group therapy: corrective recapitulation
members repeat patterns of behavior in the group that they learned in their families; with feedback from the leader and peers, they learn about their own behaviors
therapeutic factors of group therapy: development of socializing skills
members learn new social skills based on other feedback and modeling
when people lose hope
increased risk of suicide
therapeutic factors of group therapy: imitative behavior
members may copy behavior from leader or peers and can adopt healthier habits
therapeutic factors of group therapy: interpersonal learning
gain insight based on feedback
therapeutic factors of group therapy: group cohesiveness
this arises in a mature group when each member feels connected to the other members, the leaders and the group
members can accept both positive feedback and constructive criticism
therapeutic factors of group therapy: catharsis
through experiencing and expressing feelings, therapeutic discharge of emotion is shared
therapeutic factors of group therapy: existential resolution
members examine aspect of life (i.e. loneliness, mortality, responsibility) that affect everyone in constructing meaning
group therapy advantages
-engage multiple patients in treatment at the same time
-participants benefit from feedback, knowledge and life experiences of the leader and from peers
-provides a safe setting to try out new behaviors and communication skills
-promotes a feeling of belonging
group therapy disadvantages
-time constraints in which an individual may feel cheated for participation time
-concern for confidentiality
-disruptive memberes
-not all patients benefit from group treatment
autocratic leader
exerts control over the group and does not encourage much interaction
democratic leader
supports extensive group interaction in the process of problem solving
laissez faire leader
allows the group members to behave in any way they choose and does not attempt to control the direction
functional roles of group members: initiator - contributor
suggests or proposes new ideas or different ways of regarding the problem or goal
functional roles of group members: information seeker
tries to clarify the group’s roles
functional roles of group members: information giver
provides facts or shares experiences as an authority figure
functional roles of group members: coordinator
shows or clarifies how ideas can work
functional roles of group members: orienteer
notes the groups progress toward goals
functional roles of group members: recorder
keeps notes and acts as the group memory
building & maintenance roles of group members
they alter or maintain the way of working to strengthen, regulate and keep the group going
building & maintenance roles: encouragers
praises and seeks input from others
building & maintenance roles: harmonizer
reconciles differences among members
building & maintenance roles: gatekeeper
facilitates and encourages the contributions of others, to keep communication open
building & maintenance roles: group observer
notes and reports what is occurring to the group process
building & maintenance roles: follower
goes along with the ideas of others, assuming an audience role
individual roles
hamper rather than improve group function, they are non productive
individual roles: aggressor
the people who criticize or attack others ideas or feelings
individual roles: blocker - oppositional
resist progress and disagree beyond reason
individual roles: recognition seeker
cause lots of attention to themselves, boast themselves and talk a lot about their achievements
individual roles: play person
someone always messing around
individual roles: dominator
asserts authority and superiority to manipulate the group or certain members
dealing w/ a monopolizing member
remind entire group to provide equal chances to contribute
speak directly to member, privately if needed
dealing w/ demoralizing member
listen objectively, ask in private about cause of anger, empathize matter of factly
dealing w/ a silent member
determine cause, require response to ease group discomfort, provide extra time for member to think about response and come back to them
