Group Therapy Flashcards
What is SBIRT?
An approach to the early intervention and treatment for those with or are at risk for developing substance use disorders
- Screening- very brief, to identify substance use, behavioral health issues
- Brief intervention- raise awareness of risks, motivates patients to acknowledge a problem
- Referral- when risk is identified, referral for more intensive treatment
- Treatment- cognitive behavioral work for member to acknowledge risks
Who is Irving Yalom and what did he create?
Psychiatrist known for theories on existential psychotherapy. Believed group therapy produced specific dynamics that increased opportunity for healing of all participants. Identified 11 therapeutic factors that influence change and healing in group therapy
11 curative factors developed by Irving Yalom
- Installation of Hope- shared belief that treatment is going to work.
- Universality- helps group members that they are not alone with the problems they are having
- Imparting Information- helps to educate and empower people with knowledge pertaining to their specific psychological situation. This is done through psychoeducation like teaching skills. Can also be done through group members who share experiences
- Altruism- gain a self of value and significance by helping other group members
- Corrective recpitulation- pertains to relations within clients patients family of origin. Occurs when the client both consciously and unconsciously relates to another group member as if that person is a member of their family or person they have struggled with in the past. A projection, but can be identified as a way to find new ways of relating and cooping with that original family members.
- Socializing techniques- learn new social skills that can help them break old habits of isolation and relate to others in new way. promote social dev, tolerance, empathy.
- Imitative behavior- learn to adopt new coping strategies through other group members. done through role modeling
- Interpersonal learning- learn about relationships and intimacy. Allows the patient an opportunity to honestly communicate with others.
- Group cohesiveness- sense of belonging and meaning in relationships himself and in group. MUST HAVE TRUST. **very important.
- Catharsis- When group members have a sudden insight from interactions with others can cause an internal shift with they respond to life. a sudden burst of emotion that releases pain or anger that has been associated with old psychological wounds. Occurs more easily in group than in ind. session.
- Existential factors- Learning how to exist as something larger than yourself. Incorporates how to exist in something larger than yourself. Awareness of life and it will continue on with pain, death, sadness regret and job. They learn how to accept these conditions with out escaping from them.
Benefits of Group Therapy
More affordable
shared experiences
Act as support network and sounding boards
Provides diversity
DBT
Dialectical Behavioral Therapy- used with people who have a low tolerance for distress.
Stages of Group Therapy
Forming Storming Norming Performing Adjourning
Group Therapy Stage 1- Forming
Group members are adapting to being in the group
Members will seek out guidance and approval from the group leader about appropriate boundaries, limits, and behaviors
Limited personal disclosure is done by group embers
Some group members may experience anxiety and apprehension
Group Therapy Stage 2- Storming
Group members are attempting to find their place within the group
Group members may experience conflict among themselves
Group members exchange ideas, which can cause group members to experience conflict
Group member begin to notice differences among themselves
This stage/phase is necessary in order for the group to mature and grow
Group Therapy Stage 3- Norming
Group members become more aligned as a whole, and identify and work to a common goal
This stage/phase allows members to experience a great sense of trust among themselves
Group Therapy Stage 4- Performing
Group members are more autonomous and independent
Group members feel ownership of group experience.
Deeper sense of work is accomplished
Group members are able to be more honest with each other, and a deeper sense of sharing occurs among members
Group Therapy Stage 5- Adjourning
Members have appreciation for other group members
It is during this phase/stage that the termination is addressed and occurs.
Group members may experience more difficult emotional responses and emotions to the group ending.
Prochaska’s Transtheoretical Model Stages of Change
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
Trastheoretical Model of Stage
Pre-contemplation
People do not intend to take action, and are not thinking about change yet. Can also be seen as denial
Refusing go acknowledge that there is a problem
Trastheoretical Model of Stage
Contemplation
Pt recognizes problem. Ready to do something about it in the next 6 months, but haven’t started. This stage many people seek therapy. Many know there is something wrong but feel powerless to
Transtheoretical Model of Change
Preparation/ determination
Ready to take action within next 30 days. Small steps of behavior toward change.
