group therapy Flashcards
group dynamics
2+ people pursuing common goal/interest, give and receive feedback
characteristics influence progress and outcome: size, defined purpose, degree of similarity among members, rules (no phones, one person speaks at a time), boundaries, content (what is said in group), process (underlying dynamics among group members)
nurses as group leaders
co workers, fam, pt in all nursing
RN: activity, educational, task, support group
APRN: all of above, psychotherapy -> personality change
types of groups: psychoeducational
increase knowledge/skill about specific psychological or somatic subject
med/health ed (DM), dual dx (SAD +MI), s/s management (anx/stress), goal setting/review (daily goal - morning and evening), rec activity (cards, ping pong), interpersonal skills
types of groups: therapeutic community
every interaction in inpt milieu can be therapeutic
where unit happenings are processes and integrated into treatment, reinforce rules
morning
types of groups: support and self help
AA, survivors of cancer, bereavement, etc
structured to provide pt with opportunity to maint or enhance personal and social functioning through cooperation and shared understanding of life’s challenges
types of groups: psychotherapy
specialized group intervention, APRN, personality change
therapeutic factors of group therapy: instill hope
decrease suicide by addressing hopelessness
leaders share optimism, members share improvement and group success
therapeutic factors of group therapy: universality
members are not alone
therapeutic factors of group therapy: imparting info
receive teaching by leader and advice from peers
therapeutic factors of group therapy: altruism
gain/profit from supporting others, increase self value
therapeutic factors of group therapy: corrective recapitulation
repeat patterns of behavior in group that they learned in families, with biofeedback from leader and peers, they learn about own behavior
not always bad but sometimes not healthy
therapeutic factors of group therapy: dev of socializing skills
members learn new social skills based on others feedback and modeling others behavior
therapeutic factors of group therapy: initiative behavior
adopt healthier habits form leaders or peers
therapeutic factors of group therapy: interpersonal learning
gain insight based on feedback from others, later group phases decide if want to change behaviors
therapeutic factors of group therapy: group cohesiveness
in mature group, members feel connected, can accept positive and negative feedback and constructive criticism
therapeutic factors of group therapy: catharsis
experience and express feelings, therapeutic discharge of emotions
therapeutic factors of group therapy: existential resolution
members examine aspect of life (loneliness, mortality, responsibility) that affects everyone in constructing meaning
pros of group therapy
treat multiple at once
feedback, knowledge and life experiences shared
safe setting fro comm skills and behaviors
belonging
cons of group therapy
time constraints, feel cheated for time
confidentiality
disruptive members -> acute manic, intox, acute psychotic, remove prn
not all pts benefit
styles of leadership: autocratic
control, not much interaction
educational groups
styles of leadership: democratic
psychotherapy, AA
extensive interaction in process of problem solving
styles of leadership: laissez faire
AA
behave anyway they choose, dont control direction
functional roles of group members
task roles - identify problems and ways of solving
building and maint roles - overall function of group, alter or maint way of working to strengthen, regulate, keep group going
informal roles - meet need of only 1 member, hamper functioning, non productive
task roles: initiator - contributor
suggest/propose new idea or different way of regarding problem/goal
task roles: info seeker
clarify group roles
task roles: info giver
provide facts or share experiences as authority figure
task roles: coordinator
show/clarify how ideas can work
task roles: orienter
notes progress towards goals
task roles: recorder
notes, memory
building and maint roles: encourager
praise and seek input
building and maint roles: harmonizer
reconcile differences
building and maint roles: gate keeper
facilitate and encourage contributions of others, keep comm open
building and maint roles: group observer
note and report what is occurring to group process
building and maint roles: follower
goes along with ideas of others, assume audience role
informal roles: aggressor
criticize/attack others ideas/feelings
informal roles: blocker-oppositional
resist progress, argue/disagree beyond reason
informal roles: recognition seeker
attention, boast, talk a lot about their achievements
informal roles: play person
horsing around, phone, jokes
informal roles: dominator
authority, superiority, manipulate, control (flattery), interrupt
challenging member behaviors: monopolizing
remind of equal opportunity for all members to share
speak to directly, private when necessary
challenging member behaviors: demoralizing
listen objectively, ask in private about cause of anger, empathize matter of factly
challenging member behaviors: silent
cause?, req response to ease discomfort, extra time to think and come back
severe dep, slowed psycho motor function often need more time to think
