lecture 7 Flashcards
CBT group therapy
focus primarily on the individual with some focus on patient-to-patient interaction
Interpersonal group psychotherapy
focuses on group member-to-member relationships and how group members
recreate maladaptive relationship patterns with other group members and leaders that are carried out in significant
relationships outside of the therapy group (emphasizes here-and-now)
Psychodynamic group therapy
uses the group process as the mechanism of change by exploring and examining
relationships within the group (emphasizes here-and-now within the context of gaining insight into early childhood
experiences and past conflicts)
DBT group therapy
combine standard CBT for emotion regulation and reality testing with concepts of distress tolerance,
acceptance, and mindful awareness
T-groups (training groups)
have the intent of learning about human behavior and consist of a small number of members,
designed to help members learn about themselves through their interactions with one another, using techniques such as interpersonal feedback and role play
Yalom’s 12 therapeutic principles
- universality
- altruism
- installation of hope
- imparting information
- corrective recapitulation of the primary family
- development of socialising techniques
- imitative behaviour
- cohesion
- existential factors
- catharsis
- interpersonal learning
- self-understanding
Universality
- sense that no group member is alone in his/her “niedoli”
- recognition of shared experiences and feelings that improves members’ sense of isolation
Altruism
- sense of being able to help or give to another member
- facilitates self-esteem and interpersonal skills
Installation of hope
- members witness other members overcoming a similar problem to their own
Imparting information
- giving factual knowledge by other members or leaders
Corrective recapitulation of the primary family
- group members come to experience other members and leader as parents
- correcting the experiences from childhood
Development of socializing techniques
- learning social skills in a safe environment
Imitative behaviour
- learning thru modelling other members
Cohesion
- sense of belonging and acceptance in the group
Existential factors
- taking responsibility for own life and decisions
catharsis
- experience of emotional release of distress to a supportive group
interpersonal learning
- greater self-awareness by receiving feedback
self-understanding
- better understanding of the interaction between behaviour and interpersonal relationships
Bruce Tuckerman’s theory of group development
- forming
- storming
- norming
- perfomring
- adjourning
Forming
orientation and dependence
Storming
intragroup conflict and differentiation
norming
interpersonal intimacy and cohesion
performing
work and functional role relatedness
adjourning
loss and autonomy
Group therapy effectiveness
• Group psychotherapy is overall a beneficial and cost-effective treatment format.
• There are no significant differences in effectiveness between individual and group therapy and group therapy is an effective
treatment modality, although differences may exist among different patient populations.
5 process variables predicting group outcome
- group cohesion (5-9 members)
- constructive therapeutic environment–> leader and member ratings of the group predicts outcome
- group flow
- Personal involvement
- Therapeutic work
3 group member variables predicting outcome
- Quality of objects relationships
- psychological mindedness
- Alignment of therapy style and leader values
Training group
- Focus on training a skill (emotion regulation, assertiveness, problem solving)
- Trainers are “teachers”
- Trainers are more active
- Everybody gets an opportunity to say and do something; trainers make sure of that
- No intervention on interactions in the group as long as group climate is safe
Group therapy
- The group is used as a therapy vehicle
- The group is a mini-society where personality problems become visible and can be worked with
- Focus on limited refamilying and reparenting
- Therapists are guiding the process
