Midterm Deck Flashcards
Group Qualities
Intensive, heterogeneous, outpatient, several months long
Goals of a group
Symptom Relief and Personality Change
Anxiety versus depression
Anxiety is about the future, depression is about the past
Installation of Hope
Belief, confidence, efficacy, faith, placebo. 30% of ssri benefit is placebo.
Universality
You are not alone or unique in wretchedness. Removes isolation and aloneness.
Imparts information
Didactic Instruction versus Direct advice.
Altruism
Confronts morbid self absorbption. Giving something to somebody <b>without expecting something in return</b>. I have something of value to offer
Corrective Recapitulation of the Primary Family Group
Experience family or person all over again. Reform the prior dynamic and what we do about it. PARATAXIC DISTORTIONS. Experienced CORRECTIVE, RECAPITULATION, PRIMARY
Development of socializing techniques
Basic social skills. We get to see ourselves in the eyes of other people. Provides CONSENSUAL VALIDATION. First honest feedback. Learn the 3 skills.
Imitative behavior
VICARIOUS or SPECTATOR therapy. Understand self more. UNFREEZE ENOUGH TO EXPERIMENT WITH NEW BEHAVIOR.We are gregarious animals with an innate propensity to be noticed and noticed favorably.
Interpersonal Learning
NEVER BELIEVE INDIFFERENCE. Becomes a SOCIAL MICROCOSM. Shows INTERPERSONAL DEFICITS. Above/below/beside assessment. We are gregarious animals with an innate propensity to get ourselves noticed and noticed favorably.
CAGE
Concern, Acceptance, Genuineness and Empathy
Harry Stack Sullivan
Parataxic Distortions versus Transference
Parataxic Distortions
An individual’s proclivity to distort their perceptions of others. How I think about you and how I respond are both in my head.
Lonliness
Inherent in privilege and in being a group leader
Consensual Validation
The benefit of group versus individual therapy – lots of people tell you what they thin about you
Group Cohesiveness
More leads to more positive outcomes. So important. How well do I think about my group and the other members of my group. Attractiveness of members for the group and other members in the group.
Catharsis
CLEANSING or UNDROWNING yourself by expressing feelings and learning from the experience of those feelings. CATHARSIS ALONE IS NOT SUFFICIENT.
Corrective Emotional Experience
(Franz Alexander) Intellectual insight is not enough; it must be combined with emotional component and systematic reality testing. Must think, feel and use action to test the new insight.
Therapeutic Stance
CAGE: Concern, Acceptance, Genuineness, Empathy
Basic Therapist tasks
CAGE, Create and maintain the group, culture building including the norms (esp 1st day). (also, Be Observer-participant and group historian)
Working in the here and now
Be ahistoric (precedence over then and there.) Illumination of process.
Process work
What’s going on between members, examining our own transactions. Self-reflective loop
Disadvantages of self-disclosure
Losing authority, group shifts to care for therapist