SW Practice: Groups

Question 1

Group Development Stages: Forming

Answer 1

Orientation, hesitant, participation, search for meaning and dependency.

Achieve Primary Tasks and Attend to Social Relationships.

Question 2

Group Development Stages: Storming

Answer 2

Conflict, dominance, rebellion.

Shifts from preoccupation with acceptance approval, commitment to the group definition of accepting behavior, and the search for orientation, structure, and meaning to a preoccupation with dominance control, and power.

Question 3

Group Development Stages: Norming

Answer 3

Development of Cohesiveness. Becomes a cohesive unit and closeness. Clients work on the real reason that they are in therapy.

Question 4

Group Development Stages: Performing

Answer 4

The continuation of the norm that has been set.

Question 5

Group Development Stages: Adjourning

Answer 5

The ending of the group sessions

Question 6

Brief Groups

Answer 6

Efficient for loss and grief,

Time limited,

Though the range is wide the average is 12 sessions, no more than 20-25 visits.

The shortest group lifespan that can meet to accomplish a specific goal.

A time efficient group therapy group.

Question 7

Burnout

Answer 7

Change job, get overwhelmed, give up, check out

Question 8

Catharsis

Answer 8

Ventilating feelings.

Strong feeling usually leads to greater group cohesion.

Relieves tension and anxiety.

Think of confession with a priest.

Question 9

Combined therapy

Answer 9

Same therapist treats client in both group and individual treatment

Question 10

Concurrent therapy

Answer 10

situation where client is more than one therapy at one time; i.e. group and individual.

Question 11

Confidentiality

Answer 11

Full is impossible, all statements must be respected. Have unless risk to individual group should have to improve trust.

Question 12

Conjoint therapy

Answer 12

therapy where client has both group and individual therapy with different therapist.

Question 13

Counter-transference

Answer 13

redirection of psychotherapist’s feelings toward a client - or, more generally, as a therapist’s emotional entanglement with a client. Projecting past experience prejudices on to members by therapist, it’s bad.

Question 14

Ecological perspective

Answer 14

Identify strengths from clients, families, cultures, communities, and policies to understand behavior (ECOMAP)

Question 15

Empty chair exercise

Answer 15

Client imagines target, in chair, talks to, then trades places and uses perceived perspective to answer back report.

Question 16

Encounter Groups

Answer 16

Therapy group for normal aka process group used for small group research many different types.

Many different forms/titles.

Focus on here and now.

Interpersonal experiences outside societal norms, in order to work on problems.

Strive for some change, yet vague in what this change will be.

Experience growth, not therapy.

Question 17

Ethical group practice

Answer 17

Follow apa guidelines. Just be ethical. It’s not that hard.

Question 18

Evaluation

Answer 18

Assesses services provided.

Effective?
Efficient?
Could it have been done better?

Question 19

Evidence-based practice

Answer 19

Combine well-researched interactions with clinical experience to guide divert.

Develop a clear question, “What are the most effective strategies to treat a 44-year old recently divorced male who has a bipolar disorder?”

Look at literature, make sure you are qualified, monitor evaluation carefully, share results with other coworkers.

Question 20

Existential Struggles

Answer 20

This is when members learn the limit of what a group can provide.

Ultimately they must take responsibility for their own lives.

Emphasis on death, freedom, isolation, life purpose relating to struggles of existence = life vs death

Question 21

Feminist intervention and therapy

Answer 21

Built off feminist therapy traditional roles and dysfunctional individual identity.

Question 22

Principals of Feminist Therapy

Answer 22

1. Opposed to inequalities between men and women
2. Believe traditional sex roles are pathological, and therefore dysfunctional
3. Women need individaul identity to be healthy

Question 23

Using Feminist Roles in Groups

Answer 23

1. Address learned roles like “helplessness”

2. Learn to identify covert processes like “coyness”

Question 24

Group Development Stages in a Women’s Group

Answer 24

1. Preaffiliation (standard)
2. Establishing a Relational base
3. Mutual and Interpersonal empathy
4. Challenge and Change
5. Termination (Standard)

Question 25

Group Cohesion

Answer 25

Group analogue to relationship in individual therapy. How close we'll work together. Important in group and individual therapy. Need for any and all progress.

Question 26

Group Size

Answer 26

3-4 = too small 5-10 = acceptable 7-8 = ideal (according to Yalom)

Question 27

Here and Now

Answer 27

Group therapy framework focusing on events and feelings happening in the moment. Use to accent and overcome issues. Must be happening within the group at the time. Helps the patients learn interpersonal skills such as: communicate more deeply, get closer to others, express positive feelings, to become more aware of personal mannerisms that push people away, to listen, to offer support, to reveal oneself, to form friendship.

Question 28

Hidden agendas

Answer 28

Real reasons individuals are in group. Sometimes will never divulge.

Question 29

Impatient Groups

Answer 29

Therapy talking place within institutional setting. Most likely mandatory group.

Question 30

Insight

Answer 30

Inward viewing, of oneself. Four levels: 1. Objective perspective 2. Complex interactional patterns of behavior 3. motivational insight 4. genetic insight Also known as inference

Question 31

Involuntary clients

Answer 31

Clients mandated to attend group. Will have more resistance, hurt cohesion

Question 32

Marathon Groups

Answer 32

Group that meets for a prolonged session, 24-48 hours with little or no breaks, sleeping and eating will in the same room.

Question 33

Minorities

Answer 33

Marginalized groups. Those divulsion from majority of group. Essential for verging perspective "Social Workers need to practice without discrimination and with respect, knowledge, and skills related to clients age, class, gender, marital status, national origin, race religion, sex." - Culture Competency

Question 34

4 ways of approaching minorities

Answer 34

1. Unprejudiced nondiscriminatory - not racist 2. Unprejudiced Discriminator - reluctant racist 3. Prejudiced non discriminator - feels racist and acts nonracisit 4. Prejudiced discriminator - feels racist and acts racist

Question 35

Outpatient groups

Answer 35

therapy taking place from public area. Clients go home after more likely voluntary clients

Question 36

Preparatory group work

Answer 36

training/interviewing with potential clients to get good fit, and teach how to act within the group.

Question 37

Process focus

Answer 37

Attention to development by the group. When distracted only therapist is immune when settings back on track.

Question 38

Psycho educational groups

Answer 38

Offered to mental health individual, help deal with problematic issues providing with information, structured enhance knowledge.

Question 39

RAP framework for culturally competent practice

Answer 39

Recognize - don't be color blind Anticipate - an ounce of prevention Problem Solve - bring your toolbox

Question 40

Resistence

Answer 40

Going against change. Can be due to uncomfort, routine

Question 41

Self-determination

Answer 41

Belief in self-required for change. Make choices for own life.

Question 42

Self-disclosure

Answer 42

required for group therapy to work, need to open to group but not too fast. Refers to therapists' intentional, verbal or nonverbal disclosure of personal information

Question 43

Self-Help groups

Answer 43

heavy on institution of hope lack of professional leaders, instead, members with group experience. Think of 12 step program.

Question 44

Social Microcosm

Answer 44

relationships and behaviors form inside the group. The group gradually becomes a microcosm of the world the participant members live in. The members will disclose their real world patterns over time given the opportunity to receive feedback and change these patterns. Bring in all the behaviors from the outside world into the group to work on and alter.

Question 45

Standards for culturally competent practice with diverse groups

Answer 45

NASW, ethics/values, self-awareness, cross cultural knowledge, service diligent, and empowerment and advocacy, diverse workforce, professional education, languages diversity, cross cultural leadership.

Question 46

Strengths Perspective

Answer 46

Positive frameworks, focus in on what the client does have empowerment, look for strengths, magnify them to client.

Question 47

Stress and signs of stress

Answer 47

stress makes living problems strive for homeostasis.

Question 48

5 stage response to stress

Answer 48

1. alarm 2. resistance 3. exhaustion 4. experience of event 5. self-talk

Question 49

Support groups

Answer 49

groups to benefit members, get them through life struggles

Question 50

T-groups

Answer 50

Experimental training group in human relations. Discuss one's own behavior study network, they are themselves within.

Question 51

Termination and evaluation

Answer 51

at the end of group, go over progress and gains of group, check if needs were met, can be traumatic experience (ending), can be at any times by any/all plates.

Question 52

Therapist Transparency

Answer 52

Therapist self-disclosure can be supporting/normalizing of client behavior. This is the therapist being open to the group. One objection is the fear of escalation - the fear that once you, the therapist, reveal yourself, the group will only demand more. There is considerable research that therapist self-disclosure encourages greater openness between group members. Self disclosure resulted in an immediate increase in cohesiveness. Therapists need to reveal the relevant material about themselves that helps group members realize that the therapist can understand and empathize with the client's experiences.

Question 53

There and then

Answer 53

Events of past when talked about, history of client. Needs to be brought to here and now for therapeutic effect.

Question 54

Time management

Answer 54

help people become more effective.

Question 55

Transference

Answer 55

Attitudes toward the therapist that had been transferred from earlier attitudes toward important figures in the client's life. These feelings are new additions of old impulses. Attributing assumptions on behavior/personality of the therapist/members by members according to previous life experiences. It is a normal part of group work.

Question 56

Treatment group

Answer 56

Groups that focuses on correcting dysfunctional behavior of members, emotional behavior or interpersonal challenges. Require a lot of preparation and homework, sometimes require specialized training. Explores problems in depth. If you point out an issue, make sure to compliment as well.

Question 57

7 Stages of Treatment group

Answer 57

1. Pre-Affiliation 2. Power and control 3. Intimacy 4. Differentiation 5. Separation/termination 6. Avoid abrupt endings 7. Give group members explicit time for session to end

Question 58

Value of group therapy to clients

Answer 58

Discovering and assertions previously unknown or unacceptable parts of self was most valued

Question 59

Psycho-dynamic Theory

Answer 59

The unconscious is the root of human behavior. Unconscious wishes determine actions

Question 60

Attachment Theory

Answer 60

Early bonding occurs between mom and infant and subsequently plays a critical role in child's future capacity to provide and sustain opportunities for their own children to attach. Happens within first few years of life.

Question 61

Cognitive Theory

Answer 61

Thoughts largely shape moods and behaviors. Thinking affects feelings.

Question 62

Strengths Perspective

Answer 62

Uncover client assets, resources, goals, and dreams, also examines the potential of the environment to nurture and support the strengths of individuals. Focus on successes, resources, and goals.

Question 63

Narrative Theory

Answer 63

Focus on empowerment, collaboration, and viewing problems in social context. Also use client centered approach

Question 64

Solution Focused Approach

Answer 64

Client is recognized as expert of their own life and able to determine best ways to affect change.