Yalom - chapter 13 - specialized formats and procedural aids

Question 1

what is conjoint therapy

Answer 1

client is seen in individual therapy and a different therapist in group therapy.

Question 2

what is combined therapy

Answer 2

client is treated by the same therapist in group and individual

Question 3

do private practices used conjointed or combined therapy

Answer 3

combinted

Question 4

do community mental health use combined or conjoint therapy more

Answer 4

conjoint

Question 5

what kind of client should seek individual and group x7

Answer 5

the difficult client (borderline or narcissistic), those with a history of SA, grief work, High acuity of SI, those that may drop out, and impulsive clients.

Question 6

in what way do most individual clients become group members, through combined therapy or conjoint

Answer 6

conjoint

Question 7

what is a common reason for seeking group conjointly

Answer 7

transference issues

Question 8

what must be present for individual and group to work together

Answer 8

synthesis of the 2 services.

Question 9

what are 2 kinds of complications seen in combined/conjoint therapy

Answer 9

1- cross purpose between individual and group due to major differneces in the therapists. 2- individual clients see group as getting less attention as seen in individual so they are discouraged.

Question 10

What creates synthesis between group and individual

Answer 10

there is an ROI, the 2 collaborate and work together, it is not done to facilitate a level of termination with a difficult client

Question 11

what should be done if group members recommend individual therapy to another member

Answer 11

it should be prepared to be discussed openly in the group.

Question 12

how does combined/conjoint therapy reduce drop out x2

Answer 12

1- therapist knows the client well and can provide extra info for proper selection/deselection. 2- therapist can assist in processing things that go in group.

Question 13

what is the issue for the therapist in combined therapy x3

Answer 13

1- they know everything about everyone. less freewheeling. it is hard to ask questions when you already know the answer. 2- transference and counter transference can get worse. 3- confused boundary lines and confidentiality.

Question 14

how is group and AA similar x3

Answer 14

use of bonding/belonging, role modeling, interpersonal learning

Question 15

what are 6 untrue preconceptions regarding the work of group and AA

Answer 15

1- AA don’t use meds or therapy. 2- AA use surrender of personal power to that of a higher power. 3- AA discrouages strong emotion. 4- group neglects spiritualty. 5- group is better than AA 6- group thinks of the relationships in AA as regressive.

Question 16

what is a major differecence between group and AA

Answer 16

no cross talk is used at AA

Question 17

what is cross talk

Answer 17

direct interaction between members during a meeting. this is

Question 18

what are some ways that having a co therapist is best

Answer 18

1- more cognitive range. 2- focus on an individual for one, and the other focuses on the group. 3- able to take vacations. 4- transference is easier to see. 5- male-female co therapy also for further exploration of parental roles. 6- able to work thru countertransference. 7- assist when one therapist is under attack by members.

Question 19

is co therpay disagreement helpful?

Answer 19

yes

Question 20

where do issues arise if using co-therapy

Answer 20

due the relationship between the co therapists

Question 21

what is the most common way for therapists to disagree

Answer 21

theoretical orientation.

Question 22

what can you do in the pre screening stage to prevent splitting

Answer 22

have both therapists interview potential clients at the same time.

Question 23

what should co therapists do during the break

Answer 23

talk and discuss and attend to their own relationsihp

Question 24

how should dreams be interpreted in group

Answer 24

based on the current phase of therapy

Question 25

what kind of dream is most important about group work

Answer 25

dreams that involve the group. much like dreams that involve therapy.

Question 26

during video feedback sessions, what do early members watch for

Answer 26

their own images and not to the interactions.

Question 27

when does video feedback become less useful

Answer 27

later in sessions when the group is cohesive and interactive.

Question 28

who experiences the most discomfort being recorded

Answer 28

the therapist due to fear of being exposed or ashamed.

Question 29

what are 3 reasons for group sessions summaries

Answer 29

1- double as a progress note 2- help to keep thigns moving and allow for clients to reintegrate the experience. 3- hones language skills.

Question 30

how doe having a summary help continuity

Answer 30

it makes the client rethink and rework the session and builds continuinuty in this way as having hte group be present for them after the session.

Question 31

what should the summary never do

Answer 31

be the penultimate last word in the session or group work.

Question 32

what is there to say about groups that hae alot of structured exercies

Answer 32

there is less change, what change that does occur doesn’t last very long, but the members did see the tehrapist as more competent -

Question 33

why does using a structured exercise help a group to see you as competent (Even though the outcomes are poorer)

Answer 33

because it fulfillst he transfrance of what htey think is a leader.

Question 34

what is the purpose of the structrued exerise

Answer 34

to speed things up in the group = but the group will pay a price for such and not be able to “sit in it.”

Question 35

do we see resistance as something to work around or through

Answer 35

through. it is the stuff of therapy.

Question 36

what should a structured exercise not be used for

Answer 36

emotional space filler (When the group is too loose), nor to make for affect (to energize the group into movement),

Question 37

what should we do should a group lack energy instead of a structured exercise

Answer 37

explore what is getting in the way of the energy. why stuck?

Question 38

what kind of group responds well to structured exercise

Answer 38

brief. not long.

Question 39

when should a therapist review the process notes

Answer 39

directly before a session.