NURS 315: CH 13 GROUP THERAPY NOTES – Flashcards
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Goals for a group should include:
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- identifying a purpose for the group - education - discussion - support
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What ar Norms of Groups?
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Standards for group behavior
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Typical norms include?
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- confidentiality - Be on time for group - No eating, drinking, cell phones during group - No physical aggression toward members - Members speak one at a time
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Two type of groups exist they are?
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- homogenous - Hererogenous
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Considerations for members of a group are?
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Match purpose of group to client needs Cognitive and social skills Reality contact Potential for development of insight
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Psychotherapy groups
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- helps members change maladaptive behaviors and develop insight - members demonstrate their problematic feelings and behaviors - members experience the corrective emotional experience of being responded to differently
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Activity Groups
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- help members to structure time and experience cooperative work toward goal-achievment - help members practice socialization skills - members participate in goal directed acitvity
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Learning and behavioral change groups
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- members are encouraged to change unhealthy behaviors and learn new healthy ones - presentation of educational material through a variety of methods (games, discussion, A-V materials, speakers) - Clients with similar needs attend behavioral change groups but diagnosis may vary based on group
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Reality Orientation and Remotivation Groups
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- help patients maintain reality contact - help patients reverse reality contact and increase interest in reality - help patients stimulate thinking - provide orientation materials - Has members focus on concert issues and topics - includes clients with similar learning, disturbed thinking, poor reality contact, or withdrawn members
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Reminiscing Group
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- allows members to share feelings about prior life experiences - allows members to review life experiences and relationships - help decrease members loneliness and isolation - helps members reaffirm personal worth and identity. - Members usually are elderly clients, clients with dementia, or clients facing death through terminal illness
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Support Groups
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- help clients realize universality of their problems - helps clients understand problems through education - helps to provide clients with support in situations where members have similar concerns - Provides education about disease processes, psychological changes, or crises situations for the members - Facilitates sharing of feelings, needs, concerns, and problems of adjustment - Clients usually include those with similar psychological problems as needs
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Self-Help Groups
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- facilitate change in a designated area of need for the client - members engage in education, advocacy, and social action around a particular issue. - clients usually have similar goals and ideals for change
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Psychodrama Groups
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- help patients resolve interpersonal conflicts through role play of troublesome situations in a safe and non-threatening atmosphere - members become actors in life-situation scenarios and the group leader directs one member to be the protagonist and play a situation or issue with which he/she is struggling and the other group members assume roles as antagonist or act as the audience. - clients in this group usually have good reality contact and need help developing insight not their issues
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Therapeutic Factors of groups
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> Groups promote change through a sophisticated interplay of human experiences. > Individuals can achieve change and growth through the interpersonal interaction of a group experience > Intrinsic to all groups are 11 interdependent therapeutic factors that facilitate change > All members may not perceive therapeutic factors equally > Presence or intensity of therapeutic factors may be influcnced by : > Type of group > Stage of group development
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What is Imitative Behavior in therapeutic factors
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group leader or member who has mastered a skill or developmental task may serve as role model
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What's involved in the Interpersonal Learning of therapeutic factors?
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members give and receive feedback and gain insight into their maladaptive behavior
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What dos group cohesiveness refer to as a therapeutic factor?
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members feel they are valued and an important part of group
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When is comes to therapeutic factors what dose catharisis mean?
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the release of intense emotions to allow relief;
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When catharsis occurs in group what should the group leader do?
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reinforce that one can express emotion and survive
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What is an Existential therapeutic factor?
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a factor about death, isolation, freedom, and meaninglessness that are the ultimate concerns of a patients existence
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Altruism
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means learning to receive personal support and give it in return
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When it comes to therapeutic factors what dose it mean to provide corrective recapitulation of the Family Group?
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to provide a reliving experience in which correcting early family conflicts with the group occurs
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Development of socializing Techniques is a therapeutic factor in which members do what?
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learn social skills and receive feedback about maladaptive behaviors
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The therapeutic Factor Instillation of Hope involves?
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members being inspired by those who have benefited from group
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The therapeutic factor of universality involves the members to do what?
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realize they are not alone and others have similar problems
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The Therapeutic Factors of Imparting Information involves?
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members receiving suggestions and alternative ideas as a means of formal or informal learning didactic instruction about mental health, mental illness, and so on.
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The nurse's role in Group interventions involves what factors?
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> Nurse's education and preparation for leadership of groups > Consider purpose of group and stage of group development > Utilize techniques to encourage interaction
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Purpose of group and stage of group development include:
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attend to group process facilitate communication amoung members
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Techniques to encourage interaction are:
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Support Probing Reflection Clarification
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The task role, coordinator in group therapy involves?
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clarifying ideas and suggestions within the group
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The task role of educator in group therapy involves?
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examining group plans and performance and measuring it against group goals
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The task role of elaborator involves ?
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explaining and expanding upon group ideas and plan
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The task role of energizer involves?
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motivating group to perform at maximum potentioal
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The task role of initiator involves?
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outlining the task at hand for the group and proposes methods for solution
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The task role of orienter involves?
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maintaining direction within the group
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The Maintenance Role of compromiser involves?
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serving to receive conflict within the group by assisting all to reach a compromise
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The maintenance role of Encourager involves?
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offering recognition and acceptance of others ideas and contributions
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The maintenance role of follower involves?
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listening attentively to group interaction as a passive participant
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The maintenance role of gatekeeper involves?
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Encouraging acceptance of and participation by all members of the group
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The maintenance role of harmonizer involves?
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minimizing tension by intervening when disagreements produce conflicts
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The individual roles of group therapy include?
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aggressor blamer blocker distractor dominator monopolizer
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The individual role of aggressor involves?
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expressing negativism and hostility to other members and using sarcasm to degrade status of others.
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The individual role of blamer in group therapy involves?
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emphasizing to others what they did wrong; trying to blame someone for all that is under discussion
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The individual role of blocker in group therapy involves
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resisting group effort; and demonstrating rigid and/or irrational behavior
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The individual role of dominator in group therapy involves?
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manipulating others to gain control; behaving in a authoritarian manner
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The individual role of monopolizer in group therapy involves?
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keeping the group focused on self by continually talking about own ideas and concerns
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When dealing with an aggressor the leader should?
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> avoid engagement in verbal combat with the aggressor and support other group members > try to understand there that has set off behavior and explore reasons for it > reinforce less aggressive responses
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When dealing with a Blamer the leader of a group of therapy patients should?
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point out the behavior pattern and redirect with encouragement of workable solutions
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When dealing with a blocker the leader of a group should ?
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> interpret hostility if appropriate > Support and clarify feelings to promote understanding > Involve problem solving process os he/she can get rewarded for appropriate behavior
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When dealing with a patient with the individual role of a distractor the leader should?
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evaluate own feelings and remain matter of fact Help the person to clarify self identity and work through how to use positive aspects of personality
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When dealing with a dominator or monopolizer ing group therapy the leader should?
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> Suggest the client try listening to others > encourage expression of fears > Enhance security and involve individual in being helpful > clarify why person needs to monopolize > Assist group in coping with person. > Reinforce person for less dominating, more helpful, listening behaviors
