Chapter 35 Therapeutic Groups

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Presentation transcript:

Chapter 35 Therapeutic Groups Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Basic Concepts Related to Group Work Group psychotherapy: Specialized treatment intervention Led by trained leader or co-leaders Purpose is to treat clients with psychiatric disorders Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Advantages of Group Work Cost effective Client feels less isolated Clients receive peer feedback Clients teach one another different problem-solving approaches Client learns various functional roles Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Disadvantages of Group Work Client’s privacy may be violated if confidentiality not respected Some clients unable to share intimate feelings or thoughts in a group Client may feel neglected if others getting more attention Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Phases of Group Development: Roles of Leader and Group Initial phase Leader: Set up an atmosphere of respect, confidentiality, and trust Group: Get to know one another Working phase Leader: Encourage members to cooperate with each other and handle conflict Group: Issues of power and control Mature phase Leader: Keep group focused on therapeutic goals of individual members Group: Develops functional norms and a sense of group identity Termination Leader: Acknowledge the contributions of each member and the experience as a whole Group: Prepare for the separation and for the future Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Informal Roles of Group Members Task role Keeps group focused Maintenance role Keeps group together Individual role Can threaten group focus Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Multiple Roles of Group Leader Starting Structure Maintaining Interaction Terminating Members’ accomplishments Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Styles of Group Leadership Autocratic leader Exerts control Democratic leader Supports interaction Laissez-faire leader Allows group control Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Therapeutic Factors in Groups Instillation of hope Universality Imparting of information Altruism Corrective recapitulation of the primary family group Development of socializing techniques Imitative behavior Interpersonal learning Group cohesiveness Catharsis Existential resolution Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Basic Level Registered Nurse Able to assume responsibility for the following groups: Medication education Sexuality Dual-diagnosis Multifamily Symptom management Stress management Community meetings Self-care Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Advanced Practice Nurse Able to assume responsibility for the following groups: Same groups as the basic level RN Psychotherapy groups Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.

Problematic Behaviors in Group Members Monopolizes group Leader: Asks members why allowing Complains but continues to reject help Leader: Agrees but with detachment Demoralizes others Leader: Focus on content being avoided Silent person Leader: Encourage active participation Elsevier items and derived items © 2006 by Elsevier Inc. All rights reserved.