Chapter 33 Therapeutic Groups

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Presentation transcript:

Chapter 33 Therapeutic Groups Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Characteristics That Influence a Group Size Defined purpose Degree of similarity among members Rules Boundaries Content (what is said in the group) Process (underlying dynamics among group members) Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Therapeutic Factors Common to All Groups Instillation of hope Universality Imparting of information Altruism Corrective recapitulation of primary family group Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Therapeutic Factors Common to All Groups (Cont.) Development of socializing techniques Imitative behavior Interpersonal learning Group cohesiveness Catharsis Existential resolution Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Phases of Group Development Orientation phase Working phase Termination phase Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Group Member Roles Task roles Maintenance roles Individual roles Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Question 1 Which of the following comments made by members of a group best demonstrates a task role? “I want to tell how my problems started. I’m having more trouble than anyone else in this group.” “Three people were late for this group. Everyone is supposed to arrive on time.” Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Question 1 (Cont.) “I can’t believe you’re talking about your failed romantic relationships again.” “We started out talking about guilt, but we have strayed from that subject.” Answer: D Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Group Leadership Responsibilities Initiating Maintaining Terminating Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Styles of Leadership Autocratic leader Democratic leader Laissez-faire leader Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Basic Level Registered Nurse Psychoeducational groups Medication education groups Health education groups Dual-diagnosis groups Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Basic Level Registered Nurse (Cont.) Symptom-management groups Stress-management groups Therapeutic community meeting groups Support and self-help groups Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Advanced Practice Nurse Group psychotherapy Psychodrama groups Dialectical behavior treatment Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Dealing with Challenging Member Behaviors Monopolizing member Complaining member who rejects help Demoralizing member Silent member Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Audience Response Questions Medication education and health education are types of psychoeducational groups. insight-oriented groups. support groups. psychodrama. ANS: A Psychoeducational groups are groups set up to increase knowledge or skills about a specific psychological or somatic subject and allow members to communicate emotional concerns. Psychiatric mental health nurses, who are holistically trained, are well prepared to teach about a variety of health subjects. REF: 11-12 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Audience Response Questions A group participant frequently reminds others of the group’s main purpose. What type of role is this person fulfilling? Maintenance Individual Task ANS: C Task roles serve to keep the group focused on its main purpose and getting the work done. REF: 7-8 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.