1. Chapter 35 Therapeutic Groups
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2. 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
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3. 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
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4. 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
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5. 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
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6. Informal Roles of Group Members
Task role
Keeps group focused
Maintenance role
Keeps group together
Individual role
Can threaten group focus
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7. Multiple Roles of Group Leader
Starting
Structure
Maintaining
Interaction
Terminating
Members’ accomplishments
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8. Styles of Group Leadership
Autocratic leader
Exerts control
Democratic leader
Supports interaction
Laissez-faire leader
Allows group control
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9. 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
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10. 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
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11. Advanced Practice Nurse
Able to assume responsibility for the following groups:
Same groups as the basic level RN
Psychotherapy groups
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12. 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
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