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therapeutic groups

psych therapeutic groups

QuestionAnswer
concept of therapeutic groups altruism-member can increase self-esteem as they learn that they can be useful to others by offering support and alternatives
development of socializing members can develop the skills and correct maladaptive behaviors through group interaction
imitative behavior member identifies w/ the healthier aspects of other members and the leader
interpersonal learning healthy behavior learned in the group is gradually transferred to other situations outside the group
catharism expression of feelings(neg&pos) in a non-threatening atmosphere
group cohesiveness feelings of 'we' rather than 'I' commitment to the group shown as regular attendance and the ability to communicate a full range of feelings w/out the groups disintegration
family dynamics all sorts of families- nuclear, single-parent, blended, extended, communal
types of family function physical provision, economic provision, sexual intimacy, education, reproduction
family structure different roles as per age of members
newborn and infant bonding
toddler and preschooler protection, cooperative play, security
school age and adolescent role of best friend, puberty, peer groups
adult and older adult intimacy, need peer group support, affect of aging on partners
factors affecting family function culture, economic resources, lifestyle, previous experiences, coping tolerance, illness, traumatic experience, SA
manifestations of altered family function separation or divorce, role strain, abuse, social isolation, emotional problems
family therapeutic groups important not to blame w/ family but intervene and diffuse blame. consider entire family as object of tx because the family is a system, any change in family causes change of whole family
genogram used to record family facts and relationships
nurse role in therapeutic groups ask ? to facilitate expression of thought and feelings ad stimulate ideas for change of thinking and behavior to improve situation. ask what others were thinking when another was talking
Milieu therapy freedom of movement, hospital and community setting, group and social interactions, view client as responsible human beings. rules and expectations are mediated by peer pressure
seven assumptions of milieu therapy health realized and encouraged to grow, every interaction is opportunity for intervention, pt owns their own environment and behavior, peer pressure useful tool, inappropriate behavior dealt w. as they occur, restriction & punishment avoided
group therapy group defined as 2 or more individuals who share common goal, meet over a period of time, face-face interactions, and achieve an identifiable goal
roles of group members task(keep group focused), maintenance(compromiser,encourager,gatekeeper), individual-(agressor,blocker,help seeker, playboy, recognition seeking)
group therapy benefits more efficient, cheaper, individual frames of reference
psych mental health nursing assessment MSE, psychosocial assessment, physical exam, hx, interviews, standardized rating scales, psychosocial, spiritual and cultural assessment
dx id problem, prioritize diagnosis
outcome id attainable and culturally expected outcomes. include estimates for outcome
planning id safe, pertinent evidence-based actions, include culture and health practices relevant w/ pt.
communication skills verbal vs nonverbal, body behaviors, facial expression, promothing
phases of n-pt relationship peplau described n-pt relationship as evolving, interlocking, overlapping. phases include preorientation, orientation, working, and termination
Created by: gudknecht
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