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Therapy Groups

per NBCOT Study Guide, 6th ed. pgs 41-46

Group Dynamics Forces which influence the nature of small groups, the interrelationships of their members, the events that typically occur in small groups and the outcome of these groups
Group Norms Standards of behavior and attitudes that are considered appropriate and acceptable to the group
Group Roles Patterns of behavior typical in groups -- Functional roles include Instrumental roles (initiator, organizer) & Expressive roles (encourager, compromiser) -- Dysfunctional roles are Individual roles (aggressor, blocker)
Group Goals Desired outcomes of the group shared by a sufficient number of the group's members
Group Communication Process of giving, receiving, and interpreting information through verbal & nonverbal expressions
Group Decision Making Process of agreeing on a resolution to a problem
Group Development 7 phases/stages groups typically go through from beginning to termination
Origin Phase Stage 1 of group development -- leader composes group protocol & planning (size member characteristics, location of meetings)
Orientation Phase Stage 2 of group development -- members learn what group is about - make preliminary commitment to group, develop initial connections with other members
Intermediate Phase Stage 3 of group development -- members develop interpersonal bonds, group norms and specialized member roles thru involvement with goal-directed activities
Conflict Phase Stage 4 of group development -- members challenge group structure, purpose, and/or process -- characterized by dissension & disagreements
Cohesion Phase Stage 5 of group development -- members regroup after a conflict with a clearer sense of purpose and reaffirmation of group norms/values
Maturation Phase Stage 6 of group development -- members use energy and skills to be productive and to achieve group goals
Termination Phase Stage 7 of group development -- dissolution of group due to lack of engagement of members, inability to resolve conflict, administrative constraints, or lack of goal attainment
Directive Leadership Therapist is responsible for planning & structuring of group -- needed when members cognitive, social, verbal skills, and engagement is lacking (parallel, project)
Facilitative Leadership Therapist shares responsibility for group with members -- member skill levels and engagement are moderate -- therapist collaborates -- members acquire skills thru experience (ego-centric cooperative, cooperative)
Advisory Leadership Therapist functions as a resource to the members who set group agenda & structure (self-directed) -- members skills & engagement are high -- feedback occurs as a natural part of process (mature)
Co-Leadership Occurs when there is sharing of group leadership between 2 or more therapists
Evaluation Group Focus - enable client & therapist to assess client's skills, assets, and limitations regarding group interaction Suitable activities - tasks completed in 1 session that require interaction to complete
Thematic Group Focus - assist members to ACQUIRE SKILLS of a specific activity Suitable activities - simulated, clearly defined, structured activities that directly relate to skills being acquired (cooking group to learn to cook)
Topical Group Focus - discuss activities members participate in OUTSIDE of group to enable them to engage in activities in a more effective, need-satisfying manner Suitable activities - Discussion on member activities (fears/problems), may role play and use homework
Task-Oriented Group Focus - increase clients' AWARENESS of NEEDS, values, ideas, feelings improve functioning by focusing on problems that emerge Suitable activities - activities members pick will help members study, understand and practice behavior
Developmental Group Focus - teach & develop group interaction skills (parallel, project, ego-centric cooperative, cooperative, mature) Suitable activities -- depends on group level
Parallel Group Level 1, lowest level of developmental group -- enable members to perform individual tasks in the presence of others -- minimally interact verbally/non-verbally - develop basic level of awareness, trust, and comfort with others in group
Project Group Level 2, developmental group, enable members (1-2) to perform a shared, short-term activity with another member - develop interactions beyond those that the activity requires - enable members to give/seek assistance
Egocentric-cooperative Group Level 3, developmental group, enable members (5-10) to select/implement long-range group activity (2 or more sessions) which req. group interaction to complete -- members identify and meet needs of themselves and others (safety, esteem)
Cooperative Group Level 4, dev. group, members engage in group activity which facilitates free expression of ideas & feelings -- enables members to identify and meet socio-emotional needs (trust, love, belonging, cohesion) -- activity is secondary to need fulfillment
Mature Group Level 5, highest level, developmental group -- enable members to assume all functional socio-emotional & task roles within a group -- enable members to reinforce behaviors which result in need satisfaction & task completion
Assumption of Developmental Groups Learning principles are the basis -- feedback and reinforcement are utilized -- subskills fundamental to mature group functions must be acquired in a sequential manner
Instrumental Group Focus - help members FXN @ HIGHEST LEVEL possible Suitable activities - non-threatening, non-demanding -- maintain fxn. by providing sensory, cognitive, perceptual-motor, social input -- meet mental health needs by allowing member to have fun
Created by: msmaus
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