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Group Therapy

dynamics of mutual aid, roles, purpose, contracting

Sharing data DMA; sharing different experiences, knowledge, ideas, values; worker should notice this is ocurring
Dialectical Process DMA
Discussion of taboo areas DMA; drugs, sex, crimes against humanity (military)
All in the same boat phenomenon DMA; not feeling alone
Allows for mutual support DMA; members can empathize with each other and often at deeper level than the worker
Mutual demand DMA; within a group, members can be caring and supportive and demanding of each other; expectations of one another
individual problem solving DMA; group members help individuals solve their specific problems (all my benefit)
Allows for rehearsal DMA; role playing
Strength in numbers DMA; the more people concur on an action in the group, the more authority
Obstacles of mutual aide lack of trust with group members, don't trust worker, not similar situations or experiences among members or worker and members
Pre Group Work Contracting-agreed upon goals, formulating tasks, agreed upon roles, planning initial strategies, preparatory empathy, find common themes, reduce anxiety of the unknown, gives clarity to worker and members, mobilizes energy for work, develops trust
Trust issues among group members confidentiality, judgement, different problems, not understanding how information is being used, various ages, experiences, etc.
Trust issues between members and worker emotional safety, mutual respect, unclear roles, transference, don't understand how worker can help them especially if worker has not experienced themselves
Difficulties in open communications embarrassment, lack of skills/experience, societal expectations, taboo topics- worker can direct responses to the obstacle; lend visions; understand dynamics of group; reframe; go from general to specific
Sessional tuning in SWS; are you on target, partially on target, not on target- reach for indirect and direct communications; tune into self, client's struggles
Elaborating SWS; open ended questions, moving from general to the specific, silence
Containment SWS; not rushing to action; taking time to reflect and work in the present
Reaching into silence SWS; reading the stimulus
Questioning SWS; being curious to ask questions; avoid assuming
empathy SWS; displaying an understanding of the client's feelings; reaching for feelings; put client's feelings into words
sessional contracting skills SWS; assessing contract on-going; review contract with client
sharing workers feelings SWS; present ourselves as human beings, needs to be focused on the group's work, has to get the clients unstuck.
Demanding the work SWS; holding to focus, checking for underlying ambivalence, challenging the illusion of work, partializing
Partializing SWS; breaking down the generalized comment into workable parts.
Sharing data SWS; has to be relevant to the work, needed for the clients within the immediate work, provided in a way that is open to examination, has to be when the client is stuck
Sessional ending skills summarizing, generalizing, rehearsing, identifying door knob communications
Monopolizer GMR; protects the individual and others by keeping engagement away from those that may be uncomfortable; seeking attention; helps avoid awkward silence; can be annoying to other members; can be avoidance of work
Placater GMR; attempts to please all to avoid anger
Time Keeper Avoidance of troubling topics; anxious about the work
Scapegoat projection of negative feelings of self unto others; avoidance of work by putting problem on another members; allows other members to avoid work; worker shouldn't side with other members; be direct
Deviant member GMR; inappropriate or bizarre behavior; mildly inappropriate (staring out the window; not engaging with group_
What worker does when Role is identified identify the behavior to the group; reach for the meaning; reach for meaningful resolution; understand the meaning/functions behind these roles
Contracting Group Work Skills Structuring, support, exploration, information and education, offering advice and guidance, interpretation and insight
Structuring group contract kill; setting up purpose, goals, tasks; functions as accountability, responsibility, sets boundaries of the group, provides sense of safety, gives power and control to members, impacts physical environment
Support Group contract skill; emotional support (empathy, comfort, security) and instrumental support (provision of knowledge, coping skills, tangible or material aide)
Phase One-Problem Solving Process The recognition that a problem seems to exist; be careful not to take what one group member says is the problem without checking in with all other members
Phase Two-Problem Solving Process Identification of the problem; the group identifies the problem together; group beings to develop trust, recontract if necessary
Phase Three-Problem Solving Process Exploration of the problem-group understanding of what is contributing to the problem, may be different causes for different members; why worker thinks its a problem and their feelings about it; use still of containment
Phase Four- Problem Solving Process Consideration of Possible Solutions- have group make suggestions; use personal experiences if helpful; base on values, culture, etc of group members
Phase Five-Problem Solving Process Selection of the best possible solution- weigh pros and cons, lend a vision to the group; normal conflict may arise
Phase Six-Problem Solving Process Implementation of possible solutions- role playing, planning out steps, clarify roles
Phase Seven-Problem Solving Process Evaluation of results- are they desired? is recontracting necessary?
Positive Conflict learning experience on how to deal with conflict within safe environment, allows for stimulation, allows opportunity to examine feelings, values, beliefs, etc.; generalizability
Concerning Conflict when it is not productive; debilitating towards group work; escalating danger; worker deemed unable to handle conflict if they are avoiding
Conflict allows for change; worker can keep conflict from escalating in the beginning to continue a safe environment, be aware of own fears as a worker; apply to the work
Four categories of conflict Differences of opinion between group members, differences of opinion between worker and members, descriptive difference between members (diversity, culture, age), descriptive differences between members and worker
Defining Purpose of group work helps formulate contract, goals, identify illusion of work, motivates member participation, defines the end, framework, evaluates progress, discussion of accomplishments
Hidden agendas in the purpose of group work when what we describe as the purpose is different than the actual purpose; NOT GOOD; be direct always
Endings and Transitions understand potential feelings of anger, loss of mutual aide, feelings of success; bring up endings early in the work; reach for direct and indirect cues from the members; encourage sharing of feelings; content and process of group work examined
Denial Phase of Endings/Transitions Conflict still present, therefore denying group work is complete; loss is too great; avoidance or fear of future
Indirect/Direct expressions of Anger Phase of Endings/Transitions sense of abandonment, feelings of desertion, incomplete work- point out behavior in empathetic way
Mourning period of Endings/Transitions client is suppressing feelings; loss; lack of safety; sadness
Trying it on for size phase of Endings/Transitions less regular sessions; trying something on their own while still have worker's support if it doesn't go well
Farewell party syndrome phase of Endings/Transitions padding endings by concentrating on the positive and ignoring the negatives- reach for the negatives!
Co-Therapy two people leading a group
Advantages of co-therapy two sets of eyes interpreting and assessing, split roles, observe each other, model relationships, replication of good behaviors
Disadvantages of co-therapy lingering disagreements, competitiveness, different theoretical models, clients may attempt to split therapists; MUST process work together and plan together
Created by: 100003130910059