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NCMHCE Groups
Group Things to know
| Question | Answer |
|---|---|
| As you consider the various factors involved in starting a group, what is the MOST important factor you have to judge? | Scope of practice. Do you have the training, skills, knowledge, and education to ethically run this group? |
| According to ASGW (Association for Specialists in Group Work) what steps need to be looked at to have successful group completion? | Selection of group members, group development and process, termination issues, therapist interventions, preparation and pre-group training (interview), premature or unanticipated termination. |
| The SYMLOG Adjective Rating Form | This is a form that measures group cohesion; it is NOT a step in the group process. |
| Cohesion of members | You may strive for this but not at this planning stage. the sum of all the factors causing members of a group to stay in the group or be attracted to the group. You can think of it as the 'social glue' that binds a group together. |
| Pre-affiliation | 1st stage according to Garland, Jones, and Kolodny. Closeness of the members is the central theme w/ approach-avoidance as the major early struggle in relation to it. |
| Power and control | 2nd stage according to Garland, Jones, and Kolodny. After making the decision that the group is potentially rewarding, members move to a stage during which issues of power, control, status, skill, and decision-making are the focal points. |
| intimacy | 3rd stage according to Garland, Jones, and Kolodny. This stage is characterized by intensification of personal involvement, more willingness to bring open feelings about club members and group leader, and a striving for satisfaction of dependency needs. |
| differentiation | 4th stage according to Garland, Jones, and Kolodny. In this stage, members begin to accept one another as distinct individuals and to see the social worker as a unique person and the group as providing a unique experience. |
| separation | 5th stage according to Garland, Jones, and Kolodny. The group experience has been completed, and the members may begin to move apart and find new resources for meeting social, recreational, and vocational needs. |
| task drift | subtly changing the task of the group |
| countertransference issues | this occurs, and it incumbent on the therapist to seek help to address this issue. |
| During the pre-group interview what items are necessary for informed consent? | Therapist's approach to therapy, the benefits and drawbacks, limits to confidentiality and causes for termination, client's responsibilities, description of any conjoint therapies, purpose, signatures, |
| Psychoeducational groups | Health and wellness are the bedrock. As part of a larger program, they have been used to help clients reflect on their behavior, learn new ways to confront problems, and increase their self-esteem. |
| time-limited | group research suggests that most client improvement as a result of group therapy occurs within a brief span of time - typically 2 to 3 months. |
| homogeneous group | indicates that the group members all share a commonality. For example, they all have the same diagnosis, same medical condition, or could be the same sex. |
| When is group therapy NOT the best choice? | clt hx of deviant or violent bx, person is agitated or in crisis, confidentiality is essential, clt is not motivated, clt display poor i/p skill or fear of speaking in groups |
| Formation | From Corey, Corey, and Corey. The pre-group stage, involves the planning and designing the group. |
| Initial | From Corey, Corey, and Corey. for orientation and exploring the tentative members' expectations. |
| Transition | From Corey, Corey, and Corey. deals w/ resistance when members have to address anxiety, resistance, and conflict. |
| Working | From Corey, Corey, and Corey. members explore their issues, they are productive, and the group has cohesion. |
| Final | From Corey, Corey, and Corey. members pull everything together and use what they have learned in group. old feelings may arise such as anxiety and sadness. |
| Corey, Corey, and Corey stage concept | Formation, initial, transition, working, final |
| Four assumptions of most models of group development | 1. Groups devel in regular & observable pattern, 2. The same devel features will be evident in all tx groups 3. Devel is epigenetic 4. Groups will manifest increased interactional complexity but may recycle back to earlier stages. |
| Dependence and interdependence | This is from one of the very first models by Bennis and Shepard. |
| H Kaczkowski group type structured materials and unstructured approach: | Hopefully the child learns to externalize his or her hostile feelings. They learn the practical skills of working together and respect others' property. The goal is to reduce egocentric behavior and to deal with the social realities in the present. |
| H Kaczkowski group type structured materials and structured approach: | This style helps the child complete projects and elicit selected behaviors such as independence. The goal is to improve social reality and to develop acceptance of current situations (e.g., separation, single parents). |
| H Kaczkowski group type unstructured materials and structured approach: | The child learns basic interaction skills with others. The child is helped to think about the current reality honestly. The goal is to improve self-concept, improve impulse control, and improve social interaction. |
| H Kaczkowski group type unstructured materials and unstructured approach: | This concept results in the child being encouraged to think and to freely use and experiment with materials. The goal is to help the child realize impulses can be controlled, discover self-responsibility and living within boundaries. |
| Supervisor of parent separation group program | cautious of role blending. Understand vicarious liability. Develop employees professionally. Oversee, direct, coordinate, provide skill enhancement and evaluate the performance of staff in the program. carry out functions |
| What are some of the advantages of group therapy for children? | more efficient than individual counseling. Children's groups can allow the leader to use a strategic intervention with other members at the same time. The group can promote security and comfort in the children. |
| What are some of the disadvantages of group therapy for children? | The group may be too impersonal to provide help. It may be difficult for group leaders to understand what is inappropriate for some individual children. |
| Process-oriented group | Focuses on the experience of being in a group as a healing opportunity. For example, the process of expressing thoughts, feelings, and experiences in the group can be the very vehicle by which one discovers change. |
| Support Group | You might go after being part of a therapeutic group. groups of people who gather to share common problems and experiences associated with a particular problem, condition, illness, or personal circumstance. |
| Therapeutic alliance | It is not talked so much about in group pre-session, but it does begins during this time. |
| Anchoring heuristics | refers to the tendency to accept and rely on the first piece of information received before making a decision. Not discussed in pre-group interview. |
| Adjourning | Tuckman's final stage of group development involves the termination of task behaviors and disengagement from rel. A planned conclusion usually includes recognition for participation and achievement, and an opportunity for members to say goodbyes. |
| Tuckman's model of group development | Forming, Storming, Norming, Performing, Adjourning |
| Money | Research indicates that it is not a significant contributing factor to client drop-out. |
| Emotional contagion | A significant factor to client drop out from group. Some clients are not able to handle other participants' emotional distress or pain. |
| Helpful in handling the termination phase of group therapy | Help members resolve any unfinished business |
| A client received an email at her work explaining that the group will have to meet at a different location tonight. | This is a violation of HIPAA. You cannot send an email to a client unless it is from and to a secure server |
| Social exchange and interaction | This is a theory of group practice, not a group process. |
| Ganzarain concept about group process | Good Mother perceived as cohesive fx experience while Bad Mother is perceived as rigid task obsessed. as whole a here-and-now working group or become a defensive work-avoidant group? regressive px priority, via interpret or confront to work-oriented < def |
| The pair or couple | usually recapitulation of old fam or neurotic wish for completion of some unfulfilled event. can be sexual, protective, or otherwise. leader will need to address such potentially destructive px through exploration, interpretation, and even confrontation. |
| What are the basic functions of a group leader? | Assist with meaning attribution, Assist with emotional stimulation, To foster client self-awareness, Executive functioning, Act in a caring manner |
| Executive functioning/boundary monitoring | sets the stage for effective work. This begins with forming group, seeking appropriate referrals, pre-selection, and setting format. When things are going well, group seems to run seamlessly when issues arise they are handled correct and therap manner. |
| What issues need to be considered during termination? | Emotional ambivalence, Termination rituals, Completion of primary termination activities, Referrals, The ending phase/completion |
| Which issues need to be handled by the group leader? | Accurately keeping records, Dealing with the effects of group pressure, Addressing confidentiality, boundaries, and informed consent, Avoiding dual relationships |
| Dealing with the effects of group pressure | groups can be powerful catalysts for personal change also means that they may be assoc w/ risks to clts' well-being. develop an ethical awareness as a group leader because of the possible adverse conditions that are associated with group work. |
| Group therapy is a good choice because of cost effectiveness | This is not always true. |
| Collectivism | is linked to a sense of duty to group, interdependence, harmony, and working with the group. |
| Yalom's therapeutic/curative factors | Imitative bx, existential factors, corrective recapitulation of fam, install of hope, universality, imparting info, altruism, devel of socializing techniques, i/p learning, group cohesiveness, catharsis |
| What issues does the group leader need to pay attention to when running a multicultural group? | transference & countertrans, following legal & ethical guidelines, correct termination, group selection, stages and process and how to navigate them |
| 5 Stages of Group development according to Garland, Jones, and Kolodny. | Pre-affiliation, Power and control, intimacy, differentiation, and separation |
Created by:
mbmills3