I

T
A
LPC

Chris Schimmel, Ed.D.,NCC,

IMPACT THERAPY ASSOCIATES

457 Broadway Ave

Star City, WV 26505

304-293-2266
e-mail: [email protected]

www.impacttherapy.com

IMPACT THERAPY APPLIED TO GROUPS

Four Ms of Impact Therapy: Multi-sensory, Motivational, Marketing, Maps
1. PEOPLE DONT MIND BEING LED WHEN THEY ARE LED WELL.
2. A GOOD GROUP LEADER IS CREATIVE, COURAGEOUS, AND MAKES
SURE THE GROUP IS NOT BORING.
FACILITATOR------------------------------|----------------------X-----------LEADER
(emphasis on group process)
(emphasis on personal issues)
(interpersonal)
(intrapersonal)

SEVEN GUIDING QUESTIONS FOR GROUP LEADING

1.

What is the PURPOSE of the group?

2.

What is the PHASE of the session? Is it the warm-up, middle, or closing phase?

3. Where is the FOCUS of the group?

A leader is always aware that the focus is either on a person, topic, or activity.
A leader is always holding, shifting, or deepening (funneling) the focus.
4. Do I need to teach the members theories?
5. What stage of change are the members at?
PRECONTEMPLATION, CONTEMPLATION, PREPARATION, ACTION,
MAINTENANCE, TERMINATION
6. How much do I focus on CONTENT and how much on PROCESS?
7. How DEEP is the group?

THE DEPTH CHART (most sessions should go below 7)

10
9
8
7___________________________________
6
IMPACT
5
4
3
2

COMMON MISTAKES OF GROUP LEADERS

1. Not having clarity of purpose
2. Not paying enough attention to the formation of the group; that is, the
member composition, size, the meeting time, the setting, etc.
3. Not planning the sessions
4. Not paying attention to the stage of the group
5. Allowing the warm-up phase to last too long
6. Running out of time and not adequately closing the session
7. Not having a dynamic opening to the first sessionhaving too long or
irrelevant introductions or starting with ground rules
8. Not establishing a positive, working tone for the group
9. Allowing the group to be boring, superficial, or irrelevant; not
deepening the focus
10. Allowing the group to focus too long on one person
11. Not being willing to cut off members. Let one or two members dominate.
12. Leader talks after each members comment. Leader/member/leader/member
13. Not involving other members when working with one member
(Conducting boring one-on-one counseling)
14. Not teaching the members a theory to use in understanding their
problems
15. Not using a multi-sensory approach
16. Using too many exercises or exercises that take too long
17. Not processing exercises to meaningful levels

THERAPEUTIC FORCES
A group cannot be effective if these forces are rated low. It is the leaders
responsibility to monitor the therapeutic forces of a group.
1.

Clarity of purpose for both the leader and the members

2.

Relevance of purpose for the members

3.

Size of the group

4.

Length of each session

5.

Frequency of meetings

6.

Adequacy of the setting

7.

Time of day for both the leader and the members

8.

The leaders attitude

9.

Closed or open group

10.

Voluntary or nonvoluntary membership

11.

Members level of commitment

12.

Members level of trust

13.

Members attitudes towards the leader

14.

The leaders attitude toward the members

15.

The leaders experience and readiness to deal with groups

16.

Co-leadership harmony

Screening is essential for good groups and should never be considered finished. That is,
it may be necessary to screen out members even after the group starts.

GROUP LEADERSHIP SKILLS

1. Being clear as to the purpose
2. Being clear about your role as leader
3. Generating and building interest and energy
4. Tuning into the groups energy
5. Varying the format
6. Using your eyes effectively
7. Setting the proper tone
8. Using your voice effectively
9. Being aware of the focus: a) on a topic b) on a person

c) on an activity

10. Getting, holding, deepening and shifting the focus

1. Asking good questions
2. Knowing counseling theories
11. Knowing your allies in the group
12. Second guessing
13. Thinking of members as individuals
(It is appropriate to meet with members privately)
3. Dealing with multicultural issues
4. Drawing out
5. Cutting off
6. Using exercises effectively

BEGINNING A GROUP
Things to think about
1. How to begin the group
2. How to handle introduction of members (how, how much time to spend)
3. How to set the tone (very important)
Things to do in the first session
1. Clarify the purpose of the group
2. Explain the leaders role
3. Explain how the group will be conducted
4. Tell members you will, at times, be looking around when they are talking
5. Tell members you will be cutting off members at various times
6. Explain the rules for the group (see comment below)
7. Explain any special terms that will be used
8. Check out the comfort level of the members (use 1-10 round)
9. Assess coping styles of the members
10. Introduce and focus on the content/purpose of the group
11. Draw out members
12. Allow extra time for closing the first session
13. Address questions members may have
14. Focus on multicultural dynamics if they exist
Helpful Hints
1. Do not start with the rules -- it sets a tone you probably dont want.
2. Do not focus too long on one member during the first session
3. Dont count on members to carry the first session -- have a plan
4. Watch out for members talking just to you (the leader)
5. Do not let negative or dominating members control
6. Do not be afraid to cut off members
7. Written exercises can be very helpful in drawing out members
8. Dyads can be helpful in getting members comfortable
9. Rounds can be very helpful in drawing out members
10. Use a movement exercise to generate interest and energy if it is low

KINDS OF EXERCISES
1. Written
2. Movement
3. Dyads and triads
4. Rounds
5. Creative props
6. Arts and crafts
7. Fantasy
8. Common reading
9. Feedback
10. Trust
11. Experiential
12. Moral dilemma
13. Group decision

PLANNING--AN ESSENTIAL COMPONENT

Plan 1
The first session of a parenting group consisting of ten members
3 min. (7:00)
5 min.

2 min.

10 min.
15 min.

5 min. (7:35)
10 min.
20 min.
5 min.
5 min.
10 min.

Introductionsround (name, age of children, why they came to the group).

Discuss the groupformat, purpose (stress that it is mainly an educational and support
group and not a therapy group). Have members share their needs and any fears or
questions about the group. Have them share cultural differences. (Sandwich in the
ground rules of confidentiality, attendance, no attacking of others.)
Sentence completion:
The thing I like most about being a parent is__________________________
The hardest thing about parenting is_________________________________
I get most upset as a parent when___________________________________
Have members share these in large group (use their examples in discussion below).
Discuss Adlerian principles of child behavior (use charts and handouts)
All behavior is purposeful.
Children are not badthey are discouraged.
Four goals of misbehavior.
Have members share in triads their thoughts about the Adlerian principles.
Discuss in large group, then continue overview of principles: Parents reaction to each of
the four goals of misbehavior.
Focus on the first goal of misbehaviorattention getting
Use short role-plays to demonstrate.
Discuss ways to deal with situations.
Dyadsdiscuss this goal in relation to their children and how parents may handle
situations differently.
Process dyads.
Summarizewhat stood out, feelings about the group, one thing they plan to do
differently.
Hand out reading material.
Remind them of next meeting time.

Plan 2
The second session of a growth and support group for fourth- and fifth-graders who dont seem to make
friends easily. There is one new member this week.
5 min.
2 min.
3 min.
15 min.

3 min.
2 min.

Introduce new member to the grouphave members tell their names and what they
remember about last week. Leader comments about the group and its purpose. Also,
remind members when they talk to look at others instead of the leader.
Have members list things they can do to make friends.
Discuss lists in dyads.
List ideas on chalkboard.
Discuss the ideas.
Role-play some of the ideas.
Have each member practice.
Have each member tell one thing he or she will try this week.
Summarizeeach member completes One thing I learned....

NOTE: Good planning is essential for leading meaningful groups. The skilled leader always plans the
warm-up, realizing that the opening few minutes of any session is very important. The warm-up should
never be boring or too long. It is also important to plan for the closing phase of the session--it should not
end abruptly. The prepared leader also has a back-up plan in case what is planned does not work.

Plan 3
The third session of a six-week assertiveness-training group with eight members.
10 min.
15 min.
5 min.
15 min.
10 min.
1 min.
15 min.
5 min.
10 min.
5 min.

Progress reports, observations from the week, questions.

Reenact some assertiveness situations from the week (this could last longer if there are
a number of situations).
Dyadsprocess thoughts from the reenactments.
Present the broken record technique:
Demonstrate.
Practice.
Reactions, comments, and questions.
Round(110; 10 = very much): how guilty do you feel when you are being assertive?
Discuss their numbers and how not to feel guiltyteach REBT
Show ABC model.
Write on board their irrational self-talk and then rational self-talk.
Dyads: discuss the use of REBT when being assertive.
Discussion: things I plan to try this week regarding being assertive.
Summary: what stood out for you today? Any wishes for anyone in the group?

Plan 4
The third session of a weekly counseling group. The group has six members.
5 min.
5 min.
10 min.
20 min.
5 min.
5 min.
5 min.

Progress reportsask about Bobs mothers visit, Ruths exercise program, Tandys
contract to talk with two people each day.
Thoughts, comments, reactions to the week.
Review Elliss ABC modeluse examples from their week.
Personal workdo yes/no round of who wants to bring up something; if all nos, use
backup plan Introduce TA model if it did not come up during the personal work or
continue the personal work if others want to work.
Share (in triads) reactions to TA model.
Summarize -- what stood out? How will use REBT and TA?
Write in journals (Journals are left for the leader to read).

NOTE: Good planning is essential for leading meaningful groups. The skilled leader always plans the
warm-up, realizing that the opening few minutes of any session is very important. The warm-up should
never be boring or too long. It is also important to plan for the closing phase of the session--it should not
end abruptly. The prepared leader also has a back-up plan in case what is planned does not work.

CREATIVE GROUP EXERCISES

FIVE KINDS OF CREATIVE EXERCISES
USE OF PROPS
USE OF CHAIRS
USE OF MOVEMENT
USE OF WRITING AND DRAWING
USE OF ANALOGIES

REASONS FOR USING CREATIVE EXERCISES

To focus the group
To make concepts more concrete
To heighten awareness
To dramatize a point
To speed up the counseling process
To enhance learning, because people are visual learners
To enhance learning, because people are experiential learners

Props
Shield

$10 bill

Filter

Cards

Cups

Tapes

Fuse

Rubber bands

Blocks

Plate

Chairs
Small child's chair

Standing on the chair

Empty chair

Sitting in the new you chair

Three egostates

Decision between two choices

Progression of Mental Health

Unconsciously Incompetent Consciously Incompetent

Consciously Competent Unconsciously Competent

Cheerleader vs Fan Model for Effective Living

Cheerleaders never boo the players!
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Movement
Sculpt how you feel about the group
Value or continuum lines

Feeling pulled
Evaluation of progress

Feedback lines

Parent's Chat

AA Support

First Session Support Group

Home Spot

Personal Space

Writing and Drawing

Sentence completions

Adjective checklist

Lists

REBT disputing

Egograms

Board of directors

Stroke economy

Enmeshment

Written feedback from members

Time lines

Hot air balloon drawing

TA drawings

Fantasies
Animal you would like to be

Pick an object in the room

Hot air balloon

Common object

Movie-- director, cast, crowd reaction

Rosebush

Other Exercises
My wish for you
Most comfortable/least comfortable
Most like/most different

Affirmation exercise
Rounds

Important Sentences in Counseling:

1.
2.
3.
4.
5.

All behavior is purposeful.

Thoughts cause feelings.
Get your expectations in line with reality.
You teach people how to treat you.
Life is a series of choices

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ROUNDS
The value of rounds cannot be overstated. Of all the kinds of group exercises and
activities, the round is the most useful and versatile.
USES/PURPOSES
A. Get information quickly
B. Get the members focused
C. Get the members involved
KINDS
A. Designated Word or Designated Number Round
1. Here/Not here/Getting here
2. Yes/No (something to work on)
3. 1-10 rating (comfort level, like yourself, marriage, job)
B. Word or Phrase Round
1. On a topic or issue (the week, your life, marriage)
2. Reaction to an exercise, someones personal work, etc.
C. Comment Round
1. What has stood out to you?
2. How has the week been?
THINGS TO THINK ABOUT
A.
B.
C.
D.
E.

Where to begin and end

Not completing the entire round
Passing on the hesitant member
Processing or using the round
With kidsthem write their comments

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CUTTING OFF
In order to be effective as a group leader, you must be able to cut off group members.
Tell the members during the first session that you will, at times, have to cut off members.
You can say something like the following:
There will be times that I may interrupt a member and direct the discussion elsewhere. I will
do this for any number of reasons. I may interrupt in order to get more people in on a
discussion or to shift the focus to a different topic or to a different person. Please realize that I
am thinking about all of you and I want the experience to be valuable for everyone so that
may mean I will have to shift the focus at times. If you ever have any questions about why I
may have shifted the focus from you, please check with me.

Four Situations That Warrant Cutting Off

1. When a member starts in on a story when you are wanting a brief comment
2. When a member shifts the focus away from a person or topic and the
discussion taking place is valuable
3. When a member attacks another member or says something that is inaccurate
4. When a member has the focus of the group but is rambling
Cutting Off a Member Who Is Rambling
When you cut off a member who is rambling or not focusing or funneling, you do one of three things: cut
and stay with the person; cut and stay with the topic; or cut and leave the person and the topic.

1. Cut and Stay With the Person

A. Ask person clarifying questions: the leader or members can do this
B. Have person do some focused activity (use chair, drama, etc.)
C. Have person complete an in-depth round
D. Have members give person feedback
E. Have one member role-play the person working
2. Cut and Stay With the Topic
3. Cut and Leave the Person and the Topic
ADDITIONAL THOUGHTS ON CUTTING OFF
1. Cut off quickly. Listen to the tone of voice.
2. Use your own non-verbal cues to cut off: your hands; your eyes
3. Use rounds as a way to allow you to cut off.

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DRAWING OUT
Although members should not be forced to talk, group members usually feel more
comfortable when all members share. Also, if a member shares very little, other
members are uncomfortable and misunderstand the members quiet behavior. Usually the
quiet member is afraid to talk so using the various techniques listed below can be very
helpful.
1. Use written exercises such as sentence completions so that you can ask the member
to read his/her answer.
2. Use rounds (Quiet members will usually be willing to say one or two words during a
round.)
3. End the round on the person you want to draw out.
4. Use movement exercises as a way to draw out. People speak with their movements.
5. Use dyads and pair yourself with the quiet member in order to find out why the person
is being quiet.
6. Gently nudge the person to speak by calling on him or her but make sure the person
does not feel on the spot. Often I do this by calling on two people.
Joe, you havent said much (pause). Nor have you Amy. Do either of you want
to comment? (pauseif they seem uncomfortable, move on).
7. DO NOT SPOTLIGHT. An example of spotlighting would be:
Jane, what do you think?
If Jane is uncomfortable in the group, calling on her like this often will not
help. (In many instances this is an appropriate question to ask but asking this of a
very quiet member can cause that member to feel like she is under a spotlight.)

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