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Module 5

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21 views3 pages

Module 5

Uploaded by

abbytague17
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Chapter 9 Book Notes

Chapter 9 Lecture: Creation of the Group: Place, Time, Size, Preparation


-What are some considerations for the creation of group therapy

-The physical setting


-Private
-No distractions
-Large enough to be able to form a circle (better outcomes for group
cohesiveness when in a circle)
-What does Yalom suggest about students? He suggests that students sit outside
the group circle. If students are just observing its important they are sitting
outside of circle.
-Open and Closed Groups
-Open: Replace members as they leave, able to tolerate change
-Consistency in leadership
-Closed: does not add members, time-limited, brief therapy, weekly for six
months or less.
-Setting?: There are alot of different ways to go about open and closed
groups

-Creating the Group


-Duration and Frequency of Meetings
-Until the 1960s duration was fixed
-Now One to five times a week. Suggested time is 1-5 times a week
-Avoid meeting too infrequently
-” Marathon group”
-A 24-48 hour group with Self-disclosure, intensive interpersonal
confrontation, and active involvement/participation.
-Group therapy, psychoeducation clear theory

-Research states
-Time-extended groups increase openness, intimacy, cohesiveness
-Easier to measure outcomes for which type of group?: Short groups
-Duration of treatment more influential than the number of treatments
-Why is an outcome study using only interviews, testimonials, and questionnaires
at the end of the group of questionable value?

-Creation of the Group


-Size of the group
-Ideal is 7-8 members
-Acceptable 5-10
-Start with a higher number of people in case of dropouts
-Lower the number, greater possibility of interaction to diminish (individual
therapy within the group)
-Bigger groups?: Bigger groups can sometimes be better because they
can be feasible. A bigger group is good as there is more support and good conversation,
but on the other hand, there is not enough time to get to everything or everyone.

Brief Therapy Groups


-Fueled by economic pressure (cost-effective for insurance)
-Efficient
-Goal attainment
-Stay in the present (here or now not there or now focus)
-Interpersonal rather than intrapersonal
-The range of group sessions is wide
-Eclectic
-Awareness throughout the limit
-Emphasize transfer of skills and learning to real-world
-Cognitive therapy approaches

Leadership Responsibilities
-Clear goals, keep the group focused, manage time, be active and efficient
-Encourage group members to generalize learning to real-world
-Time limits arent all bad, force economy, efficiency, and energy to the experience (don’t rush
process)
-Group focus is interactional and directed toward the problem that led them to group… and the
ramifications of the impact on the personal lives of participants (here and now)
-Flexibility, integration of other modalities
-Pre-group individual meetings

Preparation of clients for Group Therapy


-Expedites the course of group therapy
-Clarify misconceptions, unrealistic fears, and expectations
-Anticipate emerging problems in groups development
-Provide clients with a cognitive structure that facilitates effective participation
-Generate realistic and positive expectations about group therapy

Misconceptions about Group therapy


-Group therapy is second-rate, cheap, diluted
-Group therapy is unpredictable (loss of personal control)
-Not as effective because not enough individual attention by therapist
-Being in a group with other individuals with emotional disturbance will be detrimental to the
member
Common Group Process
-Perceived Goal incompatibility
-Congruence between group and individual goals.
-High Group Turnover
-Discouraged and disconnected group
-Different from individual
-May not offer Immediate Comfort
-Deprived of their specialness
-Subgrouping and extra-group socializing
-Achilles heel of group therapy

Client Group Preparation


-Explore misconceptions
-Provide clients with conceptual framework
-Describe how group therapy works
-Clear and simple
-Offer guidelines about how to best participate
-Anticipate frustration and disappointments, especially early on
-Offer guidelines-make a contract
-How to develop intimate relationships, not provide them
-Instill faith in group therapy
-Set ground rules about confidentiality and subgrouping

Why Prepare?
-Therapist has ability to influence many factors of group
-Selection of members
-Client anxiety
-Intrinsic: unavoidable
-Extrinsic: unnecessary

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