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Chapter 33

Chapter 33. Therapeutic Groups. Characteristics That Influence a Group. Size Defined purpose Degree of similarity among members Rules Boundaries Content (what is said in the group) Process (underlying dynamics among group members). Advantages of Group Work. Cost effective

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Chapter 33

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  1. Chapter 33 Therapeutic Groups

  2. Characteristics That Influence a Group • Size • Defined purpose • Degree of similarity among members • Rules • Boundaries • Content (what is said in the group) • Process (underlying dynamics among group members)

  3. Advantages of Group Work • Cost effective • Patient feels less isolated • Patients receive peer feedback • Teach different problem-solving approaches

  4. Disadvantages Of Group Work • Privacy/Confidentiality issues • Some may not be able to share in group setting • Some may not feel they are getting enough attention because others are more active

  5. Therapeutic Factors Common to All Groups (Yalom’s Principles) • Instillation of hope • Universality • Imparting of information • Altruism • Corrective recapitulation of primary family group

  6. Therapeutic Factors Common to All Groups (Continued) • Development of socializing techniques • Imitative behavior • Interpersonal learning • Group cohesiveness • Catharsis • Existential resolution • Box 33-2

  7. Phases of Group Development • Orientation phase • Working phase • Termination phase

  8. Informal Roles of Group Members • Task Roles • Coordinator • Elaborator • Energizer • Evaluator • Information giver • Information seeker • Initiator-contributor • Orienter • Opinion giver • Procedural technician • Recorder • Maintenance Roles • Compromiser • Encourager • Follower • Gatekeeper • Group observer • Harmonizer • Standard setter • Individual Roles • Aggressor • Blocker • Dominator • Help seeker • Playboy • Recognition seeker • Self-confessor • Special interest pleader

  9. Question 1 Which of the following comments made by members of a group best demonstrates a task role? • “I want to tell how my problems started. I’m having more trouble than anyone else in this group.” • “Three people were late for this group. Everyone is supposed to arrive on time.” • “I can’t believe you’re talking about your failed romantic relationships again.” • “We started out talking about guilt, but we have strayed from that subject.”

  10. Group Leadership Responsibilities • Initiating • Maintaining • Terminating

  11. Styles of Leadership • Autocratic leader • Democratic leader • Laissez-faire leader

  12. Basic Level Registered Nurse • Psychoeducational groups • Medication education groups • Health education groups • Dual-diagnosis groups • Symptom-management groups • Stress-management groups • Support and self-help groups

  13. Supportive Self-Help Groups • Support Groups • Grief • Rape • Cancer • Self-Help Groups • Alcoholics/Narcotics Anonymous (AA/NA) • Gamblers anonymous (GA) • Overeaters anonymous (OA) • Al-Anon • Adult Children of Alcoholics (ACOA)

  14. Advanced Practice Nurse • Group psychotherapy • Psychodrama groups • Dialectical behavior treatment

  15. Dealing with Challenging Member Behaviors • Monopolizing member • Complaining member who rejects help • Demoralizing member • Silent member

  16. Audience Response Questions • Medication education and health education are types of • psychoeducationalgroups. • insight-oriented groups. • support groups. • psychodrama.

  17. Audience Response Questions • A group participant frequently reminds others of the group’s main purpose. What type of role is this person fulfilling? • Maintenance • Individual • Task

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