psych thera. groups

  1. What is a group?
    a collection of individuals whose association is founded on shared commonalities of interest, values, or purposes; memberships is generally by choice, chance or circumstance
  2. What are the characteristics of a group?
    size, defined purpose, degree of similarity among members, rules, boundaries, climate, content, process
  3. What are the functions of a group?
    Socialization support, task completion, camaraderie, informational, normative, empowerment
  4. What are the types of groups? examples of each?
    • Time-limited therapy groups: cognitive-behavioral groups, spiritual groups, behavioral therapy groups 
    • Self help groups: Alcoholics anonymous, Al-Anon
    • Support groups: bereavement, cancer, sexual assault
  5. What are the types of groups in medical health?
    psychoeducational groups: medication, health promotion/restoration, dual-diagnosis, symptom/stress managment
  6. What conditions influence groups?
    Seating, size, membership
  7. Group therapy whereby a number of people with emotional problems meet with a therapist in a structured setting for what purposes?
    • developing a better understanding of themselves/others
    • modify behavior in a socially acceptable manner
    • improve relationship with others
  8. What are Yalom's curative factors?
    • instillation of hope: see progression of others
    • Universality: you are not alone 
    • imparting of information: sharing knowledge
    • Altruism: helping others = felling good in return
    • development of skills: learn new skills
    • imitative behavior: role modeling 
    • interpersonal learning: gain insight into perception of self by others
    • group cohesiveness: sense of belonging 
    • Catharsis: open expression of + and - feelings 
    • Corrective recapitulation of primary family group
  9. what are facilitating techniques for a group?
    seeking clarification, encouraging description, presenting reality, focusing, re-framing, giving feedback, helping to gain insight
  10. What are the phases of group development?
    • phase I: initial/ orientation 
    • Phase II: middle/working
    • Phase III: final/termination
  11. Describe Phase I
    • group activities: goals are being established, meeting times/duration, acquaintance phase
    • Leader expectation: promote environment of trust, depend on leader for direction 
    • Member behaviors: trust not yet established
    • honeymoon phase( best behavior)
  12. Describe phase II of group
    • Group Activities: cohesiveness established, productive work, problem solving/decision making 
    • Leader expectations: role of leader diminishes to facilitator, stay on course with group goal 
    • Member behaviors: turn more to each other rather than leader, accept criticism, (watch for subgroups)
  13. Describe Phase III of group
    • Group activities: session before last; discuss sense of loss/grief felt by termination 
    • Leader expectations: encourage expression of grief. review goals and outcomes, encourage peer feedback 
    • Member behaviors: grief, abandonment, anger
  14. What does successful termination of groups look like/do?
    It is successful if the clients are sad about leaving, and helps group members develop necessary skills to cope with life losses
  15. What are the different leaderships styles?
    • Autocractic: My was is the best way; group members depend on leader fo problem solving
    • Democratic: leader provides guidance as needed, group members make own decisions 
    • Laissez-Faire: Leader gives no direction, undefined goals; members make no decisions, no problem solving, no actions
  16. What are the different member task roles?
    • coordinator: clarifies ideas, brings people together
    • evaluator: examines plans and performance 
    • Elaborator: explains/expands on group's plans 
    • Energizer: motivates group
    • InitiatorL gets things started
    • Orientier: maintains direction
  17. What are the different member maintenance roles?
    • Compromiser: assists members to compromise
    • Encourager: offers recognition of others
    • Follower: passive participant
    • Gatekeeper: encourages participation
    • Harmonizer: decreases tension  
  18. What are the different member individual (personal) roles?
    • Aggressor: sarcasm, negative, hostile
    • Blocker: resists group efforts, rigid 
    • Dominator: control, authoritative
    • Help-seeks: uses group to gain sympathy, no concern for group
    • Monopolizer: dominates conversation 
    • Mute/silent: fear of self disclosure or attention
    • Recognition seeker: talks about self to gain attention
    • seducer: shares initmate details early on & frightens 
  19. What is a family? 
    whatever the patient says it is
  20. What are the different frameworks of family therapy?
    • Strategic model: assumes that changing any single element in the family system will bring about change in the entire system
    • structural model: explains family problems from perspective of dysfunctional boundary and role structure
  21. What does Bowen's system approach theory include?
    • subsystems
    • differentiation of self
    • triangles 
    • scapegoating 
    • boundaries
    • Identified patient (member that everyone defines as the problem) 
    • multigenerational transmission (genogram) 
  22. What are the types of boundaries? 
    • Rigid: communication, support 
    • Permeable: input from others, clear boundaries
    • Diffuse: dependent, over involved, enmeshed 
  23. What is considered a healthy system? Dysfunctional? 
    • Healthy: open to information/ external resources, able to problem solve, effective communication ,clear boundaries
    • Dysfunction: closed to outside information/people, reliance on internal resources, unable to problem solve, poor communication, triangulation, blurred boundaries, double-bind communications  
  24. What is the goal of therapy? What are the therapeutic roles of the practitioner 
    • Goal: increase level of differentiation of self by encouraging I positions 
    • Role of practitioner: coach 
    • minimize triangles. define/clarify relationships between family members 
  25. How can you apply the nursing process to the family?
    • assessment: constructing a genogram
    • goals/technique: paradoxical intervention- continue to engage in behavior you want to change
    • reframing: relabeling behavior/putting it into a positive perspective 
  26. What is a genogram?
    a way to plot multigenerational assessment; teaching tool for families; illustrates sibling positions-personalities, overly close or conflicting relationships, nodal events
  27. What is the nursing care for electro-convulsive therapy?
    • Consent form, NPO after midnight, administer pre-med (atropine) ask client to urinate, remove dentures/hairpins, monitor VS before, during, and after, 
    • after procedure: monitor resp. difficulties, mental statues/reorientation, VS q 15 mins, monitor short term memory loss
Card Set
psych thera. groups
exam 1 psych pp 3