Chapter 33 Groups Student Slides - nursing343.com€¢ Process (underlying dynamics among group ......

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1 Therapeutic Groups CHAPTER 33 1 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

Transcript of Chapter 33 Groups Student Slides - nursing343.com€¢ Process (underlying dynamics among group ......

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TherapeuticGroups

CHAPTER33

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CharacteristicsThatInfluenceaGroup

• Size• Definedpurpose• Degreeofsimilarityamongmembers• Rules• Boundaries• Content(whatissaidinthegroup)• Process(underlyingdynamicsamonggroupmembers)

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AdvantagesofGroupWork• Costeffective• Patientfeelslessisolated• Patientsreceivepeerfeedback• Teachdifferentproblem-solvingapproaches

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DisadvantagesOfGroupWork• Privacy/Confidentialityissues• Somemaynotbeabletoshareingroupsetting• Somemaynotfeeltheyaregettingenoughattentionbecauseothersaremoreactive

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TherapeuticFactorsCommontoAllGroups(Yalom’sPrinciples)

•  Instillationofhope• Universality•  Impartingofinformation• Altruism• Correctiverecapitulationofprimaryfamilygroup

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TherapeuticFactorsCommontoAllGroups(Continued)

• Developmentofsocializingtechniques•  Imitativebehavior•  Interpersonallearning• Groupcohesiveness• Catharsis• Existentialresolution

• Box33-2

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PhasesofGroupDevelopment•  Orientationphase•  Workingphase•  Terminationphase

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InformalRolesofGroupMembers

�  TaskRoles◦  Coordinator◦  Elaborator◦  Energizer◦  Evaluator◦  Informationgiver

◦  Informationseeker◦  Initiator-contributor◦  Orienter◦  Opiniongiver

◦  Proceduraltechnician◦  Recorder

�  MaintenanceRoles◦  Compromiser◦  Encourager◦  Follower◦  Gatekeeper◦  Groupobserver◦  Harmonizer◦  Standardsetter

�  IndividualRoles◦  Aggressor◦  Blocker◦  Dominator◦  Helpseeker◦  Playboy◦  Recognitionseeker◦  Self-confessor◦  Specialinterestpleader

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Question1Whichofthefollowingcommentsmadebymembersofagroupbestdemonstratesataskrole?A. “Iwanttotellhowmyproblemsstarted.I’mhavingmoretroublethananyoneelseinthisgroup.”B. “Threepeoplewerelateforthisgroup.Everyoneissupposedtoarriveontime.”C. “Ican’tbelieveyou’retalkingaboutyourfailedromanticrelationshipsagain.”D. “Westartedouttalkingaboutguilt,butwehavestrayedfromthatsubject.”

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GroupLeadershipResponsibilities

•  Initiating• Maintaining• Terminating

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StylesofLeadership

• Autocraticleader• Democraticleader• Laissez-faireleader

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BasicLevelRegisteredNurse

• Psychoeducationalgroups• Medicationeducationgroups

• Healtheducationgroups• Dual-diagnosisgroups• Symptom-managementgroups

• Stress-managementgroups

• Supportandself-helpgroups

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SupportiveSelf-HelpGroups•  SupportGroups

•  Grief•  Rape•  Cancer

•  Self-HelpGroups•  Alcoholics/NarcoticsAnonymous(AA/NA)•  Gamblersanonymous(GA)•  Overeatersanonymous(OA)•  Al-Anon•  AdultChildrenofAlcoholics(ACOA)

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AdvancedPracticeNurse•  Grouppsychotherapy•  Psychodramagroups•  Dialecticalbehaviortreatment

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DealingwithChallengingMemberBehaviors

• Monopolizingmember• Complainingmemberwhorejectshelp• Demoralizingmember• Silentmember

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AudienceResponseQuestions1.  Medicationeducationandhealtheducationaretypesof

A.  psychoeducationalgroups.B.  insight-orientedgroups.C.  supportgroups.D.  psychodrama.

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AudienceResponseQuestions2.  Agroupparticipantfrequentlyremindsothersofthegroup’s

mainpurpose.Whattypeofroleisthispersonfulfilling?

A.  MaintenanceB.  IndividualC.  Task