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