Chapter 33

Therapeutic Groups

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Size Defined purpose Degree of similarity among members Rules Boundaries Content (what is said in the group) Process (underlying dynamics among group

members)

Characteristics That Influence a Group

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Instillation of hope Universality Imparting of information Altruism Corrective recapitulation of primary family group

Therapeutic Factors Common to All Groups

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Development of socializing techniques Imitative behavior Interpersonal learning Group cohesiveness Catharsis Existential resolution

Therapeutic Factors Common to All Groups (Cont.)

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Orientation phase Working phase Termination phase

Phases of Group Development

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Task roles Maintenance roles Individual roles

Group Member Roles

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Which of the following comments made by members of a group best demonstrates a task role?

A.“I want to tell how my problems started. I’m having more trouble than anyone else in this group.”

B.“Three people were late for this group. Everyone is supposed to arrive on time.”

Question 1

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C. “I can’t believe you’re talking about your failed romantic relationships again.”

D. “We started out talking about guilt, but we have strayed from that subject.”

Question 1 (Cont.)

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Initiating Maintaining Terminating

Group Leadership Responsibilities

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Autocratic leader Democratic leader Laissez-faire leader

Styles of Leadership

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Psychoeducational groups Medication education groups Health education groups Dual-diagnosis groups

Basic Level Registered Nurse

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Symptom-management groups Stress-management groups Therapeutic community meeting groups Support and self-help groups

Basic Level Registered Nurse (Cont.)

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Group psychotherapy Psychodrama groups Dialectical behavior treatment

Advanced Practice Nurse

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Monopolizing member Complaining member who rejects help Demoralizing member Silent member

Dealing with Challenging Member Behaviors

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1. Medication education and health education are types of

A. psychoeducational groups.

B. insight-oriented groups.

C. support groups.

D. psychodrama.

Audience Response Questions

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2. A group participant frequently reminds others of the group’s main purpose. What type of role is this person fulfilling?

A. Maintenance

B. Individual

C. Task

Audience Response Questions

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