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Group Psychotherapy

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Page 1: Group Therapy
Page 2: Group Therapy

Group Therapy Group Therapy

Sathish RAJAMANI. M.Sc (N)

Lecturer - AMCON

Page 3: Group Therapy

IntroductionIntroduction

Human beings are complex creatures who share their activities of daily living with various groups of people.

Human beings areBiological organism

Psychological organismSocial organism

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DEFINITIONDEFINITION

Group – Collection of individuals whose associations are founded on shared commonalities of interest.

Group Therapy – A form of psycho – social treatment in which a number of clients meet together with a therapist for the purpose of sharing, gaining personal insight, and improving interpersonal coping strategies

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GROUP FUNCTIONSGROUP FUNCTIONS

Sampson and Marthas (1990), have outlined eight functions that group serve for their members.

Socialization

Support

Task Completion

Camaraderie

Informational

Normative

EmpowermentGovernance

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GROUPS TYPESGROUPS TYPES

Clark (1994) identifies three types of groups.

I. Task Groups

II.Teaching Groups

III.Supportive Therapeutic Groups

IV.Self – Help Groups

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SELECTIONSELECTION

HomogeneousAdolescents and patients with

PDFamilies and couples where

the system needs change.

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Antisocial Patients.Actively suicidal or severely

depressed patients.Patients who are delusional.

CONTRAINDICATIONSCONTRAINDICATIONS

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PHYSICAL CONDITIONSPHYSICAL CONDITIONS

SEATING SIZE

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SEATINGSEATING

There should not be any barriers between the members.

A circle of chair is better than chairs around a table.

Members should be encouraged to sit in different chairs for each meeting.

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SIZESIZE

7 – 8 members in a group favors the therapeutic environment.

The larger the size, less time is available to devote to individual members.

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MEMBERSHIPMEMBERSHIP

Open / Close – ended groups. Open ended groups are those in which

members leave and others join at any time while the group exists.

Open ended groups are commonly used in short – term in – patients.

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MEMBERSHIPMEMBERSHIP

Close ended groups are usually pre – determined and have fixed time frame.

All members join at the time the group is organized and terminate at the end of the designate time period.

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Therapist role – Facilitator (Provides safe and comfortable environment).

Focus on “Here and Now”. Protect members from any verbal abuse or

scapegoating. Provide positive reinforcement. Therapist should approach the clients in a group

in a gentle, supportive and non threatening manner.

APPROACHESAPPROACHES

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APPROACHESAPPROACHES Able to preserve the self – esteem of hallucinatory

and delusional patients. Must able to set limits for the undesired

behaviors of the clients. Use Silence. Encourage Introspection and

Facilitate Insight. Laughter and Moderate Joking contributes to

group cohesiveness. Role – playing helps members to develop insight.

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I. Sharing Experience

II. Support to and from group members

III. Socialization

IV. Limitation

V. Interpersonal Learning

THERAPEUTIC FACTORSTHERAPEUTIC FACTORS

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TECHNIQUESTECHNIQUES

Reflecting or rewarding comments of group members.

Asking for group reaction to one member's statement.

Pointing out any shared feelings within the group.

Summarizing various points at the end of the session.

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CONCLUSIONCONCLUSION

Group Therapy plays a major role in rehabilitation of mentally ill patient.

It gives an opportunity for immediate feedback. It facilitates chance for therapist to observe the

patients emotional and behavioral response towards variety of people.

Enhances patients IPR, Communication, decision making and assertive skills.

Page 19: Group Therapy