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QUESTION
Group Therapy
Directions
Consider the following questions as you draft Sessions 1 and 2 for your new psychotherapeutic group, focusing on Stage 2, the Initial Stage (see Assignment 14.1: Group Manual).As a group leader, how would you lead the initial stage of your group?
Identify ways in which you might facilitate trust in your group. How would you know that trust has been established among your group members?
Identify one role you have as group leader during this phase of group development. How would you approach and implement this role?
Draft a tool for your group members to complete at the beginning and at the end of your group to evaluate the effectiveness of the group experience. You must develop this tool yourself. Note that you will have to create two tools for the final manual; the second will be submitted with Assignment 12.2: Final Stage. Include a description of the tool and how you will present it in one of the sessions in this paper, with the tool itself as an appendix.
Write a double-spaced paper with a minimum of three references (two of which are scholarly) in APA format. In this and the subsequent papers, each session should be described separately.
MUST BE PEER REVIEWED RESOURCES SINCE 2015!!!!!!!!
| Subject | Psychology | Pages | 5 | Style | APA |
|---|
Answer
Group Therapy
It is observed that psych patients always get irritated very fast unlike other patients. When they get agitated, the patients can harm themselves. Accordingly, individuals handling the patients should conduct their activities in a way that does not affect their recovery process. The patients often feel hopeless; hence ignoring or being rude to them can lead to their agitation. These aspects necessitate a group psychotherapy process to help them control their behavior and enhance their recovery process. A group therapy leader should possess anger management skills when handling these patients to avoid any critical situation.
Leading the Initial Stage
The Initial Stage is meant to establish group expectations and identify what the group will be like. As a group leader, I will emphasize group goals, members’ roles, and trust. I will also address possible conflicts and confidentiality issues as soon as they arise. The group members may be from different regions and ethnicities; thus, I will identify and deal with any cultural concerns. Further, I will instruct counselors to explain this therapy’s process and support each member when dealing with confrontation. It is vital to ensure all group members participate and are involved in the process. Proper explanation to members about their roles and expectations will facilitate a smooth psychotherapeutic process.
Facilitating Trust in the Group
A strong therapeutic alliance is essential to group success. Accordingly, there are specific ingredients that I will exhibit to establish trust and a positive therapeutic relationship with group members. First, I will provide early evidence that the group will benefit all members. Clients can regard their therapist as helpful if the therapist allows them to view their situation in a non-blaming manner (Schaller et al., 2018). Zero tolerance for arguing or blaming during the session will elicit trust among the group members. The second approach is to enhance the clients’ self-esteem by allowing ample and constructive feedback. I will share positive comments, appreciations, and enjoyment to the clients to grow their self-esteem. Genuine acknowledgment, admiration, and gratitude will help the clients to relax and improve their trust in the therapeutic process. The other strategy is to keep the session emotionally safe. The group members can sniff out early in the session whether the leader is judgmental. This issue can cause distrust in the group. Therefore, it is essential to encourage respectful talks and elicit responsive talking to ensure the session is free from emotions. These approaches will cause mutual trust in the group. The leader will understand that there is trust if the members freely share their problems with the leader and other members.
Role in the Initial Stage
One of the primary roles of a leader during the Initial Stage of the therapeutic process is to build cohesion in the group. In this context, cohesion refers to the therapeutic relationship emerging from the leader-member and member-member interaction (Cruwys et al., 2019). Group cohesion is required to reduce members’ attrition and improve their outcomes. It also enhances a sense of belonging that the embers feel towards the group (Kivlighan, Ali & Garrison, 2019). To achieve cohesion in the therapeutic group, I will explore the balance between negative and positive feedback during the group sessions. I will balance the benefit and role of negative and positive feedback and explore members’ reactions accordingly. Besides, I will identify barriers that prevent the exchange of positive and negative feedback. These approaches will ensure that I understand the members’ perception of the therapeutic process; hence, improving group cohesion.
Evaluating Experience of the Group
The most suitable approach to measure the effectiveness of this therapeutic group is through pre- and post-surveys. Table 1 below illustrates the various evaluation questions to the group members.
Table 1: Evaluation Questions to Group Members
|
Group goals |
Evaluation questions |
Assessment criteria |
|
How do the prescribed goals fit with the group objectives? |
- What is your expected outcome from this group? - What lesson do you want to learn from the group - What change do you want to experience after this session? - How much have your relationship and family history influenced your problems? |
(a) Is the goal realistic? (b) Does the goal align with group objectives? |
|
Can we work on this goal in this group? |
- How will you help the group with this goal? - What interventions do you propose to be helpful to the group? - How can the group members help you achieve this goal? |
(a) Do the group members have insights into the issues they face? |
|
Selection criteria for the group |
- Have you been in a psychotherapeutic or psychoeducational group before? - How comfortable are you to share your issues to other group members? - How comfortable are you expressing your feelings among other people? - What is your strength in psychotherapeutic groups? - How can you help other people having similar issues as yours? |
(a) Are the clients willing to participate in the group? (b) Do they participate in other groups? (c) Are they comfortable helping and seeking help from others (d) Are their concerns similar to those presented by other group members? (e) To whom can they be a role model? |
References
Cruwys, T., Steffens, N.K., Haslam, S.A., Haslam, C., Hornsey, M.J., McGarty, C., & Skorich, D.P. (2019). Predictors of social identification in group therapy. Psychotherapy Research. Advance online publication. http://dx.doi.org/10.1080/10503307.2019.1587193
Kivlighan, D.M., III, Ali, R.W., & Garrison, Y.L. (2019). Is there an optimal level of positive and negative feedback in group therapy? A response surface analysis. Psychotherapy. Advance online publication. http://dx.doi.org/10.1037/pst0000244
Schaller, G., Blanck, P., Vogel, E., Vonderlin, E., Bents, H. and Mander, J. (2018). Therapeutic processes in group therapy: Intersections between general change mechanisms and motivational stages of change from patient perspective. European Journal of Psychotherapy & Counselling, 20(3), 312–336. http://dx.doi.org/10.1080/13642537.2018.1495247