2. Group Formation
Adults aged 18-55
Primary Diagnosis Substance Abuse
Currently in an In-Patient (IP) Drug and
Alcohol Rehabilitation Program
10 weekly sessions
Group is 90 minutes
Group members are self referred
3. Group Formation
Group includes:
1 Therapist
1 Counselor
8 Clients, same gender as counselors
Similar stage of change -
(Contemplation/Action)
4. Assessment
Pre-Screening Interview
Step 1: Identify needs, expectations and
commitment
Step 2: Challenge myths and
misconceptions the group members may
have
Step 3: Convey information (confidentiality,
stages, procedure and informed consent,
roles and balance)
5. Formal Measures
The Group Therapy Questionnaire
Variables that may effect group
participation
The Group Selection Questionnaire
Problems related to deficits
NEO – Five Factor Inventory
Personality Inventory
6. Exclusions
Hostile, angry or highly aggressive, paranoid, in an
active drug and/or alcohol addiction, antisocial,
sociopathic or prone to somatoform disorder
Stress response of psychological decomposition
where the ability to function normally is gradually
lost and replaced by psychotic behavior
Persons prone to suicidal or homicidal behavior
Persons unable to show interpersonal
engagement, interpersonal learning and gaining
insight due to biopsychosocial reasons
7. Goals
Client will attend Anger Management Groups
consistently, and client will learn 2 Anger
Management Skills and implement them.
Client will reduce and control anger and
stress (significantly lowering their risk for serious
health problems, including heart disease and
high blood pressure, among others) by
teaching the individual how to accurately
examine their triggers and their perceptions of
situations, and learn healthy, constructive
ways in which to express their anger and
frustrations.
9. Group Structure Timeline
1. Brief mood check-in/update
2. Bridge from the previous session
3. Review of the homework
4. Discussion of the agenda items
5. Open discussion
6. New homework assignment
7. Summary and feedback discussion
10. Sessions 1-3
Session 1: Provides an introduction to the
program facilitator and to the training
program. It also serves to establish goals for
the participant.
Session 2: Provides an introduction to the
processes related to the emotion, anger
Session 3: Focuses on introducing the Body
Scan technique, which is the first of the
mindfulness-based exercises to be introduced
in this program
11. Sessions 4-5
Session 4: Covers a review of the
obstacles experienced by participants
during the body scan technique and
suggestions for overcoming obstacle
Session 5: Includes an introduction to the
3-Minute Breathing Space technique and
an introduction to the Anger-Provoking
Events Calendar activity.
12. Sessions 6-8
Session 6: Includes an activity that
introduces the 3-minute breathing space
as a coping mechanism
Session 7: introduction to the
Acceptance, Allowing, and Being
exercise.
Session 8: Problem-solving exercise
13. Sessions 9-10
Session 9: Review, reinforcement, and the
connection between the models
Session 10: Provides feedback to the
facilitators. The participant is encouraged
to discuss what was learned group and
what obstacles are left to overcome
14. Ethical Concerns
During the initial phase of information
gathering, the ethical problem should be
identified and defined
Group leader hypothesizes possible
consequences of several outcomes and
evaluates
*Multiple roles may arise in this particular
group as the therapist and clients may have
contact with each other outside the group
15. References
Burlingame, G. M., Fuhriman, A., & Johnson, J. E. (2002).
Cohesion in group psychotherapy. In J. C. Norcross (Ed.) ,
Psychotherapy relationships that work: Therapist
contributions and responsiveness to patients (pp. 71-87).
New York, NY, US: Oxford University Press.
Couch, R. (1995). Four steps for conducting a pregroup
screening interview. Journal For Specialists In Group Work,
20(1), 18-25. doi:10.1080/01933929508411321
Kelly, J.R. (2007). Mindfulness-based and cognitive-behavior
therapy for anger-management : An integrated approach.
PCOM Psychology Dissertations. Paper 68.
Yalom, I. D., & Leszcz, M. (2005). The theory and practice of
group psychotherapy (5th ed.). New York, NY, US: Basic
Books.
Editor's Notes
The Revised NEO Personality Inventory, or NEO PI-R, is a psychological personality inventory, first published in 1990 as a revised version of inventories dating to 1978. The NEO PI-R consists of 240 questions intended to measure the Big Five personality traits: Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness to Experience. Additionally, the test measures six subordinate dimensions (known as facets) of each of the main personality factors. The test was developed by Paul Costa, Jr. and Robert McCrae for use with adult men and women without overt psychopathology, but was later shown to be potentially useful at younger ages.
A shortened version, the NEO Five-Factor Inventory (NEO-FFI), uses 60 items (12 items per domain).
The objective for doing the body scan is to become aware of physical sensations in the body. This will be accomplished by attending to one's breath, while moving one's mind through the different parts of the body