Expectations life events and group design inability to connect to others
Decreased drop out rates improved attendance increase in the types of behavior that move members toward their goals
Group appraoches ii cairo 3.2012
Building a group Selection Will member makeWill member a positive benefit? contribution to others?
Therapuetic Goals• Before starting a group it is imperative that• The goal is clear to the leaders• It is the goal and the understanding of the etiology of problems that defines the group format, duration and members
Exclusion• Unwillingness or low motivation to participate• Extremely high level of distress• Non compliance with rules• Incapacity for connection• Cognitive limitations
Selection Methods• Interviewing• Brief exposure (difficult not utilized)• Testing
Preparation of new members Giving an accurate picture of the group Insuring that member behavior is supportive of the group goals
Group Structure• Spatial characteristics (size, confidentiality etc..)• Time and length of the group (1.5-2 hrs weekly) 12-20 weeks• Size (5-12)
Stages of Group development Stage One Adaptation Orientation Initial Engagement Inclusion
Stage twoReactive phase--ControlDifferentiationConflict and Confrontation
The Group Therapist• Belief in the modality• Optimism• Capacity for empathy• Awareness of self• Ability to deal with narcissism and shame• Ability to be aware of multiple levels of interaction• Managing fear and anxiety
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