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group process presentation specific to AA

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  1. 1. Kassel, J. D. & Wagner, E. F. (1993). Psychotherapy: theory, research, practice training <ul><li>Yalom’s factors are difficult to generalize to AA due to; </li></ul><ul><li>1. most treatments assess outcome rather then process </li></ul><ul><li>2. Wide variety of treatments and techniques </li></ul><ul><li>3. different factors play more or less important roles at different times during therapy </li></ul><ul><li>4. validity of self-reports data </li></ul><ul><li>5. subject characteristics (state and trait) are not usually taken into account in research </li></ul><ul><li>6. self selection, lack of membership criteria, unstable and transient membership and anonymity-all make for difficulty </li></ul>
  2. 2. Obitz, F. W. & Wood, J. D. & Cantergiani, N. (1977). British Journal of Addiction. <ul><li>64 alcoholics asked to rate AA or group therapy on a 7 point scale on 30 variables: </li></ul><ul><li>Question: How do alcoholics view AA and Group therapy? Answer is that it depends on who does the asking. If a fellow alcoholic then AA was preferred but if not alcoholic then group was preferred. </li></ul><ul><li>Total sample—group therapy was perceived as more socially undesirable then AA </li></ul><ul><li>AA and group as equal on most traits but group had more negative components. </li></ul>
  3. 3. Group therapy works well for addiction. Behavioral health treatment. (1997). <ul><li>Growing interest in group therapy arises from AA. </li></ul><ul><li>Group provides the opportunity for identification—seeing themselves in other addicts offers one to confront the stuff in the other person thus they can see what they are doing. </li></ul><ul><li>Especially useful in relapse prevention-can use the relapse therapeutically—demonstrate the warning signs and reminds people of their own vulnerability. </li></ul><ul><li>Altruism-part of the curative process—in individual therapy you can’t help the therapist but in AA or group you can help others and in doing so help yourself. </li></ul><ul><li>Many therapists feel threatened or have misconceptions about 12-step programs. </li></ul><ul><li>Involvement in AA is not the same as group therapy _QUOTE_each has something different to contribute to recovery. </li></ul><ul><li>Yalom—similar—not all addicts are suited for group-people with severe character pathology may not be able to make the emotional attachment. </li></ul><ul><li>No matter what the addiction, be it drugs, sex, gambling—it all reflects one underlying principle__the tendency to look for outside distractions to take us away from the internal emptiness. </li></ul>
  4. 4. Lenihan, M. W., (1995). Morning support group: use of a triweekly support group in outpatient treatment of chemical dependence. Social Work. <ul><li>AA offers a place to obtain support and to share one’s experiences </li></ul><ul><li>Professional treatment provides a chance to examine how one interacts with others </li></ul><ul><li>Interpersonal difficulties are often an underlying cause of addiction and can therefore be helped with both self help groups and group therapy. </li></ul><ul><li>Support encompasses comfort, knowledge, normalization, and realization that one is not unique—UNIVERSALITY-YALOM. </li></ul><ul><li>Enhance self-esteem by abating the burden of failure—SELF UNDERSTANDING-YALOM </li></ul><ul><li>Purpose of group therapy is to provide support, to serve as role model for people who often don’t know how to function in public without chemicals, and to exert peer pressure and confront denial—similar to AA BUT AA purpose is to recover from alcoholism-and it does so by providing support, role modeling, and confronting denial. </li></ul>
  5. 5. Compare and contrast the therapeutic factors of group therapy and self help/support groups: <ul><li>Instillation of hope: </li></ul><ul><li>In group therapy if there is no hope of getting better then why go to group, same applies to self help groups such as AA-if there is no hope of recovery or a better life then people would not stay. </li></ul><ul><li>Universality: </li></ul><ul><li>In group therapy one needs to feel that there are other people with similar problems. Often people come to AA thinking they are the only one with these set of problems then they hear another alcoholic speak and realize that person suffered through similar things and came out ok. </li></ul><ul><li>Cohesiveness: </li></ul><ul><li>In group therapy one does not form a close bond with everyone in the group but while in the group setting there is a common purpose-to solve the problem. In AA it is called fellowship-one, while in the meetings, forms a common bond with all at that meeting, but closer bonds are formed with a select few. </li></ul><ul><li>and how they stayed sober through difficulties they are altruistically helping another. </li></ul>
  6. 6. <ul><li>Existential factors: </li></ul><ul><li>In group therapy one comes to deal with questions of why am I here? What is my purpose? Etc.. In AA the same thing happens, usually with a spiritual aspect to it, but the primary purpose is to stay sober and help others achieve sobriety. </li></ul><ul><li>Information: </li></ul><ul><li>In group the idea is usually more educational while in AA groups the idea is to share information about how to stay sober-call sponsor, use the steps, etc. </li></ul><ul><li>Altruism: </li></ul><ul><li>In group therapy altruism serves the purpose of allowing someone to help another while also helping themselves. This is also true in AA groups, by sharing ones experiences and how they stayed sober through difficulties they are altruistically helping another. </li></ul><ul><li>CRF: </li></ul><ul><li>In group therapy often a member sees another member in the light of a family member. In AA sometimes a member sees another as a better version of how they might have liked a former family member to be. </li></ul>
  7. 7. <ul><li>DST: </li></ul><ul><li>In therapy there is often the purpose of learning socially acceptable behaviors. In AA this is often the case, people have to learn (for the first time sometimes ) how to relate soberly to other people. </li></ul><ul><li>IB: </li></ul><ul><li>In therapy modeling is a key aspect of developing social behaviors this is also true in AA-there is a saying be the best big book anyone sees. </li></ul><ul><li>Catharsis: </li></ul><ul><li>In group therapy one often gets a sense of relief from expelling their problems to the group. In AA one can use sponsorship, fellowship or the meeting arena to dump their problems. </li></ul><ul><li>IL: </li></ul><ul><li>In group one learns how the act within relationships. In AA one also learns to deal with people in new ways, soberly. </li></ul>