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Mindfulness with Anger in Group Therapy

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Mindfulness with Anger in Group Therapy

  1. 1. Mindfulness with Anger in Recovery Claudia Chandler
  2. 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. 3. Group Formation  Group includes:  1 Therapist  1 Counselor  8 Clients, same gender as counselors  Similar stage of change - (Contemplation/Action)
  4. 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. 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. 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. 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.
  8. 8. Interventions  Psychoeducation  Handouts  Ratings Scales  Homework  Bibliotherapy
  9. 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. 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. 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. 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. 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. 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. 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.

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  • saro8

    Jan. 15, 2017

Presentation on created group for Mindfulness with Anger


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