Group therapy

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Group Psychotherapy

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Group therapy

  1. 2. Group Therapy Sathish RAJAMANI. M.Sc (N) Lecturer - AMCON
  2. 3. Introduction <ul><li>Human beings are complex creatures who share their activities of daily living with various groups of people. </li></ul><ul><li>Human beings are </li></ul><ul><ul><li>Biological organism </li></ul></ul><ul><ul><li>Psychological organism </li></ul></ul><ul><ul><li>Social organism </li></ul></ul>
  3. 4. DEFINITION <ul><li>Group – Collection of individuals whose associations are founded on shared commonalities of interest. </li></ul><ul><li>Group Therapy – A form of psycho – social treatment in which a number of clients meet together with a therapist for the purpose of sharing, gaining personal insight, and improving interpersonal coping strategies </li></ul>
  4. 5. GROUP FUNCTIONS <ul><li>Sampson and Marthas (1990) , have outlined eight functions that group serve for their members. </li></ul><ul><li>Socialization </li></ul><ul><li>Support </li></ul><ul><li>Task Completion </li></ul><ul><li>Camaraderie </li></ul><ul><li>Informational </li></ul><ul><li>Normative </li></ul><ul><li>Empowerment </li></ul><ul><li>Governance </li></ul>
  5. 6. GROUPS TYPES <ul><li>Clark (1994) identifies three types of groups. </li></ul><ul><li>Task Groups </li></ul><ul><li>Teaching Groups </li></ul><ul><li>Supportive Therapeutic Groups </li></ul><ul><li>Self – Help Groups </li></ul>
  6. 7. SELECTION <ul><li>Homogeneous </li></ul><ul><li>Adolescents and patients with PD </li></ul><ul><li>Families and couples where the system needs change. </li></ul>
  7. 8. <ul><li>Antisocial Patients. </li></ul><ul><li>Actively suicidal or severely depressed patients. </li></ul><ul><li>Patients who are delusional. </li></ul>CONTRAINDICATIONS
  8. 9. PHYSICAL CONDITIONS <ul><li>SEATING </li></ul><ul><li>SIZE </li></ul>
  9. 10. SEATING <ul><li>There should not be any barriers between the members. </li></ul><ul><li>A circle of chair is better than chairs around a table. </li></ul><ul><li>Members should be encouraged to sit in different chairs for each meeting. </li></ul>
  10. 11. SIZE <ul><li>7 – 8 members in a group favors the therapeutic environment. </li></ul><ul><li>The larger the size, less time is available to devote to individual members. </li></ul>
  11. 12. MEMBERSHIP <ul><li>Open / Close – ended groups. </li></ul><ul><li>Open ended groups are those in which members leave and others join at any time while the group exists. </li></ul><ul><li>Open ended groups are commonly used in short – term in – patients. </li></ul>
  12. 13. MEMBERSHIP <ul><li>Close ended groups are usually pre – determined and have fixed time frame. </li></ul><ul><li>All members join at the time the group is organized and terminate at the end of the designate time period. </li></ul>
  13. 14. <ul><li>Therapist role – Facilitator (Provides safe and comfortable environment). </li></ul><ul><li>Focus on “Here and Now”. </li></ul><ul><li>Protect members from any verbal abuse or scapegoating. </li></ul><ul><li>Provide positive reinforcement. </li></ul><ul><li>Therapist should approach the clients in a group in a gentle, supportive and non threatening manner. </li></ul>APPROACHES
  14. 15. APPROACHES <ul><li>Able to preserve the self – esteem of hallucinatory and delusional patients. </li></ul><ul><li>Must able to set limits for the undesired behaviors of the clients. </li></ul><ul><li>Use Silence. Encourage Introspection and Facilitate Insight. </li></ul><ul><li>Laughter and Moderate Joking contributes to group cohesiveness. </li></ul><ul><li>Role – playing helps members to develop insight. </li></ul>
  15. 16. <ul><li>Sharing Experience </li></ul><ul><li>Support to and from group members </li></ul><ul><li>Socialization </li></ul><ul><li>Limitation </li></ul><ul><li>Interpersonal Learning </li></ul>THERAPEUTIC FACTORS
  16. 17. TECHNIQUES <ul><li>Reflecting or rewarding comments of group members. </li></ul><ul><li>Asking for group reaction to one member's statement. </li></ul><ul><li>Pointing out any shared feelings within the group. </li></ul><ul><li>Summarizing various points at the end of the session. </li></ul>
  17. 18. CONCLUSION <ul><li>Group Therapy plays a major role in rehabilitation of mentally ill patient. </li></ul><ul><li>It gives an opportunity for immediate feedback. </li></ul><ul><li>It facilitates chance for therapist to observe the patients emotional and behavioral response towards variety of people. </li></ul><ul><li>Enhances patients IPR, Communication, decision making and assertive skills. </li></ul>

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