Group therapy involves selecting 8-10 clients with similar emotional issues or problems. The therapist guides discussions to help clients assist each other in changing behaviors. Key aspects of effective group therapy include creating a safe environment, focusing on current issues, addressing interactions between members, and reinforcing positive behaviors. The therapist structures discussions while allowing members to share experiences and support each other in working through challenges.

1. BY:
NINAMA JAYDIP J.
THIRD YEAR BASIC B.SC
NURSING
SCON,ZUNDAL

4.  Group therapy is a therapeutic procedure in
which the therapist carefully select the
homogeneous group (8-10) who are
emotionally ill and suffering with similar
type of problem.
 Group guided by trained therapist.
 The group member assist each other under
guidance of therapist to bring expected
behavioural change.

5.  8-10 member are optimum in number for
conduct group therapy.
 Homogeneous group.
 The client have similar type of illness.

6. Personality disorder. Adjustment problem in adolescents.
Family or couple where entire system is
in need of change.

7.  Antisocial element.
 Acute or severe ill case like suicidal
tendency where individual attention
require.
 Client with delusions.

8.  Optimal size of group therapy is 8-10.

9.  Duration: 45 min to 1 hour.
 Frequency: once in a week.

10.  The therapist's role is primarily that of a facilitator; he
should provide a safe, comfortable atmosphere for self
disclosure.
 Focus on the “here & now”.
 Use any transference situation to develop insight in to
their problem.
 Protect member from verbal abuse or form scape
goating.
 Whenever appropriate provide positive reinforcement,
this give ego support & encourages future growth.

11.  Handle circumstantial patient, hallucinating in a
manner that protect self esteem of individual & sets
limit on behaviour soas to protect other group
member.
 Develop ability to recognize when a group member is
“Fragile” he should be approached in gentle,
supportive and non threatening manner.
 Use silence effectively to encourage introspection &
facilitate insight.
 Laughter & a moderate amount of joking can acts as a
safety valve & at time can contribute to group
cohesiveness.
 Role playing may help a member develop insight into
the way in which he relates to other.

12. SHARING EXPERIENCE
This helps the patient to realise that they
are not isolated and that others have also
similar experience & problem.
Hearing from other patient that they have
shared experience is often more
convincing & helpful than reassurance
from the therapist.

13. SUPPORT TO & FORM GROUP MEMBER
Receiving help from other group member
can be supportive to the person helped.
The sharing of being mutually supportive
is an aspect of the group cohesiveness that
can provide a sense of belonging for
patient who feels isolated in their everyday
lives.

14. SOCIALIZATION
It is acquisition of social skill [e.g:Maintain
eye contact] within in a group through
comments that member provide about one
another’s deficiencies in the social skills.
This process can be helped by trying out
new way of interacting within the safety of
group.

15. IMITATION
It is learning from observing & adopting
behaviours of other group member. If the
group is run well, patient imitate the
adaptive behaviour of other group
member.

16. INTERPERSONAL LEARNING
It refers to learning about difficulties in
relationship by examining the interaction
of individuals with the other member of
group.

18.  Therapist carefully select client & inform the group about
time , venue of session.
 Therapist provide conductive environment with adequate
seating , good ventilation , calm & quiet environment .
 Therapist act as a facilitator & coordinator .
 Allow sometime to group where group member interact
& share the feeling .
 The psychological processes like transference & counter
transference are used.
 Set limit to protect group behaviour.
 Therapist give positive reinforcement whenever need.

19.  Therapist handle situation in supportive & non
threatening manner.
 Promote group cohesiveness.
 Reflecting or Rewarding comments of group member.
 Asking for group reaction to one member statement.
 Asking individual reaction to one member statement.
 Pointing out any shared feeling with in the group.
 Summarizing various point at end of group therapy.

20. The therapist should actively structure the
discussion in way that encourage the group
member to stay in a topic
 ESTABLISH GROUP
 setting and size of group
 frequency and length of session
 select co-therapist for group
 formulate policy on group therapy
with other therapeutic modality

21.  CREATING THERAPY GROUP
 Appropriate group
 Ability of person who can perform task
 prepare patient for group therapy
 CONSTRUCTION & MAINTENANCE
OF THERAPEUTIC ENVIRONMENT
 Build culture of group simplicity
 Identify & resolve common problem

22.  THERAPIST SHOULD TAKE CUE FROM
THE PROCESS OF GROUP
 When member interact spontaneously around
issue therapist should quiet & feel sense of
mastery.
 If member are try to form sub group therapist
discourage them by find some similarity.
 All group member are participate in express
feeling and assist silent member to speak.

23. When there is conflict between two people
then therapist should not take side rather
than encourage whole group to discuss to
understand why conflict arise.

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