These slides explored basics of group therapy. They include skills training and microskills approach and are aimed at running groups in a health care setting.

1. HEALTH
PSYCHOLOGY
GROUP THERAPY
Group Meeting 1 –
Developing
Microskills &
Leading Skills Groups

3. GROUPS THE FOUNDATION OF
SELF
Our very first group is our family. Later we develop
in groups of friends, school groups, religious
groups and work groups.
We learn about who we are in relationship with
others. Interactions teach us how we relate to our
emotional lives, our cultural and social location,
our social world, our felt experience, our beliefs,
our dreams, and our goals.

4. BANDURA SOCIAL LEARNING
THEORY
Step 1 – Action is done by a
model
Step 2 – Action is attended to
by an
observer
Step 3 – Observer is motivated
to
engage in action
Step 4 – Observer has skills to
enact

5. THREE CORE
ASPECTS
OF GROUP
TREATMENT
The How
Microskills and
interventions that lead
to change
The Why
Where you are
going e.g. theory
explaining change
The What
Learning, Growth
and Skills
Effective Group Leadership
Includes Three Core Parts…
The How Skills: These are the
interventions that create change.
They are techniques and tools that
can be skillfully applied to move
towards goals.
The What Skills: These are what you
are doing and include learning
through observation, growth
experiences e.g. New tolerance for
affect, and the skills that increase
efficacy and fxning e.g. Cycle of
Depression.
The Why Skills: These are the
understanding of human psychology
that drive your ideas of what change

6. THE HUMAN BRAIN
The human brain is a
social experience from the
beginning. It does not
make sense to talk about a
single human brain. There
is no human brain that
exists outside of
relationship with a
location, others, and the
ecology of social
interactions that creates it.

7. INTENTIONAL GROUP LEADERSHIP
Fundamentally intentional leadership
is the ability to skillfully apply
interventions in a manor that reaches
a treatment goal for an individual, a
dyad, a sub group or
the group as a whole.

8. TYPES OF GROUPS
Group Treatments are on a spectrum from highly
structure groups that focus mostly on skills and
psychoeducation on one end and process focused
groups on the other end that focus on

9. GROUP MICROSKILLS
Microskills are the
skills used to impact
group members in
an intentional
manor. They are
skills used across
theories that can be
used to help
facilitate change
predicted by the

11. CULTURAL HUMILITY
Cultural humility: “ability to maintain an interpersonal stance that is
other-oriented (or open to the other) in relation to aspects of cultural
identity that are most important to the individual” (Hook, et. al.,
2013)
1. Lifelong commitment to self-evaluation and self-critique (Tervalon
& Murray-Garcia, 1998)
2. A desire to fix power imbalances where none ought to exist
(Tervalon & Murray-Garcia, 1998).
3. Develop partnerships with people and groups who advocate for
others (Tervalon & Murray-Garcia, 1998)
Above pulled from: http://www.apa.org/pi/families/resources/newsletter/2013/08/cultural-humility.aspx

12. PRACTICING CULTURAL HUMILITY
1. Ask questions in a humble, safe manner
2. Seek Self-Awareness
3. Suspend Judgment
4. Express Kindness and Compassion
5. Support a Safe and Welcoming Environment
6. Start Where Your Patient Is
Guidelines for Practicing Cultural Humility By – Lisa Bosen

13. GROUP TREATMENT TRAINING
1. The skills needed for effective group treatment can be
identified and taught in a sequenced and precise manor.
2. Intentional application of microskills starts with a clear
hypothesis of an impact of a microskill on a group
member, dyad, sub-group or group as a whole and
continued learning through observation of impact of
intervention.
3. Intentional application of group treatment includes
training on psychoeducation and skills to create the basis
of change. This includes core thought skills, affect skills,
mindfulness skills, and interpersonal skills.
4. Intentional application of group treatment applies theories
of change to desired outcomes.