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48 Cards in this Set

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Fractionalization is
the members of the group breaking off into small groups (i.e. dyads and triads)
two general categories of recent interpersonal behavior assessment research
1. formation of an interpersonal nosological (classifications of diseases) system
2. diagnostic procedures that directly sample group-relevant behavior
karen horney's view of troubled individuals
they move exaggeratedly and maladaptively toward, against, or away from other people
Bowlby's four fundamental styles of relationship
1. secure
2. anxious
3. detached or dismissive or avoidant
4. fearful and avoidant
Group is a place...
to see professionals do their work
what is required in order to make use of interpersonal therapy
some interpersonal competence
clients do not necessarily do well...
when matched to the form of therapy that appears to target their specific problems
Powdermaker and Frank described...
an interpersonal relations interview that correctly predicted patterns of group therapy behavior
a useful self-report inventory that evaluates interpersonal behavior
The CA Personality Inventory
two theoretical rationals underlying heterogeneous approach to composition of a group
1. social microcosm theory - learning happens when one is in the midst of diversity
2. dissonance (conflict) theory - learning happens when one acts to reduce conflict
the theory that underlies the homogeneous approach to composition of a group
group cohesiveness theory - attraction to the group, cohesion, and compatibility are paramount
to use a video in group, what must be in place? (2)
- written consent
- time enough before group to discuss the impact of the video
advantages to closed groups (4)
1. intimacy
2. end date
3. better pacing
4. more professional
advantages to open groups (2)
1. different dynamics
2. new blood for trying new skills
ideal length of group (in minutes)
80-90
ideal session frequency
2/week
the most studied group format
6 month group
what are marathon groups?
48 hours straight - not done much any more
Tuckman's stages of group (4)
1. forming - members learn about opportunities and challenges
2. storming - members confront each others ideas and perspectives
3. norming - members take responsibility and work toward goal of group
4. performing - members develop autonomy and new interpersonal skills used in group and outside the group
how to survive storming (4)
1. let them have their say
2. acknowledge your help
3. support your coalitioning members
4. slow it down
what fear may impede engagement in the group
when one fears the loss of his own identity through submersion into the group
what leadership style evokes the most "storming" during the storming stage
authoritative
if the therapist is scared due to a members absence, a probable reason is that...
the absent member carries too much weight and responsibility in the group

it can make the members think the leader is playing favorites
should sessions be cancelled if group members are absent
no, every group member's time is important.
fractionalization
group members breaking off into smaller groups
subgroups may be a manifestation of...
undischarged hostility in the group, especially towards the leader
what leadership style typically brings out the most factions in the group
authoritarian, restrictive style
those included in a subgroup often find that group life is...
more complicated and less rewarding
a group leaders best defense against collusion with a sexually connected dyad
share your dilemma with the group, both your observations and your uneasiness to discuss them
group members who do not disclose themselves have little chance of... (2)
1. genuine acceptance by other members
2. experiencing a rise in self-esteem
members who keep a secret have to not only to conceal it...
but all possible avenues to it.
the monopolist attempts to
control anxiety
it is essential to guide the monopolist into the
self-reflective process of therapy
the silent client is just as...
challenging as the monopolist. They receive minimal profit from the group
how long do you keep hold of the silent client?
3 months
marks of a boring client (2)
1. always say the safe things
2. predictable
therapist should take what kind of posture with boring clients
Socratic posture - not to inspirit them but to identify their squelched creative parts and remove obstacles to free expression
The help-rejecting complainer AKA
the "yah but" client
problem group members (6)
1. monopolist
2. silent
3. boring
4. help-rejecting complainer
5. psychotic or bipolar
6. characterologically difficult (schizoid, borderline, narcissistic)
when are members more committed to the enactment of the group plan?
when they personally participate in planning a course of action
borderline personality disorder does not represent...
a homogeneous diagnostic category
in what two distinctions do therapists place narcissists?
1. under gratified - enraged and explosive
2. over gratified - unaware of others
with an impatient group, what do you need to know prior to agenda setting?
1. a little bit of history
2. a little bit of symptomology
names and brief description of group members in impatient video (6)
Sonya (depressed, floor sitter)
Mable (bad hand)
Rose (older woman)
Marilyn (sexual abuse, disassociative tendencies)
Marge (cutter, inward anger)
George (ex-surgeon, recent stroke)
Yalom's steps in developing a specialized impatient therapy group
1. assessment of the clinical setting
2. formulation of goals
3. modification of traditional technique
the goals of an impatient group (6)
1. engage the patient in the process
2. demonstrating that talking helps
3. problem spotting
4. decreased isolation
5. being helpful to others
6. alleviating hospital related anxiety.
attempts to renew interest in group therapy...
have always worked, but only for brief periods
group leader has 5 main tasks
1. containment of anxiety
2. therapeutic atmosphere
3. appropriate goals
4. moderating the pace
5. ending well