Group Psychotherapy (Yalom, Ch. 9-15, 17)

Front 1

Fractionalization is

Back 1

the members of the group breaking off into small groups (i.e. dyads and triads)

Front 2

two general categories of recent interpersonal behavior assessment research

Back 2

1. formation of an interpersonal nosological (classifications of diseases) system
2. diagnostic procedures that directly sample group-relevant behavior

Front 3

karen horney's view of troubled individuals

Back 3

they move exaggeratedly and maladaptively toward, against, or away from other people

Front 4

Bowlby's four fundamental styles of relationship

Back 4

1. secure
2. anxious
3. detached or dismissive or avoidant
4. fearful and avoidant

Front 5

Group is a place...

Back 5

to see professionals do their work

Front 6

what is required in order to make use of interpersonal therapy

Back 6

some interpersonal competence

Front 7

clients do not necessarily do well...

Back 7

when matched to the form of therapy that appears to target their specific problems

Front 8

Powdermaker and Frank described...

Back 8

an interpersonal relations interview that correctly predicted patterns of group therapy behavior

Front 9

a useful self-report inventory that evaluates interpersonal behavior

Back 9

The CA Personality Inventory

Front 10

two theoretical rationals underlying heterogeneous approach to composition of a group

Back 10

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

Front 11

the theory that underlies the homogeneous approach to composition of a group

Back 11

group cohesiveness theory - attraction to the group, cohesion, and compatibility are paramount

Front 12

to use a video in group, what must be in place? (2)

Back 12

- written consent
- time enough before group to discuss the impact of the video

Front 13

advantages to closed groups (4)

Back 13

1. intimacy
2. end date
3. better pacing
4. more professional

Front 14

advantages to open groups (2)

Back 14

1. different dynamics
2. new blood for trying new skills

Front 15

ideal length of group (in minutes)

Back 15

80-90

Front 16

ideal session frequency

Back 16

2/week

Front 17

the most studied group format

Back 17

6 month group

Front 18

what are marathon groups?

Back 18

48 hours straight - not done much any more

Front 19

Tuckman's stages of group (4)

Back 19

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

Front 20

how to survive storming (4)

Back 20

1. let them have their say
2. acknowledge your help
3. support your coalitioning members
4. slow it down

Front 21

what fear may impede engagement in the group

Back 21

when one fears the loss of his own identity through submersion into the group

Front 22

what leadership style evokes the most "storming" during the storming stage

Back 22

authoritative

Front 23

if the therapist is scared due to a members absence, a probable reason is that...

Back 23

the absent member carries too much weight and responsibility in the group

it can make the members think the leader is playing favorites

Front 24

should sessions be cancelled if group members are absent

Back 24

no, every group member's time is important.

Front 25

fractionalization

Back 25

group members breaking off into smaller groups

Front 26

subgroups may be a manifestation of...

Back 26

undischarged hostility in the group, especially towards the leader

Front 27

what leadership style typically brings out the most factions in the group

Back 27

authoritarian, restrictive style

Front 28

those included in a subgroup often find that group life is...

Back 28

more complicated and less rewarding

Front 29

a group leaders best defense against collusion with a sexually connected dyad

Back 29

share your dilemma with the group, both your observations and your uneasiness to discuss them

Front 30

group members who do not disclose themselves have little chance of... (2)

Back 30

1. genuine acceptance by other members
2. experiencing a rise in self-esteem

Front 31

members who keep a secret have to not only to conceal it...

Back 31

but all possible avenues to it.

Front 32

the monopolist attempts to

Back 32

control anxiety

Front 33

it is essential to guide the monopolist into the

Back 33

self-reflective process of therapy

Front 34

the silent client is just as...

Back 34

challenging as the monopolist. They receive minimal profit from the group

Front 35

how long do you keep hold of the silent client?

Back 35

3 months

Front 36

marks of a boring client (2)

Back 36

1. always say the safe things
2. predictable

Front 37

therapist should take what kind of posture with boring clients

Back 37

Socratic posture - not to inspirit them but to identify their squelched creative parts and remove obstacles to free expression

Front 38

The help-rejecting complainer AKA

Back 38

the "yah but" client

Front 39

problem group members (6)

Back 39

1. monopolist
2. silent
3. boring
4. help-rejecting complainer
5. psychotic or bipolar
6. characterologically difficult (schizoid, borderline, narcissistic)

Front 40

when are members more committed to the enactment of the group plan?

Back 40

when they personally participate in planning a course of action

Front 41

borderline personality disorder does not represent...

Back 41

a homogeneous diagnostic category

Front 42

in what two distinctions do therapists place narcissists?

Back 42

1. under gratified - enraged and explosive
2. over gratified - unaware of others

Front 43

with an impatient group, what do you need to know prior to agenda setting?

Back 43

1. a little bit of history
2. a little bit of symptomology

Front 44

names and brief description of group members in impatient video (6)

Back 44

Sonya (depressed, floor sitter)
Mable (bad hand)
Rose (older woman)
Marilyn (sexual abuse, disassociative tendencies)
Marge (cutter, inward anger)
George (ex-surgeon, recent stroke)

Front 45

Yalom's steps in developing a specialized impatient therapy group

Back 45

1. assessment of the clinical setting
2. formulation of goals
3. modification of traditional technique

Front 46

the goals of an impatient group (6)

Back 46

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.

Front 47

attempts to renew interest in group therapy...

Back 47

have always worked, but only for brief periods

Front 48

group leader has 5 main tasks

Back 48

1. containment of anxiety
2. therapeutic atmosphere
3. appropriate goals
4. moderating the pace
5. ending well