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Therapeutic Group Dynamics: Advantages, Disadvantages & Factors

Explore the characteristics, advantages, and disadvantages of therapeutic groups, as well as common therapeutic factors like Yalom's Principles. Learn about group development phases, informal roles of members, and leadership styles in group settings.

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Therapeutic Group Dynamics: Advantages, Disadvantages & Factors

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  1. Chapter 33 Therapeutic Groups

  2. Characteristics That Influence a Group • Size • Defined purpose • Degree of similarity among members • Rules • Boundaries • Content (what is said in the group) • Process (underlying dynamics among group members)

  3. Advantages of Group Work • Cost effective • Patient feels less isolated • Patients receive peer feedback • Teach different problem-solving approaches

  4. Disadvantages Of Group Work • Privacy/Confidentiality issues • Some may not be able to share in group setting • Some may not feel they are getting enough attention because others are more active

  5. Therapeutic Factors Common to All Groups (Yalom’s Principles) • Instillation of hope • Universality • Imparting of information • Altruism • Corrective recapitulation of primary family group

  6. Therapeutic Factors Common to All Groups (Continued) • Development of socializing techniques • Imitative behavior • Interpersonal learning • Group cohesiveness • Catharsis • Existential resolution • Box 33-2

  7. Phases of Group Development • Orientation phase • Working phase • Termination phase

  8. Informal Roles of Group Members • Task Roles • Coordinator • Elaborator • Energizer • Evaluator • Information giver • Information seeker • Initiator-contributor • Orienter • Opinion giver • Procedural technician • Recorder • Maintenance Roles • Compromiser • Encourager • Follower • Gatekeeper • Group observer • Harmonizer • Standard setter • Individual Roles • Aggressor • Blocker • Dominator • Help seeker • Playboy • Recognition seeker • Self-confessor • Special interest pleader

  9. Question 1 Which of the following comments made by members of a group best demonstrates a task role? • “I want to tell how my problems started. I’m having more trouble than anyone else in this group.” • “Three people were late for this group. Everyone is supposed to arrive on time.” • “I can’t believe you’re talking about your failed romantic relationships again.” • “We started out talking about guilt, but we have strayed from that subject.”

  10. Group Leadership Responsibilities • Initiating • Maintaining • Terminating

  11. Styles of Leadership • Autocratic leader • Democratic leader • Laissez-faire leader

  12. Basic Level Registered Nurse • Psychoeducational groups • Medication education groups • Health education groups • Dual-diagnosis groups • Symptom-management groups • Stress-management groups • Support and self-help groups

  13. Supportive Self-Help Groups • Support Groups • Grief • Rape • Cancer • Self-Help Groups • Alcoholics/Narcotics Anonymous (AA/NA) • Gamblers anonymous (GA) • Overeaters anonymous (OA) • Al-Anon • Adult Children of Alcoholics (ACOA)

  14. Advanced Practice Nurse • Group psychotherapy • Psychodrama groups • Dialectical behavior treatment

  15. Dealing with Challenging Member Behaviors • Monopolizing member • Complaining member who rejects help • Demoralizing member • Silent member

  16. Audience Response Questions • Medication education and health education are types of • psychoeducationalgroups. • insight-oriented groups. • support groups. • psychodrama.

  17. Audience Response Questions • A group participant frequently reminds others of the group’s main purpose. What type of role is this person fulfilling? • Maintenance • Individual • Task

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