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Early Stage of Group Treatment . getting the client to recognize, admit and move past their high levels of ambivalence and denial . Early Stage of Group Treatment. understand the relationship between their addiction and their present difficult in life. . Early Stage of Group Treatment.

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early stage of group treatment

Early Stage of Group Treatment

getting the client to recognize, admit and move past their high levels of ambivalence and denial.

early stage of group treatment1
Early Stage of Group Treatment
  • understand the relationship between their addiction and their present difficult in life.
early stage of group treatment2
Early Stage of Group Treatment
  • rebellious,
  • suspicious
  • and manipulative behaviour
early stage of group treatment3
Early Stage of Group Treatment
  • During the early stages of treatment the goal of the therapist is to:
    • 1) to discover themselves and others as feeling people
    • 2) identify their defenses
early stage of group treatment4
Early Stage of Group Treatment

Ego Defenses:

  • denial
  • rationalization
early stage of group treatment5
Early Stage of Group Treatment
  • The art of treating addiction is to overcome the enormous denial and resistance that most addicts possess.
slide7
Confrontation
  • How confrontation is used is critical ~ there can be constructive and destructive
early stage of group treatment6
Early Stage of Group Treatment

Washton (1992)

Guidelines for Effective Confrontation

  • giving feedback as you see it
  • most useful when spoken with empathy, concern, and respectful voice
  • be descriptive (what you observed, give examples)
  • expressing concern about the person’s dangerous and self-defeating behaviour
leaders responsibility
Leaders Responsibility
  • Assessing when to/ not to intervene
  • Allowing some tension for group to grow
  • Helping members assume responsibility for their own drug related problems
  • Modulating anxiety in intense situations
  • Dealing with destructive resistance: fleeing
  • Treating the group as a mirror, microcosm
reinforcing group norms
Reinforcing Group Norms
  • Feedback
  • Risk-taking
  • Openness
  • Acceptance
  • Confidentially
impulse control self disclosure
Impulse Control & Self-Disclosure
  • Manage members difficulties with impulse control
  • Members inexperience in regulating closeness and intimacy
  • Appropriate/inappropriate self disclosure
  • Risk of self-disclosure ~ vulnerability
  • Too little, too much: indiscriminate self-disclosure
  • Tolerance and readiness of the group/individual
integrating new members in the open group
Integrating New Members in the Open Group
  • Introduce how the group works to new comers
  • No set ways or rituals for integrating new members
  • Impact of new members on group development
  • Impact of relapse and returning members on group process
middle stage of treatment
Middle Stage of Treatment
  • Action stage of treatment
  • Awareness of the stages of change for individual members and the group as a whole
middle stage of treatment1
Middle Stage of Treatment

Group leader should consider:

  • Equal distribution of time in group
  • Activity focuses and invites group members to participate
  • Focus on topics that are meaningful
  • Prevents rambling patient from derailing the group
  • Provides a clear direction for the group
corrective emotional experience
Corrective Emotional Experience
  • Strong expression of emotion
  • Group supportive enough to permit risk
  • Reality testing of the incident
  • Inappropriateness of certain feelings
  • Inappropriateness of avoiding behaviour
  • Facilitation to interact with others more deeply and honestly (Yalom, 2005)
late stage change
Late Stage Change
  • Emphasis will focus on addressing characterological makeup of the client
  • Helping the person become aware
  • That’s who I am
  • I wnt ot cange but can’t
  • Here I go again
  • Whey change? What is in it for me?