GROUP THERAPY

GROUP THERAPY

BY:NINAMA JAYDIP J. THIRD YEAR BASIC B.SC NURSINGSCON,ZUNDAL

GROUP THERAPY

INTRODUCTIONGroup therapy is a therapeutic procedure in which the therapist carefully select the homogeneous group (8-10) who are emotionally ill and suffering with similar type of problem.Group guided by trained therapist.The group member assist each other under guidance of therapist to bring expected behavioural change.

SELECTION OF CLIENT 8-10 member are optimum in number for conduct group therapy.

Homogeneous group.

The client have similar type of illness.

INDICATION OF GROUP THERAPY

Personality disorder.Adjustment problem in adolescents.Family or couple where entire system is in need of change.

CONTRAINDICATION OF GROUP THERAPYAntisocial element.

Acute or severe ill case like suicidal tendency where individual attention require.

Client with delusions.

GROUP SIZEOptimal size of group therapy is 8-10.

DURATION AND FREQUENCY OF SESSIONDuration: 45 min to 1 hour.

Frequency: once in a week.

APPROACHES TO GROUP THERAPYThe therapist's role is primarily that of a facilitator; he should provide a safe, comfortable atmosphere for self disclosure. Focus on the here & now.Use any transference situation to develop insight in to their problem.Protect member from verbal abuse or form scape goating.Whenever appropriate provide positive reinforcement, this give ego support & encourages future growth.

CONT..Handle circumstantial patient, hallucinating in a manner that protect self esteem of individual & sets limit on behaviour soas to protect other group member.Develop ability to recognize when a group member is Fragile he should be approached in gentle, supportive and non threatening manner.Use silence effectively to encourage introspection & facilitate insight.Laughter & a moderate amount of joking can acts as a safety valve & at time can contribute to group cohesiveness.Role playing may help a member develop insight into the way in which he relates to other.

THERAPEUTIC FACTOR INVOLVED IN GROUP THERAPYSHARING EXPERIENCE

This helps the patient to realise that they are not isolated and that others have also similar experience & problem.Hearing from other patient that they have shared experience is often more convincing & helpful than reassurance from the therapist.

CONTD SUPPORT TO & FORM GROUP MEMBER

Receiving help from other group member can be supportive to the person helped.The sharing of being mutually supportive is an aspect of the group cohesiveness that can provide a sense of belonging for patient who feels isolated in their everyday lives.

CONTD.SOCIALIZATION

It is acquisition of social skill [e.g:Maintain eye contact] within in a group through comments that member provide about one anothers deficiencies in the social skills.This process can be helped by trying out new way of interacting within the safety of group.

CONTD. IMITATION

It is learning from observing & adopting behaviours of other group member. If the group is run well, patient imitate the adaptive behaviour of other group member.

CONTD. INTERPERSONAL LEARNING

It refers to learning about difficulties in relationship by examining the interaction of individuals with the other member of group.

TECHNIQUES USE IN GROUP THERAPY

TECHNIQUES USE IN GROUP THERAPYTherapist carefully select client & inform the group about time , venue of session. Therapist provide conductive environment with adequate seating , good ventilation , calm & quiet environment .Therapist act as a facilitator & coordinator .Allow sometime to group where group member interact & share the feeling .The psychological processes like transference & counter transference are used.Set limit to protect group behaviour.Therapist give positive reinforcement whenever need.

CONTD..Therapist handle situation in supportive & non threatening manner.Promote group cohesiveness.Reflecting or Rewarding comments of group member.Asking for group reaction to one member statement.Asking individual reaction to one member statement.Pointing out any shared feeling with in the group.Summarizing various point at end of group therapy.

ROLE OF THE THERAAPISTThe therapist should actively structure the discussion in way that encourage the group member to stay in a topic

ESTABLISH GROUP setting and size of group frequency and length of session select co-therapist for group formulate policy on group therapy with other therapeutic modality

CONTD.. CREATING THERAPY GROUP Appropriate group Ability of person who can perform task prepare patient for group therapy CONSTRUCTION & MAINTENANCE OF THERAPEUTIC ENVIRONMENT Build culture of group simplicity Identify & resolve common problem

CONTD .. THERAPIST SHOULD TAKE CUE FROM THE PROCESS OF GROUPWhen member interact spontaneously around issue therapist should quiet & feel sense of mastery.If member are try to form sub group therapist discourage them by find some similarity. All group member are participate in express feeling and assist silent member to speak.

CONTD.When there is conflict between two people then therapist should not take side rather than encourage whole group to discuss to understand why conflict arise.

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