HEALTH PSYCHOLOGY GROUP THERAPY

Group Meeting 1 – Developing Microskills & Leading Skills Groups

GROUPS THE FOUNDATION OF SELF Our very first group is our family. Later we develop in groups of friends, school groups, religious groups and

work groups.

We learn about who we are in relationship with others. Interactions teach us how we relate to our emotional

lives, our cultural and social location, our social world, our felt experience, our beliefs, our dreams, and our

goals.

BANDURA SOCIAL LEARNING THEORY

Step 1 – Action is done by a model Step 2 – Action is attended to by an

observer Step 3 – Observer is motivated to

engage in action Step 4 – Observer has skills to enact behavior

THREE CORE ASPECTS OF GROUP TREATMENT

The HowMicroskills and interventions that lead to

change

The WhyWhere you are

going e.g. theory

explaining change

The WhatLearning,

Growth and Skills

Effective Group Leadership Includes Three Core Parts…

The How Skills: These are the interventions that create change. They are techniques and tools that can be skillfully applied to move towards goals.

The What Skills: These are what you are doing and include learning through observation, growth experiences e.g. New tolerance for affect, and the skills that increase efficacy and fxning e.g. Cycle of Depression.

The Why Skills: These are the understanding of human psychology that drive your ideas of what change is, how to reach it and what you water with your attention.

THE HUMAN BRAIN The human brain is a social

experience from the beginning. It does not make sense to talk about a single human brain. There is no human brain that exists

outside of relationship with a location, others, and the

ecology of social interactions that creates it.

INTENTIONAL GROUP LEADERSHIP

Fundamentally intentional leadership is the ability to skillfully apply

interventions in a manor that reaches a treatment goal for an individual, a dyad,

a sub group or the group as a whole.

TYPES OF GROUPS

Group Treatments are on a spectrum from highly structure groups that focus mostly on skills and

psychoeducation on one end and process focused groups on the other end that focus on

change through interaction between members.

GROUP MICROSKILLS Microskills are the

skills used to impact group members in

an intentional manor. They are skills used across

theories that can be used to help

facilitate change predicted by the

theory.

CULTURAL HUMILITY Cultural humility:  “ability to maintain an interpersonal stance that is other-oriented (or open to the other) in relation to aspects of cultural identity that are most important to the individual” (Hook, et. al., 2013)1. Lifelong commitment to self-evaluation and self-

critique (Tervalon & Murray-Garcia, 1998)2. A desire to fix power imbalances where none ought to exist

(Tervalon & Murray-Garcia, 1998).  3. Develop partnerships with people and groups who

advocate for others (Tervalon & Murray-Garcia, 1998) Above pulled from: http://www.apa.org/pi/families/resources/newsletter/2013/08/cultural-humility.aspx

PRACTICING CULTURAL HUMILITY 1. Ask questions in a humble, safe manner2. Seek Self-Awareness 3. Suspend Judgment 4. Express Kindness and Compassion5. Support a Safe and Welcoming Environment6. Start Where Your Patient Is

Guidelines for Practicing Cultural Humility By – Lisa Bosen

GROUP TREATMENT TRAINING 1. The skills needed for effective group treatment can be identified

and taught in a sequenced and precise manor. 2. Intentional application of microskills starts with a clear hypothesis

of an impact of a microskill on a group member, dyad, sub-group or group as a whole and continued learning through observation of impact of intervention.

3. Intentional application of group treatment includes training on psychoeducation and skills to create the basis of change. This includes core thought skills, affect skills, mindfulness skills, and interpersonal skills.

4. Intentional application of group treatment applies theories of change to desired outcomes.

Acceptance

Skills

Change Skills