Group Psychotherapy - Cohesiveness does not equal comfort

1. Group Psychotherapy

Cohesiveness does not equal comfort. Unless hostility is openly expressed and managed by the therapist persistent covert hostile attitudes may hamper the cohesiveness and effect interpersonal learning. If hostility is not addressed, it will seep out in indirect ways. Unaddressed hostility can cause people to stop talking, and when people stop talking, people quit. When people quit group, there is no group, no talking, and no change. How would the therapist encourage group cohesiveness and attendance? 250 words

2. Group Psychotherapy

Some individuals prefer group therapy over individual therapy, while others are wary of group therapy settings. There are various types of group therapy, each benefiting individuals in multiple ways. Research has shown that group therapy is valuable in many instances, especially for individuals suffering from addiction. What are some of the benefits of group therapy? What are the drawbacks and how might they be addressed by the therapist? 250 words

3. Please reword the journal attached

4. please reword the peer critique attached

References

Corey, G. (2017). Theory and practice of counseling and psychotherapy (10th ed.). Boston, MA: Cengage Learning.

Fjeldstad, A., Hoglend, P., & Lorentzen, S. (2017). Patterns of change in interpersonal problems during and after short-term and long-term psychodynamic group therapy: A randomized clinical trial. Society for Psychotherapy Research, 27(3), 350-361. https://doi.org/http://dx.doi.org.regiscollege.idm.oclc.org/10.1080/10503307.2015.1102357

Six types of group therapy. (2017). First Steps Recovery. Retrieved from https://www.firststepsrecovery.com/6-types-group-therapy/

Substance Abuse and Mental Health Services Administration. (2015). A treatment improvement protocol TIP 41. Retrieved from https://store.samhsa.gov/product/TIP-41-Substance-Abuse-Treatment-Group-Therapy/SMA15-3991

Tartakovsky, M. (2018). 5 benefits of group therapy. Psych Central. Retrieved from https://psychcentral.com/lib/5-benefits-of-group-therapy/

Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse (2nd ed.). United States: Bradford & Bigelow.

• Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer. ISBN: 9780826110008
  • Chapter 14 – Dialectical Behavior Therapy for Complex Trauma
  • Chapter 11 – Group Therapy
  • Chapter 16 – Psychopharmacotherapy and Psychotherapy

 

Journal Reflection Questions are only to be completed after student has posted the video:

Your journal reflection should address all of the following questions between 750 to 1,000 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. APA references as needed to support your ideas; there is no requirement on number of references to include.

1. Which skills did you use in the session? How?

I used Motivational Interviewing questions and active listening and probing to help the client reach some clarity on the situation at hand. I used a checklist to ensure safety, with important reminders for the client and support contacts.

How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.

I read Wheeler, the skilled Helper and did use a safety checklist provided by previous professor.  My partner and I prepared with a mock exercis prior to meeting with my partner.

1. What were your strengths in the interview?

The strengths of the interview were providing a quiet environment on both ends.  We used weblinks in our phones and phone audio.  We split our screens and I used my ipad for better visualization and to better listen to the client.

1. What were your weaknesses/areas in need of further development in the interview?

I felt I wish we had more practice videos where we would watch for each therapeutic technique prior to our practice videos.

1. How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?

Practice will help improve interviewing skills.

1. Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?

At times I felt lost and unable to ask anymore questions.

1. How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?

I did not feel the situation was realistic enough.  The exercises are too much with too much information every week without allowing us the opportunity to practice.

1. What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?

I felt disengaged with the client.

1. What was the quality of your engagement, your empathy?

I believe I lacked engagement this week.  The case study was different but the exercises seem to be an overkill.

1. If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

Develop SMART goals, ask the patient to come with support system to appointment. I would also work on coping skills and resources like support groups in the community