Heterogeneous vs homogeneous groups
Blend of diagnoses and disturbances to form a therapeutically effective group
Heterogeneous group
Clinicians do not select members they do what?
Deselect members
What is the goal in selecting clients?
To determine if group is a good therapeutic “fit” between member, therapist, and group system
Group composition can enhance what
Group development and effectiveness
Group size, duration, and type are ___________ related
Systematically
Groups where there are similar characteristics from people in the group
Homogeneous
What are the 3 major reasons for clients to drop out of therapy that are the most relevant to selection criteria
External factors, group deviancy, problems of intimacy
What are couch’s 4 steps of screening interview
1. Identify needs, expectations, and commitment to change (motivation level)
2. Challenging myths and misconceptions
3. Conveying information- confidentiality, informed consent
4. Screening
Coheres
What are the considerations when planning a group
Time limited or ongoing
Heterogeneous or homogeneous
Open or closed
Structured low or moderate
Size
Length of session
Age and special needs of members
Homogeneous groups are most effective when the group leader does not _________ the group members
Homogenize
What is the most essential in a client?
Motivation
What are the most common procedures in predicting client behavior in group?
Standard diagnostic interview, interpersonal intake interview, clients prior group therapy history, specialized procedures (questionnaires), attachment style, interpersonal and personality inventories
We must select clients with the least likelihood of
Premature termination
What is the “second group”
Group of colleagues that refer the members, administrators that support the structure, third party payer, insurer
The advantages of a _________ group includes different perspectives and the fact that it is more similar to the outside world in terms of a social microcosm
Heterogeneous
clients should not be placed in a group if they are likely to fail at the following main group tasks:
Self-disclosure, self-exploration, and care and respect for the group members
What is the most common but inaccurate method in predicting behavior
Traditional Intake interview
The following are group _____:
Prohibiting any psychological or physical harm
Confidentiality
Out of group socializing
Leader boundaries
Ethical issues
operating guidelines of group, “rules”
In creating groups an recruiting members, the clinicians responsibilities are to
educate the public, destigmatize group therapy, and build a strong clinical practice organization with certified group psychotherapists
The following clients are not compatible for what kind of group- heterogeneous or homogeneous?
Significant brain injury, paranoid, addicted to drugs or alcohol, depressed suicidal clients
Heterogeneous outpatient groups
What are some traits of members to participate in a dynamic, interactional group therapy
capacity and willingness to examine interpersonal behaviors
ability to self-disclose
ability to reflect on themselves psychologically and others
to give and receive feedback
have capacity and willingness to engage with other members
What is Noah’s ark principle
No fewer than two persons of any description
What should counselors educate members on in group preparation
Expectations of group members
Roles of leaders
Group therapy process
Group norms and development issues
Getting the most from participation
What is an ideal group size
Between 5-10 members