Group Size & Cohesion
Mutual Aid (Shulman)
Subgrouping
Ethics in Group Practice
Application Scenarios
100

This type of therapy group is most sensitive to the effects of group size on cohesion and outcomes.


What is a process-oriented psychotherapy group?

100

Shulman defines the group as this type of helping system.

What is a mutual-aid system?

100

This term describes the tendency for groups to split along identity lines such as race and gender.

What are identity-based faultlines?

100

In group therapy, confidentiality cannot be fully guaranteed because of this structural reality.
 

What is multiple members sharing responsibility for privacy?

100

A client with social anxiety feels overwhelmed in a 14-member process group. The best structural adjustment would be this.
 

What is placement in a smaller group?

200

Research suggests that this group size characteristic is generally associated with stronger cohesion and improved clinical outcomes.

What is a smaller group size?

200

This phenomenon occurs when members recognize shared struggles and realize they are not alone.

Answer: What is the “all-in-the-same-boat” phenomenon?

200

Research found that stronger gendered racial faultlines predicted lower rates of this outcome.

What is treatment completion (or attendance)?

200

When marginalized members experience higher dropout rates, this ethical principle requires examination of systemic causes.
 

What is justice (or equity)?

200

When new members join a rolling group, this early intervention can reduce subgrouping risks.
 

What is structured cross-member engagement (or intentional inclusion strategies)?

300

This therapeutic mechanism becomes more accessible in smaller groups because members have more airtime and visibility.

What is corrective emotional experience (or in-the-moment interpersonal feedback)?

300

In the preliminary phase, the worker serves as this mediator between the individual and the group-as-a-whole.

What is a mediator of individual–group interaction?

300

This group of members was found to be especially vulnerable to dropout when faultlines were strong.

Who are women and racial–ethnic minority members?

300

A social worker should FIRST do this when noticing subgrouping patterns affecting cohesion.
 

What is name and explore the group process?

300

If members speak only to the facilitator and not each other, the worker should encourage this behavior.
 

What is member-to-member interaction?

400

When agencies increase group size primarily for financial efficiency, this ethical principle may be at risk.

What is client welfare (or nonmaleficence)?

400

This group process involves members both supporting and challenging one another toward growth.

What is mutual support and mutual demand?

400

In rolling admission groups, faultline strength in one session predicted lower likelihood of this in the next session.

What is attendance at the following session?

400

Ignoring subgrouping dynamics may unintentionally reinforce this harmful outcome.
 

What is exclusion (or marginalization)?

400

When financial pressures push for larger groups despite reduced cohesion, the social worker should do this.
 

What is advocate using empirical research and monitor outcomes?

500

This moderator variable has been identified as an area needing further research when examining how group size affects outcomes.

Answer: What are participant characteristics (e.g., attachment style or interpersonal functioning)?

500

When a group develops norms that discourage openness or helping, Shulman would describe this as a failure to develop this.

What is a culture for work?

500

This theoretical concept explains how the group acts as a microsociety reflecting broader power hierarchies.

What is intersectionality (or social identity theory applied to group dynamics)?

500

Tracking attendance disparities by race and gender would be considered this type of ethical practice.
 

What is quality improvement aligned with social justice?

500

The most comprehensive response to declining attendance among women of color in a large rolling group would include reducing size and this additional step.
 

What is explicitly addressing subgrouping dynamics and restructuring engagement?

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