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FINAL GROUP PROCESS

85 cards·by whateverkelly
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Characteristics of the TRANSITION STAGE (want to see)
Disclosures, risk taking, persuing goals, conflic res., support others
Characteristics of the Transition stage (DON'T WANT TO SEE)
No initiative, often absent, avoidance, focus on others-not me
what do I do to help my group transition smoothly? (trust)
Normalize feelings, Use open-ended questions - One thing I am afraid to say in this group is...
What about defenses/reluctance/resistance?
What would you want as a leader? Exploration and awareness, Resistance is a strength
Self--Disclosure
Do not force. Respect. Explore on the side with consent. Culturally appropriate
Vulnerability
"what do you need from the leader and member to feel/be safe? What helps you to feel safe?
Rejection
Perhaps the person is assuming rejection from other members: Ask: "I'm afraid you will reject me because.."
Being judged/being challenged/feeling alone
Validating, empathy, consent, time
Losing control
Be present in the conversation. Consent. Empathy. Open ended questions. Review coping at present/ support/coping after group
Other fears
could you make a list of these fears at the first or second sessions - provide inf. consent and trigger warnings, then open floor discussion
Example of CONFLICT
Don't cut off the expression of conflict but facilitate more direct and personal expression of feeling and thinking among members
Basically, the leader validates feelings of members and helps them channel "I" language - Example:
I feel.... When.... (name a specific behaviour with you, always, and never being in the sentence
confrontation is not about:
negativity, hurting others, making others feel small or like failures
Confrontation IS about:
building strengths, respectfully communicating feelings, thougths and experiences
INEFFECTIVE STATEMENT:
You're always giving everyone advice. I wish you would just focus on yourself for once
EFFECTIVE:
It's difficult for me to listen to you when you give me advice. I would be more receptive if you told me about your experience
Informed Consent:
Talk about it at intake, the first session and collaborate with group members on ground rules. Redefine the point of confrontation
know defences:
Identify defence mechanisms: take time and space as soon as you notice def.mechanisms, come back to the conversation when you feel safe/read
"I" language:
I feel (name feeling). When this happens (name specific behav.), I'd like to see this instead/offer this instead.
Silence
No assumptions: different reasons/invite participation/how to they define participation?
Talks too much:
"in one sentence, what do you want us to hear?" you parti. alot, identify with issues, what are you telling us?
Storytelling
Remember culture! Get to the core of the story. "How old are you?" "Why are you laughing?" (I don't think you take seriously/group activ
Giving advice
Informed consent about expectations. Open-ended quest. that explore strengths, prev. actions. empowerment
Dependancy:
Is it for you, or for your group? How is dependancy perceived culturally?
Fake support
Don't stop someone from sharing by trying to reassure them, ask how you can support them instead of silver lining who they are
hostility
Mean sarcasm (passive-aggressive), unkind comments, body language. get the member to listen to how they affect others in the group
I'm better than you
"Nothing is wrong wtih me/I'm perfec/let's focus on you. Ask them "how are you doing? Being impacted, what do you want out of the group
Socializing/should members meet outside of group?
It is encouraged/group cohesion can be increased/they can extend learning/CAN BE PROBLEMATIC: talk about others etc.
Intellectualizing:
When it's like someone is narrating events without being impacted/defense mechanism/disassociation to an extent/or culture.Does it work 4 u?
Teacher's assistant?
Becoming a co-leader instead of member. How can you confront this with a strengths-based approach?
Transference
Thoughts/feelings/unresolved conflicts/past interactions from member to leader
Countertransference:
thoughts/feelings/unresolved conflicts from leader to member. SELF-AWARENESS to prevent damage to members
NEGATIVE RESPONSE TO ONE OR BOTH LEADERS:
Do NOT take sides/conflict res. skills/open discussion if possible
Dealing with various behaviours
along with strategizing together -defrief with consent - self awareness
How do we get to the Working Stage?
Group members are initiating/sharing. identify feelings/concerns/work through with consent
Rapport and interventions change as the group:
transforms and as you get to know your group members
Initial Stage intervention
Identify & talk about fears. "Do others feel the same and want to add on to what that person said?"
Transition Stage Intervention
With a group member consent and readiness, identify how fear limits them/or experience that fear (heart race?)
Working Stage Intervention
conflict resolution skills are being used and refined/some feelings may be from past/exposure to new behaviours/meet person where they're at
Final Stage Intervention
Reflection/Reviewing/safety in doing so/identify outside supports
Working stage and Trust
It will fluctuate/you will see defenses and grief/debrief and connect/in retrospect: leader could have done differently...
Cohesion:
uniting or sticking together/the group GLUE
Self-disclosure:
As long as it's helping - not harming
Therapeutic Factors
Willingness/acceptance-empathy present/power-take it back-catharsis/cognitive component-what are your feelings telling u? experimenting,humr
Humor:
it requires seeing problems in a new perspective. laughter and humor can draw everyone in. shines new light on problems. balance relationsh
When not to use humor
it can be overused or misused. Is leader using it to lighten mood or decrease leaders anxiety?
Feedback:
"like self-disclosure, group leaders need to teach members to give and receive feedback"
Final Stage Tasks
Make sure you give them a headsup. assist in prep. for that time. Safe plan if applicable. (like you are unpacking for a trip)
Grief:
self-awareness/psychoeducation with consent/identify coping
Comparing initial and final stages
any memories that you want to share from group sessions? changes you've seen in group? Yourself?
Unfinished business
"if this were the last session, how do you feel about what you have done? what do you wish you did already?
Review of group experience
What specifically worked for you? how well did it work? what do you want to take from group?
Behavioural changes outside of group:
safety plan(?)/review changes/boundaries/review efficacy of changes/identify plan/give referrals
Contracts homework:
should the final session have one/some?
School settings work
Can be preventative/generally brief/structured/problem focused/homogenous in membership/CB orientation
"Both counselling and psychoeducational groups that focus on wellness and prevention are
well suited for school settings" think coping/communication skills
Group proposals for school counselling groups
What's the reason for group/theory for reason/evidence?/fit demographic/evidence/risk.ben/
guideliines for working with youth? Informed consent:
confidentiality/reporting/ground rules /age appropriate/capacity/younger children need more adults/
Whatch out for "side-taking", "idolizing", peer pressure, take time wot walk through activity, remember culture
reading between lines,not assume/self-awareness/prep work for end-ceremony-expectations/note qualification
Adolescen Years:
a time of exploration and definition/their feelings & unpackingn them/values/connection to self/social relationships
Adolescent years Obstacles:
Pulled in different directions/culture/decisions, expectations, & limits
Topics in leading groups of youth:
Creativity/trust(culture, respect, informed consent, honesty, knowledge sharing)
Trust in youth/ GOOD EXAMPLE:
Adolescents test leaders to determine the validity of what they are saying/"have you experimented with drugs?" Be non-judgemental/nondefensi
Pregroup meeting
It helps!/standard of practice for members of short-term therapy groups (like a movie preview)review informed consent
Other stuff to go over in the pre-group meeting:
Expectations/ground rules/goals/tasks/roles/meeting times/topics/queston/answer times
RESEARCH OF RAPPORT: Guidelines for creating therapeutic relationships with members:
positive involvement/develop open sharing/regard leader self-disclosure/max.effective role models/provide stucture & opportunities .
Note: it is not possible to give up defensiveness:
but you can identify and work through it
"It is important to be authentic and allow trust to unforld rather than attempt to
prove outselves trustworthy. By doing this, we further model our belief and trust in the group process"
Informed constent: provide written copy and ensure that:
your service user understands the consent and provides feedback
building trust: go over the important of building confidentiality with group members and provide:
examples of how it can be broken and how breaking confindentiality can be prevented
Ask members to share concerns about breaches of confidentiality before:
they share a story or thought or disclosure
"It is up to each member to decide waht to bring to group and..
how far to pursue these personal issues"
Feelings that keep coming up:
Ex. Waited until 3rd to share distrust in members and leader, explore those feelings so they are resolved.
If you keep feeling something about group, you are encouraged to:
bring it up so that you can continue to get the most from group, or feelings are like a volcano
Self Disclosure: Each member has a choice on how much they
would like to disclose as each disclosure has benefits and risks
Members need to understand that they are responsible for:
what, how much, and when they share personal conficts
It is important to walk through informed consent and then coping strategies with client consent with:
regards to know how others may respond to changes in the client's life, boundary setting
Group work can impact:
a client's life outside of group, and that needs to be addressed with consent and throughout group sessions
Teach group members:
active listening, feedback filter, ok to have feelings, ok to agree/disagree, do u need time to yourself?
Journal writing:
Can be cathartic, can do more harm than good, create action/coping plan, can create reminders to share
Role playing:
depends on the group/training/type of group
The following questions can help members understand their group experience:
How do I see myself in this group, how do I feel about being in group,what reactions do I have,what do I want to learn by the end?
Remember safety:
who is going to see the journal?
Homework can be a valuable instrument to ensure behavioural change. when members complete homework:
it shows that they are more likely to work on their problems outsid eof the group process
Guidelines for closing up group:
Wrapping up topics/summarize session, Reflect/use outside of group, available resource when need additional support