Professional Documents
Culture Documents
45577
45577
Wadsworth
A division of
Thomson Learning, Inc.
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Introduction to Group Work
The Corey’s Perspective on Groups
Groups are not a second-rate approach to helping
people change
Groups are the treatment of choice
Groups offer a natural laboratory where people can
experiment with new ways of being
There is power in a group – participants can
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experience their interpersonal difficulties being
played out in the group
Groups: Process & Practice - Chapter 1 (1)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Group Process Versus
Group Techniques
Group process – all the elements that are basic to the
unfolding of a group from beginning to end
Examples: group norms, generating trust, how conflict
emerges in a group, patterns of resistance,
intermember feedback
Group techniques – leader interventions aimed at
facilitating movement within a group
Examples: conducting initial interviews, asking a
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member to role-play a conflict, challenging a member’s
belief system, suggesting homework
Groups: Process & Practice - Chapter 1 (2)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
The Theory Behind the Practice
An integrative conceptual framework involves the
thinking, feeling, and behaving dimensions
Creating an integrative approach is a challenge
Technical eclecticism – based on utilizing techniques
from a variety of theoretical models
Theoretical integration – a conceptual creation
beyond mere blending of techniques
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Groups: Process & Practice - Chapter 1 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Various Types of Groups
Task groups – aims to foster accomplishing identified work
goals
Psychoeducational group – aims to educate well-
functioning group members who want to acquire
information and skills in an area of living
Group counseling – aims at preventive and educational
purposes — utilizes methods of interactive feedback within
a here-and-now time framework
Group psychotherapy – aims at remediation of in-depth
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psychological problems — often focuses on past influences
of present difficulties
Groups: Process & Practice - Chapter 1 (4)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
A Multicultural Perspective
on Group Work
Effective group work involves considering culture
of participants
Practitioners cannot afford to ignore diversity in
group work
Group workers must have awareness, knowledge,
and skills to effectively deal with diverse membership
Cultural similarities and differences need to be
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addressed in a group
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Groups: Process & Practice - Chapter 2 (1)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Group-Leadership Skills
Essential to acquire and refine skills applied to
group work
Group leadership skills cannot be separated
from the leader’s personality
It is an art to learn how to use group skills
Ways to learn leadership skills – supervised
experience, practice, feedback, and experience in a
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group as a member
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Groups: Process & Practice - Chapter 2 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Becoming a Diversity-Sensitive
Group Counselor
Diversity competence – involves a deep
understanding of one’s own culture
Culturally competent group workers need to:
Be aware of their biases, stereotypes, and prejudices
Know something about the members of the group
Be able to apply skills and interventions that are
congruent with the worldviews of the members
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Ethical practice entails diversity competence
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Acknowledge that ethnicity and culture
influence behavior
Groups: Process & Practice - Chapter 2 (5)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Best Practice Guidelines
of ASGW (1998)
Professional competence in group work is not a final product,
but a continuous process for the duration of one’s career
Some suggestions for increasing your level of competence as a
group leader:
Keep current through continuing education and participation
in personal and professional development activities
Be open to seeking personal counseling if you recognize
problems that could impair your ability to facilitate a group
Be willing to seek consultation and supervision
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as needed
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groups; psychotherapy groups
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What is expected of them if they join
What they can expect from you as a leader
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Groups: Process & Practice - Chapter 3 (4)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Psychological Risks
of Group Participation
Although there are benefits to participating in a
group, there are also potential risks that group
leaders need to monitor —
Members may be pressured to disclose and
violate privacy
Confidentiality may be broken
Scapegoating may occur
Confrontation may be done in an uncaring manner
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Group leaders may not have the competencies to deal
with some difficulties that arise in a group
Groups: Process & Practice - Chapter 3 (5)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Confidentiality
Confidentiality is the foundation of a working group
Leaders need to define the parameters of confidentiality
including its limitations in a group setting
Members need to be taught what confidentiality involves
Leaders talk to members about the consequences of
breaching confidentiality
Leaders remind members at various points in a group
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of the importance of maintaining confidentiality
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Techniques are best developed in response to what
is happening in the here-and-now
Groups: Process & Practice - Chapter 3 (7)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
The Role of Group Leader Values
Essential that you are aware of your values and how
they influence what you think, say, and do in groups
Groups are not a forum for you to impose your values
on members
Purpose of a group: to assist members in examining
options that are most congruent with their values
Group members have the task of clarifying their own
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values and goals, making informed choices, and
assuming responsibility for what they do
Groups: Process & Practice - Chapter 3 (8)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Some Legal Safeguards
for Group Practitioners
Take time and care in screening candidates for a
group; and for preparing them on how to actively
participate
Demystify the group process
Strive to develop collaborative relationships with
the members
Consult with colleagues or supervisors whenever
there is a potential ethical or legal concern
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Incorporate ethical standards in the practice of
group work
Groups: Process & Practice - Chapter 3 (9)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Forming a Group
Five areas for a practical proposal for a group
Rationale – What is the rationale for your group?
Objectives – Are your objectives specific and
attainable?
Practical considerations – Have you considered all the
relevant practical issues in forming your group?
Procedures – What kinds of techniques and
interventions will you employ to attain the
stated objectives?
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Evaluation – How will you evaluate the process and
outcomes of the group?
Groups: Process & Practice - Chapter 4 (1)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Questions for Screening
of Potential Members
The type of group determines the kind of members that
are suitable or unsuitable
The key questions are
Should this person be included in this group at this time
with this leader?
Other questions -What methods of screening will you use?
How can you decide who may benefit from a group?
And who might not fit in a group?
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How might you deal with a candidate who is not
accepted to your group?
Groups: Process & Practice - Chapter 4 (2)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Practical Considerations
in Forming a Group
Group composition
Group size
Open versus closed group
Length of the group
Frequency and duration of meetings
Place for group sessions
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Groups: Process & Practice - Chapter 4 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Some Advantages of a Group
Group setting offers support for new behavior and
encourages experimentation
The group is a microcosm of the real world – allows
us to see how we relate to others
Group setting provides an optimal arena for
members to discover how they are perceived and
experienced by others
Groups help members see that they are not alone in
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their concerns
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Groups: Process & Practice - Chapter 4 (5)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Initial Stage of a Group
Characteristics of initial stage
Participants test the atmosphere and get acquainted
Risk taking is relatively low – exploration is tentative
Members are concerned with whether they are
included or excluded
A central issue is trust versus mistrust
There are periods of silence and awkwardness
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Members are deciding how much they will disclose
and how safe the group is
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effectively
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Groups: Process & Practice - Chapter 5 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Leader Attitudes and Behaviors
That Generate Trust
Careful attending and genuine listening
Empathy
Genuineness and self-disclosure
Respect
Caring confrontation
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Groups: Process & Practice - Chapter 5 (4)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Establishing Goals
Main task – helping members formulate clear and
specific goals
Absence of goals – considerable floundering and
aimless sessions
Collaborative process in identifying goals
Goals – lead to contracts and homework
assignments
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Groups: Process & Practice - Chapter 5 (5)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Group Norms
Norms and procedures enable a group to attain its goals
Examples of group norms –
Expectation of promptness and regular attendance
Norm of sharing oneself in personal ways
Expectation of giving meaningful feedback
Members encouraged to offer both support and challenge
to others
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Members functioning within the here-and-now context
of the group
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Groups: Process & Practice - Chapter 5 (7)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Group Leader Issues
at the Initial Stage
Division of responsibility – How to achieve a balance
of sharing responsibility with members?
Degree of structuring – Creating a structure that
will enable members to make maximum use of
group process
Opening group sessions – How to best open a group
and help members gain a focus?
Closing group sessions – How to best bring a
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session to closure without closing down further
work later on?
Groups: Process & Practice - Chapter 5 (8)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Transition Stage of a Group
Characteristics of the transition stage
Transitional phase is marked by feelings of
anxiety and defenses
Members are:
testing the leader and other members to determine how
safe the environment is
struggling between wanting to play it safe and wanting to
risk getting involved
observing the leader to determine if he or she
is trustworthy
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learning how to express themselves so that others
will listen
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intellectualizations
Not willing to deal with conflict in the group
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Approach resistance with interest, understanding,
and compassion
Groups: Process & Practice - Chapter 6 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Common Fears Emerging
at the Transition Stage
Fear of making a fool of oneself
Fear of emptiness
Fear of losing control
Fear of being too emotional
Fear of self-disclosure
Fear of taking too much of the group’s time
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Fear of being judged
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say to them
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demand they give up a particular “resistive” behavior
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Intellectualizing
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Encourage members to express reactions that
pertain to here-and-now happenings in the sessions
Groups: Process & Practice - Chapter 6 (8)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Working Stage of a Group
Key points of the working stage
There are no arbitrary dividing lines between each stage
of group
Group development ebbs and flows – does not stay static
Work can occur at every stage – not just the working stage
Not all groups reach a working stage
Not all members are functioning at the same level in a
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working stage
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Increased group cohesion fosters action-oriented
behaviors
Groups: Process & Practice - Chapter 7 (2)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Characteristics of a
Productive Group
There is a focus on the here and now
Goals of members are clear and specific
Cohesion is high – a sense of emotional bonding
in the group
Conflict in the group is recognized and explored
Members are willing to make themselves known
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Trust is increased and there is a sense of safety
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Communication is unclear and indirect
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Groups: Process & Practice - Chapter 7 (5)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
The Value of Homework in Groups
Group: not an end in itself
Group is:
A place to learn new behaviors
A place to acquire a range of skills in living
Training ground for everyday life
Homework – a means for maximizing what is learned
in group
Members can devise their own homework assignments
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Ideally, homework is designed collaboratively between
members and leader
Groups: Process & Practice - Chapter 7 (6)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Therapeutic Factors Operating
in Groups
Self-Disclosure Caring and Acceptance
Confrontation Power
Feedback Catharsis
Cohesion and Universality The Cognitive Component
Hope Commitment to Change
Willingness to Risk and Freedom to Experiment
Trust Humor
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Groups: Process & Practice - Chapter 7 (7)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Guidelines for Member
Self-Disclosure
Disclosure – related to the purposes of the group
Persistent reactions – useful to express persistent
thoughts and feelings
Members decide what and how much to disclose
Safe climate – disclosure increases in a safe group
Level of disclosure – stage of group may determine
what is appropriate
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Groups: Process & Practice - Chapter 7 (8)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Guidelines for Giving Feedback
Give feedback with honesty and with sensitivity
Concise feedback given in a clear and
straightforward way is useful
In giving feedback, let others know how their
behavior affects you
Avoid giving global feedback
Avoid being judgmental in giving feedback
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Groups: Process & Practice - Chapter 7 (9)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Catharsis in Groups
Catharsis – the expression of pent-up emotions
Catharsis can be healing and can lead to increased
cohesion
Catharsis is not appropriate for all types of groups
After a catharsis –
It is useful to integrate cognitive and behavioral work
Insights are common
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It is crucial to put insights into action
Groups: Process & Practice - Chapter 7 (10)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Ending a Group
Tasks of the final stage of a group:
Dealing with feelings of separation
Dealing with unfinished business
Reviewing the group experience
Practice for behavioral change
Giving and receiving feedback
Ways of carrying learning further
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The use of a contract and homework
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Reemphasize the importance of maintaining
confidentiality after the group is over
Groups: Process & Practice - Chapter 8 (2)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Leader Functions After
Termination of a Group
Offer private consultations if any member should
need this service
Provide for a follow-up group session or follow-up
individual interviews
Identify referral sources for members who may need
further assistance
Evaluate the strengths and weaknesses of the group
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Groups: Process & Practice - Chapter 8 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Giving and Receiving Feedback
at the Ending Stage
The sentence completion method can enhance the
quality of feedback and can result in focused feedback
Examples:
My greatest fear for you is ...
My hope for you is...
I hope that you will seriously consider...
I see you blocking your strengths by...
Some things I hope you will think about doing for
yourself are...
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Some ways I hope you’d be different with others are...
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Decide what you will do with what you learned
about yourself
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group approach has particular merit
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Listen and remain open
Prepare for termination
Groups: Process & Practice - Chapter 9 (2)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Key Points – Groups for Children
In designing a group in both schools and agencies, get
the support of administrators
Communicate with children about the importance of
keeping confidences in language they can grasp
Ethical practice demands that you have the training
required to facilitate a group with children
Not all children are ready for group participation
Having some structure is particularly important in groups
with children
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Give thought to helpful methods of evaluating the
outcomes of your groups
Groups: Process & Practice - Chapter 9 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Groups for Adolescents
Organizing an adolescent group
Conduct a needs assessment
Develop a written proposal
Market your group
Get informed consent from parents or guardians
Conduct pregroup interviews
Select members for the group
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Design a plan for each of the group sessions
Arrange for a follow-up group session after termination
Groups: Process & Practice - Chapter 10 (1)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Hints – Working with Reluctant
Adolescent Group Members
Explain the rationale of the group in
jargon-free language
Allow members to express reactions to being
sent to group
Go with resistance – Don’t go against resistance
Avoid getting defensive
Be clear and firm with your boundaries
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Groups: Process & Practice - Chapter 10 (2)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Sample Group Proposal –
Multiple Family Group Therapy
Philosophy of group and overall goals
Overview of group
Group format – weekly sessions
Practical considerations
Contraindications to participation in group
Outcomes of group
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Groups: Process & Practice - Chapter 10 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Key Points – Groups for Adolescents
Understand and respect resistance
Role-playing techniques can often be creatively used in
adolescent groups
Find ways to involve parents in group work with adolescents
A few kinds of adolescent groups include: groups for
students on drug rehabilitation, groups for unwed teenage
fathers, teen delinquency prevention groups, and sex
offender treatment groups
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Co-leadership models are especially useful in facilitating
an adolescent group
Groups: Process & Practice - Chapter 10 (4)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Key Points – Groups for Adults
Theme-oriented groups with a psychoeducational
focus are popular
Short-term and structured groups fit the needs of
many adult populations
Account for diversity in your groups
Group work with women is increasing
Most men’s groups have a psychoeducational and
interpersonal focus
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Groups dealing with domestic violence are
gaining prominence
Groups: Process & Practice - Chapter 11 (1)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Examples of Groups for Adults
Groups for college students
Groups for weight control
HIV/AIDS support group
Women’s group
Men’s group
Domestic violence group
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Support group for survivors of incest
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Structure of group – description of sessions
Methods for assessing outcomes
Groups: Process & Practice - Chapter 11 (3)
© 2002 Wadsworth, a division of Thomson Learning, Inc.
Key Points – Groups for the Elderly
You may encounter obstacles in your attempts to organize
and conduct groups for the elderly
Groups offer unique advantages for the elderly who have
a great need to be listened to and understood
Groups can help elderly people integrate current life
changes into an overall developmental perspective
Elderly people need a clear explanation of the group’s
purposes – and why they can benefit from it
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Revealing personal matters may be extremely difficult for
some elderly people because of their cultural conditioning
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Sadness over physical and mental deterioration
Regrets over past events
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Health-related issues
Music and art therapy