GROUP

THERAPY
 Definition.
• Group: A group is basically an assemblage of people. It can be
understood as a collection of individuals or more. Two or more
who come together and interact with each other . So as to
achieve the objective of the organisation.
• Group therapy, or group psychotherapy: It is form of treatment
in which carefully selected emotionally ill persons are placed into
group guided by a trained therapist for the purpose of changing
the male adaptive behaviour of the individual member.
 Types of Group therapy
1) According to the size of the group
a. Small group.
b. Large group.
2) According to the diagnosis of the client.
c. Homogeneous group.(Alcoholics alone.)
d. Heterogeneous group.(Alcoholics. Schizophrenics)
3) According to the nature of the group.
e. Primary group.(Only family members)
f. Secondary group.(Members are different families patients group.)
Cont…..

4) According to the purpose

a. Psychoanalytic group psychotherapy.
b. Transactional analysis.
c. Rational emotive therapy.
d. Gestalt therapy.
e. Interpersonal group therapy.
f. Psycho drama Group.
g. Encounter groups
h. T groups.
i. Community support groups.
j. Marathon groups
 THERAPEUTIC TECHNIQUES:
I. Approval.
II. Acceptance.
III. Clarification.
IV. Exploration.
V. Identification.
VI. Interpretation.
VII. Information giving.
VIII. Encouraging expression of feelings or ideas.
IX. Reassurance.
Cont …(Therapeutic techniques)
X. Support.
XI. Intervention.
XII. Understanding.
XIII. Reflection.
XIV. Listening.
XV. Teaching.
XVI. Silence.
XVII. Structuring.
XVIII. Limit -setting .
XIV. Transference and counter transference.
XV. Themes.
 Advantages of group therapy:
a.Cost effective
b.Members profit by hearing other members discuss their problems.
c.Opportunity to explore specific styles of communication in safe
atmosphere, where they can receive feedback and can undergo
change.
d.Line multiple ways of solving problems from other.
e.Learn socialization skills.
f. The group provides for its members understanding, Confrontation
and identification with more than one individual.
Limitations of group therapy:

a)Individual privacy is destroyed.

b)Resistance and reluctant to change.
c) Therapist at times dominant or as if he is giving individual
therapy.
 Nurse’s role in group therapy

 Determine setting and size of the group.

 Choose frequency and length of group sessions.
 Select a therapist or co therapist for the group.
 Formulate policy on group therapy with other therapeutic
modalities.
 Selecting patient who can perform the group task.
 Formulating appropriate goals.
 Preparing patients for group therapy.
 Building the culture of the group explicitly and implicitly.
 Identify and resolve common problems.
 Alcoholics Anonymous group
• Alcoholics Anonymous is the largest and oldest alcohol support group in the
world. The organization is dedicated helping members overcome alcoholism.
• Alcoholics Anonymous (AA) is a worldwide organization designed to help
former alcoholics support one another throughout their recovery journey
while maintaining their sobriety. The organization was founded in 1935 by Dr.
Bob Smith and Bill Wilson in Akron, Ohio.
• Individuals who attend AA groups are committed to stop abusing alcohol and
remain sober. The meetings offer a multitude of ways to support ongoing
recovery, like an effective 12-step program designed to treat alcoholism. The
12 traditions of AA were intended to stabilize the program and keep it freed
from outside influences.
The 12 steps of AA are:
1. We admitted we were powerless over alcohol – that our lives had become
unmanageable.
2. Came to believe that a Power greater than ourselves could restore us to
sanity.
3. Made a decision to turn our will and our lives over to the care of God as we
understood Him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, to ourselves and to another human being the exact
nature of our wrongs.
6. We’re entirely ready to have God remove all these defects of character.
Cont ….12 steps of AA group
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to make
amends to them all.
9. Made direct amends to such people wherever possible, except when to do so
would injure them or others.
10. Continued to take personal inventory and when we were wrong promptly
admitted it.
11. Sought through prayer and meditation to improve our conscious contact with
God as we understood Him, praying only for knowledge of His will for us and the
power to carry that out.
12. Having had a spiritual awakening as the result of these steps, we tried to
carry this message to alcoholics and to practice these principles in all our affairs.