Contraindications And Recommendations

The I's can be used in all situations from group therapy to everyday communication. The more practice I as a therapist have in utilizing this technique in my life, the greater my skill in applying the concept in my group communication. With even more practice, in highly charged emotional moments, I can assist the group more effectively. Very quickly, as therapists, we can discover the shift in thinking and expression provided with this technique. As therapists develop proficiency with using the...

Exploring Attachment in a Treatment Group for Men Who Batter

Programs for men who batter have proliferated in the last three decades, with ensuing debate on how to best treat this population. Researchers, practitioners, and activists have researched this population in an attempt to both explain why men resort to violence in their relationships and to devise effective treatment programs. Research suggests that shorter-term, structured treatment models presented simultaneously with court monitoring offer the most promise in reducing partner violence...

The Transitional Object

The concept of transitional objects to reinforce object constancy has been a long-established precedent in the study of child development and the psychodynamic model of psychotherapy (Baldwin, 1967 Stone & Church, 1973 Rutan & Stone, 2001). Yalom (1985) posited that in group psychotherapy, the individual client and or the group as a whole might view the therapist as a transitional object. In my groups, I often utilize a small, inanimate object to serve as a transitional object that ties...

Conclusion And Contraindications

The group's coaching provided support but self-efficacy is more achievable when the accomplishment is internalized and more likely to generalize outside of group. The theory of self-regulated behavior suggested by Bandura (1977), illustrates this intrinsic reinforcement that comes from self-evaluation is much more influential than the extrinsic reinforcement dispensed by others (p. 333.) Creating new patterns at home was an achievable goal provided consistency was maintained. The group...

Step Two Beginning the Ritual

The session opens with the therapist announcing that the group is saying goodbye to a peer that day. The therapist then takes out the rock and is the one who begins the ritual. It might go something like this TH Martha, one characteristic that made me choose this rock (holding it up for others to see) is that it is seemingly perfect, expect for this one tiny flaw. Yet, notice that the imperfection does not detract from the rock's beauty, but actually enhances it. We all know how you struggled...

Conclusion And Contraindication

This extraordinary group had taken me in and allowed me to share with them their grief in the place where their mourning took place. The members felt a greater connection to me the leader, and the cohesion of the group became even more intensified. The group members felt well understood and accepted by the leader, who never judged how they mourned or the timing of their grieving process. The contraindication in this intervention was in relation to me-the leader. In my decision to extend the...

Verbatim Patient Disclosure

The patient states I've left two messages for my daughter she doesn't call me back. I'm not surprised I was at a dinnerparty and the seat next to me remained empty no one likes me and it is always like that. TH Can you share with us why this means that no one likes you and why you generally feel that no one likes you PT That's just how I feel. When I don't get a call back it means no Multiple questions and statements are then asked and given by other patients in the group. My focus is toward...

Contraindications

During the assessment process, we need to be alert to our own responses Is this a person with whom you can imagine working, in a group Do you look forward to it If you are aware of anxiety or reluctance, what makes you imagine it will be different for others and for whom in particular One of the great benefits of groups is that they contain more resources than the therapist's alone, but it's neglectful to disregard our own feelings. If in doubt, give the assessment process a bit longer....

Diminishing Dissociative Experiences

For War Veterans in Group Therapy 217 Clients' Responses to the Intervention 219 Conclusion and Contraindications 219 Chapter 42.1 Am Part of the Group Matrix 221 Description of Group and Client Population 222 Description of Interventions 222 Typical Response to the Intervention 224 Conclusions and Contraindications 224 Chapter 43. To Err Is Human Turning Our Mistakes Chapter 44. The Ability to Verbalize One's Needs Clearly Patient's Statements Elicit the Type of Intervention 234

The Polite And The Not So Polite

I have the fortune or misfortune, depending on your perspective, to work with primarily very nice and gracious clients. However, that is not always an enviable position when trying to facilitate a group of highly passive and respectful adults in a psychodynamic psychotherapeutic group. The issues arise on how to encourage them to confront one another with honest feedback how to ask for honest feedback and expect to get it how to practice new behaviors like assertiveness or even some of their...

The Hot Seat

Early in my training in Gestalt therapy, I became acquainted with the dual-chair technique, originally introduced by Frederick (Fritz) Perls, founder of Gestalt therapy. I was struck by the versatility and power of this method, not only to increase self-awareness but also to promote interaction among group members (Glass, 2001). As originally practiced by Perls, an individual indicated his or her willingness to engage with the therapist by taking the hot seat, a chair facing the therapist. An...

Acceptance of Group Resistance in a School Based Anger Management Group with Urban Adolescents

Some call them other people's children (Delpit, 1995, p. 137). They are a unique clinical population not only because they are adolescents, but because many of them come from high-risk environments where extreme emotional reactivity is the norm. Gangs are prevalent in their urban neighborhoods. Some have seen family members shot in the street. When they come to school, some of them are ready and eager to learn, and appear to have made sense of the trauma that is part of their daily existence....

Dysfunctional Thought Record DTR or Automatic Thought Record

The classic psychodrama techniques of role reversal, doubling, self-presentation, interview in role reversal, mirroring, future projection, surplus reality, empty chair, and other action techniques (Moreno, 1934 Blatner 1996 Kellerman, 1992) can be applied directly to situations indicated in the DTRs. During the initial didactic sessions, we found that it is extremely helpful to teach the group members how to complete a DTR. It is important to introduce the DTR as a self-reflection strategy for...

Contributors To Group Therapy

Uri Amit, EdD, is a former chief psychologist (psychologist IV) at the Massachusetts Treatment Center for the Sexually Dangerous Persons, Bridgewater, Massachusetts. He is currently a senior clinician at the Ann Klein Forensic Center-Special Treatment Unit in Avenel, New Jersey. He is a diplomate of the American College of Forensic Examiners. Ainara Arnoso, PhD, Master in Group Analysis, is a teacher at the Department of Social Psychology and Methodology of CCC at the University of the Basque...

Contraindica Tions

Therapists need to be skilled in both cognitive behavioral and psy-chodramatic therapies before attempting to implement group cognitive behavioral techniques. We suggest avoiding using psychodra-matic techniques during session one and focus on psychoeducation. From our experience, the preferred size of a group is between five and ten members with sessions lasting two to three hours. The duration of treatment can be brief, fifteen weeks or extended. Patients need to be screened before...

The Emotionally Disconnected Group

Expressing and working with emotions in the present moment of the group often represent a major challenge to people who are disconnected from their feelings and or acculturated to presenting a nice, accommodating stance in the presence of conflict. This reluctance to express so-called negative feelings is often closely associated with a suppression of body awareness and, therefore, little access to emotional awareness that can be stated in words. These disconnections can be bridged by the use...

Integrating Cognitive Behavioral with Psychodramatic Theory and Techniques

This brief chapter combines psychodrama and cognitive behavioral therapy (CBT) techniques in applied group settings. We illustrate the application of some CBT techniques that were found helpful in the three phases of psychodrama with college students and patients diagnosed with mood, substance abuse, anxiety, and personality disorders. Although both CBT and psychodrama models stress the discovery process through Socratic questioning, the use of certain structured CBT techniques (e.g., the...

Guidelines And Intervention For A Group Cognitive Behavioral Therapy Gcbt Psychodrama

In applying the various CBT techniques within the context of psy-chodrama, it is important to devote the first one or two sessions (at least three hours each) to educating the participants about the GCBT model (cognitive behavioral and psychodrama) to create a safe and secure environment in which individuals can share their concerns freely with group members. The initial didactic sessions convey the notion that the group format is, foremost, a problem-solving approach for working through...

Stress Inoculation Training

In 2004, Hurricane Ivan left its destructive wake through Florida's panhandle and the coastal regions of Alabama and Mississippi. Furthermore, due to the Global War on Terrorism operations and the storm's destruction of several military treatment facilities, I became the sole military psychologist providing psychosocial interventions for the region at Naval Hospital, Pensacola, Florida. To address the burgeoning and heterogeneous myriad of patients suffering from various anxiety disorders, I...

Bridging As a Tool to Avoid Scapegoating

A good scapegoat is nearly as welcomed as a solution to the problem. The concept of scapegoating, a unified dislike or hatred of one member by the majority of the group, is often misunderstood as a phenomenon that is done to a member of a group rather than a collusion between a group and a member's defensive patterns Gans, 1989 . The role of the scapegoat is often placed upon a group member by the remainder of the group as a way to disavow negative thoughts, feelings, or behaviors that they may...