Chapter 15: Group, Family And Couple-based Interventions

Question 1

Types of groups?

Answer 1

-Directive
-Nondirective
-interpersonal
-gestalt

Question 2

What is a directive group?

Answer 2

-limited time for client w/ Similar issues
-clients develop skill mastery (confidence, problem solving, etc.)
-effective with young children/adolescents

Question 3

What is a non directive group?

Answer 3

-less structured than directive
-timing is more flexible
-clients may have different issues
-grounded in psychoanalytic, psychodinamic

Question 4

What is an interpersonal group?

Answer 4

-psychotherapy used for clients with personality disorders
-members learn from interactions with/ other members

Question 5

What is a Gestalt group?

Answer 5

-therapy: clients focus on “being in the
world”
-hot seat (person gets feedback from other members

Question 6

What is the group composition in psychotherapy groups?

Answer 6

-5-10 ppl + 2 therapist
-weekly meet 90-12pm is
-clients also meet therapist individually

Question 7

What are open groups?

Answer 7

-Groups that admit new members at any point

Question 8

What are closed groups?

Answer 8

-groups that have specific start/end (CBT’S)

Question 9

When therapist screen clients what do they avoid including?

Answer 9

-cognitively dysfunctional clients in heterogenous groups
-pessimistic, antagonistic clients who may disrupt

Question 10

How does confidentially work in group therapy?

Answer 10

-psychologists explain importance of confidentially to clients before it begins
-emphasize keeping member info/discussion private
-no enforceable ethics code exist for confidentially

Question 11

Are group therapy effective?

Answer 11

-group psychotherapy is more effective than no treatment
-not more effective than individual therapy
- economical (cheaper)
-some treatment work better than others for some

Question 12

Imparting information

Answer 12

Group members can receive advice and guidance not just from the therapist but also from other group members.

Question 13

Instilling Hope

Answer 13

Observing others who have successfully grappled with problems helps to instill hope.

Question 14

Universality

Answer 14

Group members discover that they are not alone and that others have similar problems, fears, and concerns.

Question 15

Altruism

Answer 15

Helping others in the group leads to greater self-worth.

Question 16

Interpersonal learning

Answer 16

Interacting with others in the group teaches clients about interpersonal relationships, social skills, sensitivity to others, resolution of conflicts, and so on.

Question 17

Imitative behavior

Answer 17

Watching and listening to others leads to the modeling of more useful behaviors.

Question 18

Corrective recapitulation of the primary family

Answer 18

The group context can help clients learn more adaptive methods for coping with
family-related problems

Question 19

Catharsis

Answer 19

Learning how to express feelings about others in the group in an honest, open way builds a capacity for mutual trust and understanding.

Question 20

Group cohesiveness

Answer 20

Group members develop relationships with one another that enhance self-esteem through acceptance.

Question 21

Family based interventions

Answer 21

-one fam member w/ behavioral problems affects all fam members
-person w/ psychological symptoms may belong to a dysfunctional family

Question 22

Family therapy

Answer 22

behavioral problems arise from
family member interactions known as family
system

Question 23

What is a double bind?

Answer 23

parents put children in “no-win”
situations; led to schizophrenia in child (didn’t)

Question 24

General systems theory

Answer 24

– Communication failures cause behavioral and psychological problems
–strives for homeostasis
-adapts temp disturbances
-therapist provides feedback to family to re-establish healthy homeostasis

Question 25

Process of family therapy

Answer 25

-therapist may be family therapist or use techniques w/ other interventions
-use different forms of therapy (goals)

Question 26

Families go to therapy when?

Answer 26

• Relational difficulties experienced
• Crisis in family
• Conflicts over values
• An individual diagnosed with a mental health
• Changed family homeostasis
• Generational conflicts, acculturation stress

Question 27

Conjoint Family Therapy

Answer 27

-one therapist sees all fam members at once
-play passive, non directive role or active in other therapy
- therapist is a resource person who directs better member communication

Question 28

Placating

Answer 28

Always agreeing, no matter the situation

Question 29

Blaming

Answer 29

Finding fault with others

Question 30

Super-reasonable

Answer 30

Using logic even if the person feels differently from what they are saying (not emotional)

Question 31

Irrelavent

Answer 31

When one’s words are unrelated to the situation

Question 32

Congruent

Answer 32

When one’s words do relate to the situation

Question 33

Concurrent Family therapy

Answer 33

therapists work with each family member individually

Question 34

Collaborative family therapy

Answer 34

each family member sees different therapists who then collaborate

Question 35

Behavioral family therapy

Answer 35

therapist conducts functional analysis to identify rewards for desired behavior

Question 36

Cognitive-behavioral therapy

Answer 36

members taught to self-monitor problematic behaviors

Question 37

Multisystemic therapy (MST)

Answer 37

for juvenile offenders

Question 38

MST Assumes?

Answer 38

-clinical problems determined by multiple factors: individual, family, school, society
Evidence based techniques (effective)

Question 39

Culture and Family therapy

Answer 39

-therapists should be culturally sensitive

Question 40

Effectiveness of Family Therapy

Answer 40

-effective for schizo.., anorexia in youth, non-suicidal injury etc..
-success attributed to therapeutic relationship
-not all fam members have similar views on therapy outcomes

Question 41

Cognitive-behavioral couples therapy (CBCT):

Answer 41

-based on social learning theories (focuses on partners
-goal is i=to improve relationship quality

Question 42

Emotion-focused couples therapy (EFCT):

Answer 42

short-term intervention for improving couple attachment and bonding
– Insecure attachment leads to relationship distress; partners distanced

Question 43

Stages of EFCT:

Answer 43

– De-escalation: recognition of problematic patterns
– Restructuring: acceptance and compassion for each other
– Consolidating: practice newcommunication strategies
• Enactment: guidance from therapist

Question 44

Couple therapy effectiveness

Answer 44

– 70% couples improve immediately after CBCT
– 50% maintain improvement for up to five years
– EFCT: 50% show improved relationship quality