Summary: <div>Group Therapy (TIP 41)<br> Chapter 6&7<br> Leadership Skills & Common Errors<br> Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC<br> Executive Director, AllCEUs<br> Module 6 Objectives<br> Objectives:<br> ~ Discuss the characteristics of group leaders.<br> ~ Describe concepts and techniques for conducting substance abuse treatment group therapy.<br> Leaders Choose<br> ~ How much leadership to exercise<br> ~ How to structure the group<br> ~ When to intervene<br> ~ How to effect a successful intervention<br> ~ How to manage the group’s collective anxiety<br> ~ How to resolve other issues<br> Personal Qualities of Leaders<br> ~ Constancy<br> ~ Active listening<br> ~ Firm identity<br> ~ Confidence<br> ~ Spontaneity<br> ~ Integrity<br> ~ Trust<br> ~ Humor</div> <div>~ Empathy<br> ◦ Communicates respect and acceptance<br> ◦ Encourages<br> ◦ Is knowledgeable<br> ◦ Compliments<br> ◦ Tells less; listens more<br> ◦ Gently persuades<br> ◦ Provides support<br> Leading Groups<br> ~ Leaders vary therapeutic styles to meet the needs of clients.<br> ~ Leaders model behavior.<br> ~ Leaders are sensitive to ethical issues:<br> •Overriding group agreement<br> •Informing clients of options<br> •Preventing enmeshment<br> •Acting in each client’s best interest</div> <div>Leading Groups (cont.)<br> ~ Leaders improve motivation when:<br> ◦ Members are engaged at the appropriate stage of change.<br> ◦ Members receive support for change efforts.<br> ◦ The leader explores choices and consequences with members.<br> ◦ The leader communicates care and concern for members.<br> ◦ The leader points out members’ competencies.<br> ◦ Positive changes are noted in and encouraged by the group.</div> <div>Leading Groups (cont.)<br> ~ Leaders work with, not against, resistance.<br> ~ Leaders protect against boundary violations.<br> ~ Leaders maintain a safe, therapeutic setting:<br> •Emotional aspects of safety<br> •Substance use<br> •Boundaries and physical contact<br> ~ Leaders help cool down affect.<br> ~ Leaders encourage communication within the group.<br> Interventions<br> ~ Connect with other people.<br> ~ Discover connections between substance use and thoughts and feelings.<br> ~ Understand attempts to regulate feelings and relationships.<br> ~ Build coping skills.<br> ~ Perceive the effect of substance use on life.<br> ~ Notice inconsistencies among thoughts, feelings, and behavior.<br> ~ Perceive discrepancies.</div> <div>Avoid a Leader-Centered Group</div> <div>~ Build skills in members; avoid doing for the group what it can do for itself.<br> ~ Encourage group members to learn the skills necessary to support and encourage one another.<br> ~ Refrain from overresponsibility for clients. Clients should be allowed to struggle with what is facing them.<br> Confrontation<br> ~ Can have an adverse effect on the therapeutic alliance and process.<br> ~ Can point out inconsistencies such as disconnects between behaviors and stated goals.<br> ~ Can help clients see and accept reality, so they can change accordingly.</div> <div>Transference & Countertransference<br> ~ Transference. Clients project parts of important past relationships into present relationships.<br> ~ Countertransference. The other person projects emotional response to a group member’s transference:<br> ◦ Feelings of having been there<br> ◦ Feelings of helplessness when the leader/other person is more invested in the treatment than the client is are<br> ◦ Feelings of incompetence because of unfamiliarity with culture and jargon</div> <div>Resistance<br> ~ Resistance arises to protect the client from the pain of change.<br> ~ Resistance is an opportunity to understand something important for the client or the group.<br> ~ Resistance indicates the proposed solutions are less rewarding/appealing than the old behaviors or there is a fear</div>
