Upload
grace-stevens
View
215
Download
0
Embed Size (px)
Citation preview
Early Stage of Group Treatment
getting the client to recognize, admit and move past their high levels of ambivalence
and denial.
Early Stage of Group Treatment
understand the relationship between their addiction and their present difficult in life.
Early Stage of Group Treatment
rebellious, suspicious and manipulative behaviour
Early Stage of Group Treatment
During the early stages of treatment the goal of the therapist is to:
1) to discover themselves and others as feeling people
2) identify their defenses
Early Stage of Group Treatment
Ego Defenses: denial rationalization
Early Stage of Group Treatment
The art of treating addiction is to overcome the enormous denial and resistance that most addicts possess.
Confrontation How confrontation is used is critical ~
there can be constructive and destructive
Early Stage of Group Treatment
Washton (1992) Guidelines for Effective Confrontation giving feedback as you see it most useful when spoken with empathy,
concern, and respectful voice be descriptive (what you observed, give
examples) expressing concern about the person’s
dangerous and self-defeating behaviour
Leaders Responsibility
Assessing when to/ not to intervene Allowing some tension for group to grow Helping members assume responsibility
for their own drug related problems Modulating anxiety in intense situations Dealing with destructive resistance: fleeing Treating the group as a mirror, microcosm
Reinforcing Group Norms
Feedback Risk-taking Openness Acceptance Confidentially
Impulse Control & Self-Disclosure
Manage members difficulties with impulse control
Members inexperience in regulating closeness and intimacy
Appropriate/inappropriate self disclosure Risk of self-disclosure ~ vulnerability Too little, too much: indiscriminate self-
disclosure Tolerance and readiness of the group/individual
Integrating New Members in the Open Group
Introduce how the group works to new comers
No set ways or rituals for integrating new members
Impact of new members on group development
Impact of relapse and returning members on group process
Middle Stage of Treatment
Action stage of treatment Awareness of the stages of change for
individual members and the group as a whole
Middle Stage of Treatment
Group leader should consider: Equal distribution of time in group Activity focuses and invites group
members to participate Focus on topics that are meaningful Prevents rambling patient from derailing
the group Provides a clear direction for the group
Corrective Emotional Experience
Strong expression of emotion Group supportive enough to permit risk Reality testing of the incident Inappropriateness of certain feelings Inappropriateness of avoiding behaviour Facilitation to interact with others more
deeply and honestly (Yalom, 2005)
Late Stage Change
Emphasis will focus on addressing characterological makeup of the client
Helping the person become aware That’s who I am I wnt ot cange but can’t Here I go again Whey change? What is in it for me?