Chapter 15: Group Therapy, Family Therapy, & Couples Therapy :Chapter 15: Group Therapy, Family Therapy, & Couples Therapy http://www.youtube.com/watch?v=jMIDpJ8H7H0


Development of Group Therapy :Development of Group Therapy Originally, the few the dedicated practiced it. High Caseload Treatment option. Later - a Supplementary Treatment Option. Today- Well Used Stand-Alone or Supplementary Tx due to outcome, efficiency, and economics Today – 5-10+ clients meeting for > 60-min typically (90-min to 2-hour weekly session common). Different therapeutic approaches to group therapy


Example of Inpatient Group Therapy by Dr. Irvin Yalom :Example of Inpatient Group Therapy by Dr. Irvin Yalom http://www.youtube.com/watch?v=05Elmr65RDg&feature=related


Group Therapy- Different Types :Group Therapy- Different Types Psychoeducational Psychoanalytic/Psychodynamic Group Therapy Psychodrama (Moreno) Transactional Analysis (Berne) – ego states, valance, interactions. Gestalt Groups – tx in the round; “hot seat” Behavior Therapy Groups – Similar disorders; standard BEH or CBT Time-Limited Group Therapy (Budman & Gurman)


Example of Outpatient Group Therapy by Dr. Irvin Yalom :Example of Outpatient Group Therapy by Dr. Irvin Yalom http://www.youtube.com/watch?v=PwnfWMNbg48


Positives of Group Therapy :Positives of Group Therapy Imparting information Instilling hope Universality Altruism Interpersonal learning Imitative behavior Corrective recapitulation of the primary family Catharsis Group cohesiveness


Positives of Group Therapy: Live Group with Dr. Corey :Positives of Group Therapy: Live Group with Dr. Corey http://www.youtube.com/watch?v=7-PUfpnDRVA&feature=related


Negatives of Group Therapy? :Negatives of Group Therapy? http://www.youtube.com/watch?v=mnOf7c9jahM&feature=related


Does Group Therapy (GT) Work? :Does Group Therapy (GT) Work? GT - more effective than no treatment. GT - no more/less effective than other forms of psychotherapy.


Development of Family Therapy (FT) :Development of Family Therapy (FT) 1940-1950s FT became a popular form of treatment. Pathology seen as a failure of communication among family members. Family Emphasis- correct lack of communication, miscommunication, or manner of feedback within. Deemphasize the problems of any individual. Ideally, the entire family is seen at the same time. A history and assessment process is a typical part of family therapy. Different therapeutic approaches to family therapy


Background and Example of Family Therapy :Background and Example of Family Therapy http://www.youtube.com/watch?v=mPW0UZd9gQ4


Communication Styles :Communication Styles Placating - always agreeing, no matter what. Blaming - a person’s way of showing how much he or she can criticize another and thus throw his or her weight around) Super-reasonable - words may come out “super-reasonable” but may bear no relationship to how they feel). Irrelevant - the words are completely unrelated to what is going on. Congruent -the words relate to what is real.


Background and Example of Family Therapy :Background and Example of Family Therapy http://www.youtube.com/watch?v=6JjcIiCJaDo&feature=related


Varieties of Family Therapy :Varieties of Family Therapy Conjoint Family Therapy - 1 therapist sees multiple all family members in same session. Concurrent Family Therapy – 1 therapist sees all family members in individual sessions. Collaborative Family Therapy – Each family member sees a different therapist, and the therapists meet periodically to discuss their patients and the family as a whole Behavioral Approaches to Family Therapy – views family relations in terms of reinforcement contingencies.


Couples Therapy :Couples Therapy A couple (married, unmarried, or same-sex) meets with one or more therapists to work on any number of issues. Behavioral Marital Therapy – Applies principles of reinforcement to a couple’s interactions. Major components include contingency contracting, support-understanding techniques, and problem-solving techniques Emotionally Focused Couples Therapy – marital distress results from negative affect and destructive interactional styles. Interventions target problematic interactional styles and emotional responses so that a stronger and more secure emotional bond can be established.


Example of Conflict Focused Marital Therapy :Example of Conflict Focused Marital Therapy http://www.youtube.com/watch?v=o3A24umyTK4&feature=related


Example of Solution Focused Marital Therapy :Example of Solution Focused Marital Therapy http://www.youtube.com/watch?v=fQBZlgmebwY&feature=related


Example of Emotion Focused Marital Therapy :Example of Emotion Focused Marital Therapy http://www.youtube.com/watch?v=d42sXLN4iYY


Group Therapy- Different Types :Group Therapy- Different Types Psychoanalytic/Psychodynamic Group Therapy –Group Purpose - vehicle through which the individual may obtain insight into his of her unconscious forces and defenses. Psychodrama (Moreno)– form of role-playing in Group Purpose – assigned role playing; target role, supporting cast of “auxiliary egos”, and audience.


Group Therapy- Different Types :Group Therapy- Different Types Transactional Analysis (Berne) – Group Purpose – allows client to understand “ego states” based on patients’ transactions with other group members, as well as the valence (positive or negative) of these ego states, and helps patients adopt ways of thinking that are more characteristic of the positive Adult ego state. Gestalt Groups – the therapist focuses on one patient at a time and asks that person to experience his or her feelings and behaviors while the other group members are asked to observe or provide feedback to the person in the “hot seat”


Group Therapy- Different Types :Group Therapy- Different Types Behavior Therapy Groups – Patients with similar problems are treated as a group using standard behavioral or cognitive-behavioral methods Time-Limited Group Therapy – Brief therapy forwarded by Budman and Gurman in which patients meet weekly for a predetermined number of sessions. Four central characteristics include pregroup screening and preparation, the establishment and maintenance of a working focus, group cohesion, and member reactions to the time limits of the group.


Group Therapy- The Arrangements :Group Therapy- The Arrangements Most groups consist of five to ten patients who meet with the therapist at least once a week for 90-minute to 2-hour sessions. Members are often seated in a circle so that they can all see each other.