HLSC 2120 Oct 9, 2007 Developmental Model (Tuckman) Models of Group Psychotherapy Working in the Hear & Now Developmental Model (Tuckman, 1963; Weber, 1982 Stage Stage Stage Stage Stage 1 2 3 4 5 ~ ~ ~ ~ ~ Forming Storming Norming Performing Transforming FORMING ~ Behaviours – polite and superficial as they establish similarities, common needs, and compatibility; give and seek advice. ~ Feelings – suspicion, fear, anxiety and curiosity ~ Goals – “please include me” FORMING-Leadership Focus ~ Leadership: - Encourage sharing of treatment goals Foster trust & links around shared similarities - Normalizing (members fears & anxiety) Increase involvement; decrease isolation - Group Task Engagement/committment STORMING ~ Behaviours – defensive; competitive; covert non-support; and direct attacks ~ Feelings – anger, disappointment, frustration ~ Goals – ‘need for control” regain individuality, power, and influence; challenging authority increase trust in themselves and their contribution. STORMING: Leadership Focus ~ Leadership – Assist members in exposing and productively managing their tension ~ Group Task: Tolerance of differences Reminder that this is an important stage of development although it may appear counter productive NORMING AND PERFORMING ~ Behaviours – sharing personal struggles; discussing group dynamics; gain and share insight; risking new behaviours ~ Feelings – affection, caring and trust ~ Goals – “me and you”, connection/tolernace of closeness NORMING & PERFORMING: LEADERSHIP FOCUS ~ Leadership: meaning attribution of individual, interpersonal, and groups dynamics ~ Group task: Non-defensive openness and exploration of group relationships TRANSFORMING ~Behaviours: Acknowledgment or denial of the ending ~Feelings: Loss, abandonment, sadness, regrets, affection ~ Goals: Disengagement TRANSFORMING: Leadership Focus ~Leadership: Review of the members typical manner of addressing good byes Encourage acknowledgment of highlight and regrets ~ Group Task: Self-responsibility Stage Response to the Leader Stage 1 ~ attempt to have their needs met by the leader Stage 2 ~ rebels against the leader Stage 3 &4 ~ able to express strong emotions toward co-members and leader Type of Groups ~Focused Criteria Groups ~Individually Oriented Change Groups ~Interpersonal Learning & Change Groups ~Psychodynamic Groups Nancy McWilliams, … for therapy to be therapeutic, it is more important for the clinicians to understand people than to master specific treatment techniques (p. 9). … what helps one person can damage another, even if the presenting problems of the two people seem comparable … (Nancy McWilliams, ‘04) Focused Groups ~ these short term groups are specifically designed to change, alter or eliminate a group member’s selfdestructive or self-defeating target behaviour ~ usually highly supportive or confrontive ~ this homogeneous groups look for similarities in order to mobilize compliance and behavioural change (Flores, 1997) Focused Groups ~ have a high degree of structure ~have a specific & limited target issue ~ strongly goal – oriented ~ efficiency valued (homework etc.) ~ have a high educational function ~ discourage attention to transference (McKay and Paleg, 1992) Individually Oriented Groups ~ uses the rest of the group as an auxiliary/audience while [the leader is] working sequentially with one group member at a time (Flores,’97) ~ vehicle of change is an intrapsychic focus coupled with group leader intervention Interpersonal Change Groups ~ the aim of this approach is to help members understand the effect their behaviour has on others and … how others’ behaviour affects them. … these groups place an emphasis on interpersonal interactions that occurs in the group (Flores, 1997) Interpersonal Change Groups Interpersonal learning: 1. the importance of interpersonal relationships 2. the corrective emotional experience The groups as a social microcosm. (Yalom, 1995) Psychodynamic Groups This approach has a wide spectrum of influence and many diverse interpretations There are three primary forces operating: 1) intrapsychic or individual dynamics, 2) interpersonal dynamics/system and 3) group as a whole. The Here and Now ~Do not go around issues, go through them ~ As group grows, let the members share this task of promoting the Here and Now. ~ Members become more aware of their power, and increased self-esteem. (Goddard, 1998)