Comprehensive Exam Review Click the LEFT mouse key ONCE to continue Group Work Part 3 Click the LEFT mouse key ONCE to continue Types of Groups Task groups: to improve or resolve production and performance related to work. Psychoeducation groups: to impart information and skills. Counseling groups: to help members cope and adapt to problems of living. Psychotherapy groups: to reduce emotional or psychological dysfunction in members. Similarities of Types Leadership is based on same set of core group work competencies. All seek to provide help and reach goals. All involve member interaction and leader guidance. All utilize basic group processes. Differences of Types Task groups focus on work performance. Psychoeducation groups are educational and usually very structured. Counseling groups are developmentally-oriented and seek to improve coping with “normal” adjustment issues. Psychotherapy groups are remediationoriented and seek to reduce psychopathology. Task groups are conducted to enhance or resolve performance and production goals in work groups. The task group leader functions as a facilitator, using group collaborative problem solving, team building, program development consultation, and/or system change strategies. Group leaders need to understand organizational dynamics (i.e., how organizations function) because task groups often occur within organizations, such as business settings, schools, religious institutions, and associations. Understanding community dynamics also is important for group leaders because task groups often occur within communities and neighborhoods. Political dynamics, such as power and influence in organizations and communities, are important for task group leaders to understand because task groups usually are part of a larger political system. Task group leaders frequently use standard group discussion methods to guide interaction, methods that often follow a general problemsolving approach. All ethical principles associated with group work are relevant to task groups. Specific considerations are concerned with maintaining a task/work focus rather than a personal focus and with keeping a connection between the work of the task group and the larger organization of which it is a part. Program development and evaluation knowledge is critically important for task group leaders. Steps in a typical program evaluation plan apply: Define the problem Set the objective Choose among alternate strategies Prepare for implementation Design the evaluation Use evaluative information. Knowledge of consultation principles and approaches is necessary for task group leaders because: Consulting often occurs in order to develop task groups within an organization or community. Task groups are frequently part of an ongoing organizational consultation project. Task groups and process consultation are highly synchronous. The consultation knowledge and skills areas with which task group leaders should be familiar include those associated with: Human interaction processes Communication processes Functional roles of group members Group norms Leadership and authority Intragroup processes Consultation knowledge and skills continued Collaboration Establishing contact and defining the relationship Selecting a setting and method of work Data gathering Intervention (including agenda-setting, observation, feedback, coaching structural suggestions, evaluation of results, and disengagement). The focus on task and work is a distinguishing feature of task groups. Leaders collaborate with members to set goals and agenda and to develop on-going monitoring procedures to keep the group on task. Human relations are critical supports in task groups, but are not the predominant focus. Clear goals are essential to task groups and the goals should be specific, attainable, performancebased, measurable, and observable. Leaders help members to define goals that are production and performance-based, rather than related directly to personal change. Task group leaders need to mobilize member energy and resources to accomplish previously established goals. Involving members in goal creation and planning for goal accomplishment is an important motivational approach. Attending to human relations dimensions also provides a critical source for member energy mobilization. Task group leaders need to provide decisionmaking options clearly and to define their relative advantages and disadvantages. Task group leaders need to help members understand that group life naturally involves conflict, to teach members how conflict fits developmentally into group functioning, and to help members recognize when conflict is obvious and/or when it is present but not obvious. Effective leaders help members to understand how positive human relations are essential to task group success. Leaders must continually attend to human processes and human relations because group members will tend to avoid them in favor of the task or avoiding the task. Process observation and feedback are crucial leader skills in task groups. Process observation should focus on level of participation, influence, feelings, decisionmaking, task maintenance, group climate, membership, and norms. Feedback needs to be specific, immediate, descriptive, behavioral, and presented first, with a focus on positive elements and always in a tentative, non-authoritarian manner. Task groups usually are not independent entities, but part of a larger organizational system. Therefore, leaders must be sensitive to the larger organizational and political system. Task group activities must be kept in balance with the larger system. Psychoeducation groups feature transmission, discussion, and integration of factual information and skill building through the use of semi-structured exercises and group process. Psychoeducation groups often are focused on prevention, which means stopping from happening or reducing the likelihood that something bad will happen. Primary prevention is a “before-the-fact” intervention intended to reduce incidence or occurrence of new problems. Being “at risk” is an important prevention concept that means a person is likely to have something bad happen to him or her. Being “at risk” exists on a continuum ranging from low risk potential to high risk potential. The lower risk levels are associated most closely with primary prevention. However, psychoeducation groups can be conducted with people anywhere along the continuum. Psychoeducation groups typically involve instructing or delivering information to members and developing skills. Sessions are designed systematically to disseminate information clearly (and in an organized manner) and to build skills. Links among goals, methods, strategies, activities, delivery, and evaluation are vital for effective psychoeducation groups. The psychoeducation group leader needs to be particularly knowledgeable of the content for the group. Research and concepts in the applicable area (e.g., substance abuse or social problem solving) need to be mastered and then that mastery drawn upon appropriately within the group. Psychoeducation group leaders need good skills to obtain (i.e., select and recruit) members, particularly when potential group members are “at risk.” Knowledge of epidemiological techniques, social indicators, demographic profiles, life transitions, human and system development, and social marketing can all be helpful. Knowledge of human development over the life span, augmented by knowledge of human diversity, contributes strongly to effective psychoeducation group leadership. Human development must be understood ecologically, including knowledge of important contexts such as environment. Effective application of principles of structure are fundamental to psychoeducation groups. Leaders need to know how to design a (at least semi-) structured group experience from beginning to ending session. Leaders also need to know how to structure each session relative to goals, methods, and roles, and how to use structured exercises within sessions. When psychoeducation groups are used for prevention, the concept of empowerment is especially important. Empowerment refers to group members’ selfperception that they are capable and in control, that their life condition is not whimsical, and that they are powerful shapers of their own destinies. Special ethical considerations revolve around privacy issues in psychoeducation groups. When prospective members currently unaffected by a disorder (i.e., who are “healthy” or at low risk) are recruited, care must be given to not be invasive of their privacy. Another ethical concern revolves around attending to unique needs of members. Psychoeducation groups can easily become overstructured and unbalanced, resulting in excessive information delivery. Except when intended and understood by all, unique member needs can become ignored through “information overload.” Effective leaders know the advantages (e.g., that they are focused, informative, skilldevelopment-based, efficient, and have preventive potential) and disadvantages (e.g., that they can minimize group process human relations or member participation) of psychoeducation groups. Leaders develop ideas for a psychoeducation group from literature reviews and local (needs) assessments. Topics appropriate for a psychoeducation group (e.g., transition from middle to high school) should match the local needs, resources, and situation. Psychoeducation group leaders plan their groups best by including input and/or involvement of “target” population members. Sometimes representative members of the “target” population are included in planning the group. Counseling groups are conducted by group counselors to improve coping with problems of living by focusing on interpersonal problem solving, interactive feedback, and support methods within a here-and-now framework. Group counselors need to understand the major personality and counseling theoretical approaches for group counseling, such as Psychodynamic, Behavioral, Transpersonal, Cognitive-Behavioral, and Humanistic. Advantages of group counseling include its interpersonal orientation, generation of therapeutic conditions, support, problemsolving, cost-savings, and development of interpersonal learning. Disadvantages of group counseling include difficulties in organizing groups and obtaining individual assistance, and threats to confidentiality. Knowledge of interpersonal dynamics is essential for group counselors. The most important interpersonal dynamics in this regard include: Group processes (e.g., participation levels and task and maintenance behaviors ). Therapeutic factors (e.g., instillation of hope and altruism). Feedback and self-disclosure behaviors. Because counseling groups are most often used to resolve interpersonal problems, knowledge of problem-solving steps is important: Identify the problem Set goals Consider and choose a strategy Implement the strategy Evaluate the success of the strategy Because group counseling is an interpersonal activity, effective assessment of interpersonal phenomena is important. Capacity to engage with others as well as interpersonal needs for inclusion, control, and openness are examples of important interpersonal dimensions to assess. Group counselors also need to understand when and how to make referrals and have a referral resource list from which to draw. Referral may be necessary during selection or during the course of the group, such as when the group topic is not relevant to a potential member’s needs or when the level of functioning needed is beyond skill of group counselor. When forming a counseling group, the counselor must seek to create a match between the group and prospective members. The group’s goals and expectations and individual group members’ level of functioning, availability, and motivation should be considered in this matching process. Prospective members of counseling groups may be obtained through referral from case loads or through recruitment and marketing. Counselors should explore goals, level of functioning, expectations, motivation, and obtain informed consent during the group formation process. Group counselors should be able to recognize self-defeating behaviors of clients during their participation in the group, and note relationships between professed goals and actual behaviors. Group counselors also should become adept at observing agreements and discrepancies between verbal and nonverbal behavior. Group counselors should be able to develop reasonable hypotheses about the meaning(s) of nonverbal behavior. They also should be able to work with nonverbal behavior and to be sensitive to individual and cultural differences. Group counselors should be able to conduct interventions that are consistent and appropriate with a group’s stage of development and with member’s developmental progress. For example, certain leader interventions appropriate at the Forming stage of a group might not be appropriate at the Working stage. Counseling groups often experience conflict and other incidents that might become significant impediments to the progress of the group. Counseling groups also may sometimes have members who behave excessively or inappropriately. For example, they may be demanding or under the influence of a substance, or they may monopolize, withdraw, fight, flirt, walk out, or threaten. These “critical incidents” should be anticipated and responded to by leaders with sensitivity and skill, capturing the moment to allow the group to maintain itself and to move ahead. Group counselors should learn how to use major strategies, techniques, and procedures that are consistent with their (personal) conceptual framework and with the group situation. Such activities might include use of selfdisclosure, feedback, confrontation, modeling, or skills training. Group counselors should know how to help members transfer their learning from the group to their lives outside the group. Relating group events and experiences to the “real world” is very important, including helping members to integrate and apply learning and to try out small changes first. Group counselors also can help members generalize group learning. Useful techniques in this regard include making use of assigned homework, viewing videotapes in the group, role playing, or keeping journals. Co-leadership in a counseling group is a desirable and often preferred model because it provides another role model for members, a support resource for each leader, a “built-in” capacity for leader processing, and safety. Functional co-leadership requires a good initial match of leaders and maintenance of an open and sharing working relationship between them. Counseling groups, like other groups, need to be assessed and evaluated for their on-going and overall effectiveness. Leaders can collect relevant data during sessions, at the end of sessions, or using a pre-and post-test design. The data should be used to help the group to progress and to determine its value to each member. Psychotherapy groups are conducted by therapists to reduce psychological and/or emotional dysfunction through exploration of the antecedents to current behavior by using intrapersonal and interpersonal assessment, diagnosis, interpretation, and connecting historical material with the present. Clients with diagnosed or diagnosable dysfunctions are very suitable for group psychotherapy. Therefore, for psychotherapy group leaders, knowledge of abnormal behavior is essential because members enter the group with varying levels of dysfunction. In addition, leaders of psychotherapy groups must understand not only current abnormal behavior, but also how abnormal behavior develops. Therefore, knowledge of psychopathology and its relationship to normal and abnormal human development is necessary. Knowing the relationship of personality theory to group psychotherapy also is important for psychotherapy group leaders. Therefore, they must possess a thorough understanding of human development and personality development. Leaders of psychotherapy groups also must know crisis theory and its relationships to helping and to group psychotherapy. In psychotherapy groups, crises may arise with some regularity, but they can provide opportunities for the leader to promote change. Knowledge of Diagnostic and Statistical Manual (IV) of the American Psychiatric Association is important for psychotherapy group leaders. This knowledge is useful to assess prospective clients in relation to DSM-IV categories and to integrate assessment data with criteria for group member selection. Special screening attention needs to be given by psychotherapy group leaders to selecting group members who could benefit from group. Group members included can be those from a wide spectrum of psychological and emotional disturbance. However, those with poor reality contact or character disorders are not good candidates for group psychotherapy. Self-defeating behaviors of many unique kinds can be experienced in psychotherapy groups. Therefore, leaders need to be able to manage behaviors that are antagonistic to a member’s needs and/or goals, represent an extreme dysfunction, or heighten liability. Intervening in critical incidents within a psychotherapy group could involve situations that are at higher risk than in other forms of group work. At times, these critical incidents may include crises or emergencies that require direct leader intervention. Disruptive members in psychotherapy groups can evidence dramatically pronounced expression of behavior. These more obvious and extreme disruptions may require direct (perhaps even physical) intervention on the part of the leader to manage the member’s behavior and the group itself. Hospitalization may sometimes be necessary for a member of a psychotherapy group, and therefore leaders must know procedures for instituting hospitalization, should that be necessary. Transfer of learning may require increased support, gradated trials, and repeated attempts in psychotherapy groups . Assessment procedures for evaluation in psychotherapy groups may need to be focused more closely than in other groups on the individual’s accomplishment of gradated goals. Assessment of psychotherapy group member contributions is often concerned with modest gains. This concludes Part 3 of the presentation on GROUP WORK