TERMINOLOGIES Transactional analysis: a system of popular psychology based on the idea that one's behavior and social relationships reflect an interchange between parental (critical and nurturing), adult (rational), and childlike (intuitive and dependent) aspects of personality established early in life. Emotive: expressing a person's feelings rather than being neutrally or objectively descriptive Gestalt: an organized whole that is perceived as more than the sum of its parts. Altruism: the belief in or practice of disinterested and selfless concern for the well-being of others Cohesion: the action or fact of forming a united whole Monopolize: obtain exclusive possession or control of.
DEFINITION Group therapy or group psychotherapy is a form of treatment in which carefully selected, emotionally ill persons are placed into group guided by a trained therapist for the purpose of changing the maladaptive behavior of the individual member. Group therapy is a form of psychosocial treatment in which a number of clients meet together with a therapist for purposes of sharing, gaining personal insight and improving interpersonal coping strategies.
PURPOSES To intervene in psychopathology To reveal, examine and resolve distortions in interpersonal relationships To improve the skill of relating to others. To learn coping styles.
TYPES OF GROUPS
TYPES OF GROUP THERAPY
PHYSICAL CONDITIONS THAT INFLUENCE GROUP DYNAMICS
CURATIVE FACTORS Instillation of hope Universality Imparting of information Altruism The corrective recapitulation of the primary family group
Contd … Development of socializing technique Imitative behavior Interpersonal learning Group cohesiveness Catharsis Existential factors
CRITERIA OF PATIENT TO BE INCLUDED IN GROUP THERAPY
INDIVIDUAL/PERSONAL ROLES Aggressor Blocker Dominator Help seeker Monopolizer Mute or silent member Recognition seeker Seducer
ADVANTAGES Cost effective Members profit by hearing other members discuss their problems. This discussion decreases the member’s feelings of isolation alienation and uniqueness and encourages him to share his feelings and problems. Opportunity to explore specific styles of communication in a safe atmosphere where they can receive feedback and can undergo change. Learn multiple ways of solving problems from other group members and group exploration helps them to discover new ways of solving problems. Learn socialization skills The group provides for its members understanding, confrontation and identification with more than one individual.
DISADVANTAGES Individual privacy is destroyed. Resistance and reluctance to change.
ROLE OF NURSE IN GROUP THERAPY Determine setting and size of the group Choose frequency an length of group sessions Select a therapist/co therapist for the group Formulate policy on group therapy with other therapeutic modalities. Formulating appropriate goals. Selecting patients who can perform the group task. Preparing patients for group therapy Explaining the group members to maintain confidentiality of group discussion. Identify and resolve common problems.
Contd … Fix up time for subsequent sessions. Maintain attendance of group members. Obtain written informed consent from group members. Maintain record. Document the details of sessions. Assists the group members for progressing and completing the take home assignments. Monitor the group member’s behavioral changes prior to and after group therapy sessions. Prepare the group member physically to attend group therapy session continuously by attending to his needs like medication, nutritional need and elimination need, personal hygiene.
BIBLIOGRAPHY Gail W Stuart., “PRINCIPLES AND PRACTICE OF PSYCHIATRIC NURSING”., 8 th Edition., Elsevier Publication. Dr. K Lalitha ., “MENTAL HEALTH AND PSYCHIATRIC NURSING”., Ist Edition., V.M.G Book House Publication. Mary C. Townsend., “PSYCHIATRIC MENTAL HEALTH NURSING”., 5 th edition., F.A. Davis Publications. K. P Neeraja ., “ESSENTIALS OF MENTAL HEALTH AND PSYCHIATRIC NURSING”., Vol 2., Ist edition., Jaypee Publications. R. Sreevani ., “A GUIDE TO MENTAL HEALTH AND PSYCHIATRIC NURSING”., 2 nd edition., Jaypee publication. Dr. S. Ahuja ., “ A SHORT TEXTBOOK OF PSYCHIATRY”., 6 th edition., Jaypee Publication.