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EDU3107 Group Counseling School 38ms

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    Group Counseling

    Credit :

    Suzy Milano-Berrios, Directorsabel Rodriguez-Duncan, Chairperson

    Mental Health and Crisis Management Services

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    Group counseling in the United States can be traced

    back to the late nineteenth and early twentieth

    centuries, when millions of immigrants moved to

    American shores.

    Most of these immigrants settled in large cities, and

    organizations such as Hull House in Chicago were

    founded to assist them adjust to life in the United

    States. Known as settlement houses, these agencies

    helped immigrant groups lobby for better housing,working conditions, and recreational facilities.

    These early social work groups valued group

    participation, the democratic process, and personal

    growth.

    History: Did you Know?

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    Some early psychoanalysts, especially

    Alfred Adler, a student of Sigmund Freud,

    believed that many individual problems

    were social in origin. In the 1930s Adlerencouraged his patients to meet in groups

    to provide mutual support.

    At around the same time, social workgroups began forming in mental hospitals,

    child guidance clinics, prisons, and public

    assistance agencies.

    Origins in Social Work

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    Group counseling offers multiple

    relationships to assist an individual in

    growth and problem solving. In group

    counseling sessions, members areencouraged to discuss the issues that

    brought them into counseling openly and

    honestly. The facilitator works to create anatmosphere of trust and acceptance that

    encourages members to support one

    another.

    Why Choose Group

    Counseling?

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    Unlike the simple two-person relationship

    found in individual counseling, group

    counseling offers multiple relationships to

    assist the individual in growth and problemsolving.

    Counseling groups exist to help individuals

    grow emotionally and solve personalproblems. All utilize the power of the

    group, as well as the facilitator who leads

    it, in this process.

    Why Choose Group

    Counseling?

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    Curative Factors: Benefits

    1. Instillation of hope

    2. Universality

    3. Imparting of information

    4. Altruism

    5. Corrective Recapitulation of

    Primary Family

    6. Improved Social Skills

    7. Imitative Behavior

    8. Interpersonal learning

    9. Group Cohesiveness

    10. Catharsis

    11. Existential Factors

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    Conduct a needs assessment.

    Tell students about the group. One way to do

    this is to mention the group(s) in classrooms.

    Inform Administrators and Teachers Obtain Parent /Guardian consent. (Passive

    Consent)

    Screen potential group members. Select group members.

    Use an evaluation procedure that will

    demonstrate the effectiveness of the group.

    Group Counseling in Schools

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    I need to facilitate a group for my

    IPEGS Goal

    If I facilitate a group, I can see morestudents at one time with the same

    problem.

    Rationale for Group Counseling:

    What to Avoid

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    Individuals that share a common problem

    or concern are often good candidates for

    group counseling, where they can share

    their mutual struggles and feelings. In schools, groups for students who have

    or are currently experiencing their parents

    divorce, grief/loss, social skills deficienciesConsider the age, grade level, gender,

    Group Membership

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    Children who are suicidal or who have a

    psychiatric diagnosis that indicates a need for

    therapy, or are in the midst of a major life

    crisis are not typically placed in groupcounseling until their behavior and emotional

    states have stabilized.

    People with severe cognitive impairments

    may also be poor candidates for group

    counseling, as are patients with sociopathic

    traits, who show little ability to empathize with

    others.

    Group Membership

    Not Recommended

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    Siblings or relatives should not be in the

    same group.

    Children who habitually lie or steal

    Children who are victims of abuse

    Children who are so different from the others

    that they may not be accepted

    Children who are extremely aggressive

    Group Membership

    Not Recommended

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    Some students may participate in both

    individual counseling and group counseling

    Before a student begins group counseling,

    the facilitator should interview them toensure a good fit between their needs and

    the group's.

    The student should be given preliminaryinformation before sessions begin, such as

    guidelines and ground rules, and

    information about the problem on which therou is focused.

    Forming the Group

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    Therapy groups may be homogeneous or

    heterogeneous.

    Homogeneous groups have members with

    similar presenting issues (for example, theymay all have parents who are divorced).

    Heterogeneous groups contain a mix of

    individuals with different presenting issues The number of group members typically

    ranges from five to 10.

    Group Construction

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    The number of group counseling sessions

    depends upon the group's makeup, goals, and

    setting.

    Some are time limited, with a predeterminednumber of sessions known to all members at the

    beginning.

    Others are indeterminate, and the group and/or

    counselor determines when the group is ready todisband.

    Membership may be closed or open to new

    members.

    Plan for the group: one fun exercise and one

    Group Basics

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    Groups for prevention may be strictly

    informational, concerned with providing

    information on subjects timely to adolescents

    such as peer pressure or decision-making. Or, they may be designed to help students

    improve their coping skills though such

    techniques as problem-solving or the

    reframing of situations.

    Prevention Groups

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    OBJECTIVES

    Analyze how to make new friends

    Identify important qualities of a friend

    Understand common friendship problems

    Learn how to manage conflicts

    Develop a plan to improve friendships

    FRIENDSHIP

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    OBJECTIVES

    Learn dangers of drugs and alcohol

    Understand and utilize the problem solving

    model

    Learn refusal skills

    Identify ways to have fun and keep friendswhile staying out of trouble

    Develop a plan to handle peer pressure

    DRUG AND ALCOHOL

    PREVENTION

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    Groups concerned with specific problems and theirresolution.

    Grief / Loss

    Parental Divorce / Separation Social Skills

    Anger (selectively)

    Attendance (selectively)

    LGBT Support (selectively)

    NOTAppropriate: Eating Disorders, Self Injury,

    Bullying, and others that require the behavior for

    group membership

    Intervention Groups

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    OBJECTIVES

    Express feelings about loss

    Learn five stages of grief (denial, anger,

    bargaining, depression, acceptance)

    Discuss happy memories

    Identify ways to handle stress and loss

    Grief / Loss

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    OBJECTIVES

    Express feelings about changing family

    Understand that divorce/separation is not

    childs fault

    Identify common problems associated with

    divorce/separation

    Understand positive ways family and

    group members can help in adjustment

    Family Groups

    (Divorce/Separation)

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    OBJECTIVES

    Identify factors that cause anger

    Understand the consequences of irrational

    behavior when angry

    Examine why some situations make

    everyone mad and others do not

    Identify different anger reduction

    techniques

    Anger

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    OBJECTIVES

    Identify feelings and appropriately express

    them

    Learn Win/Win resolutions

    Speak clearly

    Understand others point of view (be

    empathic)

    Learn how to talk out conflicts

    Managing Conflicts

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    Students are encouraged to discuss theissues that brought them into the group

    openly and honestly. Physical and Emotional

    Safety The Counselor / Facilitator works to create an

    atmosphere of trust and acceptance that

    encourages members to support one another.

    Ground rules must be set at the beginning,

    such as maintaining confidentiality of group

    discussions, showing respect for each other,

    taking turns talking, etc. (Students assist in

    Getting Started

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    The Counselor facilitates the group process;the effective functioning of the group, and

    guides individuals in self-discovery.

    Depending upon the group's goals, sessionsmay be either highly structured or fluid and

    relatively undirected.

    Typically, the facilitator steers a middlecourse, providing direction when the group

    gets off track, yet letting members set their

    own agenda.

    Role of the Facilitator

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    The facilitator should guide the group byreinforcing the positive behaviors they

    engage in. For example, if one student

    shows empathy and supportive listening toanother, the facilitator should compliment

    them and explain the value of that

    behavior to the group. The facilitator should emphasize the

    commonalities among members during

    each session to instill a sense of group

    Role of the Facilitator

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    Facilitator Tasks and

    Techniques

    Careful Planning Selection

    Group Composition

    Creation of GroupCareful Observation of Group Process Formative Stages

    Subgrouping

    Conflict Self-disclosure

    Termination

    Problem Behaviors

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    Formative Group Stages

    I. The Initial Stage: Orientation, Hesitant Participation, Search for

    Meaning, Dependency

    II. The Second Stage: Conflict, Dominance, Rebellion

    III. The Third Stage:

    Development of Cohesion

    IV. The Fourth Stage:

    Termination/Transparency

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    Subgrouping

    Fractionalization - splitting off of smaller

    units

    extra group socialization - cliques of 3-4; two become sexually involved;

    coalitions form within the group

    Inevitable often disruptive event in life ofgroup

    If used properly may further work of group

    conspiracy of silence

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    Conflict

    Inevitable; absence suggests impairment ofdevelopmental sequence

    Two step process includes:

    1) experience (affect expression);2) understanding of that experience

    Can control conflict by having members switchfrom 1 to 2 - request group discuss theirexperience and understand it can learn toexpress anger more directly

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    Self-Disclosure

    Involves some risk on part of discloser

    As disclosure proceeds in a group, entire

    membership gradually increase itsinvolvement, responsibility and obligation

    to one another.

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    Facilitator must check-in with studentsindividually to assess the value of group

    participation (difficulty communicating in a

    group setting, unable to handle aggressive/ hostile comments from other members,

    On-going assessment of group

    participation during the groupRecognize the role of each group member:

    leader,

    Group Resistance and Drop-Out

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    Termination

    Groups terminate for various reasons

    brief therapy - preset termination dates

    Counselors role is to:A. keep task in focus for members

    B. remind group regularly of the approachingtermination

    C. ensure focus on goal attainment prior totermination

    D. share own feelings about separation; realloss for all

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    The termination of a group may causefeelings of grief, loss, abandonment, anger,

    or rejection in some members.

    The facilitator should attempt to deal withthese feelings and foster a sense of closure

    by encouraging the exploration of feelings

    and the use of newly acquired coping

    techniques for handling them.

    Working through this termination phase is an

    important part of the process.

    Termination

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