Exam 2: NSG 526
Group Therapy primary purpose - correct answer The primary purpose of group therapy is to
facilitate changes by the patient to address identified problems.
A technique for dealing with an over talkative client and silence from other participants in a
group during therapy - correct answer make an observation about the group's silence and
invite the others to comment
the technique of "Information Giver". - correct answer During group members sharing
methods they personally use for dealing with problems
CBT - correct answer consists of active questioning, homework assignments, and dream
survey. The therapist helps the patient consider personal ideas and beliefs in order to increase
the patient's realization about how thoughts influence behaviors.
Attachment - correct answer Attempts to explain the dynamics of interpersonal relationships
between humans. A child needs to form a relationship between at least one primary caregiver.
Mileu - correct answer Milieu therapy requires consideration of the client's social, economic,
and cultural status.
Complementary Alternative Medicine vs Western major difference - correct answer Western
medicine focuses on what is done to the patient whereas CAM focuses on mind-body
interactions.
Beck - correct answer Beck developed the cognitive model of depression and the concept that
cognitive processing distortions underlie psychological disorders
ACTIVE, TIME-LIMITED APPROACH
depression can be understood via schemas: - correct answer Beck;
cognitive errors, and the cognitive triad (i.e., negative views of self, tendency toward
interpreting experiences in a negative manner, and holding negative views of the future).
Beck assumption - correct answer Distorted thinking contributes to and maintains bheavior
(symptoms)
Ellis - correct answer RET (Rational Emotive Therapy) a form of cbt
ret - correct answer unrealistic and irrational beliefs cause many emotional problems. The
purpose of RET is to identify an irrational belief and dispute it through active, philosophical,
confrontational therapy.
RET assumption - correct answer People make themselves sick anytime they escalate a desire
or preference into a demand or absolute must. (People become who they become based on
their beliefs).
,Exam 2: NSG 526
Skinner - correct answer operant conditioning
Operant conditioning - correct answer voluntary behaviors are learned through consequences,
and behavioral responses are elicited through reinforcement, which causes a behavior to occur
more frequently. Positive reinforcement- getting a gift, or negative reinforcement- removal of
objectionable' or aversive stimulus
Skinner - correct answer Absence of reinforcement, or extinction, also decreases behavior by
withholding a reward that has become habitual. Teachers employ this strategy in the classroom
when they ignore acting-out behavior that had previously been rewarded by more attention.
Skinner's behavior model provides a concrete method for modifying or replacing behaviors.
Behavior management and modification programs based on his principles have shown to be
successful in altering targeted behaviors. Programmed learning and token economies represent
extensions of Skinner's thoughts on learning. Behavioral methods are particularly effective with
children, adolescents, and individuals with many forms of chronic mental illness.
Universality - correct answer Yaslom: The recognition of shared experiences and feelings
among group members and that these may be widespread or universal human concerns, serves
to remove a group member's sense of isolation, validate their experiences, and raise self-
esteem.
Altruism - correct answer Yaslom: The group is a place where members can help each other,
and the experience of being able to give something to another person can lift the member's self
esteem and help develop more adaptive coping styles and interpersonal skills.
Instillation of hope - correct answer Yaslom: In a mixed group that has members at various
stages of development or recovery, a member can be inspired and encouraged by another
member who has overcome the problems with which they are still struggling.
Imparting information - correct answer Yaslom: While this is not strictly speaking a
psychotherapeutic process, members often report that it has been very helpful to learn factual
information from other members in the group, for example, about their treatment or about
access to services.
Corrective recapitulation of primary family experience - correct answer Yaslom: Members
often unconsciously identify the group therapist and other group members with their own
parents and siblings in a process that is a form of transference specific to group psychotherapy.
The therapist's interpretations can help group members gain understanding of the impact of
childhood experiences on their personality, and they may learn to avoid unconsciously
repeating unhelpful past interactive patterns in present-day relationships.
Development of socializing techniques - correct answer Yaslom: The group setting provides a
safe and supportive environment for members to take risks by extending their repertoire of
interpersonal behavior and improving their social skills.
, Exam 2: NSG 526
Imitative behavior - correct answer Yaslom: One way in which group members can develop
social skills is through a modeling process, observing and imitating the therapist and other
group members. For example, sharing personal feelings, showing concern, and supporting
others.
Cohesiveness - correct answer Yaslom: Is the primary therapeutic factor from which all others
flow. Humans are herd animals with an instinctive need to belong to groups, and personal
development can only take place in an interpersonal context. A cohesive group is one in which
all members feel a sense of belonging, acceptance, and validation.
Existential factors - correct answer Yaslom: Learning that one has to take responsibility for
one's own life and the consequences of one's decisions
Catharsis - correct answer Yaslom: The experience of relief from emotional distress through
the free and uninhibited expression of emotion. When members tell their story to a supportive
audience, they can obtain relief from chronic feelings of shame and guilt. We refer to catharsis
as "getting things off our chest."
Interpersonal learning - correct answer Yaslom: Group members achieve a greater level of self-
awareness through the process of interacting with others in the group, who give feedback on
the member's behavior and impact on others
Self-understaning - correct answer Yaslom: This factor overlaps with interpersonal learning but
refers to the achievement of greater levels of insight into the genesis of one's problems and the
unconscious motivations that underlie one's behavior.
Autocratic leader - correct answer exerts control over the group and does not encourage much
interaction among members. For example, staff leading a community meeting with a fixed,
time-limited agenda may tend to be more autocratic
Democratic leader - correct answer supports extensive group interaction in the process of
problem solving. Psychotherapy groups most often employ this leadership style
Laissez-faire leader - correct answer allows the group members to behave in any way they
choose and does not attempt to control the direction of the group. In a creative group, such as
an art group, the leader may choose this style of leadership, giving minimal direction to allow
for a variety of responses
Primary purpose of group therapy - correct answer (1) human beings are social animals, and (2)
that we heal in community. This is why group therapy is so efficacious. This correlated to
Maslow's third level in his hierarchy of needs; the need for love and belonging.
People benefit by both giving and receiving feedback
Role of Information giver in a group session - correct answer Shares facts or own experience as
an authority figure
