Contributions of the psychology of the self to group process and group therapy.
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The purpose of this paper has been to discuss one clinical phenomenon, that of the group process, the determination of which facilitates the provision of nursing care on an inpatient psychiatric unit. Both the phenomena that engender a stressful group process and the cues to determining a group process were discussed.
In this investigation is reported about measurement of affective behavior and feelings during the process of group psychotherapy. Therefore a cluster analysis of 4 parameters about 5 group sessions and 9 members and the group as a whole was made. The hypothesia were that effective feelings concern the group as a whole, that they were changing during the process and that they concern the individual process. It could be shown that in common there was a connection between individual process of affective behavior and outcome. Questions which came from differences of these results concerned the problem of characterizing exactly what going on related changing of attitudes and in which manner we can understand outcome.
In a research group setting, marijuana increased social-emotional interpersonal communication and decreased task-oriented behavior. Following a frustration stimulus, groups of marijuana smokers appeared nonintoxicated and showed improvement in consensus problem solving. Interpersonal behavior with marijuana may depend in part, on the presence or absence of demand characteristics for task performance. Creativity in group problem solving was not improved by marijuana.
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Patients in a general hospital psychiatric unit completed Visual Analogue Mood Scales before and after group psychotherapy sessions, and at corresponding times on days without group meetings. Changes in the dispersion of scores between "before" and "after" measurements differed between days with group psychotherapy and days without. Cohesiveness attributable to the group process is suggested as likely explanation for this difference. Factors influencing measurements are investigated and discussed.
Resistance, tacit and otherwise, should be expected when attempting to introduce group process in a medically oriented setting where concern about the emotional sequelae of physical disabilities is minimal. A "street corner" approach was used to motivate parents of young children with severe handicaps to participate in a "workshop" program addressed to concrete concerns of child care, while at the same time dealing with parental feelings of shame and guilt arising from the birth of a physically defective child.
Mastectomy is a frequently performed, emotionally stressful surgical procedure. Based on theories of loss and grief and crisis intervention, an in-hospital group program has been established to facilitate rehabilitation of patient and family. This paper discusses the alleviation of grief reactions and the fostering of growth-producing behavior through early postoperative participation in such groups. The function of the social worker as a member of an interdisciplinary team is examined, with particular focus on skills involved in promoting and enhancing the group process.
Behavioral science training in family practice at Madigan Army Medical Center, Tacoma, Washington, has used small group seminars to teach family dynamics on an experiential level. The group process is similar enough to dynamics within families to facilitate understanding by introspection. Small groups are an efficient method for teaching, and allow experiential learning to occur spontaneously as well as on a planned basis.
The authors conducted a quantitative examination of parallels between milieu and therapy group dynamics on a short-term inpatient unit. The Ward Atmosphere Scale was used to assess the milieu, and the Group Climate Questionnaire-S to measure processes in key groups. Assessments were made by patients and staff once each week for 10 months. The authors found clear parallels between ward and therapy group processes. The parallels reflected the impact of patterns utilization of the unit, its treatment philosophy, and the emotional dynamics of its constituents. Examination of these associations also revealed limitations of the treatment setting, clarified the potential impact of particular staff interventions, and demonstrated biases in the rating methods. Study of parallel process on the psychiatric unit is a rich source of information on the nature of inpatient treatment.
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Many liaison psychiatrists have advocated staff meetings as a means of enhancing communications on a medical ward. This paper, based on a one year experience as a psychiatric consultant to a medical ward in a major teaching institution, describes the implementation of a weekly group meeting of nursing and social service staff as a component in the structure of an effective liaison service. Case material is presented to document the efficacy of group process as a teaching and therapeutic modality. By encouraging the verbalization of cogent feelings and anxieties in a weekly group meeting, members developed a sense of mutual trust and openness. In an atmosphere conducive to promoting clarification, understanding, and insight, the group members increased their self awareness of the psychological aspects of physical disease and the effect of their own emotions on the interpersonal process of patient care.
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At the University of Michigan Medical School in 1990, the authors investigated the effects of faculty facilitators' levels of content expertise on the educational process and learning outcomes of small-group teaching sessions. The study was conducted in a microbiology course for second-year students in which four small-group sessions were used to replace 38 hours of lecture and laboratory time. The interactions between 11 expert and ten non-expert faculty facilitators and 156 students were observed and coded. The students' levels of knowledge and satisfaction were measured. The results indicate that, although significant differences in faculty-student interactions were not observed, the students in the 11 groups led by the content experts had higher levels of satisfaction and higher examination scores.
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