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Exam 2_ NSG 526 (3).

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Exam 2_ NSG 526 (3).

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Exam 2: NSG 526
Group Therapy primary purpose - ANS-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 - ANS-make an observation about the group's silence and invite the others
to comment

the technique of "Information Giver". - ANS-During group members sharing methods they
personally use for dealing with problems

CBT - ANS-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 - ANS-Attempts to explain the dynamics of interpersonal relationships between
humans. A child needs to form a relationship between at least one primary caregiver.

Mileu - ANS-Milieu therapy requires consideration of the client's social, economic, and cultural
status.

Complementary Alternative Medicine vs Western major difference - ANS-Western medicine
focuses on what is done to the patient whereas CAM focuses on mind-body interactions.

Beck - ANS-Beck developed the cognitive model of DEPRESSION and the concept that
cognitive processing distortions underlie psychological disorders

ACTIVE, TIME-LIMITED APPROACH

According to BECK depression can be understood via - ANS-1) cognitive errors, and the
2) cognitive triad (i.e., negative views of SELF, a tendency toward interpreting
EXPERIENCES/WORLD in a negative manner, and holding negative views of the FUTURE).
3. Schemas

Beck's Cognitive Therapy suggests - ANS-Depression is triggered when dysfunctional schemas
are activated and give rise to negative cognitions and patterns of information processing that
precipitate depression

Albert Ellis Rational Emotive Therapy (RET) - ANS-RET (Rational Emotive Therapy) a form of
CBT

,RET (albert ellis) - ANS-is a psychotherapeutic approach that proposes that 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 (albert ellis) - ANS-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).

Operant conditioning - ANS-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 - ANS-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 (Yalom) - ANS-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. knowing
ones experience is not unique

Altruism (Yalom) - ANS-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.

The act of one member helping another putting others need before their own and learning that
there is value in giving to others.

Freud believed it was a major factor in establishing group cohesion and community feeling.

Instillation of hope (Yalom) - ANS-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 of information (Yalom) - ANS-learning factual information from other members, for
example about tmt or about access to services

, Corrective recapitulation of primary family experience (Yalom) - ANS-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 (Yalom) - ANS-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.

Imitative behavior (Yalom) - ANS-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 (Yalom) - ANS-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 (Yalom) - ANS-Learning that one has to take responsibility for one's own life
and the consequences of one's decisions

Catharsis (Yalom) - ANS-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 therapy group - ANS-The FOCUS is change. The group provides the
antidotes to maladaptive behaviors through feedback from others and encouragement to
experiment with healthier behaviors, first within a group and then outside. The joint examination
of inter group transference reactions allows members to replace processes that have a historical
origin in the "THERE AND THEN" - the dynamic past with in those more appropriate to the
HERE and NOW- the dynamic present

Self-understanding (Yalom) - ANS-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 - ANS-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

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