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Narrative therapy
Weaknesses in narrative therapy
Ethics in group therapy
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Record of Service Ashley M. Mosgrove Simmons College Group Information The group being observed does not have an official name. It is a narrative therapy group for individuals with substance use issues. All members have faced legal consequences a result of their substance use and have been legally mandated to attend this group. Agency and/or setting information is unavailable. Due to the fact that this was a singular observation in the middle of the group’s lifespan, group purpose is unclear. The group is comprised of five middle-aged individuals. Within the group, there are three white men, one African American man and one woman of color. All members are able-bodied. There is no specific information available regarding …show more content…
All of the group members continue to remain quiet. The group members’ silence can also be seen as a demand for work, but for the therapist. Perhaps the group members are feeling unsafe and would like the facilitator to intervene and bring the group to more safe content (Glossary of Important Group Work Concepts, n.d.). The facilitator then asks a group member directly. She asks one of the men, who will be named George, if he can relate. She likely knows that many members can relate and is attempting to develop a sense of mutuality. George has been relatively quiet throughout the session. He has been clear from the beginning that he feels like he does not have a “problem” and that he does not belong to the group. He does not have anything to say about Regis’ admission. He admits that he relates to the feeling of being labeled. This was part of the content being expressed before Regis’ admission. Perhaps this content felt safer for …show more content…
The top issue identified was the “communication among group members outside of group meetings.” This is an ethical issue as it violates code 1.07 in the NASW code of ethics (2017), which is the social workers ethical responsibility to maintain privacy and confidentiality. Group workers have little control over clients’ behaviors when they leave the group. Olivier (2009) found that there were many means used to protect privacy for group members. Among these means included discussing confidentiality in the initial session and/or periodically, group facilitator “modeling” the maintenance of group confidentiality through one’s actions and comments, discussing confidentiality in a meeting with prospective group members before they join the group, requiring group members to commit to maintaining confidentiality through a verbal agreement, and reviewing limits of confidentiality with group members. Reflection This analysis allowed me to apply group work concepts to an actual group therapy session. Although I was not the facilitator, I began to think more like a group worker. I was able to identify a significant moment, analyze it, and think more about what the group needed in the moment. I noticed that the different types of group members are not always so obvious. When they are described in our coursework, they are almost like
There are many ways to communicate and incorporate therapeutic aspects into dealing with any patient, but this also applies to group therapy as well. Yalom’s therapeutic
Breaking confidentiality would threaten the goodwill and relationships within our group and could detriment group function. Protecting human relationships is a critical value in social work, and this worker strives “to promote, restore, maintain, and enhance the well-being of individuals, families, social groups, organizations, and communities” (Code of Ethics - NASW, n.d.). Sharing confidential information would go against social work’s ethical principles and tarnish the integrity of this worker who is intentionally “moving toward adherence to one’s professed values” (Miller & Rollnick, 2012, pg.
Moreover, ethical issues are ubiquitous within the field of social work. As such, social workers employed in all facets of the profession, whether it is substance abuse, mental health, among many others encounter ethical issues common and specific to each area. According to the article “Ethical Issues in Addiction Counseling” by Cynthia G. Scott (2000), prominent ethical situations specific to the field of substance abuse include, “confidentiality and privileged communication” (p. 213). In her article Scott (2000) discuss the blurred boundaries of confidentiality with regards to group counseling. The author points out the discrepancy in federal confidentiality laws that prevent the practitioner from sharing confidential information disclosed
Engleberg, Isa N. and Dianna R. Wynn. Working in Groups. 6th ed. Boston: Pearson, 2012. Print.
Looking for new and more effective ways to treat the issues of their clients, counselors and therapists may often begin to consider leading a group therapy session. Group therapy is a form of therapy in which a therapist either treats or provides psychoeducational skills to a small, carefully planned target group of individuals in an effort to ameliorate the issues and dysfunctions of each individual in that particular group of patients together (Scheidlinger, 2004). In this group, therapists often utilize some of the psychotherapy theories such as Gestalt, transactional analysis, psychotherapy or psychodrama which they often use to treat clients individually.
One objective is to utilize the most powerful tool at psychotherapy’s disposal; the group experience. By one individual sharing their experience within the group, the other members are able to identify their similar experiences and work toward their own growth. Group therapy also increases self-awareness of clients in order for them to think introspectively in order to make a change in behaviors, increases social comfort, allowing exploration of new behaviors, provide and obtain support, develop communication skills, and promote interactions with others using truth and
Lindsay, T., & Orton, S. (2008). Groupwork practice in social work (2nd ed.). Exeter: Learning Matters.
As a student, practice is crucial to learn group therapy techniques. In order to achieve these practices, I attended 2 support groups of the same topic. Observation and attendance constructs an idea of how group therapy works. Attending this group was important because of the profoundness of its meaning and experiences I have witnessed.
According to social psychologists a group is composed of more than two individuals who depend and interact with each other in some manner (Lessing). Examples of groups include a class, a football team, a cult etc. Groups normally have various similar features including: norms that determine the right behavior, roles assigned to individuals, which determine what responsibilities and behaviors people should undertake, a communication structure and a power structure, which determines how much influence and authority group members have. For example, a class has norms, like the time people should arrive in class. The role of the professor includes teaching, administering exams and inviting discussions. The ro...
Gadding, S. T. (2012). Groups: A counseling specialty (6th ed.). Upper Saddle River, NJ: Pearson Education
Toseland, R & Rivas, R 2012, An Introduction to group work practice, 7th edn, Allyn & Bacon, Massachusetts.
Social Workers must be knowledgeable on how to facilitate and lead group sessions with clients. They must be cognizant on their responsibilities as a facilitator, and diligently work to meet the needs of all group members collectively and individually. According to Toseland, Ronald, & Rivas, Robert (2009) group work practice focuses on Social Work practice with a broad range of treatment and task groups and the group’s environment (pg. 2.). It is significant for Social Workers to be equipped with the knowledge and skills to be able to properly assess and assist in group atmospheres. At my field placement which is at the Covenant House, a homeless shelter in Detroit that services youth from ages 18-24. I am responsible for co-facilitating along with the agency’s Social Worker, a
After completing the group task of preparing a presentation on, transferring individual facilitation skills into a group work setting, I will critically reflect upon my own participation. I will evaluate my self-awareness while working in the group, as well as those around me. The way that I personally dealt with any issues that arose within the group and how that affected the group dynamics. I will also briefly discuss the roles in which each member of the group took part and how role allocation affected, the group dynamics and the working relationships. Finally, I will evaluate my work having discussed it with my fellow group members.
In reflection on my learning experience in the group class, I have gained clarity on what sorts of competencies of facilitating group therapy, as well as in what areas social workers and students tend to feel most strong in my practice. Regarding my specific gains in competencies, I feel that I learned the most and was most likely to gain specific group facilitating competencies at the weekly class. Learning in group class is taught me the tools to use to work with groups therapy, communities and also with individuals through the process of changes. In this past three months I think a lot of opportunities have been created to shadowing with (beside and behind) and being a part of group members to learn. In addition, this class has taught me about the skills and how effectively help
Concepts In the first chapter, the therapeutic factors that stood out to me the most was instillation of hope. There is research that says most therapies operate through hope and conviction. Group therapists do all that they can to increase the patient’s belief and confidence in group therapy that works effectively. Also, it is important that therapists believe in themselves. The most important is that members learn from others who have similar problems how therapy can work for them in their life.