Sample Answer for NRNP 6645 Analyzing Group Techniques Included After Question
In a 3- to 4-page paper, identify the video you selected and address the following:
- What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?
- What evidence from the literature supports the techniques demonstrated?
- What did you notice that the therapist did well?
- Explain something that you would have handled differently.
- What is an insight that you gained from watching the therapist handle the group therapy?
- Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?
- Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
A Sample Answer For the Assignment: NRNP 6645 Analyzing Group Techniques
Title: NRNP 6645 Analyzing Group Techniques
Group therapy has been identified to be quite beneficial to patients with mental illnesses despite the type of disorder they might be suffering from.There are many aspects involved in order to make it a success and there are different techniques used for different patients depending on their condition in order to bring about the best outcome for them. This paper will look into the psychotherapy group for schizophrenia video and assess all the involved aspects such as techniques as well as how the therapist handled the session in order to ensure a therapeutic impact to the patients (Gerber, 2013).
Demonstrated Group Techniques
There were several group therapy techniques used in the session to ensure effectivity and a beneficial outcome to the patient. Among them was cognitive behavioral therapy (CBT). This entails identifying and challenging negative thoughts and feelings. This is demonstrated when the therapist facilitator together with the co-facilitator initiate the session by having a check-in to assess how the group members are feeling emotionally. One of the group members state they felt depressed and later in the session the facilitators taught them breathing exercises to help them to alleviate negative emotions (Gerber, 2013).
Another technique utilized was social skills training. The technique involves teaching as well as practicing of social skills such as communication in order to improve interpersonal relations .This was demonstrated when a female group member stated she had followed as per the facilitator’s advice and instead od being withdrawn and staying at home she went and had a conversation with her neighbor thus helping in improving her condition (Gerber, 2013).
Supportive therapy was an additional technique used in the session. This entails sustaining an environment that is non-judgmental and free for one to express the thoughts and emotions. The technique was demonstrated whereby the facilitators stated the rules at the beginning of the session stating that the details shared should be held in confidence and there should no mocking other members in the session when they were expressing themselves (Gerber, 2013).
Literature that Supports the Used Therapeutic Techniques
The are several bodies of literature that support the utilized therapeutic techniques in the video. One of them being from a study researched by Wykes it found that CBT had a positive impact in patients suffering from schizophrenia as it helped in reducing symptoms they suffer from. It also helps in improving their general functioning thus bringng about a therapeutic impact to them (Wykes et al., 2011).
Also in another metanalysis done by Kurtz and Mueser it found that social skills training helped to improve social anxiety in patients with schizophrenia. Throughobtaining the skills patients were able to improve their tolerance in social spaces and also their ability to relate with other people. This results in patients having a better general functioning and an improved quality of life (Mueser et al., 2021).
Additionally in a study done by Bighelli it found that techniques used in group therapy such as supportive therapy were beneficial to patients with schizophrenia. Apart from improving general functioning it helped in preventing relapse of symptoms or tendencies that would bring about a relapse such as drug use thus ensuring the patient’s condition improves. Such interventions this bring about a therapeutic impact to a patient (Bighelli et al., 2018).
Aspects that the Therapist Perfomed well in
From the session there are several areas that the therapist perfomed well in. One of them was she established a safe and supportive environment at the beginning of the session. The therapist first started by explainin the rules and regulations of the session which would help the patients as they shared their experiences in that they would feel protected and not disregarded in whatever they decide to talk about. This was a notable and vital thing that the facilitator did especially by saying it at the beginning of the session to ensure others would priortitize it (Gerber, 2013).
The therapist also did well by teaching coping skills such as breathing exercises that would help patients in difficult situations. By doing so she helped the patients by identifying a technique that would help alleviate their symptoms and also aid in improving their quality of life. Also another area the therapist did well was on taking an observational role and ensuring turn taking. This helped as they would able to monitor the group dynamics thus ensuring everyone had an opportunity to speak and no single person was dominating hence ensureing the effectivity of the group therapy session(Gerber, 2013).
Areas that in the Session I would have handled differently
Overally, the involved facilitators in the session handled it well and the patients would be able to benefit from it. However, there are in certain aspects I would have done things differently in order to bring about a more therapeutic impact. One of the things I would have done would be to offer psychoeducation. Through this I would have provided information in regards to their condition such as clinical manifestations of schizophrenia and their causes all in an effort to reduce stigma and feelings and instead bring about empowerement. This would have applied to the patient who cut short their interaction with the neighbor as they thought the neighbor considered them crazy, thus through the psychoeducation they woul gain more confidence to continue on with conversations instead of cutting them short (Bighelli et al., 2018).
Another area I would have done differently would be addressing concerns and challenges faced by patients. In the situation whereby a male patient stated they felt depressed therefore they took marijuana I would have expanded the conversation and spoke about a negative impact of taking drugs to deal with negative emotions but instead result to other techniques that have a therapeutic impact. Furthermore, I would have also talked about importance of drug adherence and this would help in dealing with the signs and symptoms that would come about due to their condition (Mueser et al., 2021).
Insight gained from watching the Therapist handle the Group Therapy
From watching the therapist conduct the group therapy session there are a number of insights you can obtain from that the most notable being ethical and professional conduct. The therapist initiates the session by stating the rules and gudilines that group members should adhere to throughout the session and she also sensitizes that the information shered will be held in confidence as the privacy of the members is highly regarded. Also she conducts the session in a professional and organized manner allowing each member sufficient time to speak without bias and also applies therapeutic techniques where necessary as expected of a facilitator of such expertise (Bighelli et al., 2018).
Scenario in which I am Leading a Group Therapy Session
In the event I am handling a group therapy session and a member is disruptive I would start by reminding them of the established rules and regulations that each member no matter who they are should adhere to. I would also give them an opportunity to explain their behavior while reminding them that the session has set boundaries in order to protect the members. If the patient continues being disruptive I would put them on a time out or have them dismissed as ignoring their behavior could trigger other patients and significantly interrupt the group therapy session leading it to be unsuccessful (Mueser et al., 2021).
In order to elicit participation I would ensure there is appropriate turn taking by ensuring every member has an opportuinity to speak and with sufficient time. Also I would allow feedback not only from facilitators but also patients and feedback that is constructive in order to involve the other patients and encourage patient who gets feedback to speak up the next time as they would get beneficial information (Bighelli et al., 2018).
Among the findings I would expect in the various phases of a group therapy session would be cohesion especially after several sessions unity will form among members. Also one would expect skill development as in during the sessions individuals learn various skills and therapeutic techniques that they then develop and apply. Additionally, increased disclosure would occur as one goes through the various phases of therapy one gets more comfortable and open to talk about their thoughts and feelings (Mueser et al., 2021).
There are various challenges and benefits that could occur in a group therapy session. Among the benefits would be gaining coping skills, improved quality of life and build reliable relationships. In such a session one learns a variety of things which they can intergrate into their life and improve theit general functioning. Also the group therapy session gives someone a sense of belonging and make them aware that they are not alon in their wellness journey (Bighelli et al., 2018).
There are however challenges in a group therapy session one of the most notable ones being confidentiality breaches whereby information shared in the session is made aware to other people not involved in the therapeutic care of the patients. Also, lack of control can occur in a session in the case whereby a patient is not compliant or their signs and symptoms become severe during the session thus interrupting it. Furthermore, consistency of members can bcome a challenge in ensuring they get the required therapeutic care, however if the patients do not attend meeting as instructed the impact to their health can be low and the help they would have obtained from the session will not be achieved (Mueser et al., 2021).
From the video we are able to see that group therapy is an effective form of therapy that can be applied for various mental conditions even schizophrenia. There are a variety involved techniques that are utilized in order to make it a success and are applied depending on the issue that the patients need help in resolving. Facilitators also in order to ensure effectivity of a group therapy session should have ethical and professional codes that are used throughout the sessions while also ensureing that members are treated equally and given a similar opportunity to express themselves (Gerber, 2013).
Bighelli, I., Salanti, G., Huhn, M., Schneider‐Thoma, J., Krause, M., Reitmeir, C., … & Leucht, S. (2018). Psychological interventions to reduce positive symptoms in schizophrenia: Systematic review and network meta‐analysis. World psychiatry, 17(3), 316-329
Browne, J., Wright, A. C., Berry, K., Mueser, K. T., Cather, C., Penn, D. L., & Kurtz, M. M. (2021). The alliance-outcome relationship in individual psychosocial treatment for schizophrenia and early psychosis:
A meta-analysis. Schizophrenia Research, 231, 154-163.
Wykes, T., Huddy, V., Cellard, C., McGurk, S. R., & Czobor, P. (2011). A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. American Journal of Psychiatry, 168(5), 472-485.