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FACILITATING GROUP THERAPY: Providing groups to various populations Rev. Lois C. Morrison, BCC, CACAC3.

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Presentation on theme: "FACILITATING GROUP THERAPY: Providing groups to various populations Rev. Lois C. Morrison, BCC, CACAC3."— Presentation transcript:

1 FACILITATING GROUP THERAPY: Providing groups to various populations Rev. Lois C. Morrison, BCC, CACAC3

2  Gain understanding of variety of groups  Understanding role of Chaplain in group facilitation  Benefits Groups can provide to patients Goals of Session

3  Group facilitator since 1980  Education and therapy groups for addicts and their families for 7 ½ years  Spirituality; Bereavement; Substance Abuse groups for dual diagnosed, the mentally ill; age specific groups for both inpatient and outpatient treatment centers for 22 years. Rev. Lois C. Morrison, BCC, CACAC3

4  Oral tradition of the Bible  Native Americans around the campfire  Parker Palmers, “circles of healing”  Twelve Step groups  Therapy  Support Groups in History

5  Individual and unique to time and place and persons  Fluid and ever changing Groups are…

6  Participants can build sense of community  Participants begin to realize they are not alone  Safe place to share experiences  Can share individual perspectives and receive feedback  Invite participants to new understanding Positive Attributes of Groups

7  Belittling occurs  Negativity takes over  Confidentiality is breached  Respect of individuals does not occur Groups also can be destructive if:

8  Educational: DUI groups mandated by court system. Very little interpersonal interaction.  Therapy: Specific Goals including patients identifying connections with behaviors and life satisfaction; self esteem issues; developing goals and empathy for others. Types of Groups

9  Shared experiences  Safe place to share  Problem solve together  Share experience of chronic life limiting illness  Questions of faith / where God is in their journey Breatheasy & Cardiac Rehab

10  Supportive, interactive  Reflective  Invitational, not confrontational  Environment of safety Spirituality Groups

11  Adolescent Story Telling  Geriatric Story Telling  Axis II (Personality Disorder) focused groups  Axis I focused groups  Dual Diagnosis Groups  Bereavement Groups Mental Health Inpatient

12  Iceberg Image  Relaxes teens… can help to drop defenses  Discovery… teens did not like to be read to  “Taking the ditch” story Journey in Story: Adolescents

13  Integrating life experiences  Reminiscing  Discovery: Geriatrics like to be read to  Patients eager to share their stories Geriatrics Story Group

14  The moment is all you have  Don’t expect insight  Discovery… every moment is beautiful and meaningful… Embrace it. Dementia Groups

15  Reality based groups  Focus on theme of group  Be wary of manipulation  Self esteem issues common  Be prepared for drama Personality Disorders

16  Story telling kept to minimal to non existent  Groups focused, often times brief  Boundaries  Patients generally do not attend until medications begin taking effect Groups with Delusional Patients

17  Fixed delusions are unchangeable – work within delusion.  Delusions have a grain of truth within them. It is helpful to discover it if possible.  Religiously preoccupied – discipline or preoccupation? Notes about delusional patients

18  Supportive – ongoing  Progressive – One groups builds on another. Participants commit to a 6-10 week program typically meeting once a week. Bereavement Groups

19  People can come in at any point  Common experience of loss  People can experience hope  People at varying points of grief/loss  Ongoing Supportive Bereavement Groups

20  Without agenda topic can be repetitive  Can turn into social clubs  Participants may have difficult time relating to one another Supportive Bereavement Groups

21  Facilitator trained in Bereavement  Group members start out process together  Set agenda’s each week  Have a starting and ending point Progressive Grief Groups

22  Difficulty in making commitments when grieving  Expectation of feeling better immediately  Participants entering too soon after loss  Another loss as group ends  Closed groups Progressive Bereavement Groups

23  Comprehension of mental illness diagnosis and/or addiction  Respect for another’s faith journey  Learning personal/professional flexibility  Setting clear boundaries  Openness  Skilled in re-direction  Determine group goals Preparing for Group

24  Willingness to respect one another  Guarantee your confidentiality  Set ground rules  Sharing encouraged Expectations

25  Maintain open, respectful presence  Redirection as necessary when off topic; patient monopolizing, evangelizing, agitation, disrespectful behavior  Open and close group on time  Set ground rules and boundaries Facilitators Responsibilities

26  In a six member group there is one conservative Christian, one Jewish, two agnostics and two who “Church hop” Group Example

27  “Why did God give me a mental illness?”  “Why do bad things happen to good people?”  “If God is good, why is there suffering?”  “Is there really a God?” Unanswerable Questions

28  “Educated by my clients, I have expanded my notion of what it means to be religious, to be spiritual. The source of the word religion, the Latin religio, is “to bind back.” Religion is meant to bind us back to the Creator, not to bind us internally with knots of fear, anxiety, and prejudice. Spiritual, with its root in spirit or breath, refers to the source of life.” Wrestling with Our Inner Angels by Nancy Kehoe Spirituality or Religious

29  “This category can be used when the focus of clinical attention is a religious or spiritual problem. Examples include distressing experiences that involve loss or questioning of faith, problems associated with conversion to a new faith, or questioning of spiritual values that may not necessarily be related to an organized Church or religious institution.” DSM IV: V62.89 Religious or Spiritual Problem

30  Can be destructive if message given is the mental illness is a judgment  Some religions do not support medications for the mentally ill  Lack of understanding of mental illness  People with mental illness are used to judgments… they will sense it if it is there Religious Institutions and the mentally ill

31  May speak out during worships services  Can monopolize, disrupting studies  Short attention spans The mentally ill in Religious Settings

32  Thank you for attending this webinar. My prayer is you found something useful in this presentation. Blessings! Questions

33  Kehoe, Nancy; Wrestling with our Inner Angels; Jossey-Bass, 2009  American Psychiatric Association; Diagnostic and Statistical Manual of Mental Disorders; Fourth Edition, 1995  Oates, Wayne; The Religious Care of the Psychiatric Patient; 1990  Palmer, Parker; A Hidden Wholeness; Jossey-Bass; 2004 References

34  Benson, Robert; Between the Dreaming and the Coming True; Tarcher/Putman; 2001  Devesone, Anne; Tell me I’m Here; Penguin Books; 1991  Slater, Lauren; Welcome to My Country; Hamish Hamilton LTD; 1996 References

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