Social Group Work in Action: a Sociometry, Psychodrama, and Experiential Trauma Group Therapy Curriculum

Total Page:16

File Type:pdf, Size:1020Kb

Social Group Work in Action: a Sociometry, Psychodrama, and Experiential Trauma Group Therapy Curriculum University of Pennsylvania ScholarlyCommons Doctorate in Social Work (DSW) Dissertations School of Social Policy and Practice Summer 6-18-2019 SOCIAL GROUP WORK IN ACTION: A SOCIOMETRY, PSYCHODRAMA, AND EXPERIENTIAL TRAUMA GROUP THERAPY CURRICULUM Scott Giacomucci University of Pennsylvania, [email protected] Follow this and additional works at: https://repository.upenn.edu/edissertations_sp2 Part of the Social Work Commons Recommended Citation Giacomucci, Scott, "SOCIAL GROUP WORK IN ACTION: A SOCIOMETRY, PSYCHODRAMA, AND EXPERIENTIAL TRAUMA GROUP THERAPY CURRICULUM" (2019). Doctorate in Social Work (DSW) Dissertations. 124. https://repository.upenn.edu/edissertations_sp2/124 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/edissertations_sp2/124 For more information, please contact [email protected]. SOCIAL GROUP WORK IN ACTION: A SOCIOMETRY, PSYCHODRAMA, AND EXPERIENTIAL TRAUMA GROUP THERAPY CURRICULUM Abstract The demand for group work in social work practice has steadily increased while the group work education provided in social work programs has exponentially declined. Social work education and social work practice are intimately linked – one cannot be examined without considering the other. The historical, theoretical, and clinical intersections of social work with groups and the triadic system of J.L. Moreno (sociometry, psychodrama, and group psychotherapy) will be explored. Moreno’s work will be framed through a social work lens with primary concepts defined. woT trauma-specific psychodrama models (Therapeutic Spiral Model and Relational Trauma Repair Model) will be outlined with their emphasis on strengths, containment, and safety. The clinical research and integrated neurobiology research will be presented as a growing evidence base for psychodrama and experiential trauma therapy. Next, an overview of the state of sociometry, psychodrama, and experiential group psychotherapy education will be outlined to provide a global and historical contextualization with an emphasis on experiential education and its complimentary nature with social work education. Finally, an MSW course curriculum will be provided to mediate the existing hole in social work education resulting from the decline of group psychotherapy training. Degree Type Dissertation Degree Name Doctor of Social Work (DSW) First Advisor Marcia Martin Second Advisor Sari Skolnik Third Advisor Catherine Nugent Keywords Social Work with Groups, Group Therapy, Group Work Education, Sociometry, Psychodrama, Experiential Trauma Therapy Subject Categories Social and Behavioral Sciences | Social Work This dissertation is available at ScholarlyCommons: https://repository.upenn.edu/edissertations_sp2/124 Social Group Work in Action Giacomucci 1 SOCIAL GROUP WORK IN ACTION: A SOCIOMETRY, PSYCHODRAMA, AND EXPERIENTIAL TRAUMA GROUP THERAPY CURRICULUM Scott Giacomucci, MSS, LCSW, CTTS, CET III, CP, PAT A DISSERTATION In Social Work Presented to the Faculties of the University of Pennsylvania In Partial Fulfillment of the Requirements for the Degree of Doctor of Social Work 2019 Marcia Martin, Ph.D. Dissertation Chair Sara S. Bachman, Ph.D. Dean, School of Social Policy and Practice Dissertation Committee Sari Skolnik, PhD, LCSW, PAT Catherine D. Nugent, LCPC, TEP Social Group Work in Action Giacomucci 2 Dedication I dedicate this dissertation to Zerka and Jacob L. Moreno – the parents of psychodrama. This project brings me a step closer to fulfilling my personal commitment to Zerka to help carry the psychodrama method to the next generation. “Moreno long wished his work to be identified as a way of life, instead of merely categorized as a therapeutic procedure. He further declared that instead of looking at mankind as a fallen being, everyone is a potential genius and like the Supreme Being, co-responsible for all of mankind. It is the genius we should emphasize, not the failings.” -Zerka T. Moreno “Educating the mind without educating the heart is no education at all.” -Aristotle Social Group Work in Action Giacomucci 3 Acknowledgements First, I must acknowledge my wife Maria for her support, encouragement, and patience. Her flexibility and support as a partner made this DSW possible. Nobody has listened to me talk about this dissertation as much as she has. A social worker in her own right, she has provided invaluable insight, encouragement, love, and self-care reminders during this process. I wish to acknowledge my parents – Steve and Michele. Upon the completion of this dissertation, it is clear that my strengths are an integration of their strengths. I’ve inherited my father’s attention to detail, efficiency, awareness of systems, appreciation of history, and love of learning and reading. These are in addition to my mother’s compassion, service to others, attention to relationships and community, spirituality, and emphasis on the dignity and worth of each person. While my parents were both the first of their family to complete a graduate degree, I will be the first in my family to be awarded a doctoral degree. I would like to thank my dissertation committee for their guidance and support during this process. I was blessed to have the collective experience, wisdom, and knowledge of these three women on my side – Marcia Martin’s knowledge of curriculum development and social work education, Sari Skolnik’s expertise in social work and psychodrama, and Cathy Nugent’s experience teaching multiple psychodrama university courses. I have had numerous teachers and mentors on my journey that have contributed to shaping me into the person and professional that I am today – including Frank M., Ted L., and Jim Frank. I would not be the psychodramatist that I am today without several years of mentorship, training, and supervision by Kate Hudgins, Edward Schreiber, and David Moran. Additionally, I am indebted to the generosity of Mirmont Treatment Center administration and my supervisors over the years (Tom Cain, Peg Costello, Michelle McIver, John Halloran, Jess Molavi, and Valerie Cannon) for embracing my work as a psychodramatist and supporting my development as a practitioner and trainer. I would like to express my gratitude to the University of Pennsylvania for the opportunity to learn from the incredible faculty in our social work school. I would also like to thank Bryn Mawr College’s Graduate School of Social Work and Social Research for the opportunity to put this dissertation project into action and teach my curriculum during the 2019 Spring semester. I wish to thank the International Association of Social Work with Groups (IASWG) SPARC program for their endorsement of this dissertation project. Finally, I would like to thank Jacob L. Moreno for his life’s work developing Sociatry, Sociometry, Psychodrama, and Group Psychotherapy, as well as Zerka Moreno for her immense contribution to the field of psychodrama and for her personal acknowledgement to me. Social Group Work in Action Giacomucci 4 Social Group Work in Action Giacomucci 5 Abstract SOCIAL GROUP WORK IN ACTION: A SOCIOMETRY, PSYCHODRAMA, AND EXPERIENTIAL TRAUMA GROUP THERAPY CURRICULUM Scott Giacomucci, MSS, LCSW, CTTS, CET III, CP, PAT Dissertation Chair: Marcia Martin, Ph.D. The demand for group work in social work practice has steadily increased while the group work education provided in social work programs has exponentially declined. Social work education and social work practice are intimately linked – one cannot be examined without considering the other. The historical, theoretical, and clinical intersections of social work with groups and the triadic system of J.L. Moreno (sociometry, psychodrama, and group psychotherapy) will be explored. Moreno’s work will be framed through a social work lens with primary concepts defined. Two trauma-specific psychodrama models (Therapeutic Spiral Model and Relational Trauma Repair Model) will be outlined with their emphasis on strengths, containment, and safety. The clinical research and integrated neurobiology research will be presented as a growing evidence base for psychodrama and experiential trauma therapy. Next, an overview of the state of sociometry, psychodrama, and experiential group psychotherapy education will be outlined to provide a global and historical contextualization with an emphasis on experiential education and its complimentary nature with social work education. Finally, an MSW course curriculum will be provided to mediate the existing hole in social work education resulting from the decline of group psychotherapy training. Keywords: Social Work with Groups; Group Therapy; Group Work Education; Sociometry; Psychodrama; Experiential Trauma Therapy Social Group Work in Action Giacomucci 6 Table of Contents Dedication .......................................................................................................... 2 Acknowledgements ............................................................................................ 3 Abstract .............................................................................................................. 5 Table of Contents ..................................................... Error! Bookmark not defined. Introduction........................................................................................................ 9 Part 1: Group Work in Social Work Practice and Education ............................... 14 Chapter 1: Placing Group Work within the Historical Context of Social Work Education .... 14 Chapter 2: Group Work in Social Work Practice ...............................................................
Recommended publications
  • A Review of Psychodrama and Group Process
    International Journal of Social Work and Human Services Practice Horizon Research Publishing Vol.1. No.2 December, 2013, pp. 105-114 A Review of Psychodrama and Group Process Yehoshua1, Siu Fung Chung1,2,* 1School of Health, The University of New England, Australia, Armidale, NSW, Australia 2Kiang Wu Nursing College of Macau, MacauSAR, PRChina *Corresponding Author: [email protected] Abstract In recent years, group work therapy has been (Nuttman-Shwartz and Kleinberg). expanded rapidly throughout the world in helping However, while most psychodrama practices are professionals. Psychodrama, as a form of group conducted in a group work context, psychodrama psychotherapy, has already shown the potential for bringing practitioners and researchers mainly concentrate on the about positive change in participants for almost 80 years. psycho-therapeutic effects of the enactments of the However, while psychodrama is primarily a form of group individuals only. They seldom recognized it as a group psychotherapy, psychodrama practitioners and researchers work. Hence, the connection between psychodrama and have seldom recognized it as a group work. Hence, the group process have rarely been addressed. connection between psychodrama and group process has This review examines the development of research in the rarely been addressed. This review examines the connection between psychodrama and group process. An development of research in the connection between extensive literature search including books, reports, psychodrama and group process. An extensive literature monographs and journal articles has been conducted. search including books, reports, monographs and journal articles has been conducted. It is found that before the new Process of Classic Psychodrama suggested by Dayton century, psychodrama practitioners and researchers have largely ignored the group process.
    [Show full text]
  • Psychodrama As an Interactive Approach
    Psychodrama as an Interactive Method to Improve Teacher Candidates' Problem-solving Skill Asst. Prof. Gohar Seyedi Lokman Hekim University, Ankara/ Turkey ABSTRACT The study aims to use psychodrama techniques for teacher candidates to improve their problem-solving skills in teaching and classroom management in the first years of their profession and prepare them for future pedagogical challenges. For this purpose, an eight- week on-service teacher training workshop was designed to promote teacher candidates' cognition and creativity in decision making in problematic classroom situations through role playing, role reversal, doubling and mirroring. The impact of these psychodrama techniques on problem-solving skills was then evaluated through interview and reflection. The results proved that psychodrama had a marked positive impact on the problem-solving skills of participant teachers and their critical thinking as well as self-management that allows for resolution through action. Novice teachers had better go through workshops on psychodrama in order to bring about positive and impactful results in their professional development and creating rapport in the classroom, which would go a long way in effective and productive teaching. Key Words: Psychodrama, Problem-solving skill, Role reversal, Doubling, Mirroring 1. Introduction Teaching has been getting more and more complicated because of the changing nature of the world. Teachers face with many increasing challenges especially in the first years of teaching. Teaching is a practical activity
    [Show full text]
  • An "Authentic Wholeness" Synthesis of Jungian and Existential Analysis
    Modern Psychological Studies Volume 5 Number 2 Article 3 1997 An "authentic wholeness" synthesis of Jungian and existential analysis Samuel Minier Wittenberg University Follow this and additional works at: https://scholar.utc.edu/mps Part of the Psychology Commons Recommended Citation Minier, Samuel (1997) "An "authentic wholeness" synthesis of Jungian and existential analysis," Modern Psychological Studies: Vol. 5 : No. 2 , Article 3. Available at: https://scholar.utc.edu/mps/vol5/iss2/3 This articles is brought to you for free and open access by the Journals, Magazines, and Newsletters at UTC Scholar. It has been accepted for inclusion in Modern Psychological Studies by an authorized editor of UTC Scholar. For more information, please contact [email protected]. An "Authentic Wholeness" Synthesis of Jungian and Existential Analysis Samuel Minier Wittenberg University Eclectic approaches to psychotherapy often lack cohesion due to the focus on technique and procedure rather than theory and wholeness of both the person and of the therapy. A synthesis of Jungian and existential therapies overcomes this trend by demonstrating how two theories may be meaningfully integrated The consolidation of the shared ideas among these theories reveals a notion of "authentic wholeness' that may be able to stand on its own as a therapeutic objective. Reviews of both analytical and existential psychology are given. Differences between the two are discussed, and possible reconciliation are offered. After noting common elements in these shared approaches to psychotherapy, a hypothetical therapy based in authentic wholeness is explored. Weaknesses and further possibilities conclude the proposal In the last thirty years, so-called "pop Van Dusen (1962) cautions that the differences among psychology" approaches to psychotherapy have existential theorists are vital to the understanding of effectively demonstrated the dangers of combining existentialism, that "[when] existential philosophy has disparate therapeutic elements.
    [Show full text]
  • Group Psychotherapy Research That the Practitioner Might Actually Read
    Group Psychotherapy Research that the Practitioner Might Actually read Les R Greene, Ph.D. Department of Veterans Affairs and Yale University Dept. of Psychiatry Greene, L.R. (in press) Group Psychotherapy Research Studies that Therapists Might Actually Read: My Top-10 List. International Journal of Group Psychotherapy. The Pick-your-news Inventory For each item below, imagine that you are sitting at the breakfast table with a psychotherapy newsletter that reports on two recent group psychotherapy papers. You have time to read only one. Check (√) the one you prefer to read 1)____ Mentalization-based group therapy for inpatients with borderline personality disorder: Preliminary outcome findings OR ____Structure and leadership in mentalization-based group therapy for borderline personality disorders: A clinical analysis. 2)____A randomized clinical trial of group cognitive processing therapy compared with group present-centered therapy for PTSD among active duty military personnel. OR ____Applying group process theory in the development of a model of group therapy for partners of combat veterans with post-traumatic stress disorder. 2 3.____A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients. OR ____Acceptance -based group therapy and traditional cognitive behavioral group therapy for depression: Exploring mechanisms of change 4. ____The capacity to use the group as a corrective symbiotic object in group analytic psychotherapy: Its empirical relationship to outcome. OR ____On making a home amongst strangers: Reflections on the paradox of group psychotherapy. 5.____A research study on the mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder.
    [Show full text]
  • Child-Centered Group Play Therapy with Children
    CHILD-CENTERED GROUP PLAY THERAPY WITH CHILDREN EXPERIENCING ADJUSTMENT DIFFICULTIES Donald E. McGuire, B.S., M.Ed. Dissertation Prepared for the Degree of DOCTOR OF PHILOSOPHY UNIVERSITY OF NORTH TEXAS August 2000 APPROVED: Garry L. Landreth, Major Professor and Chair Donna Fleming, Minor Professor Carolyn W. Kern, Committee Member Jan Holden, Program Coordinator Michael Altekruse, Chair of the Department of Counseling, Development, and Higher Education M. Jean Keller, Dean of the College of Education C. Neal Tate, Dean of the Robert B. Toulouse School of Graduate Studies McGuire, Donald E., Child-Centered Group Play Therapy with Children Experiencing Adjustment Difficulties, Doctor of Philosophy (Counseling and Student Services), August 2000, 97 pp., 24 tables, references, 89 titles. This research study investigated the effectiveness of child-centered group play therapy with children experiencing adjustment difficulties. Specifically, this study determined the effectiveness of child-centered group play therapy in: (a) improving self- concept, (b) reducing externalizing, internalizing, and overall behavior problems, (c) enhancing emotional and behavioral adjustment to the school environment, and (d) increasing self-control of kindergarten children experiencing adjustment difficulties. Also investigated were child-centered group play therapy effects on reducing parenting stress of the parents of kindergarten children experiencing adjustment difficulties. The experimental group consisted of 15 kindergarten children who received one 40-minute child-centered group play therapy session per week, for twelve weeks. Group facilitators were play therapists who were doctoral students at the University of North Texas. The control group consisted of the 14 kindergarten students that had been assigned to the control group in Baggerly’s (1999) study.
    [Show full text]
  • Healthy Personality
    HEALTHY PERSONALITY Presented by CONTINUING PSYCHOLOGY EDUCATION 6 CONTINUING EDUCATION HOURS “I wanted to prove that human beings are capable of something grander than war and prejudice and hatred.” Abraham Maslow, Psychology Today, 1968, 2, p.55. Course Objective Learning Objectives The purpose of this course is to provide an Upon completion, the participant will understand understanding of the concept of healthy personality. the nature, motivation, and characteristics of the Seven theorists offer their views on the subject, healthy personality. Seven influential including: Gordon Allport, Carl Rogers, Erich psychotherapists-theorists examine the concept Fromm, Abraham Maslow, Carl Jung, Viktor of healthy personality allowing the reader to Frankl, and Fritz Perls. integrate these principles into his or her own life. Accreditation Faculty Continuing Psychology Education is approved to Neil Eddington, Ph.D. provide continuing education by the following: Richard Shuman, LMFT Texas State Board of Social Worker Examiners (Provider # CS3329) - 5 hours for this course; Texas State Board of Examiners of Professional Counselors (LPC Provider # 2013) - 6 hours for this course; Texas State Board of Examiners of Marriage and Family Therapists - 6 hours for this course; this course meets the qualifications for 6 hours of continuing education for Psychologists, LSSPs, LPAs, and Provisionally Licensed Psychologists as required by the Texas State Board of Examiners of Psychologists. Mission Statement Continuing Psychology Education provides the highest quality continuing education designed to fulfill the professional needs and interests of mental health professionals. Resources are offered to improve professional competency, maintain knowledge of the latest advancements, and meet continuing education requirements mandated by the profession.
    [Show full text]
  • Authenticity: a Goal for Therapy?
    Practical Philosophy Autumn 2002 Authenticity: A Goal For Therapy? M iriam Donaghy The concept of authenticity as a ‘moral ideal’, (that is, a It is this potential incompatibility between becoming standard for what is a better or higher way of living) is authentic and ceasing to suffer, or at least becoming less relatively new. Indeed, the contemporary notion of distressed, that I intend to explore in this paper. authenticity, commonly linked with ideas of self- realisation and self-fulfilment, only became possible with I shall begin by considering the link between authenticity, the writings of Rousseau, as prior to this, the notion that congruence and the concept of the ‘Self’ within humanistic each of us has ‘an original way of being human’ (Taylor, therapy. Then, by examining Heidegger’s concept of 1997:23) had not really been considered. According to authenticity in Being and Time, as well the views of Taylor, Rousseau was the first to put forward the idea that contemporary existential psychotherapists including van moral salvation was to be found ‘from recovering Deurzen (1988, 90, 97, 99), Cohn (1995), Spinelli (1994) and authentic moral contact with ourselves’ (ibid.), and thus Strasser (1997), I shall explore more fully how the the aim of making contact with our ‘inner’ or ‘true’ selves humanistic model’s concept of authenticity differs from gained a new significance. that used in an existential framework. In the field of psychotherapy and counselling the idea that I then propose to examine whether it is in fact possible to it was important to achieve this ‘authentic contact’ became achieve authenticity, what the implications and increasingly popular with the advent of the humanistic consequences of achieving it might be, and thus whether therapies, which flowered in North America and Britain in psychotherapists and counsellors wishing to alleviate the 1960s.
    [Show full text]
  • Group Cognitive Analytic Therapy for Female Survivors of Childhood Sexual Abuse
    This is a repository copy of Group cognitive analytic therapy for female survivors of childhood sexual abuse. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk/102719/ Version: Accepted Version Article: Calvert, R., Kellett, S. and Hagan, T. (2015) Group cognitive analytic therapy for female survivors of childhood sexual abuse. British Journal of Clinical Psychology, 54 (4). pp. 391-413. ISSN 0144-6657 https://doi.org/10.1111/bjc.12085 This is the peer reviewed version of the following article: Calvert, R., Kellett, S. and Hagan, T. (2015), Group cognitive analytic therapy for female survivors of childhood sexual abuse. Br J Clin Psychol, 54: 391–413, which has been published in final form at doi:10.1111/bjc.12085. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version - refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher’s website. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request.
    [Show full text]
  • Group Composition and Its Impact on Effective Group Treatment of HIV and AIDS Patients
    Journal of Developmental and Physical Disabilities, Vol. 7, No. 4, 1995 Group Composition and Its Impact on Effective Group Treatment of HIV and AIDS Patients Margaret J. Siebert 1 and William I. Dorfman 1 This paper reviews the literature on group therapy in the treatment of people with the Human Immunodeficiency l,qrus (HIIO and people with Acquired Immune Deficiency Syndrome (AIDS). Specifically, it examines the effect of group composition on the curative factors of group therapy. The variables of group composition explored are stage of illness, risk group for contracting HII~, and gender. This paper suggests that support groups that are homogeneous for stage of illness, risk behaviors, and gender provide members with the greatest benefits through facilitating the curative factors of group therapy: instillation of hope, universality, and group cohesion. KEY WORDS: groups; support; HIV. INTRODUCTION Studies have found that people who test positive for the Human Im- munodeficiency Virus (HIV) are likely to react with an increase in feelings of anxiety and depression (Tross and Hirsch, 1988). Many people have looked to the mental health system for help in dealing with their reactions to their HIV-positive status. Several studies have revealed that people who test positive for HIV, and people with Acquired Immune Deficiency Syn- drome (AIDS) have an interest in support groups and psychotherapy for help in coping with their diagnosis and the sequelae of AIDS (Child and Getzel, 1989; Donlou and Wolcott, 1985, as cited in Fawzy et aL, 1991; Wolcott et aL, 1986). Group therapy is the approach utilized most frequently by mental health workers to assist people in dealing with the emotional consequences 1Nova Southeastern University, Fort Lauderdale, Florida 33314.
    [Show full text]
  • Shaping Attitudes Towards Psychological Services Lisa M
    University of Northern Colorado Scholarship & Creative Works @ Digital UNC Dissertations Student Research 5-1-2012 Shaping Attitudes Towards Psychological Services Lisa M. Bobby Follow this and additional works at: http://digscholarship.unco.edu/dissertations Recommended Citation Bobby, Lisa M., "Shaping Attitudes Towards Psychological Services" (2012). Dissertations. Paper 78. This Text is brought to you for free and open access by the Student Research at Scholarship & Creative Works @ Digital UNC. It has been accepted for inclusion in Dissertations by an authorized administrator of Scholarship & Creative Works @ Digital UNC. For more information, please contact [email protected]. UNIVERSITY OF NORTHERN COLORADO Greeley, Colorado The Graduate School SHAPING ATTITUDES TOWARDS PSYCHOLOGICAL SERVICES A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Lisa Marie Bobby College of Education and Behavioral Sciences Department of Counseling Psychology May 2012 This Dissertation by: Lisa Marie Bobby Entitled: Shaping Attitudes Towards Psychological Services Has been approved as meeting the requirement for the Degree of Doctor of Philosophy in College of Education and Behavioral Sciences, Department of Counseling Psychology Accepted by the Doctoral Committee ________________________________________________________________________ Brian D. Johnson, Ph. D., Chair ________________________________________________________________________ Basilia Softas-Nall, Ph. D., Committee Member ________________________________________________________________________
    [Show full text]
  • Rapid Review Response: the Use of Facilitated Peer Support Group Model for People Living with HIV Question 1) What Are the Benef
    Rapid Review Response: The Use of Facilitated Peer Support Group Model for People Living with HIV Question 1) What are the benefits of group interventions for persons living with HIV/AIDS (PHAs), and 2) What are best practices in administering group intervention programming for PHAs? The Issue and Why It’s Important Therapeutic interventions utilizing group dynamics have evolved from basic “group therapy” (guided by a therapist and attended by several clients), to complex group interventions tailored to therapeutic needs and contextual factors (e.g., inpatient vs. outpatient, homogeneous vs. heterogeneous groups, and short vs. long term) (see Appendix 1 for a figure that outlines factors in group dynamics) (1). In the domain of health, group interventions have become increasingly popular for supporting persons affected by illness (2). In their special report series for the “International Journal of Group Psychotherapy” Sherman et al (2004) identify the following benefits of group interventions drawn from the literature: • They serve as forums for peer support, providing a sense of universalism or shared experience, and an opportunity to learn from others facing similar challenges; • Participants may derive hope by witnessing others face the challenge of illness with resourcefulness, experience renewed self-worth by helping others who are faring more poorly than they are (e.g., via downward and upward social comparison processes; • Peer support and modeling also may contribute to new coping resources and self-efficacy, perhaps more effectively than is possible in individual therapy. • Moreover, groups are often regarded by medical patients as less stigmatizing and by health providers as more cost-effective than individual treatment (3).
    [Show full text]
  • Ericksonian Hypnotherapeutic Approaches in Chronic Care Support Groups: a Rogerian Exploration of Power and Self-Defined Health Promoting Goals
    Dorothy Larkin, PhD, RN Professor, The College of New Rochelle School of Nursing Past President, The New York Milton H. Erickson Society for Psychotherapy and Hypnosis Private Practice Hypnotherapeutic Approaches can be integrated in all areas of health care Pain Management: Acute and Chronic Stress Management Health Promotion, Coaching, Wellness Counseling My experience utilizing hypnotherapeutic approaches as a registered nurse in: Burn Units, Intensive Care, Emergency Rooms, Labor and Delivery, Pediatric Bone Marrow Transplant Units, Psychiatric and Mental Health Nursing, Hospice, Private Practice (Larkin, 1988, Zahourek & Larkin, 1995, Larkin 2007, Larkin 2014) Sample Strategies Amplify Imagery, Meditation, Relaxation Inductions with Therapeutic Suggestions Integrate Pacing, Leading, The Utilization Approach, Conversational Inductions Integrate purposeful direct and indirect therapeutic suggestions in daily conversations Integrate isomorphic metaphors and therapeutic storytelling to indirectly suggest health promoting potentials Three forms of hypnosis: Traditional Hypnosis / Autocratic / Direct Standardized Hypnosis / Belief in an innate biological capacity of susceptibility Ericksonian Hypnosis / The cooperative approach/ utilization approach/direct and indirect suggestion, pacing and leading, reframing, therapeutic metaphors and stories, solution focused, the client is the co-therapist Milton Erickson, MD Founder of medical hypnosis •Ericksonian hypnotherapy is derived from the principles and patterns of communication and
    [Show full text]