The Therapy Group Health And Social Care Essay

Taking into consideration the peculiar traits of my personality and my ain experiences on an idiosyncratic degree every bit good as on an interpersonal communicating degree, I have concluded that the most representative theoretical psychotherapeutic attack for myself is the 1 of Carl Rogers '. The basic rules of the healer's earnestness, genuineness, and `` understanding '', every bit good as credence, empathy and apprehension of the patient constitute some characteristics that comply with my point of position. The Rogerian impression group-centered therapy, every bit good as the impression of self-actualization reflect most accurately the values that I would wish to function. I respect profoundly the client's authorization to be able to find himself the therapy he needs and to take it at his ain gait; therefore, run into his basic demands for acknowledgment, equal intervention, and grasp.

The topic of the therapy group which I would organize would be the support of people with physical disabilities. The grounds of this pick are varied: first of all, it is an issue that intrigues me; I find it peculiarly interesting, disputing, and attractive from a humanistic, but besides from a professional point of position. So, I would wish to specialize in guidance and psychotherapeutics of people with disablements, as a professional option.

The topographic point in which meetings will be held is a critical issue for the group, because people in wheelchairs must hold entree towards their finish. It is really of import for them to experience that they can travel approximately and go around comfortably, without troubles and obstructions such as stepss, narrow lifts, long distances and other similar hindrances. The physical scene of the group must give them a sense of being welcomed, without stressing their distinction. For that ground, it is indispensable that the topographic point of meetings be easy accessible to people with gesture disablements ( for illustration, means of mass transit that can function them ). The infinite must be on the groundfloor and if it is on a higher degree the lift must be big plenty and rage should be available. Besides, the dimensions of the room must let a comfy moving in it. Furthermore, that topographic point has to supply the members with privateness, freedom from distraction and to let them to sit in a circle, so that they can see, detect and interact straight with one another.

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The nature of that group involves some specialness. The fact that, these people get tired easy and rapidly, every bit good as that they need person else to assist and function them sets some bounds. The continuance of the meetings should non transcend, but respect the members ' physical bounds. On the other manus, the clip must be plenty, so that the group will be able to analyse all the issues raised by all members. So, a meeting should last 2 to 2,5 hours with 1 or 2 interruptions. In class, in instance of any crisis or occasion during a meeting, the session can last more than 2,5 hours.

Because of the specialnesss of these people, the fast beat of life and of fiscal grounds, the frequence of the meetings would be one time a hebdomad.

The life-p of the group would be brief and would last about six months, in other words 25-30 meetings. The short life-p presupposes that the leader will be required to maintain attending to some affairs. As the healer, I will hold to clear up the ends of the group and to remain focused on them. The choice and the readying of the members must be done with great attention, so that dropouts and misinterpretations are prevented. By and large, the limited life of the group requires a specific mental set and clip direction.

Size of the Group

The ideal size of the group would be 7-8 members. It is a figure of participants that allows effectual interaction among them. The group would be closed ; therefore, given that some members could drop out, it would be functional to get down the group with a spot larger size, that is to state with 8-9 people. The tracts of interaction will be unfastened among all members, including the leader, as shown in the diagram.

(The points stand for the members and the healer of the group, while the lines represent the synergistic tracts of communicating.)

Intake Procedures

The Selection of Members

The manner that the choice of members is accomplished is irregular. The healer, on a general footing, must be concerned with which patient will be excluded from the group and so, more specifically, with who will be included. It is easier to find the people who do non run into the demands of engagement, than the 1s who do. This process will take topographic point during the pregroup consumption interview.

The basic standard for the exclusion of some individuals from the group is his likeliness for dropout. Therefore, during the consumption interview all the features and the factors which may ensue in dropout must be clarified. Peoples with terrible abnormal psychology, lower IQ, less psychological mindedness and likeability, lower socioeconomic category, high denial to alter and high somatization are really likely to dropout. External factors like scheduling jobs, traveling of the town and declaration of some instant crisis could take to premature expiration of the therapy. Group deviancy, jobs of familiarity, fright of emotional contagious disease, coincident person and group therapy constitute some of the factors for dropout and must be screened out and examined with cautiousness and duty. Peoples with features and attitudes as the above would be excluded. Without dissing, I would propose them to get down an single therapy, or I would mention them to another group suited with their demands and ends.

On the other manus, there are some human traits that could take to a successful engagement in the group. Peoples with grate motive and willingness are the best campaigners for the group. Besides, the credence of duty for intervention and the desire to alter are positive characteristics and standards for inclusion in the group. Therefore, the group will able to work functionally and to ensue in, the positive result of alteration.

The Intake Interview

All the above are portion of the consumption interview. The intent of the interview is, on one manus, the definition of the standards for exclusion or inclusion in the group and on the other manus, the anticipation of the interpersonal behaviour of the members. Therefore, during the prescreening interview, the object of the enquiry is non merely the patient as a topic of psychological scrutiny and diagnosing, but besides his interpersonal attitudes, accomplishments and interaction with the healer.

I think it is necessary for the individual who is traveling to take part in the therapy group to undergo a series of diagnostic procedures, such as a recording of his single background, an IQ trial and a projective trial. For that intent, as a healer I have in my disposal the Weschler IQ trial and the personality trial ( Thematic Apperception Test ).

The interpersonal consumption interview is every bit of import as the `` diagnosing '' . This procedure aims at analyzing the abilities and qualities of the patient so that he can run into the demands for interpersonal communicating with the healer. The conditions of the interview have to be every bit similar as possible to those that will be shaped in the group. This is necessary because the more similar they are, the more accurate and distinct the anticipation of interpersonal behavior will be. Thus, the healer 's duty is to make an ambiance and norms resembling those of the meetings ( such as freedom of address, regard for others, honestness, active engagement, interaction, self-contemplation, self-disclosure, giving-taking feedback, etc ). Furthermore, it is of import that the interview will mention to `` here and now '' , so that the observation may take to the most utile information. Finally, the prospective member will be submitted to inquiries related to his/her past interpersonal relationships in the household, work, school, nines etc.

To finish the consumption interview, I think two or three meetings at least are required. The clip before the beginning of the group therapy is important for the illation extraction about the hereafter members, every bit good as for their psychological readying.

Preparation of the Members

The members ' readying for the therapy aims at making the fortunes which are important for their best and most effectual engagement into the group. Therefore, during the initial process, I consider elucidation of certain misinterpretations refering group therapy, really of import. Of equal importance are: informing the prospective member about some issues that he/she might disregard, beef uping his/her positive elements sing therapy and cut downing the negative 1s.

It is particularly of import that group therapy is considered every bit valuable as the single 1. Furthermore, for the specific people, group therapy is likely to be a more efficient and immediate intervention, every bit far as the peculiar ends are concerned and this has to be clear ; it is necessary that the belief in and the outlook from the therapy is instilled. During the readying phase, the healer must be certain that every member 's personal ends from the therapy suit the group 's ends. Furthermore, the leader has to do a description and a full presentation of the procedures which will be followed and of the curative environment, stressing the of import elements of safety and trust.

I would depict the group as a school of self-exploration and find, every bit good as an chance for societal look and engagement. I would propose to the members to be simple, honest and direct, in order to take part in the group the best manner they can ; besides, I would advert the uncomfortable feelings and the possible letdowns they might see, indicating out that the `` alteration '' might necessitate some hurting and, decidedly, some clip. In add-on to that, I would advert the basic regulations of confidentiality, every bit good as the necessity of avoiding subgrouping.

The readying stage helps the prospective members to go familiar with the thought and the future work of the group. Therefore, their motivations to fall in the group will be stimulated, while any possible anxiousness or emphasis will be decreased.

The Group Composition

Harmonizing to the description and the particular characteristics of the group, it could be considered as a homogenous therapy group. The fact that the members will hold a similar organic structure image and symptoms, leads to that decision.

However, this homogeneousness will non mention the personalities of the people. In order to be functional, the group should integrate different personalities and behaviours, so that the members can work on a synergistic footing. As a healer, I do not mean to make a hapless group, which will merely supply a short alleviation of psychological symptoms and support for a limited clip. On the contrary, the coexistence of many different and heterogeneous sorts of behavior and of assorted psychological ways of confronting the job -physical disability- will ensue in a more synergistic and disputing group. Furthermore, the members will change in age, but they will belong to the same age class ( grownups, 20-50 old ages old ). A great age difference could do troubles in communicating and common apprehension among them, or it could convey a sense of isolation.

The symptom homogeneousness is likely to trip a series of curative factors, in a really short period of clip. The fact that the members will portion common and similar experiences in relation to their physical specialness, will ensue incoherence and catholicity even from the first meetings. The support they will offer one another and the exchange of suggestions and advice on specific issues will convey into action selflessness and interpersonal acquisition. On the other manus, the already activated curative factors will assist with the more mature confrontation of any struggles or dissensions during the therapy, raised from the members ' heterogeneousness. Therefore, the coexistence of those two elements, homogeneousness and heterogeneousness, is of critical importance for the positive result of the therapy.

Announcement of the Group

The proclamation of the therapy group can be done in many different ways. First, it can be advertised in certain specialized magazines, which address people with disabilities, such as `` HORIZONTAS TON PARAPLIGIKON '', `` ISOTIMIA '' and `` ANAPIRIA TORA ''. It can besides be published on the specialized website www.disabled.gr. Furthermore, there can be postings hanged in the cardinal offices of the organizations for the handicapped people, every bit good as in private offices of physicians and physical therapists. Finally, an all right manner to advance the group is personal contact with people who are likely to be interested or could inform some others about it. The response might not be so immediate, so the procedure of the proclamation has to get down rather early before the beginning day of the month of the group meetings.

In Conclusion

All the above describe a possible creative activity of a therapy group and of its initial process on a theoretical footing. However, the practical execution might differ significantly from the image presented in this assignment. The leading of such a group requires exceeding professional makings and a magnetic personality in order to cover with people with physical disabilities. The differentiation between the human inclinations of empathy, emotional presence, protection, and support from commiseration is rather hard sometimes and it demands experience and particular accomplishments from the healer. The nature of the group requires a great trade of duty, which might arouse inordinate emphasis to the healer, particularly during the first meetings.

However, the sense of satisfaction and fulfillment that rises from working with such a group of people, can be really intense. Giving and assisting people who have a more obvious demand for alleviation, credence, support, and love than the able-bodied, constitutes a gift of the psyche, which is to be returned to the 1 who offered it.

The balance lies someplace in between. The aureate means that separates the professional healer from the emotional homo being, but which unites them at the same clip.

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