In the past few months since I opened my home for some type
of faith-based group sessions every Friday then also every Monday joining in
another bigger more intense public group – I found some comfort and so is many
members of the group. I think it is not
only therapeutic (even as a counselor or listener) to know that you are not
alone BUT more importantly with someone who has shoddier experience or
situation than I am makes me appreciate the level of comfort of what I’m going
through (and vice versa) and be able to contribute our experience to others to
give them some insight or comfort.
Here are some observations and ways we can progress in a
group session as a participant or if you are a counselor in a group counseling
or leader in a group session.
Many studies confirm that optimism or positive anticipation
are therapeutic and results to positive outcomes. When a client or participant
sees a group member who is a fellow alcoholic or have been through bankruptcy or
divorce or family casualties (or other life-altering transitions) and has moved
on or not drink for months and has better their life – group members or clients
associates themselves to their fellow group mate instilling hope.
The inspiration provided to participants by their peers
results in substantial improvements in medical outcomes, reduces health care
costs, promotes the individual’s sense of self-efficacy, and often makes group intercessions
superior to individual therapies (Fawzy, Fawzy and Wheeler, 1996).
UNSELFISHNESS
Kindness or willingness to help gives a sense of
satisfaction in many normal individuals. The gratification of being part of a
team and sharing the ability to help or giving out aid based on experience - like
prior drug addiction, attempted suicides, career transitions and whatever helps
will be satisfying to the client or group members.
In a group setting there are many opportunities for the participants
or clients with similar experience to share each other similar experiences and with
pride gives information to fellow, for instance, one who has the same career
transition or addiction with someone who was going through or has gone through may contribute some insight. On the other hand, being called selfish because of not sharing your experience is not healthy for
an individual and this kind of self-sacrifice of being transparent helps in a
group setting. Some people may take some time to really speak up and share, let them be quiet for as they need to and not force them to speak.
Group sessions (or therapy) is unique in being the only reconciling remedy that offers clients the opportunity to be of benefit to and from others (Yalom, 2005). It also encourages role versatility, requiring members or clients to shift between roles of help receivers and help providers (Holmes and Kivlighan, 2000).
INTERPERSONAL RELATIONSHIP
Everyone needs a connection with someone at any point of
life. In my experience as 23-year veteran & Navy counselor, during military
deployment, many Sailors suffer from some type of stress because of lack of
interaction with others, particularly with family and even fellow personnel due
to high stress environment. The feeling of isolation does not help a client
if there is a need arise.
The theory of interpersonal relationships has become so much
an integral part of the fabric of mental health thought that needs no further
underscoring; people need people – for initial and continued survival, for
socialization, for the pursuit of satisfaction (Yalom, 2005).
On a group therapy, there is 100% opportunity to interact
with someone no matter what personality or issues of the client. A diverse
group or a set of people with the same background or issues will set the tone
of how the group will get along and interpersonal relationship will play a big
role in having a successful group therapy.
BENEFICIAL (THERAPEUTIC) FORCES
If there is lack of
confidence in a group and especially with the leader, the interaction and
dynamics to get a therapy will not be successful. To be a thriving group, here
are 3 Beneficial or Therapeutic Forces (see complete 15 Therapeutic Forces on
inserted image) that should be present:
1. Clarity of purpose for the leader and the members.
2. The leader’s attitude.
3. Level of trust among members.
CLARITY OF PURPOSE
Without a clear goal and rationale of why the group exists –
there will be no direction and majority of these Beneficial (Therapeutic)
Forces will not be possible. For instance, a leader might say the group is
educational but spend most of the time doing therapy, or the leader might say
the group is for support but spend most of the time focusing on one person or
on one topic that is not relevant for most of the members (Jacobs, Masson &
Harvill, 2008).
There should be a clear objective and presented to the group members or clients step by step until it is comprehended.
COUNSELOR AND/OR LEADER’S ATTITUDE
The leader (it is also important that the counselor designate
a 2nd leader) who facilitates the group has direct key to the
success of the group because he or she has the capacity to implement any or all
the therapeutic forces that may influence the outcome of the therapy. No matter
how small or big the group or how long the session is or even how high the
level of trust among the members are – the leader has the full control of the
group.
If the group contains hostile, nonvoluntary members, the
leader should try to find a way to get these members involved; however, if the
members are completely resistant and negative, the leader may need to remove
them from the group (Jacobs, Masson & Harvill, 2008).
LEVEL OF TRUST AMONG MEMBERS
Once trust is lost, there is no looking back. There is
always at the back of a person's mind that the issues or something else may not
be resolve because an expectation or confidence was no longer there, and leader
must resolve this fast.
Problems of trust often occur when members have very different points of view and if the group consists of members who do not like each other, the leader can try to change this by bringing it up in the group or by meeting with some members privately to see if their differences can be resolved (Jacobs, Masson & Harvill, 2008).
Problems of trust often occur when members have very different points of view and if the group consists of members who do not like each other, the leader can try to change this by bringing it up in the group or by meeting with some members privately to see if their differences can be resolved (Jacobs, Masson & Harvill, 2008).
Each Factor theory from Yalom's Therapeutic Forces, also from Jacob, Masson and Harvill has an important key to all group therapy and can be be applied on a case by case and the importance of one does not mean that one factor is not important.
In any case, Group sessions or therapy or meeting - needs strong accountability and more importantly a binding rule of confidentiality. Everything that happens behind those four walls must stay within the group and everyone's dignity should be protected and gossips should never be tolerated.
Dr. Tony
Astro is co-owner of Mvoss Creation Promotional & Consulting located in
Town Center Virginia Beach. His
expertise is cultural intelligence, career development and promotional
branding. He has 2 decades of experience as human resources supervisor with
Department of the Navy as Chief Counselor providing administrative support and
training to all hierarchy and equipping organizations and their teams with
skills to effectively work, advance in their career and education within and
across multicultural diverse environment of military and civilian environment. He has over 10 years extensive
entrepreneurial practice as marketing director of two Asian Business
association and owner of Mvoss Creation Promotional & Marketing. Tony has
traveled in over 50 major cities around the world during his 23 years in the
Navy as Human Resources Chief and still travelling every summer for leisure
with his family. He conducts keynote speaking to diverse community of
professional associations, university students, entrepreneurs and military
organizations. He was born to a Spanish
mother and Filipino father and raised in the city of Manila, Philippines. He
attended all his 12 years of education in an all-exclusive Chinese school. He
joined the Navy and lived in Japan for 4 years and in the span of 23 years have
been assigned and deployed in Europe, Middle East, Australia, Asia. He resides in his home in Virginia Beach with his teenager son, wife Myla and a four-legged daughter corgi-mix Daisy.
References:
Holmes, S. & Kivlighan, D. (2000). Comparison of
Therapeutic Factors in group and Individual Treatment Processes,” Journal of
Counseling Psychology: pages 447-48.
Jacobs, E., Masson, R. L., & Harvill, R. L. (2008).
Group Counseling: Strategies and Skills. New York: Brooks Cole.
Yalom, I. D. & Leszcz, M. (2005). The Theory and
Practice of Group Psychotherapy. New York: Basic Books.
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