· Transcript video 3PsychotherapyNet. (2009, May 7).
 

Irvin Yalom outpatient group psychotherapy video Links to an external site.
 [Video]. YouTube. https://youtu.be/PwnfWMNbg48

:06

you

0:16

I’m like I’m like if we could go back

0:19

still to that question on impression two

0:21

people have feelings people have right

0:24

here from what they’ve seen of one

0:25

another in the Indus in this meeting

0:28

anybody got any thoughts about that

0:32

well I’m a little worried about Alice

0:35

because she’s so quiet you just sit they

0:38

don’t have very much to say this

0:40

afternoon yeah it takes me a long time

0:43

to get comfortable in this kind of group

0:46

it just seems so intense here you know

0:50

like every word is being studied I’m

0:53

just afraid to whatever others will

0:56

think about me well um I saw you smiling

1:02

earlier Alice I I felt that you were

1:05

judging me being judgmental I didn’t get

1:10

there I just felt she didn’t want to be

1:13

put on a spot Ellen I noticed that you

1:17

attempted to take the focus off of Alice

1:19

during the introductory round you seem

1:21

to be very sensitive general discomfort

1:23

well I disagree with that I don’t

1:25

believe that he was being sensitive to

1:28

her I think she should have given her

1:30

the full time to say what she had to say

1:32

I think Alan may have actually just

1:36

wanted more time for himself how you

1:40

feel about that Alice let’s check that

1:42

out it’s not true I don’t want the

1:45

spotlight you know I’m very shy and um

1:48

in fact when I go to parties I make it a

1:51

point to come in late so that I could

1:53

help the hostess clean up the glasses

1:55

how was it for you today in group Alice

1:57

no glasses to clean here no I actually I

2:02

thought about being some coffee cake at

2:04

the next meeting there may be some

2:06

glasses

2:09

that’s a mortgage experience Ellis

2:18

I just interrupt you for a minute how

2:20

long cause I think something really

2:22

important happen here just a couple

2:23

minutes ago I want to just focus on just

2:25

a second I’m really interested bobbing

2:28

in what you just said about your own gay

2:30

experience when you were younger have

2:32

you ever said that before to anyone else

2:35

Oh once saw 10 years ago to my to my

2:40

therapist and until this moment this

2:44

group you’ve never told anyone else

2:45

never told peers and no I’ve never told

2:48

any group of people that no I have a

2:51

hunch that that was a real gift to Alan

2:54

I don’t know I guess I get so wrapped up

3:02

in my own emotions I don’t think about

3:05

other people’s feelings I I guess that’s

3:08

what Betty meant when she told me about

3:10

a couple of weeks ago but an Ellen I

3:14

don’t think you’re still acknowledging

3:16

Bob’s gift to you I guess you’re right

3:23

uh I don’t know why I so difficult for

3:28

me just to come out and say thank you I

3:32

mean thank you all because because you

3:35

all been supported and you’ve all helped

3:37

me I appreciate it I got it off my chest

3:45

guys did hell you feel if you’re

3:50

finished are there other parts that you

3:52

want to work on today well I well eat

3:57

you what no not no no not not not today

4:01

as far as you want to go today

4:06

you

VIDEO For Group counseling for Adolescent with Anxiety

you

0:07

[Music]

0:10

hi everyone hi so we put talking a lot

0:15

in our group so far about stress and

0:17

anxiety some ways to manage that so

0:20

today we’re going to do a simple you

0:23

over practice time some better are going

0:27

some cooking skills for managing your

0:28

stress and anxiety so I wanted to start

0:32

by posing a question to you guys when

0:34

you hear the word yoga what comes into

0:36

mind and I know my concern I was again

0:41

like different poses like Child’s Pose

0:43

and I’ve seen downward dog before okay

0:46

chaplains don’t worry we’re gonna

0:49

practice both of those kre-o okay

0:55

not a level of comes out and I think

1:01

it’s okay Suns done here yeah yes I do

1:10

question for you guys what do you think

1:13

you over might help us with my anxiety

1:14

just based on what you get once

1:26

well we’ve kind of talked about like

1:28

calming ourselves down before in this

1:31

group and how to cope with when we’re

1:36

really anxious and I hope maybe I don’t

1:40

know but some of the poses might help

1:43

that okay great so they might help us

1:46

calm down a lot to do with focusing on

1:49

our breathing yeah nervous system helps

1:54

you any other I don’t know it it kind of

2:03

gives me anxiety thinking about having

2:05

to do it it sounds like it would give me

2:09

more anxiety okay can you please tell us

2:14

more about why what makes it seem

2:17

anxious for your what concerns do you

2:19

have I don’t know you’re just doing like

2:23

really weird like noobs and positions in

2:27

front of people and it’s just like

2:29

really strange and like I don’t want

2:33

people like looking amazing I’m like

2:34

weird yeah okay yeah that would be okay

2:40

so Cisco yeah could you answer your

2:44

poses okay my butt in the air okay

2:48

you’re bought in the air scoops okay

2:51

well just remember that when we’re doing

2:55

this practice you can always just lay

2:59

down on your mat or sit down on your mat

3:01

or anything that feels right to you you

3:03

don’t you never forced to do a certain

3:06

pose or forced to follow me all about

3:10

what does it make sense good question

3:17

yeah um kala hasn’t said anything yeah

3:21

dude are you doing okay can you feel

3:24

okay hi yeah I’m sorry we’re in a group

3:30

we’re supposed to just acknowledge one

3:33

another yeah well I appreciate you

3:35

checking in with Kayla yeah that’s

3:38

awesome good you are you have any

3:41

concerns all right anything you’re

3:46

scared about or worry about with this

3:48

group today are you feeling okay about

3:54

giving it a shot and see how it goes boy

3:57

I’ll try it no time okay great well

4:04

let’s get started this f1 for them um so

4:15

what I’d like you to do is kneel and

4:16

yoga Mac jealous doing just with your um

4:20

ear but on to your ankles and then I

4:25

want to stretch your arms up into the

4:27

air yeah all the way up over your head

4:32

and just whine your knees a little bit

4:36

just come

4:36

that wits are a little bit wider and

4:39

then go ahead and reach your hands down

4:42

onto the ground leave here and it goes

4:44

in your feet on the ground so reach all

4:46

the way over yeah yeah your hands up

4:51

slowly above your head like we just did

4:54

bring them bring your hands together

4:56

facing each other bring them down front

5:02

of your face

5:04

take a breath right there okay you’re

5:07

going to put your hands up like that

5:10

nothing oh and if you if it feels

5:14

comfortable in your neck you’re going to

5:15

look towards your left hand and if you

5:19

limit and if you want to sink a little

5:21

bit lower you can or just whatever is

5:23

comfortable for your legs

5:27

it’s impressive down as much as you can

5:30

and stretch forward and let you back

5:36

around and wherever your hands land is

5:38

okay if you can reach your feet looks

5:40

like we’re me to my feet if it’s more

5:42

comfortable to put your hands on your

5:43

shins

5:44

that’s great chill what about you Kayla

5:53

you’ve been pretty quiet um looks good I

5:59

guess kind of like the breathing you

6:02

like the breathing how do you feel okay

6:17

I mean I guess it wasn’t bad as I

6:20

thought it was gonna be but I did it

6:27

really anxious in class like all that

6:30

stuff we did I can’t do in the middle of

6:32

class like I don’t think my teacher

6:35

would let me anyway like even if I did

6:37

like yeah that’ll be so weird to be

6:41

doing warrior in front of everybody

6:43

ya know so it’s hard to imagine doing

6:46

this in those moments in school and it’s

6:48

just out yeah um so that’s a really good

6:52

point thank you for bringing that out

6:54

earlier it sounded like it could be hard

6:57

just appreciate work look forward to

7:01

seeing you next week

7:02

hold slowly

7:07

[Music]

7:10

you

CAT CAT VIDEO TRANSCRIPT

0:00

this training aid was developed to help

0:03

address the clear gap in education and

0:05

skills evidence in the field of

0:06

substance misuse treatment one of the

0:09

main ways people suffering from

0:11

addiction problems are offered support

0:13

is through some form of activity in

0:16

groups however professionals who lead

0:19

these groups all too often don’t have a

0:21

framework to understand how best to use

0:24

groups there is an absence of a

0:25

theoretical model and a lack of

0:27

understanding of what is likely to be

0:29

helpful in a group what you see

0:30

presented here is influenced strongly by

0:32

the work of Ervin yalom and Phillip

0:35

Flores who have both written extensively

0:37

on this topic here and have gotten I

0:50

need to point to the grade

0:59

Jimmy could you go on please it’s my mum

1:15

she died last year

1:26

are you still

1:43

it’s too careful

1:54

there’s the have to keep I just have to

2:03

give her a medication stop her from

2:13

being in pain

2:25

but used to steal them steal them just

2:31

for for a hit

2:50

thanks for sharing that Jimmy that’s

2:53

pretty big stuff

3:01

we’ve all got secrets me I’ve done stuff

3:06

I’m not proud of it’s not just shooting

3:10

me I was using none of my family riding

3:20

might include me except for my granddad

3:26

he’s the only one I had in contact with

3:32

it’s pretty old oh you just sent me down

3:36

to the post office to get his pension

3:38

every week and I used to make the money

3:47

because I need it to use it’s just money

3:50

this is medication medication that

3:57

actually stopped her from being in pain

4:02

I’ve stolen for my family might not be

4:08

the same circumstances

4:09

I could certainly relate to the feelings

4:12

of shame and guilt

4:17

how did she cope to me drugs heroin meth

4:27

just anything my addiction takes us

4:33

brother

4:35

Jimmy Jimmy this is really pretty to

4:39

bring this degree Jimmy do you think you

4:46

could let the group know what it is

4:48

about the group today that’s allowed you

4:50

to share this yeah but I am

4:59

Gemma she got one revolt like real

5:09

vulnerable like I just felt closer to

5:15

her really close

5:25

I’m wondering if you answered my

5:29

question there was it do you think about

5:33

this from that let me share that I don’t

5:40

know really

5:43

maybe the traps sort of trust them no no

5:51

no you know the real me Jimmy it sounds

5:55

like you’ve been holding this in

5:56

requital for quite a while

5:59

what were you worried about what were

6:01

you frightened about if you told the

6:03

group about this what’s afraid of who’s

6:07

gonna respect someone like me who’s

6:08

gonna respect someone that steals

6:10

medication of their mum doesn’t change

6:14

the way I feel about you

6:16

that took a lot that’s what you just

6:25

done I could never do that

6:29

it’s really great

6:33

just remember those in you Jimmy has the

6:36

Edit Jimmy do me I just had to see it

6:43

was great that you managed to get it out

6:44

there during this process Jimmy is

6:53

clearly sitting in a lot of discomfort

6:55

and when he finally speaks the rest of

6:57

the group appeared to detect this and

6:59

give a rapt attention it’s clear

7:02

something different is going on now

7:06

disclosures such as Jimmy’s can be

7:08

fairly common in addiction support

7:09

groups when there’s enough cohesiveness

7:11

in the group and readiness in the

7:13

individual to disclose there can’t be

7:16

very powerful agents of change for a

7:18

number of reasons but should never be

7:20

forced some clients get the message from

7:24

certain treatment philosophies that

7:25

you’re only as sick as your secrets or

7:27

that unless you expose your shame it

7:30

will eat you up and sabotage your

7:31

recovery there’s absolutely no evidence

7:33

to support either of these views however

7:35

if when people are ready to disclose

7:38

shameful aspects of themselves

7:39

it gives a clear message of trust which

7:43

almost always brings the group members

7:44

closer together by giving others

7:46

permission to take risks and make

7:48

further disclosures themselves there are

7:52

a number of benefits for the group and

7:53

for the individual in this as other

7:56

group members identify with Jimmy they

7:58

also are taking risks and exposing their

8:00

vulnerability entering into the circle

8:03

of trust with him however Jimmy seems

8:06

too wrapped up in his remorse to receive

8:08

the gifts offered to him at first but

8:10

the communication clearly takes the

8:12

group to a much deeper and more involved

8:14

level of interaction than previously

8:16

even mark shows some interpersonal

8:18

sensitivity with his identification

8:21

rather than focusing historically on the

8:24

content of the disclosure as Nathan does

8:26

Jax takes the opportunity to stimulates

8:29

the second stage of interpersonal

8:31

learning in the here-and-now after the

8:35

first stage a genuine emotionally Laden

8:37

inter personal experience has occurred

8:39

the therapist has the opportunity to

8:42

help the group illuminate the process in

8:45

this case

8:46

Jax invites what we might call a meta

8:48

disclosure a disclosure about the

8:51

disclosure pointing the group into the

8:53

here and now inviting them to explore

8:55

what the event said about the

8:57

relationships between the people in the

8:59

group by asking what allowed him to

9:02

share his story Jim is able to highlight

9:05

how another member of the group has

9:06

affected him and how he feels towards

9:09

them as a result Jax probes further and

9:13

Jimmy is able to highlight how he’s

9:15

developed trust with the members of the

9:16

group this will have a tangible effect

9:18

on the relationships with the other

9:19

members and on the group as a whole but

9:23

by saying now you all know the real me

9:26

Jimmy betrays continued feelings of

9:28

shame

9:28

so Tim offers another classic

9:30

intervention designed to elicit further

9:32

meta disclosure by asking what he was

9:35

afraid would happen if he shared this

9:39

Jimmy’s been able to identify the root

9:42

of his shame in the group that people

9:44

would reject him and disrespect him this

9:47

reveals an even deeper level of intimacy

9:49

as he shares his fears

9:50

however the fear catastrophe doesn’t

9:54

occur people are quite clear that on the

9:56

contrary rather than looking down on him

9:58

for his past actions they admire and

10:00

respect his current honesty and courage

10:03

when someone realizes that they are not

10:05

judged by others about historical

10:07

actions which they judge themselves it

10:09

can be a great help to that person to

10:12

give up their self judgement and put

10:14

those events in the past

10:23

you

10:46

you

Learning Resources

· American Psychiatric Association. (2022). 

Diagnostic and statistical manual of mental disorders Links to an external site.
 (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

· “Culture and Psychiatric Diagnosis”

· Wheeler, K. (Ed.). (2020). 
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

· Chapter 12, “Group Therapy”

· Yalom, I. D., & Leszcz, M. (2005). The therapeutic factors. In 

The theory and practice of group psychotherapy

 Download The theory and practice of group psychotherapy(5th ed.) (pp. 1–18). Basic Books.
Credit: The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, I. D., & Leszcz, M. Copyright 2005 by Basic Books. Reprinted by permission of Basic Books via the Copyright Clearance Center.

· Yalom, I. D., & Leszcz, M. (2005). Interpersonal learning. In 

The theory and practice of group psychotherapy

 Download The theory and practice of group psychotherapy(5th ed.) (pp. 19–52). Basic Books.
Credit: The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, I. D., & Leszcz, M. Copyright 2005 by Basic Books. Reprinted by permission of Basic Books via the Copyright Clearance Center.

· Yalom, I. D., & Leszcz, M. (2005). Group cohesiveness. In 
The theory and practice of group psychotherapy
 Download The theory and practice of group psychotherapy(5th ed.) (pp. 53–76). Basic Books.
Credit: The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, I. D., & Leszcz, M. Copyright 2005 by Basic Books. Reprinted by permission of Basic Books via the Copyright Clearance Center.

· Cats Cats. (2016, September 29). 

Interpersonal group therapy for addiction recovery demonstration
 Links to an external site.
 [Video]. YouTube. https://youtu.be/szS31h0kMI0

· Gerber, B. (2013, November 21). 

Psychotherapy group for schizophrenia
 Links to an external site.
 [Video]. YouTube. https://www.youtube.com/watch?v=t8Dzus8WGqA

· Henson, B. A. (2017, April 27). 

Role play: Group counseling for adolescents with anxiety
 Links to an external site.


 [Video]. YouTube. https://www.youtube.com/watch?v=h6CF09f5S1M

· PsychotherapyNet. (2009, May 6).
 

Irvin Yalom inpatient group psychotherapy video
 Links to an external site.

 [Video]. YouTube. https://www.youtube.com/watch?v=05Elmr65RDg

· PsychotherapyNet. (2009, May 7).
 

Irvin Yalom outpatient group psychotherapy video
 Links to an external site.

 [Video]. YouTube. https://youtu.be/PwnfWMNbg48

https://youtu.be/t8Dzus8WGqA

NRNP 6645 Assignment week 3

Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain understanding of their own experiences.

As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected

· Select one of the group therapy video demonstrations from this week’s required media Learning Resources.

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.

Learning resources -VIDEO OPTIONS

· Cats Cats. (2016, September 29). 


Interpersonal group therapy for addiction recovery demonstration

 Links to an external site.
 [Video]. YouTube. https://youtu.be/szS31h0kMI0

· Gerber, B. (2013, November 21). 


Psychotherapy group for schizophrenia

 Links to an external site.
 [Video]. YouTube. https://www.youtube.com/watch?v=t8Dzus8WGqA

· Henson, B. A. (2017, April 27). 


Role play: Group counseling for adolescents with anxiety Links to an external site.


 [Video]. YouTube. https://www.youtube.com/watch?v=h6CF09f5S1M

· PsychotherapyNet. (2009, May 6).
 


Irvin Yalom inpatient group psychotherapy video Links to an external site.

 [Video]. YouTube. https://www.youtube.com/watch?v=05Elmr65RDg

· PsychotherapyNet. (2009, May 7).
 


Irvin Yalom outpatient group psychotherapy video Links to an external site.

 [Video]. YouTube. 
https://youtu.be/PwnfWMNbg48

Other resources

· American Psychiatric Association. (2022). 


Diagnostic and statistical manual of mental disorders

 Links to an external site.
 (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

· “Culture and Psychiatric Diagnosis”

· Wheeler, K. (Ed.). (2020). 
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

· Chapter 12, “Group Therapy”

· Yalom, I. D., & Leszcz, M. (2005). The therapeutic factors. In 


The theory and practice of group psychotherapy



 Download The theory and practice of group psychotherapy
(5th ed.) (pp. 1–18). Basic Books.
Credit: The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, I. D., & Leszcz, M. Copyright 2005 by Basic Books. Reprinted by permission of Basic Books via the Copyright Clearance Center.

· Yalom, I. D., & Leszcz, M. (2005). Interpersonal learning. In 


The theory and practice of group psychotherapy



 Download The theory and practice of group psychotherapy
(5th ed.) (pp. 19–52). Basic Books.
Credit: The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, I. D., & Leszcz, M. Copyright 2005 by Basic Books. Reprinted by permission of Basic Books via the Copyright Clearance Center.

· Yalom, I. D., & Leszcz, M. (2005). Group cohesiveness. In 

The theory and practice of group psychotherapy


 Download The theory and practice of group psychotherapy
(5th ed.) (pp. 53–76). Basic Books.
Credit: The Theory and Practice of Group Psychotherapy, 5th Edition by Yalom, I. D., & Leszcz, M. Copyright 2005 by Basic Books. Reprinted by permission of Basic Books via the Copyright Clearance Center.