Occupational Group Therapy

Occupational Group Therapy
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Occupational Group Therapy helps group leaders achieve a higher and more dynamic level of therapeutic intervention, gain a better understanding of foundational concepts and research, and utilise active techniques that have meaningful and lasting effects on their clients. This practical guide encourages readers to use and develop their skills creatively in a range of interventions, including hospital-based work with acutely ill clients, physical acute care, and rehabilitation. The text presents both the theoretical background and practical applications of occupational group therapy: core skills and concepts, styles of group leadership, clinical and ethical reasoning, and different models of therapy such as the functional group model, the model of human occupation (MOHO), and the occupational therapy interactive group model (OTIGM), alongside warm-up and ice-breaker techniques, role-play exercises, assertiveness and social skills training strategies, guidance on using psychodrama and the therapeutic spiral model (TSM) in group settings, and more. Develops the skills and self-confidence occupational therapists need to be effective group leaders Covers the functional and performance aspects necessary for occupational therapy intervention, including client handling, and structuring and communication skills Discusses new ways of addressing common concerns and issues in various intervention settings Offers ideas and techniques for using higher-level interventions, such as psychodrama and the Therapeutic Spiral model Helps readers to design effective group experiences that allow their clients to “work on themselves” both inside and outside of the group Written by an esteemed expert with decades of practical experience in the field, with a chapter from Louise Fouché, an accomplished occupational group therapist and developer of OTIGM, and foreword by Professor Emerita Sharon Brintnell, former President of World Federation of Occupational Therapy (WFOT): Occupational Group Therapy is a must-have teaching manual and guide for undergraduate and post-graduate occupational therapy students, and for practitioners looking to increase their use of group work as a therapeutic intervention.

Оглавление

Rosemary Crouch. Occupational Group Therapy

Table of Contents

List of Illustrations

Guide

Pages

Occupational Group Therapy

Author’s Biographies

Preface

Foreword

Introduction

CHAPTER 1 Frames of Reference Relevant to Occupational Group Therapy and the Classification of Groups. 1.1 FRAMES OF REFERENCE

1.2 CLASSIFICATION OF GROUPS AND TYPES OF OCCUPATIONAL GROUP THERAPY: DEFINING THE SCOPE OF OCCUPATIONAL GROUP THERAPY ACCORDING TO THE LEVEL OF EMOTIONAL INTENSITY

CHAPTER 2 Research in Occupational Group Therapy

CHAPTER 3 Models of Occupational Therapy Relevant to Occupational Group Therapy. 3.1 THE FUNCTIONAL GROUP MODEL

3.2 THE VdTM0CA MODEL

3.3 THE CANADIAN MODEL OF OCCUPATIONAL PERFORMANCE (CMOP)

3.4 THE MODEL OF HUMAN OCCUPATION(MOHO)

CHAPTER 4 The Occupational Therapy Interactive Group Model (OTIGM): Reconnecting to Me Through My Interaction with You in the “Here and Now”

4.1 A BRIEF HISTORY

4.2 THE OCCUPATIONAL THERAPY INTERACTIVE GROUP MODEL IN CONTEXT

4.3 THE ‘HERE‐AND‐NOW’

4.4 OCCUPATIONAL THERAPY INTERACTIVE GROUP MODEL'S CORE PRINCIPLES

4.5 LEADING FROM BEHIND

4.6 GROUPS AS A ‘MINI‐SOCIETY’

4.7 GROUPS AS PART OF A MICROCOSM

4.8 CHANGES THAT OCCUR IN THE GROUP, ARETAKEN BACK TO SOCIETY

4.9 THE WHOLE IS GREATER THAN THE SUM OF THE PARTS

4.10 GROUPS FORM THEIR OWN IDENTITY

4.11 GROUP WISDOM

4.12 GROUP TECHNIQUES

4.12.1 Interaction

4.12.2 ‘I‐Language’ and Direct Communication

4.12.3 Process Illumination

4.13 ACTIVITY SELECTION

4.14 GROUP PROCEDURES

4.14.1 Steps in the Group Process. 4.14.1.1 Introduction

4.14.1.2 Rules/Norms/Guidelines

4.14.1.3 Meet Group Members on Their Emotional Level

4.14.1.4 Warm‐Up/Icebreakers (See Chapter 1 of Section 2 in This Book)

4.14.1.5 Bridging

4.14.1.5.1 General Questions

4.14.1.5.2 Problem Spotting

4.14.1.5.3 ‘Signing’ a Contract or Committing to the Group/Activity

4.14.1.6 Activity

4.14.1.7 Post‐Activity Discussion

4.14.1.8 Closure

4.14.1.8.1 Narratives of Past Groups

4.14.1.8.2 Last Thoughts

4.14.2 Conclusion

CHAPTER 5 Core Skills and Concepts. 5.1 TRUST

5.2 DEFENCE MECHANISMS

5.3 TRANSFERENCE AND COUNTERTRANSFERENCE

5.4 GROUP FORMAT AND STRUCTURE: STAGES AND PHASES OF GROUP DEVELOPMENT

5.5 CULTURAL INFLUENCES IN OCCUPATIONAL GROUP THERAPY

CHAPTER 6 Clinical Reasoning, Clinical Thinking and Ethical Reasoning Relating to Occupational Group Therapy. 6.1 CLINICAL REASONING AND GROUP WORK

6.2 ETHICAL REASONING: CONSIDERATIONS IN LEADING A THERAPEUTIC GROUP

CHAPTER 7 Styles of Group Leadership and Co‐leadership: Guidelines to Address the Differences Including Working with Other Professionals. 7.1 GROUP LEADERSHIP

7.2 CO‐GROUP LEADERSHIP

7.3 WORKING WITH OTHER PROFESSIONALS IN GROUP WORK

CHAPTER 8 Transdisciplinary Service Delivery. 8.1 TRANSDISCIPLINARY SERVICE DELIVERY

CHAPTER 9 Warm‐Up and Icebreaker Techniques

9.1 INTRODUCTION TO EACH OTHER IN THE GROUP

9.2 THE CAROUSEL

9.3 STICKERS

9.4 THE MAGIC SHOP

9.5 THE MAGIC BUS

9.6 THE MAGIC CARPET

9.7 GUIDED FANTASY

9.8 SHARED DRAWINGS – ‘ME, MYSELF AND ANOTHER ME’ (AVNON 1989)

9.9 USING THERAPEUTIC ABSTRACT CARDS

9.10 SCULPTING

9.11 THE EMPTY CHAIR (AUXILIARY CHAIR)

9.12 WARM‐UPS WHICH INCLUDE SOME PHYSICAL CONTACT

9.13 THE USE OF HAND PUPPETS OR MASKS

9.14 JOHARI'S WINDOW

CHAPTER 10 Role‐play

Case Study 1: Role‐play Used with Young School‐Going Boys

Case Study 2: Training of Community Rehabilitation/Health Workers using Role‐play as a Technique

CHAPTER 11 The Use of Psychodrama and the Therapeutic Spiral Model in Occupational Group Therapy

11.1 THE INTEGRATION AND PROCESSING

11.2 THE CLOSURE AN ESSENTIAL PROCESS IN PSYCHODRAMA INCLUDING THE DE‐ROLING

Case Study: A Long‐Term Community Group with Women and Men Who Are Recovering Alcoholics, Using Psychodrama on a Frequent Basis

11.3 THE THERAPEUTIC SPIRAL TECHNIQUE OF PSYCHODRAMA (VIVYAN ALERS)

CHAPTER 12 Life‐Skills Cognitive‐Behavioural Groups, Assertiveness Training Groups and Social Skills Training (Verbal and Nonverbal) Groups. 12.1 INTRODUCTION

12.2 ASSERTIVENESS TRAINING

12.3 BASIC CONCEPTS

12.3.1 Social Skills Training

CHAPTER 13 Community‐Based Stress Management with Emphasis on Group Work

13.1 WHAT IS STRESS?

Case Study: Community Stress Management with Active Geriatrics – ‘The stress of aging’

CHAPTER 14 Practical Creative Activity‐Based Group Work in Various Clinical Settings, Including Hospital‐Based Group Work with Acutely Ill Mentally Ill Clients

An Example of a Community‐Based Occupational Group Therapy Practice Using Creative Activity Groups

The Morning Creative Activity Group

14.1 Hospital‐Based Group Work with Acutely Disturbed Mentally Ill Clients

CHAPTER 15 Maximising Occupational Group Therapy in Physical Rehabilitation

Appendix A: Community Stress Management Manual. INTRODUCTION. Stress Management Programmes

The Stress Management Programmes

The Questionnaires – Assessments of Stress

STRESS MANAGEMENT NOTES

Section 1: Introduction to Stress Management

Section 2: What Is Stress?

Section 3: What Causes Stress?

Section 4: When Does Stress Become a Problem?

Section 5: How Do We Make Stress for Ourselves?

Physical Ways of Making Our Own Stress

Cognitive (Our Thoughts) Ways of Making Our Own Stress

Section 6: Learning to Manage Stress: How to Cope with Your Stress. Physical Ways of Managing Stress. Exercise

Relaxation

Nutrition: Good Eating Habits

Learning to Think Differently to Help Manage Our Stress. Change Your Attitude and Learning to Think Positively

Talk About the Things That Worry You

The Mental Shrug

Good Time Management

Section 7: Bad Ways of Getting Rid of Stress

Section 8: Learning to Control Your Stress

A RELAXATION TECHNIQUE

Exercises

SUGGESTIONS FOR STRUCTURING THE STRESS MANAGEMENT PROGRAMMES

THE STRESS MANAGEMENT PROGRAMMES. Stress Management Programme P1

Session 1

Session 2

Session 3

Session 4

Stress Management Programme P2

Session 1

Session 2

Session 3

Session 4

Stress Management Programme P3

Session 1

Session 2

Session 3

Session 4

QUESTIONNAIRE 1

QUESTIONNAIRE 2. Psychosocial and Environmental Stressors

Appendix B: Assertiveness. B.1 WHAT IS ASSERTIVENESS?

B.1.1 Lazarus Defines Assertiveness As

B.2 THE CONTINUUM OF ASSERTIVENESS

B.3 GOALS OF ASSERTION

B.4 BENEFITS OF ASSERTIVE BEHAVIOUR

B.5 DEVELOPING AN ASSERTIVE PHILOSOPHY

B.6 DEVELOPING SELF‐ESTEEM

B.6.1 Being Fair to Self

B.6.2 Giving to Self

B.6.3 Being Responsible for Self

B.6.4 Being Kind to Self

B.6.4.1 Doing Is Not Being (Labels)

B.6.4.2 Self‐talk

B.7 SELF‐CONFIDENCE

B.8 SELF CONFIDENCE CAN BE DEVELOPED

B.9 SENSITIVE AREAS OR ‘BUTTONS’

B.10 STEPS TO ASSERTIVENESS

B.11 HANDLING MANIPULATIVE BEHAVIOUR

B.12 IN CONCLUSION

B.13 ANGER MANAGEMENT

B.13.1 Handling Your Own Anger

B.13.2 Handling Other's Anger Directed Towards You

B.14 RECEIVING CRITICISM

B.15 GIVING CRITICISM

B.16 QUESTIONNAIRE 1. B.16.1 Estimate of Self‐Concept

RECOMMENDED READING

B.17 QUESTIONNAIRE 2. B.17.1 Occupational Therapy Assertiveness Assessment

References

Index. A

B

C

D

E

F

G

H

I

J

L

M

N

O

P

Q

R

S

T

U

V

W

WILEY END USER LICENSE AGREEMENT

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Rosemary Crouch

School of Therapeutic Sciences, Faculty

.....

Louise Fouché (Author of Chapter 4)

As a member of the Occupational Therapy Association of South Africa (OTASA), Louise was asked to lead the development of the scope of Group‐work for the Occupational Therapy profession. This statement has been has been Gazetted.

.....

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