Substance Abuse Assignment 6 Help.
After completing this module, you will be able to do the following:
- Understand the Importance of group themes.
- Find a theme.
- Keep the group members linked.
- Know the difference between speak in turn and jumping in.
- Know ways to actively work in the group setting.
- Go to the other side of the problem.
- Solidify work already being done.
- Review and plan ahead.
- Use analogies.
- Understand group norms.
- Know the continuum of Interventions.
- Watch for snowballs.
- Be aware of the common norms to watch for.
This module will provide and in-depth look at several elements of solution-focused group work, and provide the student with additional tools to help effectively use this treatment modality.
Solution Focused Substance Abuse Treatment: Chapter 7.
- Do you believe group themes are necessary? Why or why not?
- Your client tells you they recognize their addiction is driving away loved ones, but they feel helpless to stop it.
- When is speaking in turn applicable? When is jumping in necessary?
- How do you actively work in the group setting?
- How do you go to the other side of the problem?
- What can you do to solidify the work already being done?
1-2 questions 100 each=200 words
3-6 questions 200 words each = 800 words
Total for Order 3 = 1000 words
with 2 references from American Psychological Association
Substance Abuse and Mental Health Services
Also to be referenced
by Sylvia Mignon MSW PhD
9780789037237Solution Focused Substance Abuse Treatment
by Teri Pichot , Thorana S Nelson, et al.
Substance Abuse Assignment 6
Group themes are crucial and necessary when dealing with both solution-based therapy and problem-focused therapy. Pichot and Smock (2009, Chapter 7) suggest that for counselors to work effectively in a group setting where there are multiple clients while using solution-focused brief therapy, they must initiate a meaningful link in clients’ conversation. The authors further suggest that a counselor’s intent for a client in a group setting is to achieve their miracle. This will require recognizing a ligature among the group who have different goals. Suppose there is no link or a group theme. In that case, those clients who are willing to participate will turn to supportive behaviors by giving advice and asking questions that a counselor will tend to ignore. Those angry clients who are required to participate in a given theme within a group will become distracting. Last, Pichot and Smock (2009, Chapter 7) indicate that counselors will group clients with similar problems believing that the solutions must be similar in problem-focused therapy. On the other hand, a solution-focused brief therapist will seek solutions or desired goals, and as such, the group theme might keep changing because of the client’s differing goals or miracles daily. Therefore, counselors are advised to listen purposefully in this type of therapy.
Pichot and Smock (2009, Chapter 7) quote Yalom (2005, p. 33)’s assertion that group settings are a “commonplace for many interventions and treatment groups as seen as a microcosm of the client’s world.” In this case, a client may feel that they are being drawn away from their loved ones. Still, in group therapy, the counselor will focus on understanding how the client interacts with those in their lives and use these interactions with the other group members as a method to resolve the peripheral social and relational issues and guarantee the client learns effective communication and coping skills. In this way, the client will be able to understand themselves and explore effective behaviors and ways to interact with the world around them and within the world so that they cannot feel helpless to stop it.
Pichot and Smock (2009, Chapter 7) suggest that counselors keep the group members linked to ensure that it is inclusive. They use two different options; they utilize a circling approach where each client is asked to answer in turn, and they can request group members to jump in and willingly contribute their answers when only when they are comfortable to do so. Pichot and Smock (2009, Chapter 7) state that on some occasions, it might become necessary for the counselor to apply to “speaking in turn” approach when a group member or two and taking more than their share of group time, and if the lack of balance starts to affect the group norms negatively. Additionally, “speaking in turn” might become necessary when members in the group are more tangential or divergent, and the group leader is having a challenge in maintaining focus and direction. The counselor can let others know that they need to wait for their turn to speak by slowing down the process. This method can decrease group energy and enthusiasm, but it becomes necessary when counselors maintain an effective group therapy environment.
On the other hand, Pichot and Smock (2009, Chapter 7) assert that solution-focused brief therapists often use the jumping-in approach in a group setting in ideal circumstances since it trusts the client’s timing and desire to participate. The authors expound on this approach because not all group members need to answer every question, and not all members find it helpful to participate verbally. Jumping in can be applied when group energy is low, and clients are not ready to voluntarily participate (Duncan, 1972). The therapist can use non-verbal participation in this case. When they notice a group member nodding in line with an agreement when another member is speaking, the therapist can competently interpose and offer words to the member’s nods. This might lead the group member to start speaking about the given theme and help in solution-focused group therapy.
Pichot and Smock (2009, Chapter 7) argue that a therapist’s use of the miracle question is one of the most effective tools to suspend a client’s disbelief so that they can gain exploration of a place in which their problems are resolved. They assert that this method is just one of the four categories in which effective group therapy occurs. There are other ways in which therapists can actively work in a group setting. First, Pichot and Smock (2009, Chapter 7) state that counselors can “take the client to the other side of the problem.” This method can only be applied if a client wants to be different, and when the therapist readily identifies such, the best intervention would be to take the client to the other side of the problem when the issues are resolved. Second, Pichot and Smock (2009, Chapter 7) assert that counselors can also “solidify the work” that has already been done since some clients have already done a significant amount of work before coming to therapy. This is a powerful tool when clients come from referral sources. Third, Pichot and Smock (2009, Chapter 7) indicate that counselors can effectively work within solution-focused group settings by assisting the “client explore the differences as a result of, and the significance of, the changes that clients are making.” As such, they can learn lessons and answer the question ‘so what?’. Last, counselors can review and plan ahead to work effectively in a group setting in cases where clients have accomplished their initial therapy goals. Their current goal is to show the referral source that they are sustaining these changes in the long run.
As one of the tools that counselors use to actively and effectively work in a group setting, “going to the other side of the problem” relates to dealing with a client who wants things to be done differently and taking them to the side where the problem has been resolved. Pichot and Smock (2009, Chapter 7) argue that when clients come to therapy, they want something that they do not have or are geared towards increasing the amount of something they currently have. Four scales can aid in measuring the needed progress and offer insight to the counselor regarding the best target intervention. These factors include; progress towards gaining this quality, skill, or trait, others’ perception of the client’s attainment of this quality, skill, or trait, the confidence of maintaining these, and others’ confidence in the client. This is based on the assertion that a scale of 10 equals that they have what they want or complete confidence they can keep what they obtained. The authors assert that clients might be at differing points on any of the four scales as mentioned earlier, and as such, an intervention such as a miracle question can take the client in which they are a 10 on any scale needed. This can be effective.
According to SAMHSA (2005, Chapter 5, there are three stages of treatment: early, middle, and late stages of treatment. There are varying conditions of the clients, effective therapeutic stages, and ideal leadership characteristics with each stage. Given these three stages of treatment, Pichot and Smock (2009, Chapter 7) argue that some of the clients in solution-focused brief therapy already have done a significant amount of work before they decide on coming to therapy. As such, they might focus on pre-session change, which can act as a vital tool for a start to clients who view therapy as a formality. If such clients present themselves at therapy, it would not be advisable for counselors to redo the interventions they have gone through in stages of treatment or form a referral source. Such clients will interpret such strategies as discounting the positive changes that they had already attained. The counselor should focus on solidifying the changes they have made. The authors indicate that counselors can utilize Insoo Kim Berg’s two-step complement (Institute for Solution-Focused Therapy, 2021). In this approach, the counselor can verbally identify changes that the client has otherwise overlooked in the previous stage of treatment. The client will follow every need that the client presents and use these achieved goals to formulate a future goal for therapy. Many clients today are motivated to make additional changes and identify something they would like to change. As such, the counselor should be able to solidify what has already been done to move forward with therapy, hence ensuring working effectively.
Duncan, S. (1972). Some Signals and Rules for Taking Speaking Turns in Conversations. Journal of Personality and Social Psychology, 23(2), 283–292. https://doi.org/10.1037/H0033031
Institute for Solution-Focused Therapy. (2021). What is Solution-Focused Therapy. Institute for Solution-Focused Therapy. https://solutionfocused.net/what-is-solution-focused-therapy/
Pichot, T., & Smock, S. A. (2009). Solution-Focused Substance Abuse Treatment. Routledge: Taylor and Francis.
SAMHSA. (2005). Stages of Treatment. In Substance Abuse Treatment: Group Therapy. Substance Abuse and Mental Health Services Administration (US). https://www.ncbi.nlm.nih.gov/books/NBK64208/
Yalom, I. (2005). The Schopenhauer Cure. HarperCollins Publishers. https://psycnet.apa.org/record/2004-19156-000