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1. The five group models common in substance abuse treatment are all except:

A. Psychoeducational groups

B. Skills development groups

C. Cognitive–behavioral groups

D. 12-Step groups

E. Support groups

F. Interpersonal process groups

  ?  A  B C D E F 

2. Some clients probably are not suitable for certain groups, or group therapy in general, including all the following except:

A. People who refuse to participate
B. People who are court ordered
C. People who cannot honor group agreements
D. People who make the therapist very uncomfortable
E. People who cannot control impulses

?  A  B C D E 

 

3. A group agreement establishes the expectations that group members have of each other, the leader, and the group itself. Although helpful for many clients, having one is not a factor contributing to the success of outpatient therapy groups. 

  ?  TRUE  FALSE 

4. In the early phase of treatment clients tend to be excited about ending substance use, but are rigid in their thinking, and limited in their ability to solve problems. 

  ?  TRUE  FALSE 

5. Leaders should be able to

• Adjust their professional styles to the particular needs of different groups
• Model group-appropriate behaviors
• Resolve issues within ethical dimensions
• Manage emotional contagion
• Work only within modalities for which they are trained
• Prevent the development of rigid roles in the group
• Avoid acting in different roles inside and outside the group
• Motivate clients in substance abuse treatment
• Ensure emotional safety in the group
• Maintain a safe therapeutic setting (which involves deflecting defensive behavior without shaming the offender, recognizing and countering the resumption of substance use, and protecting physical boundaries according to group agreements)
• Curtail emotion when it becomes too intense for group members to tolerate
• Stimulate communication among group members

A. All of the above
B. Some of the above
C. None of the above

? A  B C 

6. Leader-centered groups are generally very effective.

?  TRUE  FALSE   

7. Confidentiality restricts the information that providers can reveal about clients but does not apply to what clients may reveal about each other as they are not bound by the same legal and ethical requirements. 

  ?  TRUE  FALSE 

8. Various types of disruptive behavior may require the group leader's attention. Which of the following is not an example of this behavior:

A. Clients who talk nonstop or who interrupt
B. Clients who flee a session
C. Clients who do not keep their fees current
D. Clients who arrive late or skip sessions
E. Clients who decline to participate
F. Clients who speak only to the problems of others

  ?  A B C D E F 

9. Many group therapists have adapted practices from AA and other 12-Step programs for use in therapeutic groups. This is therapeutically acceptable and theoretically sound due to the extensive research available.

?  TRUE  FALSE   

10. It matters little whether the group therapist is a person who once abused substances and participated in a recovery group, or someone who developed knowledge in a traditional course of academically based training. Where problems exist, they usually are related to the use of a group therapy model that is inadequate.

?  TRUE  FALSE   

11. Skills development groups usually run for a limited number of sessions and have to be small enough for members to practice the skills being taught. 

  ?  TRUE  FALSE 

12. In cognitive–behavioral groups, the leader is encouraged to become the expert model in how to think, how to express that thinking behaviorally, and how to solve problems. 

?  TRUE  FALSE 

13. Interpersonal process groups use psychodynamics, or knowledge of the way people function psychologically, to promote change and healing. The psychodynamic approach recognizes that conflicting forces in the mind, some of which may be outside one's awareness, determine a person's behavior, whether healthy or unhealthy.  

  ?  TRUE  FALSE   

14. Within the interpersonal process model, the objects of interest are the here-and-now interactions among members. Of less importance is what happens outside the group or in the past.

?  TRUE  FALSE   

15. All therapists using a “process-oriented group therapy” model continually monitor three dynamics:

• The psychological functioning of each group member (intrapsychic dynamics)
• The way people are relating to one another in the group setting (interpersonal dynamics)
• How the group as a whole is functioning (group-as-a-whole dynamics)

?  TRUE  FALSE   

16. Problem-focused groups are the most widespread. 

  ?  TRUE  FALSE   

17. Matching each individual with the right group is critical for success.

  ?  TRUE  FALSE 

18. Most clients are equally suited for all kinds of groups, and any researched group approach is suitable.

  ?  TRUE  FALSE 

19. People with significant character pathology (for example, a personality disorder) placed in a group of people who do not have a similar disorder almost certainly would violate the boundaries of the group and of individuals in the group.

?  TRUE  FALSE 

20. Client evaluators don’t need to take valuable time to meet with each candidate for group placement and can instead safely rely on the review of information about the client in forms. 

?  TRUE  FALSE 

21. Recent studies have shown that women do better in mixed gender groups than in women-only groups.

?  TRUE  FALSE 

22. Fixed groups generally stay together for a long time, while members in revolving groups remain only until they accomplish their goals.

  ?  TRUE  FALSE 

23. In ongoing groups with fixed membership, the size of the group is set; new members enter only when there is a vacancy. The leader generally is more active than is the leader of a time-limited group.

?  TRUE  FALSE 

24. Transactional analysis—Is both a theory of personality and an organized system of treatment utilizing the concept of making transactions in a token economy.

?  TRUE  FALSE 

25. If a Revolving Membership group becomes too large (more than 10), group interaction breaks down and the clients become a class made up of individuals, rather than a single, cohesive, therapeutic body.

?  TRUE  FALSE 

26. Revolving membership groups generally are less structured and require less active leadership than fixed membership groups.

  ?  TRUE  FALSE 

27. Group leaders should conduct initial individual sessions with the candidate for group to:

1. Form a therapeutic alliance
2. Reach consensus on what is to be accomplished in therapy
3. Educate the client about group therapy
4. Allay anxiety related to joining a group
5. Explain the group agreement

A. Primarily 1 & 3
B. Primarily 3 & 4
C. Primarily 2 & 5

D. All of these

? A  B C D 

28. As clients move through different stages of recovery, treatment must move with them, changing therapeutic strategies and leadership roles with the condition of the clients.

  ?  TRUE  FALSE 

29. It is most useful for the therapist to assume the role of mentor, showing how to “do recovery.” 

?  TRUE  FALSE 

30. Therapists should use self-disclosure only after having a discussion with a supervisor.

  ?  TRUE  FALSE 

31. When personal questions are asked, group leaders need to consider the motivation behind the question but never answer them directly. It simply is best to assure the client that the therapist is able to understand and assist them. 

?  TRUE  FALSE 

32. Another's sharing can stir frightening memories and intense emotions in listeners. In this powerful and emotional atmosphere, the spreading excitement of the moment, or emotional contagion, requires the leader to:

a. Protect individuals.
b. Protect boundaries.
c. Regulate affect.
d. All of above

? A  B C D 

33. Cohesion—A positive quality of groups denoting a sense of enthusiastic solidarity within the group.

?  TRUE  FALSE   

34. Conflict—A basic detrimental dynamic in groups that always leads to one or more of these outcomes:

(1) It distracts members' attention or allows them to avoid issues in the group.
(2) Many group members will feel his or her beliefs or world views are not understood or viewed as valid.
(3) Leads to destructive behaviors, such as denigration or other verbal abuse.

?  TRUE  FALSE 

35. Expressive groups—Groups formed to use some kind of creative activity (such as painting, dance, play therapy, or psychodrama); expressive groups may be especially effective for more artistic clients who generally can verbalizing thoughts and feelings. 

?  TRUE  FALSE 

36. Emotional contagion—Rapid and intense escalation of excitement in a group, which if uncontrolled, can threaten boundaries and an individual's sense of well-being, potentially leading to premature termination of treatment.

  ?  TRUE  FALSE 

37. Fixed membership groups—Relatively small group with a set number of members who stay together over a long period of time; people in time-limited fixed membership groups start and stay together, while ongoing fixed membership groups bring in new members if a vacancy occurs.

  ?  TRUE  FALSE 

38. Group dynamics—The collective impact of individual members on the group and the impact the group has on each individual.

  ?  TRUE  FALSE 

39. Group process—How events take place in group, in contrast to content, which is what takes place. Overall, process concerns include the impact and quality of interaction among group members, the impact of group on individuals, and the life phases of the group.

?  TRUE  FALSE 

40. Interventions—Words or actions with a therapeutic purpose; interventions may clarify what is happening in group, redirect energy, stop unhelpful processes, or present the group with a choice.

?  TRUE  FALSE 

41. Process-oriented therapy—An approach to group therapy that emphasizes group members interaction with the leader as the healing agent; the role of the leader is the promotion of this interaction and its interpretation.

  ?  TRUE  FALSE 

42. Projective identification—Involves projecting one's known attributes onto another person.

  ?  TRUE  FALSE 

43. Psychodynamic therapy, psychodynamic approach—An approach to psychological growth and change that emphasizes the evolution and adaptation of the psychological structure within an individual. Psychodynamic therapy often focuses on changing behavior in the present by re-examining and revising a person's understandings and reactions to events in the past.

  ?  TRUE  FALSE 

44. Psychoeducational groups—Groups formed to educate clients about specific therapeutic topics.

?  TRUE  FALSE 

45. Redecision therapy—Is aimed at helping people make better decisions in their current and future relationships.

?  TRUE  FALSE 

46. Relapse prevention groups—Groups formed to help clients maintain abstinence or minimize the impact and duration of relapse.

?  TRUE  FALSE 

47. Splitting—A divide-and-conquer tactic used to come between cotherapists.

Thank you for your participation in this continuing education course. We are required to collect evaluation data on each course completed prior to the issuance of your certificate. Please complete the following and return with your post-test.

Please evaluate the course using this scale:

1 = below average 2 = average 3 = above average 4 = excellent

?  1 2 3 4 The extent to which this course met the objectives.

?  1 2 3 4 The adequacy of the author's mastery of the subject.

?  1 2 3 4 Efficiency of course mechanics (traditional homestudy or online procedures).

?  1 2 3 4 The applicability or usability of the information for you.

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