The psychiatric mental health nurse practitioner (PMHNP)

The psychiatric mental health nurse practitioner (PMHNP) may provide psychotherapy to couples, families, and groups using a variety of therapeutic techniques.  Locate a brief video (approximately 5 minutes or less) portraying a group therapy session on YouTube or another website.

Include the following sections:
Application of Knowledge: Answer all questions/criteria with explanations and detail.
Include a brief description of the session and a link to the video in your initial discussion post.
Analyze the interactions between the group members. Identify the phase of group formation the group appears to be in. Include your rationale and evidence for your treatment phase selection.
Describe the therapeutic approach and techniques the therapist is using
Discuss other therapy approaches that might be used by a therapist conducting the group.

find the cost of your paper

Sample Answer

 

 

 

 

 

Analysis of a Group Therapy Session

 

This paper provides an analysis of a brief group therapy session, examining the interactions, phase of group formation, and therapeutic techniques used by the facilitator. The video, titled “Irvin Yalom Outpatient Group Psychotherapy Video,” offers a concise, four-minute glimpse into a psychodynamic group therapy session. The video can be viewed at the following link: https://www.youtube.com/watch?v=PwnfWMNbg48.


 

Application of Knowledge

 

The session, led by renowned psychiatrist Irvin Yalom, features a small group of adults engaged in a therapeutic discussion. The central theme of the interaction revolves around one member’s feelings of social isolation and his struggles with forming meaningful connections. As other members begin to share their own experiences, the session shifts into a process of mutual exploration, with the group collectively reflecting on the member’s initial vulnerability and its impact on the group dynamic.

Full Answer Section

 

 

 

 

 

Analysis of Group Interactions and Group Formation Phase

 

The interactions within this group are characterized by a cautious yet emerging sense of trust and a shared purpose. The group appears to be in the Norming Phase of group formation. This phase is typically preceded by the Storming Phase, where conflict and resistance are common. However, in the video, members are not openly challenging each other or the therapist; instead, they are beginning to establish a sense of cohesion and acceptance.

My rationale for this selection is based on several observable behaviors:

  • Establishment of Norms: The group members are actively listening to one another and respectfully responding to each other’s comments. When one member expresses a fear of social interaction, another validates his feelings and shares a similar experience. This validation demonstrates that the group has developed a norm of empathy and support.
  • Cohesion and Trust: The members are not just talking to the therapist; they are directly addressing each other. The individual who shares his vulnerability also directly asks the other members, “What does it feel like for you guys?” This question indicates an emerging sense of trust and a desire to connect on a deeper level. The willingness to share personal struggles in front of others is a key indicator of developing group cohesion.
  • Movement Beyond Superficiality: The conversation delves into a core issue of loneliness and the fear of social exposure, which moves beyond the superficial “Forming” stage. The members are willing to engage in a deeper, more meaningful dialogue, suggesting they have overcome the initial barriers of awkwardness and formality.

 

Therapeutic Approach and Techniques

 

The therapeutic approach used by Irvin Yalom is Existential Group Therapy. This approach focuses on fundamental human concerns such as mortality, isolation, meaninglessness, and freedom. Yalom’s techniques are rooted in the idea that interpersonal relationships within the group can serve as a microcosm for the members’ external lives.

The following techniques are evident in the video:

  • Here-and-Now Focus: Yalom consistently brings the conversation back to the present moment, asking the group members how they feel right now in response to a member’s disclosure. For example, he asks about the group’s “emotional experience” of hearing one member express vulnerability. This technique encourages members to process their feelings in real-time and provides a direct, interpersonal learning opportunity.
  • Universality: The therapist fosters a sense of universality by highlighting how one person’s struggle with loneliness is a shared human experience. When one member relates to another’s feelings, it validates the individual’s emotions and helps them feel less alone in their struggles.
  • Interpersonal Learning: Yalom uses the group as a laboratory for social interaction. He facilitates a process where members receive immediate feedback on their behavior and how it impacts others, allowing them to gain insight into their own interpersonal patterns.

 

Other Therapy Approaches

 

While Yalom’s existential-interpersonal approach is highly effective in this context, other therapeutic approaches could also be used to facilitate a group session, each with a different focus:

  • Cognitive Behavioral Therapy (CBT) Group: A CBT-focused group would be more structured and educational. The therapist would likely introduce specific cognitive distortions and behavioral techniques, such as reframing negative thoughts or practicing assertiveness skills. The group would work through a curriculum, and the focus would be on applying these techniques to their individual lives, with less emphasis on the “here-and-now” process of the group dynamic itself.

This question has been answered.

Get Answer