Tuesday, September 30, 2014

Social Support in a Safe Environment: Group Therapy


Counseling groups provide support, self-awareness, and education in a safe environment. By attending groups, members have the opportunity to work on skills that they have learned during individual counseling. This type of setting allows the individual’s to increase their confidence and to build interpersonal relationship skills. Yoni Harel, Zipora Schechman, and Carolyn Cutrona designed a study to “explore the associations among the individual’s attachment style, group process variables (climate and bonding), and objectively documented supportive behavior in counseling groups, as well as the impact on change in members’ perceived social support” (2011, p.1). The study examined the variables that impact an individual’s social support, because there is a connection between an individual’s well-being and the support system that they have. Harel et al. insists that social support “provides hope, increases self-confidence, and is an important buffer against loneliness and stress” (p.1).

So, what variables were looked at and why? The individual and group process variables that effect social support in counseling groups literature review determined that attachment style is important and that it would have an outcome on the individuals social behavior; specifically, “people with high levels of (avoidance and anxiety-italics added) either or both dimensions are viewed as having an insecure adult attachment orientation” (p.2). The individuals with high levels of avoidance and anxiety attachment styles also measured “to be positively associated with self-concealment, self-splitting, and personal problems, as well as maladaptive perfectionism and depression moods” (p.5). Individuals with these attachment styles have the ability to push a counselor’s buttons; bring out negative behaviors, so therapists must remind themselves not to be too confrontational with them. It appears that there are limitations to attending counseling groups for individuals that have high levels of avoidance and anxiety attachment styles. Individuals with these attachment styles need to learn skills through individual therapy, so that they can benefit from counseling groups. As such, counselors need to allow these individuals the opportunity to participate without providing a lot of direction while in the group: instruction or direction should be given on an individual basis privately.

The study used two independent evaluators to assess the types of social supports. The trained evaluators used the Social Support Behavior Code to “assess social support behaviors in the context of helping interactions;” this scale assesses eight types of support: “ (1) emotional support; (2) esteem support; (3) information support; (4) tangible support; (5) social network support; (6) tension reduction; (7) attentiveness; (8) negative behavior” (p.4). There is a difference between the social support behavior (identified above) and the perceived social support which “assesses people’s subjective judgments about the extent to which members of their social network provide social support in times of need;” so another assessment needed to be include that would measure the following areas: “attachment, reassurance of worth, social integration, guidance, reliable alliance, and the opportunity to provide nurture” (p.6). There were one hundred and seventy-eight students participated in the mandatory groups.

Counseling groups are general divided into three stages; and they are, the beginning or initial stage, the middle or working stage, and the ending or termination stage. It is important for the members to trust each other during the beginning stage, because if they don’t then they will not move onto the working stage. The working stage requires the members to “engage in self-exploration, develop insight, and resolve personal difficulties, by questioning each other; sharing personal information, emotions, and experiences; and providing supportive feedback” (p.4). It is the counselor’s responsibility to help the members build the initial bond, so the counselors might have to talk more in the beginning stage then in the middle stage. Once the stage is set the members should start displaying signs of support. The study noted that group size is important, because “the exchange of positive support was more frequent in smaller groups,” so individuals interested in going to counseling groups for support should try and find ones that are not large (p. 9).

Since attachment style is the strongest predictor of an individual’s behavior in counseling groups, individuals should be encouraged to use effective skills and discouraged from using ineffective skills. The study provides useful information. But, it lacks information about the group facilitators, and the methods that they used during the mandatory meetings. Facilitators have the ability to promote more positive outcomes; on the other hand, they have the ability to discourage positive outcomes. For example, if the group facilitators provided the members with instruction on self-confidence, self-acceptance, and self-care it would enhance the individual’s skills and the group skills. Self-confidence enhances self-management, competencies, social skills, and assertiveness training. Self-acceptance changes ones evaluations of the self (e.g., cognitive restructuring or changing personal values); in turn, it changes their evaluations of others. Finally, self-care encourages positive experiences with oneself (e.g., develop positive activities and focus on positive facets of oneself), and these positive experiences can promote positive experiences with the group members. Groups provide an environment for members to work on their skills while interacting with peers; and as a result, counseling groups provide support, self-awareness, and education in a safe environment.

 

Reference

 

Harel, Y., Shechtman, Z., & Cutrona, C. (Aug 15, 2011). Individual and group process variables that affect social support in counseling groups. Group Dynamics: Theory, Research, and Practice. Advanced online publication. doi: 10.1037/a0025058

 

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