Wednesday 2 November 2016

Test Bank for Groups Process and Practice 9th Edition by Corey.

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PART II
Teaching Group Counseling Courses
and Training Group Leaders


Introduction
It is common practice to combine both the didactic and the experiential aspects of learning in group work courses, but doing so requires that educators address a number of ethical considerations.  Group work educators must manage multiple roles and fulfill many responsibilities to their trainees.  In experiential training, participants engage in self-exploration and deal with interpersonal issues within the training group/class as a way of learning how to best facilitate groups.  The potential risks of experiential methods are offset by the clear benefits to participants who become personally involved in experiential group work as a supplement to didactic approaches in group courses.  Many group work educators see a need for an experiential component to assist students in acquiring the skills necessary to function as effective group leaders. 
            Below are the CACREP (2009) Standards that apply to the field of group work.  Note that section “e” specifies that students should participate in a small group activity for a minimum of 10 clock hours over the course of one academic term. This small group experience is typically an integral part of the one group course that most programs require.  Instructors handle this small group aspect in many different ways, and there are some potential ethical issues that focus around this experiential aspect of the group course.  This article addresses many of these ethical concerns that group work educators and students are often challenged by and have concerns about.
GROUP WORK - studies that provide both theoretical and experiential understandings of group purpose, development, dynamics, theories, methods and skills, and other group approaches in a multicultural society, including all of the following:
a.   principles of group dynamics, including group process components, developmental stage theories, group members’ roles and behaviors, and therapeutic factors of group work,
b.   group leadership or facilitation styles and approaches, including characteristics of various types of group leaders and leadership styles,
c.   theories of group counseling, including commonalties, distinguishing characteristics, and pertinent research and literature,
d.   group counseling methods, including group counselor orientations and behaviors, appropriate selection criteria and methods, and methods of evaluation of effectiveness, and
e.   direct experiences where students participate in a small group activity, approved by the program, for a minimum of 10 clock hours over the course of one academic term.

Training Standards for Group Trainees


For proficient group leaders to emerge, a training program must make group work a priority.  Unfortunately, in some master’s programs in counseling not even one group course is required.  In some programs such a course is still an elective.  In those programs that do require course work in group counseling, there is typically one course that covers both the didactic and experiential aspects of group process.  While some counselor training programs have more than one group course, many have only one course devoted to teaching knowledge and skills for group counselors (Wilson, Rapin, Haley-Banez, 2004).  It is a major undertaking to adequately train group counselors in a single course! 
When it comes to training doctoral level psychologists, there is evidence that suggests that comprehensive training standards have not been universally or rigorously followed.  In a survey of group psychotherapy training during predoctoral psychology internship, Markus and King (2003) found that, much like graduate school programs, predoctoral clinical psychology internships do not routinely provide adequate group therapy training.  The results of Markus and King’s survey suggested that there is lack of depth and breadth of group therapy didactic offerings to psychology interns.
For practitioners to become competent group facilitators specialized training is essential as a way to obtain proficiency and expertise in group process (Markus & King, 2003).  The Association for Specialists in Group Work (ASGW, 2000) specifies basic aspects in the education and training of group counselors: didactic course work, being involved in experiential group activities, leadership opportunities, and receiving competent supervision.  The revised Professional Standards for the Training of Group Workers (ASGW, 2000) specifies two levels of competencies and related training.  A set of core knowledge competencies and skill competencies provide the foundation on which specialized training is built.  At a minimum, one group course should be included in a training program, and it should be structured to help students acquire the basic knowledge and skills needed to facilitate a group.  These group skills are best mastered through supervised practice, which should include observation and participation in a group experience.  The Council for Accreditation of Counseling and Related Educational Programs (CACREP, 2009) standards call for students in an entry-level program to have a theoretical knowledge and an understanding of group process.  This knowledge includes the purpose of groups, developmental stages of a group, group dynamics, theory applied to practice, methods in group work, styles of group leadership, and ethical and legal issues in group work.  The standards also call for skill development necessary to facilitate groups. 
Both CACREP and ASGW training guidelines include an experiential component to training group leaders.  CACREP (2009) has a 10-hour requirement for direct experience as a participant in a small group.  ASGW (2000) requires a minimum of 10 hours of observation and participation in a small group as a member or a leader, with 20 hours being recommended.
The core competencies delineated in the ASGW (2000) training standards are considered the benchmarks for training group workers.  The current trend in training group leaders focuses on learning group process by becoming involved in supervised experiences.  Both direct participation in planned and supervised small groups and clinical experience in leading various groups under careful supervision are needed to equip leaders with the skills to meet the challenges of group work.  Barlow (2004) describes a strategic 3-year plan to teach beginning, intermediate, and advanced group skills.  Her article describes 4 ways designed to teach group skills: experiential, supervision, observation, and academic.  Van Velsor (2004) describes her training program for students working with children’s groups.  Her course combines a didactic component with observation, an experiential component involving facilitation of children’s groups, and a supervision component done in pairs and also in groups. 
Markus and King (2003) maintain that comprehensive training must include intensive supervision by a competent group therapist.  Although Markus and King endorse group supervision of group therapy as a powerful cognitive and emotional learning experience, they report that the majority of internships that provide supervision of group trainees tend to use the one-to-one model rather than offer opportunities for group supervision.  In addition to one supervisor working with one supervisee, there are other models for supervision of group leadership.  Group supervision of multiple group leaders is one alternative that has many advantages in terms of learning about group process as well as getting supervision (DeLucia- Waack and Fauth, 2004).
Wilson, Rapin, and Haley-Banez (2004) indicate that during the past 20 years, ASGW has developed three foundational documents to guide training and practice in group work.  These documents include: (a) Best Practice Guidelines (ASGW, 2008), which address guidelines in the planning, implementation, processing, and evaluation of group work practice; (b) Multicultural and Social Justice Principles for Group Work (ASGW, 2012); and (c) Professional Standards for the Training of Group Workers (ASGW, 2000).  In their article, Wilson, Rapin, and Haley-Banez (2004) describe the contents of these foundational documents and discuss how they can be used in training group workers.
One controversial ethical issue in the preparation of group workers involves the combining of experiential and didactic methods in training group leaders, which is a common practice. Merta, Wolfgang, and McNeil (1993) found that a large majority of counselor educators continue to use the experiential group in preparing group coun­selors. Furthermore, there is significant variation in using alternative training models, and numerous safeguards are employed. Many group counselor educators consider the experiential component to be essential in the teaching of group-counseling courses. Although there are certain problems in teach­ing students how groups function by involving them on an experi­ential level, these difficulties can be resolved. Clear guidelines need to be established so that students know what their rights and responsibilities are. This arrangement does put a bit more pressure on both the instructor and the students. It calls for honesty, maturity, and professionalism.
In addition to the challenges of combining didactic and experiential approaches, those who teach group counseling courses are faced with many challenges in their attempt to meet the professional standards for the training of group workers (Guth & McDonnell, 2004).  According to O’Halloran and McCartney (2004), a major challenge in teaching group counseling in an entry-level program is effectively covering the standards set forth by ASGW (2000) and CACREP (2009).  Akos, Goodnough, and Milsom (2004) address the challenge of maximizing a single group course in preparing counselors for doing group work in the schools.  Akos and her colleagues recommend a number of strategies in training school counselors, one of which is infusing group concepts throughout the curriculum.  They also recommend selecting practicum and internship sites based on opportunities to use group work. Killacky and Hulse-Killacy (2004) make a case for teaching generic group competency skills across the counselor education curriculum.  Other writers stress the importance of incorporating multicultural issues in training group counselors (Bemak & Chung, 2004;  DeLucia-Waack & Donigian, 2004).  The Association for Specialists in Group Work has published the Multicultural and Social Justice Principles for Group Work (ASGW, 2012) that enable group workers to sensitively address issues of classism, sexism, racism, heterosexism, and ableism.  Indeed, there is increased recognition that all group work should address multicultural and social justice issues, and thus, effective training of group counselors implies addressing these dimensions (Hays, Arredondo, Gladding, and Toporek, 2010; DeLucia-Waack and Donigian, 2004; Ivey, Pedersen, and Ivey; 2008).

Multiple Roles of Group Work Educators


Faculty who teach group courses often function in multiple roles: facilitator of a group, teacher, evaluator, and supervisor. At various times educators may teach group process concepts, lead a demonstration group in class, set up an exercise to illustrate an intervention in a group situation, and evaluate students’ work. Educators may have a monitoring function, especially in identifying and intervening when students demonstrate bizarre behavior, are unable to give or receive feedback, or are unable to relate to others in even the most basic manner. Group educators have a responsibility to the students, the profession, the community, and to the training institution, to act in those cases where students in a group course give evidence that they are personally not suited to working as group facilitators. Faculty members who teach group classes often assume a supervisory role, observing trainees as they facilitate a group. If an instructor also facilitates a process group, or an interpersonal process-oriented group, this person will at times carry out therapeutic roles and functions with these same students. Although the instructor may avoid becoming a therapist for a student group, he or she might be called upon to assist participants in identifying personal problems that are likely to interfere with their ability to function effectively in group work. Although blending these roles does present potential ethical problems, the literature reveals that various strategies are being employed in the preparation of group counselors to mitigate these problems. Merta, Wolfgang, and McNeil (1993) admit that no one training model or combination of safeguards is apt to solve the dilemma of protecting students from adverse dual relationships and at the same time pro­viding them with the best possible training.
            Educational and therapeutic dimensions are often blended in group courses to enable students to obtain both personal benefits and conceptual knowledge and to acquire leadership skills. Sometimes, the person teaching a group course may have no formal preparation or course work in group counseling, may never have been a participant in a group, and may not have had any opportunity to be supervised leading a group. One core ethical issue is the level of competence of the person teaching the group course.
            Faculty sometimes functions in multiple roles and relationships with students and trainees without establishing and clarifying appropriate boundaries. One example of such an abuse involves group work educators who accept students as therapy clients in their private practices. Other potential areas of abuse include professors who reveal personal disclosures of students in a training group to other faculty, professors who are unable to establish appropriate professional boundaries, and professors who use the training group as a forum for dealing with their own personal problems. Faculty have sometimes demonstrated poor judgment or misused power, improperly managed multiple roles and relationships, or acted in some other way to bring harm to a student. Some students who have been in a group course have talked about the experience as being anything but growth-producing or a positive learning experience. These students have learned what not to do in their own groups as a result of participating in a group course. For example, in some cases students have not been given any preparation for a group experience and no attempt has been made to provide for informed consent. In other cases, students are sometimes left alone to form their own process group, which is a required part of the group course, with very little guidance and no supervision from the faculty member teaching the course. Undirected group experiences have the potential for being aimless or even damaging. Conflicts may not be properly addressed, and scapegoating of a particular member may take place. There may also be undue group pressure for members to reveal personal secrets and hidden agendas can result in the group getting stuck.
            Some professional educators have expressed concern about the potential pitfalls of experiential training or about the multiple roles and relationships involved in teaching group work. Davenport (2004) observes that the practice of having professors or supervised doctoral students lead experiential groups for students in masters-level group counseling courses is widespread. She raises ethical concerns over this practice and suggests an alternative training model.  One aspects of Davenport’s program is a prerequisite for students taking the advanced group counseling class to be in a semester-long growth group experience, which is led by a licensed professional.  These groups are not led by either a program instructor or an advanced student.  Staff members from her university’s student counseling center often provide this service.
            In writing about ethical dimensions of teaching group counseling, Kottler (2004) observes that dual and multiple relationships are not necessarily problematic and that they can add richness and complexity to life. He adds that multiple relationships in training become problematic when they are exploitive and when educators misuse their power by taking advantage of others in a dual role.  Kottler lists the following as ways to safeguard trainees in an experiential group: providing informed consent, so that students know what they are getting into;  offering trainees the right to pass; and not evaluating students on what they say or do not say.  Kottler makes a very important point in teaching group counseling when he says that the key is not what we are doing, rather how we are doing it.
            Although some abuses in the attempt to train group workers using experiential approaches have been documented, I do not think that this warrants the conclusion that all such experiences are inappropriate or unethical. Furthermore, it is a mistake to conclude that group work educators should be restricted to a singular role of providing didactic information. From my point of view, some faculties who have negative attitudes toward anything but a didactic approach to teaching group counseling are not recognizing the potential benefits of this approach. Overcorrection of a problem of potential abuse does not seem justified to me. Teaching group process by involving students in personal ways is the best way for them to learn how to eventually set up and facilitate groups.  I am in agreement with Stockton, Morran, and Krieger (2004) who indicate that there is a fine line between offering experiential activities and safeguarding against gaining information that could be used in evaluating students.  Faculty who use experiential approaches are often involved in balancing multiple roles, which requires consistent monitoring of boundaries.  Stockton and colleagues emphasize that group work educators need to exert caution so that they offer training that is both ethical and effective. Although it is essential to secure informed consent at the outset of a member’s participation in a group, various aspects of the consent process may need to be revisited at different phases of a group.  When informed consent is done effectively, it helps promote individual autonomy, engages members in a collaborative process, and reduces the likelihood of exploitation or harm (Barnett, Wise, Johnson-Greene, & Bucky, 2007; Wheeler & Bertram, 2012). 

The Scope of My Work


Currently, I teach group courses on both the undergraduate and graduate levels, and in addition, I offer training and supervision workshops in group facilitation for both students and mental health professionals. In each of these courses or workshops I blend didactic and experiential approaches, and in doing so I assume multiple roles. In many cases, the courses and workshops that I conduct are composed of voluntary participants, and this brings a different dimension to these experiences than if I were teaching a required course. In addition to teaching group process as a part of the undergraduate program, I also function as a supervisor of students in small groups (as a part of the group course). I facilitate groups in which students in these classes are exploring their personal concerns and a variety of inter­personal issues that emerge during the unfolding of the group.
            The students who sign up for my undergraduate human services program group course are highly motivated and generally willing to engage in significant self-exploration in the context of the group course.  In my role as a professor, I am required to grade students, but I am not expected to evaluate students for retention in the major. If I were on a committee charged with making determinations regarding acceptance or dismissal from a training program, and if I was expected to use this information about students that I acquired from the group courses, this might prove to be ethically problematic.

Practicum in Group Leadership Course


One of the undergraduate courses I regularly teach at California State University, Fullerton, is Practicum in Group Leadership (see Corey, 1981, 2012a, 2012b; Corey, Corey, & Corey, 2014). In this course, students get a balanced experience of didactic material on group process and theories of group, opportunities to lead and co-lead self-directed groups where they can apply what they are learning, supervised experience in group leadership, experiential learning involving working on their own personal issues in a group, and supervision sessions that are therapeutic as well as educational. Thus, in a single course students are exposed to a variety of ways of learning about groups, both cognitive and experiential. I cite this class as an example of the many group-leadership courses that typically combine academic learning with opportunities for personal learning.
            In the Practicum in Group Leadership course students are screened both individually and in a small group before they are allowed to enroll in the course. The course includes supervised experience in co-leading a group-oriented class on the campus and students meet for weekly supervision as a group with the faculty person supervising their work as co-leaders. In addition, students meet with me once a week for a 3-hour class session. Each class meeting begins with a didactic focus: a short lecture on group process issues or a consideration of a specific theory of group work and a demonstration group that I lead to illustrate the practice of a particular theoretical orientation. During the second half of the class session, the class is divided into two groups (generally not more than 12 students in each small group) with an experiential focus. The students co-lead this group for the first 45 minutes of the session, which is followed by 30 minutes of processing time with a supervisor. Another faculty member assists me in supervising these small groups.

A Weekend Training and Supervision Group


In addition to the regular class meetings each week of the Practicum in Group Leadership course, and the one time each week that they meet for group supervision with another supervisor, students are asked to enroll in a 3-day training and supervision workshop during the first weekend of the semester. This is a separate course (Group Process and Membership) in which students are given one semester unit of credit. The course does not carry a letter grade but is evaluated simply as “Credit” or “No Credit,” removing the evaluative component from this kind of experiential group training. This residential workshop includes about 25 hours of group work with many opportunities for students to function as group members and as co-leaders of their own small groups during the weekend.
            In addition to my role in this weekend workshop, five other faculty members also function as supervisors during this workshop. Before students enroll in this workshop, they are informed of the nature, purpose, and structure of the class. They indeed do get involved in self-exploration and in dealing with interpersonal issues that grow out of the emergence of the group process. Students each have at least two opportunities to co-lead a group during the weekend, and each of these sessions is directly supervised. Students co-lead for the first hour and spend the next 30 minutes discussing group process with the supervisor of that particular session.
Preparing Students to Co-Lead Small Groups. When students and supervisors initially meet for the weekend workshop, an orientation meeting is held for the entire group. We offer suggestions aimed at helping students get the maximum benefit from their experience, both as members and as facilitators of their small groups. We urge students not to be overly concerned about making mistakes and encourage participants to share what they are thinking, feeling, perceiving, and experiencing in the here-and-now of the group session. We emphasize that there is no such thing as a “bad group,” because everything that occurs in this kind of workshop is an opportunity for learning. We also allow some time for participants to express and explore their concerns, as well as ask us questions about the workshop. Students often mention a fear of getting stuck and not knowing what to do; concern about being left unfinished; the difficulty they expect to face in switching from member to leader; wondering how far to go with personal issues; and their anxieties about the responsibility of co-leading a group. During this time we do our best to create a safe climate where participants will feel free enough to practice leading and where they will feel trusting enough to share themselves in personal way so that they can become a working group.
The Small-Group Sessions. During the first small-group session, our main goal is to assist participants in continuing to talk about any fears or expectations they have pertaining to the workshop. We encourage them to identify themselves to one another, which is partly done by defining their personal goals. Through getting acquainted in their small group, participants begin to actively create a trusting environment where they can engage in the self-disclosure necessary for a working group. Another agenda we have for this session is to help the group come up with themes they can use as a focus for their sessions.
            Prior to attending the workshop, students are expected to read Group Techniques (Corey, Corey, Callanan, & Russell, 2004) as a way to familiarize them with ways of using and evaluating techniques in facilitating groups.  Also, before students attend the workshop, they are told that each of the 90-minute sessions will be structured around themes taken from the book I Never Knew I Had a Choice (G. Corey & Corey, 2014), which they have read prior to this workshop.  Participants are asked to read this book prior to attending the workshop, but they are not expected to stick rigidly to these themes in a given session; rather, these themes are points of departure and topics for focus. Generally, it is hoped that the student leaders learn that their own personal fears, problems, and unresolved issues will affect the way they lead groups. Other here-and-now issues surface and are dealt with, especially matters such as students’ anxiety about not knowing enough to lead groups effectively, fears of being seen as incompetent, discomfort with intense emotions, fears of making mistakes, and concerns about being able to work well with a co-leader.
            At this preliminary meeting, students are given guidelines regarding how they can actively participate in their small groups. There are at least two levels on which they can use their time in small groups effectively. On the first level, there is the focus on the here-and-now, which pertains to students’ reactions to what is going on in their training group. Students are told that they will be asked to reflect on what they are thinking and feeling in the here-and-now as it pertains to being in their small group and will have the opportunity to express their fears, concerns, and hopes related to participation in the group.
            On the second level, there is the focus on students’ personal goals, or the personal topics they are willing to explore during the workshop. Students hear about the importance of establishing specific and meaningful personal goals.  They are asked to pay special attention to personal topics that have relevance to how an issue is likely to impact their work as counselors or group leaders.  The topics in I Never Knew I Had a Choice (Corey, G. & Corey, 2014) are especially important as material for exploration in the small groups.  Some of these topics include the following: 
·         Where are you in your journey toward personal growth?
·         What were some significant turning points in your childhood?
·         What were some significant turning points in your adolescence?
·         How does your past influence the person you are presently?
·         Do you have struggles in the area of autonomy?
·         How is wellness a concern of yours?
·         Do you have concerns over your bodily identity?
·         How well are you managing stress in your life?
·         What concerns do you have in the area of intimate relationships?
·         What are some relationships that you would most like to change?
·         What changes would you most like to make in your life?
·         Are themes of loneliness and solitude important to you?
·         How are death and loss potential concerns of yours?
·         What are your struggles pertaining to meaning and values?

            In small groups, we tend to focus on exploring self-defeating cognitions these students bring to the workshop. For instance, many students burden themselves with perfectionistic demands that they should already know everything there is to know about a group before they even take the class. Student trainees worry a great deal about their performance and how the supervisors will judge them. Some students are convinced that the supervisors will “discover them” and tell them they cannot continue in the course. They fear being exposed as incompetent. All these concerns make excellent material to work on in the sessions, for it is what is presently on many of their minds. Some of the most useful themes pertain to their concerns about doing well in this workshop and in the group course. We caution participants to avoid discussing such themes in abstract and impersonal ways, and we encourage the leaders to facilitate in a manner that will help members apply these themes to themselves and explore them in personal ways.
            During the first hour of group working time, the supervisors take notes that we later share with the students when we process the group. These details can serve as excellent teaching points during the process commentary time that immediately follows. Many aspects of what is going on in the group get our attention: How do the co-leaders open the group? How do they introduce techniques? If there is a theme, do the co-leaders facilitate group interaction and assist members to deal with the theme in a personal way? Are co-leaders able to drop an agenda to pick up on an emerging theme in the group, such as lack of trust? What leadership skills are the co-leaders demonstrating? Are they able to orchestrate member interaction, or do they focus on the first person who speaks and ignore others? What are the results of certain interventions? Are the co-leaders paying attention to nonverbal language? Are they able to move from one person to another in a natural way? What are the co-leaders modeling? How is conflict dealt with in the group? How are the co-leaders working together? Do they pick up on each other’s interventions? What leadership skills do they need to acquire or refine?
            These are a few examples of what the supervisors focus on during the first hour of each session that the students are co-leading. We find that participants are most receptive to learning about group process when they have just experienced what we hope to teach.
The Process Commentary Time. The second part of each small-group session (approximately 30 minutes) begins with our request that the co-leaders talk to each other about what they were thinking and feeling during the past hour. We then ask the student group members to briefly summarize their experience. Then, as supervisors, we share our observations in such a way that participants are encouraged to interact with us through questions and discussion. During the process commentary, we emphasize that many appropriate clues can be picked up on and explored during a group session. What a leader decides to focus on is not a matter of “right” or “wrong”; rather, it is often a function of the leader’s interest at the moment. Leaders might make a certain intervention (or avoid doing so) because of their theory, the lack of comfort with certain emotions, their personal blocks, or the mood that seems present in the group. We tend to focus on what the co-leaders had in mind with certain interventions and sometimes talk about alternative ways of intervening.
            During this process commentary time, we might ask co-leaders open-ended questions designed to help them reflect on their own experience as they were leading. Some of these key questions include the following: What was going on with you when . . . ? Were you aware of thinking or feeling something that you did not say? What hunches did you have when . . . ? Where might you go if you were to continue in the next session? Why did you introduce this particular technique at this time? As we discuss the proceedings and provide feedback, we try to be constructive, honest, and sensitive. We encourage students to build on their strengths and try not to discourage them from trying out new ideas and approaches.
            Our experience in doing training workshops has shown us that the participants learn best when the material arises from what they actually experience in a session. This kind of ongoing teaching/learning process seems to have an impact on students: what they are conceptualizing has its roots in a problem they have actually faced as either a member or a leader of their training group.
            At times we have to give difficult feedback, yet we say what needs to be said in a respectful and sensitive way. We notice that after the first small group and our process commentary, the participants relax greatly and feel much less anxiety. They watch the way we give feedback and see that we treat them with dignity. We respect their level of experience, whatever that may be, and give them room to learn by trial and error. Also, we encourage students to be patient with themselves and not to burden themselves with unrealistic expectations of having to be perfect.
Leading by the Supervisors- The other supervisors and I typically co-lead the small groups during the evening session. During these sessions, participants have no leadership responsibilities. This is their time to bring up any issues that surfaced for them during the day and to go further with them if they choose. Our leading provides a safeguard against members opening up issues without having a means to explore them in greater depth. The participants have an opportunity to work with any personal matters that are unsettled, with anyone in the workshop whom they might have reactions to, or with any of their concerns pertaining to their participation in their small group (either as a member or a facilitator). We realize that going from one session to another, being alternately a member of a group and a leader, working on a feeling level and then a cognitive level, and being in a personal working group and then shifting to a process-oriented discussion group can be unsettling and often demands adjustment.

            Our leading during the evening is one way of attending to the feelings that arise from the intense and demanding activities of a typical day in the workshop. It also gives the participants a chance to observe and experience each supervisor’s style of leadership. However, we caution students against merely observing what we are doing and studying us. They are reminded that the best way to learn how to lead a group is by getting fully involved as a member, and then later conceptualizing and discussing what they experienced. 

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