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Group Therapy Treatment for Substance Abuse (Revised) - Part 1

Executive Summary

1. Which of the following is an advantage of group therapy over other modalities?

A. Positive peer support

B. A reduction in clients’ sense of isolation

C. Real-life examples of people in recovery

D. All of the above

2. Which group model delves into major developmental issues that contribute to addiction or interfere with recovery?

A. Psychoeducational groups

B. Interpersonal process groups

C. Skills development groups

D. Cognitive-behavioral groups

3. Because recovery is a long, nonlinear process, the type of therapy chosen should always be subject to re-evaluation.

A. True

B. False

4. It is essential that all clients in a group have similar:

A. Needs

B. Genders

C. Cultures

D. Ages

5. Which of the following has been described as the single most important factor contributing to the success of outpatient therapy groups?

A. A group member’s acceptance of the contract prior to entering a group.

B. When the group leader meets individually with each prospective group member to begin to form a therapeutic alliance.

C. The group member’s motivation to abstain from drug and alcohol abuse.

D. The group member making it through the first month of group therapy without relapse or discontinuation of treatment.

6. Effective group leadership requires which of the following specific personal qualities and professional practices?

A. Active listening

B. Spontaneity

C. Humor

D. All of the above

7. Which type of intervention deftly points out inconsistencies in clients’ thinking?

A. Nonstop talking

B. Confrontation

C. Interrupting

D. Declining to participate

Groups and Substance Abuse Treatment

8. People who abuse substances often are more likely to remain abstinent and committed to recovery when treatment is provided in groups.

A. True

B. False

9. Group therapy is equivalent to individual therapy and 12-Step program practices.

A. True

B. False

10. Modifying group therapy to make it applicable to and effective with clients who abuse substances requires all of the following improvements, except for:

A. Specific training and education for therapists so that they fully understand therapeutic group work and the special characteristics of clients with substance use disorders.

B. A clear answer to the question, “Why is group therapy so effective for people with addictions?”

C. The encouragement, coaching, support, and reinforcement of participants as group members undertake difficult or anxiety-provoking tasks.

D. The adaptation of the group therapy model to the treatment of substance abuse.

Types of Groups Commonly Used in Substance Abuse Treatment

11. Psychoeducational groups inform clients about psychological issues and aim at intrapsychic change.

A. True

B. False

12. The major purpose of psychoeducational groups is to:

A. Motivate the client to enter the recovery-ready stage.

B. Help clients incorporate information that will help them establish and maintain abstinence and guide them to more productive choices in their lives.

C. Expand the awareness about the behavioral, medical, and psychological consequences of substance abuse.

D. Counteract clients’ denial about their substance abuse, increase their sense of commitment to continued treatment, effect changes in maladaptive behaviors, and support behaviors conducive to recovery.

13. As part of a larger program, psychoeducational groups have been used to help clients:

A. Reflect on their own behavior.

B. Learn new ways to confront problems.

C. Increase their self-esteem.

D. All of the above.

14. All of the following are primary areas that leaders should possess knowledge and skills in, except for:

A. Leadership skills.

B. How people interact within a group.

C. Interpersonal relationship dynamics.

D. Basic teaching skills.

15. Leaders should do all of the following, except:

A. Foster an environment that supports active participation.

B. Foster an environment that encourages passive note taking.

C. Limit lecturing in duration and extent.

D. Facilitate group discussion, especially among clients who are withdrawn and have little to say.

16. It is crucial for leaders of skills development groups to be sensitive to the struggles of group participants, hold positive expectations for change, and not demean or shame individuals who seem overwhelmed by the task.

A. True

B. False

17. In cognitive-behavioral groups, it is important for the leader not to yield to the temptation to become the expert in how to think, how to express that thinking behaviorally, or how to solve problems, but instead to allow group members to use the power of the group to develop their own capabilities in these areas.

A. True

B. False

18. The leader is responsible for:

A. Recognizing interpersonal blocks or struggles between group members and ensuring they do not hinder the development of the group or any member of the group.

B. Resolving interpersonal blocks or struggles between group members.

C. Pointing out interpersonal blocks or struggles between group members.

D. None of the above.

19. All therapists using a “process-oriented group therapy” model continually monitor which dynamic?

A. The psychological functioning of each group member.

B. The way people are relating to one another in the group setting.

C. How the group as a whole is functioning.

D. All of the above.

20. In interpersonal process group therapy, the leader’s job is:

A. To be a skill builder.

B. To function as problemsolving director.

C. To promote and probe interactions that carry a point.

D. To be a client booster.

21. All of the following are problems that pervade particular cultures, and have an impact on the incidence of substance abuse, are appropriate focuses for intervention in substance abuse treatment, except for:

A. Racism

B. Poverty

C. Intimate partner violence

D. Unemployment

22. Client self-reports suggest the value of psychodrama for all of the following clients in treatment for alcoholism, except for:

A. Those that are highly educated

B. Those that are male

C. Those that are extroverted

D. Those that are verbally expressive

23. Problem-focused groups are intended to increase client insight, mostly emphasizing self-exploration.

A. True

B. False

24. A problem-focused group is commonly used in the early stages of recovery to help clients:

A. Engage in treatment

B. Learn new skills

C. Commit to sobriety

D. All of the above

Criteria for the Placement of Clients in Groups

25. Which type of client may be inappropriate for group therapy?

A. Clients who refuse to participate.

B. People in the throes of a life crisis.

C. People who can’t control impulses.

D. All of the above.

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

A. True

B. False

27. Clients with low levels of motivation to abstain should be placed in _____ groups.

A. Psychoeducational

B. Interpersonal process

C. Skills development

D. Cognitive-behavioral

28. A poor match between group and client will always be apparent at the outset.

A. True

B. False

29. Primary characteristics are more important than secondary characteristics.

A. True

B. False

30. A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enable them to work effectively in cross-cultural situations, is:

A. Cultural awareness

B. Cultural competence

C. Cultural knowledge

D. All of the above

31. If a leader believes that cultural traditions might be a factor in a client’s participation in group or in misunderstandings among group members, the leader should check the accuracy of that perception with the client involved.

A. True

B. False

32. Before placing a client in a particular group, the therapist will need to do which of the following?

A. Address the substance abuse problem in a manner that is congruent with the client’s culture.

B. Appreciate that particular cultures use substances, usually in moderation, at specified types of social occasions.

C. Assess the behaviors and attitudes of current group members to ascertain whether the new client would match the group.

D. All of the above.

33. If a group member has had experiences with people of the same ethnicity as the therapist, the group member may transfer to the therapist the feelings and reactions developed with others of the therapist’s ethnicity.  The therapist first should detect these misconceptions and then reveal them for what they are to dispel them.

A. True

B. False

34. Recent research suggests that an ethnic match between therapist and client consistently improves outcomes and has been determined the most important factor.

A. True

B. False

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