Textbook Terms

Activity analysis

the process of analyzing the activity to distinguish its component parts

Adaptation

a change that facilitates performance; can be a change in the task itself or the environment in which it is accomplished

Directive group

designed to meet the needs of the most severely and acutely mentally ill who have significant cognitive impairments and are receiving treatment on an inpatient psychiatric unit or in a long-term care facility; group consists of 5 steps

5 steps of Directive Group

1) Orientation to the group and introduction of individual members 2) Motor based warm up activity 3) Perceptual motor task 4) Cognitive discussion of the activities 5) closure

Group climate

the emotional environment within the group; determines whether a member feels safe and accepted by his or her peers and able to express thoughts and emotions

Group duration

the length of time the group meets; Ex. An hour

Group interaction skill

the ability to be a productive member of a variety of primary groups; the ability to participate in a variety of groups in a manner that is satisfying for oneself and for one's fellow group members

True

T/F- through the acquisition of various group interaction subskills, the individual learns to take appropriate group membership roles, engage in decision making, communicate effectively, recognize group norms and act in accordance with these norms, contribute to goal attainment, work toward group cohesiveness, and assist in resolving group conflict

Group treatment

a planned process for creating changes in individuals, bringing them together for this purpose

Personal space

the distance required between two or more people as they interact in order for a person to feel comfortable

Group reality testing

the ability to tell the difference between reality and fantasy and to share the same general ideas about reality as everyone else

Routines

the steps done to complete the schedule

Support group

meet for the purpose of giving emotional support and information to persons with a common problem; based on beliefs that lifestyle change associates with major life transitions is a long-term goal and that support groups can play a major role in adjusting to those transitions

Activity group

used for rehab purposes by OT from the earliest days of the profession; a group defined by the activity the group completes and is based on the needs and skill levels of the identified group members, as well as general program format and available resources; Ex. Cooking group, arts and crafts group, exercise group, relaxation group, work skills group, etc.

Closed group

groups in which the membership remains stable; membership is fixed, so there is a development of trust and cohesion; 15 members or less; Time limited group - a group that attend a specific number of groups and complete the treatment together, Ex. People in an inpatient substance use unit who complete a certain number of groups in their 28-day program

Ongoing group

a group where there would never be more than a specified number of members, and the leader would fill vacancies with individuals with a similar diagnosis as members graduate from the program; Ex. An outpatient therapy group for teenagers with eating disorders after school

Communication patterns

the flow of information within the group

Expressive group

groups that include a range of therapeutic activities that allow clients to express feelings and thoughts- conscious or unconscious- that they might have difficulty communicating with spoken words alone; Clients can be asked to use art, music, drama, games, dance, free movement, poetry, etc. to express themselves

Group cohesion

the sense of solidarity the members feel toward one another and the group; based on a feeling of closeness and identification with other members; Serves the same purpose as rapport and trust in an effective client-therapist relationship; Clarity of group goals effect this

Group frequency

how often the group meets

Group composition

several variables of the group, including differences and similarities among members (ex. Age, developmental level, culture, knowledge, skills, and motivation on group topic), whether the group is open/closed, size of group, duration, time of day and frequency of group, how long it meets; A factor in the level of participation within a group

Group protocol

a way to organize your thoughts about the design of a group and share them with other members of the treatment team; A written plan that describes the goals of the group and the methods by which these goals will be achieved

Protocols should include (at minimum):

1) Title of the group 2) Rationale for its use 3) Group goals 4) Description of the group format and content 5) Selection criteria for participants 6) Necessary materials 7) Description of the role that the leader takes within the group

Open group

membership changes from one group to the next; Have no limit on number of members, which can make it difficult for participants to feel heard and understood and for members to feel a sense of connection to the group

Psychodynamic group

the generic name encompassing ways of looking at the dynamics that take places in groups; aim at the remediation of in-depth psychological problems, and explore how past influences affect the present

Psychodynamics

the knowledge of the way people function psychologically, to promote change and healing

Revolving membership

when membership changes from one group to the next; common in open groups; Requires a group to dedicate time and effort to acclimate new members at the beginning of each session

Schedules

the big picture: the main activities to be completed daily

Systems theory

the interdisciplinary study of systems in science and society; According to this theory, a group is considered a system because it has identifiable parts (members), yet it is a whole entity (group), with each part interacting with and influencing the work of the other

Activity synthesis

the process of combining component parts of the human and nonhuman environment so as to design an activity suitable for evaluation or intervention relative to performance

Cognitive behavior group

focuses on the members' thoughts (self-talk) and feelings, and subsequent behavior

Didactic teaching

the focus is primarily on the leader who attempts to engage participants in the subject being taught using teaching materials such as diagrams, handouts, photos, and pictures

Group

A planned process for creating change in individuals, bringing them together for that purpose

Group content

the activities and topics incorporated into a group session; Used to achieve group goals

Group graduation

the process of gradually advancing the skills required to complete a group activity, step by step

Group size

the number of members allowed to participate in a group

Three people (also the ideal number of members for a small group)

Small groups must exist of...

4-9 members

Range of members suggested for a group, when frequent interaction and group cohesiveness are factors (number of people)

Group goals

the purpose for which the group meets

Peer learning

learning from those one perceives as equals rather than those one perceives as authorities

Psychoeducational groups

highly organized and time limited, and integrate principles of teaching and learning with traditional group intervention strategies; The primary purpose of this group is to develop performance, emotion regulation, and cognitive skills of members by imparting, discussing, and integrating factual information; Can focus on topics such as self-awareness, self-improvement, teach life skills for the purpose of prevention, growth or remediation

Role

a tendency to behave, contribute, and interrelate with others in a particular way

Self-help group

groups that promote change within an individual; Can be based on condition (ex. Wounded warrior) or common disorder (ex. Anxiety)

Task group

the assembly of individuals who are brought together to accomplish a specific action or produce a product

Leader

influence their groups in a variety of ways, and clients benefit when groups are led by good leaders

Leadership

a process, and based on the type of group, the leader guides, organizes, directs, coordinates, supports, and motivates the efforts of members to varying degrees at different points in the group

Task leadership

focused on the work that will be done within the group to achieve goals; a leader creates structure by planning activities, setting goals, defining the group roles and responsibilities of the members, developing operating procedures, monitoring compliance with those procedures, offering feedback, proposing solutions, and stressing productivity to facilitate the achievement of group goals

Relationship leadership

the leader focuses on the development of interpersonal relationships within the group and shows concern for members by boosting morale, providing support and encouragement, reducing interpersonal conflict, and establishing rapport among participants

Functional approach

the ability of the leader to manage the group in order to complete the task while working together as a team

Autocratic leader

task oriented and less focused on the individual group members than other types of leaders; there is a clear division between leader and participants

Democratic leader

encourages group members to share their ideas and opinions; however he or she reserve the right to have the final say on decisions

Laissez-Faire leader

allows group members to make all of the decisions; although the individual may provide resources and support to the group, he or she does not make suggestions, offer direction, or exert control over the group in any way

Directive leader

exerts the most control over the group; therefore this leadership style is the appropriate choice for clients functioning at a low cognitive level; also utilized in groups educating clients on specific topics or skills

Scaffolding

occurs when the OT provides assistance and support to the client at those times that the client cannot complete a step on his or her own and then gradually removes that support as the individual learns to perform the activity

Facilitative leader

where the leader remains in the background while the group makes its own decisions

Advisory leadership

can only be applied to clients who have the ability to independently organize and conduct the group; leader would only step in when the clients cannot solve a problem or when support is needed

Perceived self

includes aspects such as physical and intellectual abilities, emotions, values, and standards that have been developed through our interactions with other people and the successes and failures to which they led

Acting self

consistent ways of behaving, which are elicited by certain situations having something in common

*Rapport

occurs when two or more people are in sync or on the same wavelength because they feel similar or relate well to one another

Active listening

being attentive to what the client is saying, verbally and nonverbally, while allowing him or her to determine the content of what is said, as well as the level of self-disclosure; a keystone in the process of building a therapeutic relationship

Body language

the nonverbal behaviors that send signals to others; facial expressions, hand gestures, eye contact, body movement, posture, stance, speed of speaking, how close they position themselves to others

Interpersonal learning

all of the processes or relationships among individuals that result in change in behavior, knowledge, or attitude on the part of any one or more of the people involved

Stereotype

a label used to describe differences among groups and to predict how others will behave

Prejudice

an unjustified negative attitude toward a person based solely on the person's membership in a group

Racism

a prejudice directed at people specifically because of their race or ethnic membership

Discrimination

when prejudice is acted on

Group dynamics

the forces that influence the relationship among members and the group outcome

Group process

how group members approach a task to get things done; includes reflection about the interrelationships of members and how this interaction affects the outcomes of the group

Norm

the shared expectations among members that outline the parameters of what is desirable and acceptable behavior, as well as discouraged or prohibit certain actions in a particular setting or group

Communication network

the regular patterns of information exchange among members of a group

Power struggle

where members vie for control in leadership, status, and/or position

Conflict

the actions or beliefs of one or more members of the group are viewed as unacceptable and/or are resisted by other members

Teaching

defined as a deliberate intervention that involves sharing information and experiences to meet learner outcomes in cognitive, affective, and psychomotor domains

Educational process

a systematic, sequential, logical, scientifically based, planned course of action consisting of two major operations: teaching and learning

Learning

the outcome of education; indicated by a change in behavior (knowledge, attitudes, or skills) that can be observed or measured

Professional boundaries

limits of the relationship that allow for a safe and healthy connection between the OT and the client

Boundary violations

forms of boundary crossing that involve a professional misusing his or her power to exploit a consumer for personal gain

Learning styles

the way in which the learner most effectively perceives, processes, stores, and recalls what he or she is attempting to learn

Learning needs

the gaps in knowledge that exist between a desired level of performance and the actual level of performance

Learning goals

the final outcome of what is achieved at the end of the teaching-learning process and are usually achieved in weeks or months

Learning objective

a short term goal; achievable at the end of one group session

Blooms taxonomy

a mechanism for the classification and the categorization of different levels of learning

Instructional method

the way in which information is taught

Instructional materials

the objects that are used to transmit information and that supplement the task of teaching