Dialysis team consultation group: planning, process, and evaluation.
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Evaluation Studies as Topic↗
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Results for “GROUP PROCESSES”
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[Therapeutic process in group psychotherapy: research program].
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Female↗
[Lung cancer in members of the mental mining and processing occupational group].
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Humans↗
[Synaptoarchitectonics of the ganglia of the celiac plexus in white rats].
In 50 intact white rats at the age of 6, 15, 23 and 30 months synapsoarchitectonics of the celiac plexus nodes was studied by an electron microscopy method. Peculiarities in synapsoarchitectonics are stipulated by pericaryon processes in neurons, some of them have no contacts with the axonal terminals, while others have contacts with the axonal terminals. The former include small (about 0.5 mkm) drop-like and large (up to 1.5 mkm) polymorphous processes within the limits of perisomatic membrane, as well as processes penetrating the neuronal capsule. All of them contain, in different combinations, vesicles, ribosomas, fibrillae, and the largest processes--small cisterns of granular cytoplasmatic network and single mitochondria. The processes of the first group are considered as original stages for the development of the second group processes. The latter are represented by different in size (about 1.0--2.0 mkm) in form (digital, cone-, pin-, goblet-shaped, cylindrical, branching) and in content formations. There is, as a rule, one contact on the processes of an uncomplicated form, while on the branching processes there can be up to three and more contacting axonal terminals. Peculiar features in the composition of the processes taken as a whole (specific forms, absence of dendritic tubes, sometimes numerous contacts with axonal terminals in spite of small size) distinguish them from newly forming dendritic processes and these formations are considered as independent specialized receptor apparatus in the pericaryon of neurons of the celiac plexus.
Animals↗
[Organization's decision making process; district groups' and permanent committees' voting rights].
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Decision Making↗
[Process markers of the indications and termination sessions in inpatient psychotherapy: indicators for treatment success?].
Within a comprehensive research project investigating the outcome and process of inpatient longterm group psychotherapy, the initial and final interviews with the individual patients were video-tape-recorded and analysed using the Vanderbilt Psychotherapy Scales. The ratings of the interviews were related to self descriptions of the patients at the beginning of their psychotherapy, to the patients' perception of the group process during therapy and to the outcomes. In addition the characteristics of the initial and the final interviews were compared with each other. The results indicate process characteristics of the individual interviews to be a useful perspective to thoroughly describe the process and outcome of inpatient psychotherapy.
Adolescent↗
Group admitting process saves time, improves patient satisfaction.
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Consumer Behavior↗
Work group diversity.
Work group diversity, the degree to which there are differences between group members, may affect group process and performance positively as well as negatively. Much is still unclear about the effects of diversity, however. We review the 1997-2005 literature on work group diversity to assess the state of the art and to identify key issues for future research. This review points to the need for more complex conceptualizations of diversity, as well as to the need for more empirical attention to the processes that are assumed to underlie the effects of diversity on group process and performance and to the contingency factors of these processes.
Conflict, Psychological↗
What nurse managers can learn from Japanese management style.
1. Significant differences have developed between Japanese and American work settings since World War II. Today, the Japanese appear to have a unique understanding of the way decisions are made; a large part of decision making is entrusted to middle, rather than top, management. 2. In the nemawashi process, all official decision-making procedures are preceded by an unofficial process whereby all those affected by a decision, both vertically and horizontally, are involved in the decision before it is made. 3. The nursing process is based on decision making, and group process has been described as an effective way of making decisions. However, nurse managers lack definitive group decision making processes for their nursing practice.
Cross-Cultural Comparison↗
Understanding how groups work: a study of homogeneous peer group failures.
The study examines thirty-six homogeneous peer support groups that failed to positively benefit most of the participants. Outcomes were assessed pre and one-year post using measures of mental health, marital relationships, and motherhood role indices. Four central group process characteristics previously found to be common in successful peer support groups were used as a framework for developing a series of post hoc hypotheses. The groups were found to be low on cohesiveness defined behaviorally, saliency, cognitive structures for reframing common dilemmas, and limited in the range of therapeutic experiences.
Adult↗
Description of a multihospital process to develop a care path for the child with acute lymphoblastic leukemia.
This article describes the National Association of Children's Hospitals and Related Institutions (NACHRI) collaborative group process used to create a multihospital care path for the child with acute lymphoblastic leukemia (ALL), and presents strategies for implementation and future direction. Although most children in the United States with cancer are treated according to National Cancer Institute-sponsored comprehensive protocols, there is a wide variation in the implementation of protocols by physicians and hospitals. The development of this care path was based on evidence from the literature, review of practice patterns, expert opinion, and group participant consensus building. The resulting 4-day care path was organized into six categories of care (e.g., assessment practices, diagnostic tests, teaching, and discharge planning). Discharge criteria are stated at the beginning of the care path to emphasize the planning process immediately on admission. Clinical outcomes, skill and knowledge outcomes for the parent and child, and home assessment considerations are also included. Strategies to create change and gain support of various stakeholders toward implementation of the care path are presented. The strength of the resulting care path is possible in large part because the multihospital group process brought professionals from around the country together to discuss, analyze, and reach consensus on the practices related to the child with ALL. The group process enabled the development of a care path that goes beyond a traditional care path developed by a single institution.
Child↗
It's just different in the country: postnatal depression and group therapy in a rural setting.
The treatment of postnatal depression (PND) via group therapy is an accepted practice in Sydney and other metropolitan areas throughout Australia. This article analyses the difficulties faced in the importation of this urban-developed treatment model into a rural setting. In 1995, this program was established in a major rural centre of New South Wales (NSW) and drew participants from the regional centre, surrounding rural properties, towns and villages. Participation in the program resulted in significant lowering or absences of depressive episodes following treatment. But beyond this significant aspect of a positive response to this treatment program is a fascinating aspect of differences between the rural and urban groups in this population. The differences occurred in group formation, group process and attitudes of the participants. We would suggest that group leaders in rural PND programs face more resistance to the idea of groups for therapeutic intervention, need to draw different lines between personal and professional boundaries from their urban counterparts and are confronted with participants who adhere more strongly to the prevailing mythology of motherhood. This mythology may increase the likelihood and intensity of postnatal depression and cause greater resistance to cognitive restructuring skills, which are essential for challenging thoughts that enhance depression.
Depression, Postpartum↗
Relationship between therapeutic climate and treatment outcome in group-based sexual offender treatment programs.
The aim of the study was to examine the relationship between therapeutic climate and the effectiveness of CBT treatment for sexual offenders in U.K. prisons. To this end a measure of group atmosphere was administered to members and leaders of 12 treatment groups running the same prison-based sexual offender treatment program. Treatment outcome was measured using a case-by-case methodology clinically significant change analysis--to identify the percentage of individuals within each group who had significantly changed on measures of pro-offending attitudes targeted in treatment. The results of the group process measure indicated leaders generally viewed groups more positively than members. Clear differences were also found between groups (ostensibly running the same treatment program) in terms of group climate. Analysis of members' process data indicated that there was a clear relationship between how cohesive the members reported the group to be and the extent to which freedom of action and expressions of feelings were encouraged in groups, as well as treatment outcome as measured by significant reductions in pro-offending attitudes. These results are discussed in terms of what they say about attitudes and goals of those involved in running treatment and how the effectiveness of treatment programs can be maximized.
Adult↗
Group problems in problem-based learning.
Successful small-group learning in problem-based learning (PBL) educational programmes relies on functional group processes. However, there has been limited research on PBL group problems, and no studies have been conducted on problems as perceived by both students and tutors in the same educational context. The authors investigated PBL group problems in a graduate-entry medical programme, and report the most common group problems, and those that hinder students' learning the most. The possible causes of individual quietness and dominant behaviour, and potential influences that group problems may have on the tutorial process are summarized in an exploratory model of PBL group dysfunction that could be used to guide further research. Specifically, there is a need for further evidence on which to base guidelines for tutors and students to effectively manage group problems.
Adaptation, Psychological↗
What processing is impaired in apperceptive agnosia? Evidence from normal subjects.
Visual agnosia is a neuropsychological syndrome characterized by a failure of object identification. Apperceptive agnosia, an object identification deficit caused by damage to early perceptual processes, has been explained by appealing to both damaged early sensory processes and to damaged preattentive grouping processes. Which of these two explanations best accounts for the behavior of these patients? We present results from two experiments designed to distinguish rival theoretical accounts of apperceptive agnosia. In our studies, we attempted to simulate apperceptive agnosia in neurologically intact subjects. Sensory-deficit accounts of the syndrome predict that degrading visual processing would make normal subjects perform like patients; grouping-deficit accounts predict that removing perceptual organization cues from visual displays would make normal subjects perform like patients. We were able to simulate the behavior of an apperceptive agnosic patient by removing perceptual organization cues, consistent with a grouping-deficit account of this syndrome. The implications for understanding both apperceptive agnosia and normal visual functioning are discussed.
Adult↗
Leadership of mental health consultation groups: a model for group therapists.
Group therapists often lead consultation groups. For effective leadership it is important to distinguish between consultation groups and psychotherapy groups. A consultation group is one in which a leader serves as consultant to the members. Group process variables of task, contract, role of the leader, and effect of the larger system should be understood by the consultant. The process of defining, testing, and maintaining these variables encourages exploration of resistance and parallel process, and is an important aspect of the ongoing learning. Consultation group leaders should understand the importance of serving as group leader but not group therapist.
Group Processes↗
Some ethical issues in feminist-oriented therapeutic groups for women.
Review of the origins of group psychotherapy reveals concerns with social as well as with personal "psychopathology." Thus, group processes have been mobilized for curative or change purposes for ideological as well as individual therapeutic goals. Psychopolitical as well as personal change are the goals for some groups. The ethical problem stems from a persistent assumption that the group's processes are inherently benign and curative and beneficial to individual participants. A more sophisticated understanding takes into account their essential neutrality and their potential use (or abuse) for purposes of ideological persuasion that may or may not be personally therapeutic. As in other ethically implicated issues in the psychotherapies, the question becomes one of treatment versus exploitation, or therapy for the individual versus recruitment on behalf of a cause.
Ethics↗
In conflict with conflict.
In a qualitative, retrospective case study to identify, describe, and develop a theoretical analysis of perceived group process among female nursing educators/administrators, the term "conflict," as traditionally defined in discussions of "conflict management strategies," was rejected. The term did not readily fit with the management styles of the 27 female nurse educators and administrators. Participants rejected "conflict" as a term. The word was deliberately avoided. In fact, conflict rejection was a specific administrative process identified as part of the successful working of the group over the three-year period studied. This finding indicates a break with traditional male-oriented literature and therefore may have implications for future research into conflict management strategies, especially into successful management strategies used by women and health care professionals.
Conflict, Psychological↗