
Contents
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Population Population
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The Rationale for Group Work The Rationale for Group Work
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Structure of the Group Structure of the Group
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Common Themes Common Themes
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Trauma Trauma
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Lack of Understanding about Schizophrenia and Its Symptoms Lack of Understanding about Schizophrenia and Its Symptoms
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Insight into Psychotic Symptoms Insight into Psychotic Symptoms
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Cognitive and Negative Symptoms Cognitive and Negative Symptoms
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Stigma Stigma
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Suicidal Ideation and Violent Thoughts Suicidal Ideation and Violent Thoughts
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Substance Use Substance Use
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Interventions to Use with a First-Episode Schizophrenia Group Interventions to Use with a First-Episode Schizophrenia Group
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Warm-Ups Warm-Ups
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Psychoeducation Psychoeducation
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Doubling Doubling
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Building Communication and Cognitive Skills Building Communication and Cognitive Skills
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Diversity and Empowerment Reinforcement Diversity and Empowerment Reinforcement
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Cognitive Behavioral Therapy Cognitive Behavioral Therapy
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Group Rituals, Fun, and Creativity Group Rituals, Fun, and Creativity
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Caveats Caveats
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Termination and Evaluation Termination and Evaluation
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Resources Resources
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References References
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5 Group Work with Individuals Experiencing First-Episode Schizophrenia
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Published:May 2024
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Abstract
This chapter describes the use of group work in helping newly diagnosed clients optimize their functioning. It includes examples of how mutual aid groups function, as well as the common themes that arise in these groups: trauma, the need for psychoeducation, insight into psychotic symptoms, cognitive and negative symptoms, treatment adherence, stigma, and suicidal ideation. Examples of group activities are explained and include warm-up exercises, doubling, and mirroring. The authors also discuss how leaders use psychoeducation and cognitive behavioral therapy (CBT) skills to help members develop communication, cognitive, and empathy skills. The importance of and need to respect cultural, ethnic, sexual, and socioeconomic diversity are discussed, as are the benefits of group rituals, fun, and creativity. This chapter also addresses the difficulties that may arise in these groups, including dropouts, a suicide or death of a group member, aggressive behavior, substance misuse, and relapses.
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