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In addition to having both informational and therapeutic value in its own right, the notebook can provide a useful bridge to the group and what will be considered in the group until the group actually begins. GUIDELINES FOR GROUP MEMBERS The frame of the group-that is, the boundaries and mutual agreements regarding participation-is a critical part of the group’s effectiveness. The boundaries of the group members’ mutual contract encourage them to treat the group with seriousness and create a basis for mutual trust.
Furthermore, patients are encouraged to think about what one can do rather than what one cannot act on. 4. Adjusting to present circumstances is facilitated through gently and positively challenging basic assumptions that tend to restrict group members from fully engaging in their lives in light of their Therapeutic Approach I new circumstances. Existential aspects of members’ concerns are emphasized, eliciting from them ways that the illness has prompted ways of living fully in the face of dying; reprioritizing activities; and finding maximum meaning, value, and purpose in their lives.
The first phase entails study of the training manual. The second phase includes a 15-hour workshop to discuss and practice the principles outlined in the manual. An important component of this workshop has been the review and discussion of videotaped vignettes from actual breast cancer groups. Whenever possible, we recommend obtaining such video training. The third phase entails ongoing supervision. We have found the review of audiotapes or videotapes of selected group therapy sessions to be highly effective.