CAADE Group Therapy 2 — Questions and Answers
Question 1: Which group therapy stage is characterized by members testing limits and competing for roles within the group?
- Forming
- Storming (Correct answer)
- Norming
- Performing
Correct answer: Storming
The storming stage involves conflict, power struggles, and members testing boundaries as they compete for status.
Question 2: A group member consistently arrives late and disrupts the session. The MOST therapeutic group response is to:
- Ignore the behavior to avoid conflict
- Have the facilitator confront the member privately after group
- Address the impact of the behavior within the group session (Correct answer)
- Remove the member from the group immediately
Correct answer: Address the impact of the behavior within the group session
Processing disruptive behavior within the group session uses the experience therapeutically and models healthy confrontation.
Question 3: Psychodrama is BEST described as a group therapy technique that uses:
- Behavioral rehearsal through role-playing of past or present situations (Correct answer)
- Cognitive restructuring through written exercises
- Mindfulness meditation in a group setting
- Peer accountability contracts
Correct answer: Behavioral rehearsal through role-playing of past or present situations
Psychodrama uses spontaneous dramatic action and role-playing to help members explore and resolve interpersonal conflicts.
Question 4: In a substance use disorder group, 'here-and-now' focus refers to:
- Encouraging members to share childhood trauma
- Attending to what is happening interpersonally within the group at this moment (Correct answer)
- Discussing current news events affecting recovery
- Reviewing homework assignments from previous sessions
Correct answer: Attending to what is happening interpersonally within the group at this moment
Here-and-now focus directs attention to immediate interpersonal processes occurring within the group to generate insight.
Question 5: Which factor MOST distinguishes open groups from closed groups in addiction treatment?
- Open groups use a structured curriculum; closed groups are unstructured
- Members can join an open group at any time, while closed groups begin and end together (Correct answer)
- Open groups are led by peers; closed groups by licensed professionals
- Open groups focus on psychoeducation; closed groups on process
Correct answer: Members can join an open group at any time, while closed groups begin and end together
Open groups allow new members to join at any session, while closed groups maintain the same membership throughout the treatment cycle.
Question 6: A facilitator notices that group members only share positive, surface-level comments and avoid difficult topics. This pattern is BEST described as:
- Cohesion
- Altruism
- Collusion (Correct answer)
- Universality
Correct answer: Collusion
Collusion occurs when group members implicitly agree to avoid painful or threatening topics, limiting therapeutic progress.
Question 7: The primary purpose of ground rules established at the beginning of a therapy group is to:
- Give the facilitator authority to remove disruptive members
- Create a safe, predictable environment that promotes trust and honest sharing (Correct answer)
- Ensure legal compliance with licensing regulations
- Limit the topics that can be discussed in group
Correct answer: Create a safe, predictable environment that promotes trust and honest sharing
Ground rules establish safety and trust by creating predictable norms for confidentiality, respect, and participation.
Which group therapy stage is characterized by members testing limits and competing for roles within the group?