CAADE Group Therapy 3 — Questions and Answers
Question 1: Which Yalom therapeutic factor describes a member's experience of gaining insight by helping another group member work through a problem?
- Universality
- Altruism (Correct answer)
- Catharsis
- Imitative behavior
Correct answer: Altruism
Altruism occurs when members benefit therapeutically from offering help, support, and insight to others in the group.
Question 2: When facilitating a relapse-focused group, the MOST appropriate response when a member discloses a recent relapse is to:
- Terminate the member from the group for violating sobriety requirements
- Explore the relapse experience and elicit group support and coping strategies (Correct answer)
- Refer the member immediately to a higher level of care before continuing
- Redirect the conversation to protect other members from triggers
Correct answer: Explore the relapse experience and elicit group support and coping strategies
Exploring the relapse within the group context provides learning opportunities and reduces shame while strengthening recovery skills.
Question 3: Motivational Interviewing (MI) principles are applied in a group setting PRIMARILY by:
- Having members vote on which behaviors each peer should change
- Using confrontational feedback from peers to break denial
- Evoking members' own reasons for change through reflective listening and group discussion (Correct answer)
- Assigning recovery tasks based on group consensus
Correct answer: Evoking members' own reasons for change through reflective listening and group discussion
Group MI uses open questions, affirmations, and reflections to evoke change talk from members using the group's collective wisdom.
Question 4: A co-facilitation model in group therapy is MOST beneficial because it:
- Reduces the cost of treatment by splitting the facilitator's caseload
- Allows one facilitator to observe group dynamics while the other leads (Correct answer)
- Ensures the group always has a male and female therapist present
- Provides members with two different treatment philosophies simultaneously
Correct answer: Allows one facilitator to observe group dynamics while the other leads
Co-facilitation allows one therapist to actively lead while the other observes interpersonal dynamics, process issues, and nonverbal cues.
Question 5: In cognitive-behavioral group therapy for substance use, 'thought records' are used to help members:
- Identify triggers, automatic thoughts, and develop alternative cognitive responses (Correct answer)
- Document daily drug use patterns and cravings for reporting to counselors
- Practice mindfulness by writing about present-moment sensations
- Record feedback received from other group members
Correct answer: Identify triggers, automatic thoughts, and develop alternative cognitive responses
Thought records help members identify automatic thoughts linked to substance use and develop rational, adaptive alternatives.
Question 6: Which type of group is MOST appropriate for clients in the early stages of recovery who need structured education about addiction?
- Process group
- Psychoeducational group (Correct answer)
- Interpersonal process group
- Psychodrama group
Correct answer: Psychoeducational group
Psychoeducational groups deliver structured content about addiction, recovery, and coping skills appropriate for early-stage clients.
Question 7: A group member challenges the facilitator's credentials and expertise during a session. The MOST effective therapeutic response is to:
- Defend your credentials and redirect the group back to the agenda
- Explore the member's concern openly and invite the group to respond (Correct answer)
- Set a firm boundary that the facilitator's role is not subject to group discussion
- Refer the member to individual therapy to address authority issues
Correct answer: Explore the member's concern openly and invite the group to respond
Exploring challenges to the facilitator openly models transparency and often reveals important group-level themes about authority and trust.
CAADE Group Therapy 3
Which Yalom therapeutic factor describes a member's experience of gaining insight by helping another group member work through a problem?