CART Group Therapy for Anger Management 3 — Questions and Answers
Question 1: A member shares a success story about managing anger at work, but the group remains silent. The most therapeutically useful facilitator response is to:
- Move on to the next agenda item quickly
- Prompt the group to respond to the member's experience (Correct answer)
- Praise the member and redirect to psychoeducation
- Ask the quiet members to explain their silence individually
Correct answer: Prompt the group to respond to the member's experience
Inviting group response harnesses peer feedback, a key curative factor, rather than making the therapist the sole source of validation.
Question 2: In an anger management group, 'altruism' as a therapeutic factor is demonstrated when:
- The therapist donates therapy time to low-income members
- A member helps another by sharing a coping strategy that worked for them (Correct answer)
- Members agree to always support each other's opinions
- The group donates to a charity as part of therapy
Correct answer: A member helps another by sharing a coping strategy that worked for them
Altruism occurs when members gain a sense of worth and esteem by genuinely helping fellow group members.
Question 3: When facilitating a culturally diverse anger management group, therapists should primarily:
- Teach one universal anger expression style applicable to all cultures
- Acknowledge that anger expression norms vary across cultures and adapt interventions accordingly (Correct answer)
- Separate members by cultural background for homogeneous groups
- Avoid discussing cultural differences to prevent tension
Correct answer: Acknowledge that anger expression norms vary across cultures and adapt interventions accordingly
Cultural competence requires recognizing diverse anger norms and adapting interventions to respect members' cultural contexts.
Question 4: A member who was court-ordered to attend anger management group shows no motivation to change. The most effective initial approach is:
- Discharge the member for non-compliance
- Use motivational interviewing techniques to explore ambivalence within the group context (Correct answer)
- Confront the member directly about their attitude in front of the group
- Excuse the member from participating until they are ready
Correct answer: Use motivational interviewing techniques to explore ambivalence within the group context
Motivational interviewing helps surface ambivalence about change without triggering defensiveness, especially in mandated clients.
Question 5: The concept of 'group cohesion' in anger management therapy is best described as:
- All members agreeing with the therapist's interventions
- The therapeutic alliance between the group and its shared purpose, and among members (Correct answer)
- Completing all sessions without any absences
- Members socializing outside the group setting
Correct answer: The therapeutic alliance between the group and its shared purpose, and among members
Group cohesion is the bond that holds members together and is a strong predictor of positive therapeutic outcomes.
Question 6: During a role-play exercise on assertive anger expression, a member becomes visibly distressed. The facilitator should first:
- Complete the role-play as planned to build tolerance
- Pause the exercise, check in with the member, and offer grounding support (Correct answer)
- Ask other members to continue without the distressed member
- End the session to protect the member
Correct answer: Pause the exercise, check in with the member, and offer grounding support
Member safety and emotional regulation take precedence over curriculum adherence during experiential exercises.
Question 7: Which seating arrangement best supports group cohesion during anger management sessions?
- Rows facing the therapist at the front
- A circle where all members including the therapist have equal sight lines (Correct answer)
- Assigned seats based on member progress level
- Small clusters of chairs separated by topic focus
Correct answer: A circle where all members including the therapist have equal sight lines
A circular arrangement promotes equal status, direct eye contact, and horizontal interaction among all members.
A member shares a success story about managing anger at work, but the group remains silent.
The most therapeutically useful facilitator response is to: