OT 1115: THERAPEUTIC MEDIA Mosey's Developmen!l G"o#ps Anne Cronin Mosey applied the concepts of ro!p dyna"ics to the de#elop"ent of ro!p s$ills %ithin therapy settins& The foc!s of treat"ent !sin the de#elop"ental ro!p "odel %as to "o#e patients alon the contin!!" of i""at!re ro!p s$ills to "at!re ro!p s$ills& Interactin at a "at!re le#el %o!ld allo% patients to f!nction %ithin "any social ro!ps %hereas f!nctionin at an i""at!re le#el %o!ld se#erely li"it a person's a(ility to enae in the #ariety of social acti#ities that are part of o!r daily ro!tines )fa"ily ro!ps* %or$ ro!ps* ci#ic ro!ps* and #ol!nteer ro!ps+& Mosey states that %e de#elop ro!p interaction s$ills in fi#e staes: P!"!llel $!%e &' mon(s o ) ye!"s* P"o+e, $!%e ) o - ye!"s* E%o,en".,/,oope"!.ve $0 o 1 ye!"s* Coope"!.ve $2 o &) ye!"s* M!#"e $&0 o &' ye!"s* An OTA %o!ld plan a Parallel Group for indi#id!als %ho ha#e s(o" !en.on sp!ns !n3 ,!n 4o"5 on !n .n3.v.3#!l !s5& These indi#id!als "ay notice or inore others aro!nd the"& They do not initiate interaction e,cept possi(ly %ith the therapist& They tend to isolate the"sel#es& The s$ills the ro!p "e"(ers need to de#elop incl!de contin!ed enae"ent in acti#ity %ith a%areness of other ro!p "e"(ers* (rief #er(al and non#er(al interaction %ith other ro!p "e"(ers* and increasin co"fort %hen %or$in in the presence of others& The OTA's responsibilities as leader would include 1& e,plainin p!rpose and acti#ities of ro!p -& "eetin social.e"otional needs of ro!p "e"(ers for acceptance* safety* and #al!e /& s!pportin and enco!rain "ini"al interaction %ith a"on ro!p "e"(ers )eye contact and cas!al con#ersation+ 0& settin li"its on disr!pti#e (eha#ior 5& helpin patients select si"ple* short.ter" acti#ities that are not self.isolatin 1& assistin %ith tas$ co"pletion %hen 1 Mosey's De#elop"ental 2ro!ps 3MC: OT 1115 An OTA %o!ld plan a Project Group for indi#id!als that can 6#n,.on ,om6o"!7ly .n ! p!"!llel %"o#p8 Ho4eve"9 p!.ens !"e !n:.o#s !7o# 4o"5.n% 4.( o(e"s& The patients "ay tal$ a(o!t (ein !na(le to finish a tas$ or a(o!t not (ein a(le to hold their o%n %hen %or$in %ith another person& They still are a(le to only foc!s on short.ter" acti#ities& The s$ills the ro!p "e"(ers need to de#elop incl!de the a(ility to contri(!te to a ro!p tas$* to see$ assistance fro" others* and to i#e assistance to others %hen directly as$ed to do so& The OTA's responsibilities as leader would include 1& e,plainin p!rpose and acti#ities of ro!p -& "eetin social.e"otional needs of ro!p "e"(ers for acceptance* safety* and #al!e /& s!pportin and enco!rain sharin of tas$s* cooperation* i#in and see$in assistance 0& helpin patients select si"ple* short.ter" tas$s that can (e shared (y t%o or "ore people 5& enco!rain e,peri"entation %ith different %ays of sharin and "e"(ers ta$in different roles An OTA %o!ld plan an Egocentric-Cooperative Group for indi#id!als %ho are !7le o ,oope"!e 4.( o(e"s .n ,omple.n% ! s(o"/e"m !s5 (! .s no spe,.6.,!lly 3."e,e3 o4!"3 (emselves& They are a(le to share e4!ip"ent and s!pplies* as$ for help* and i#e help& They at least passi#ely follo% the r!les of polite interaction )please* than$ yo!* as$ so"eone to share s!pplies rather than 5!st ta$e the"+& The s$ills the ro!p "e"(ers need to de#elop incl!de o selectin* enain in * and co"pletin lon.ter" tas$s %ith others6 o handlin co"petition )neither o#erly passi#e nor aressi#e+* reconi7in the rihts of others as e4!al to their o%n6 o as$in for and recei#in reconition )co"pli"ents+6 o co"pro"isin and neotiatin6 o a(le to relate oal of the ro!p to the tas$ at hand6 o can identify ro!p nor"s6 o actin as if s8he (elons to the ro!p )%ants to participate or is %illin to* !s!ally follo%s ro!p nor"s+6 o is a(le to "eet others estee" needs and can et others to reconi7e their estee" needs The OTA's responsibilities as a leader would include - Mosey's De#elop"ental 2ro!ps 3MC: OT 1115 1& ta$in on ro!p "e"(ership roles only as re4!ired (y the needs of the ro!p -& enco!rain the ro!p to f!nction as independently as it can* steppin in only %hen ro!p cannot proceed %itho!t help /& "odelin appropriate e,pression of needs 0& assistin de#elop"ent and disc!ssion of nor"s 5& helpin "e"(ers feel accepted* safe* and #al!ed& An OTA %o!ld plan a Cooperative Group for indi#id!als %ho can ,omplee lon%/e"m %"o#p !s5s $ove" seve"!l pe".o3s*6 reconi7e ro!p oals and nor"s6 sho% interest in participatin and (elonin to a ro!p6 reconi7e o%n and others' rihts and estee" needs6 (alance cooperation and co"petition& The s$ills the ro!p "e"(ers need to de#elop incl!de "a$in o%n desires and needs $no%n* participatin in ro!p acti#ity %ith a pri"ary concern of "eetin o%n and others needs social.e"otional and estee" needs* and respondin to others %ho are si"ilar& The OTA's responsibilities as a leader would include 1& pro#idin ad#ice fro" the sidelines -& initially helpin the ro!p de#elop interaction8ro!p "aintenance s$ills /& inter#enin to pro"ote ro!p cohesi#eness An OTA %o!ld plan a Mature Group for indi#id!als %ho !"e !7le o e:p"ess o4n so,.!l9 emo.on!l nee3s !n3 mee (e so,.!l/emo.on!l nee3s o6 o(e"s 4(o !"e l.5e (emselves& The s$ills the ro!p "e"(ers need to de#elop incl!de e,pressin o%n social.e"otional needs and "eetin the social.e"otional needs of others %ho "ay or "ay not (e si"ilar to the"sel#es6 achie#in ro!p tas$ %hile "eetin social.e"otional needs of all ro!p "e"(ers6 steppin into a #ariety of ro!p "e"(ership roles that s!pport ro!p f!nction The OTA's responsibilities as a leader would include 1& participatin as a "e"(er -& de"onstratin ro!p "e"(ership roles %hen needed /& selectin "e"(ers to achie#e #ariety and (alance in (ac$ro!nds* interests* s$ills* and so on needed for tas$ co"pletion / Mosey's De#elop"ental 2ro!ps 3MC: OT 1115