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Quick Guide for Clinicians - SAMHSA Store - Substance Abuse and ...

Quick Guide for Clinicians - SAMHSA Store - Substance Abuse and ...

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Group Leadership: Concepts <strong>and</strong> Techniques 45Clients who flee a session. Clients who run out ofa session often are acting on an impulse thatothers share. It would be productive in suchinstances to discuss these feelings with the group<strong>and</strong> to determine what members can do to talkabout these feelings when they arise.Other Common ProblemsComing late or missing sessions. Sometimes,addiction counselors view a client who comes togroup late as a person who is behaving ‘badly.’ Itis more productive to see this kind of boundaryviolation as a message to be deciphered.Sometimes this attempt will fail, however, <strong>and</strong> theclinician may decide the behavior interferes withthe group work too much to be tolerated.Silence. A group member who is silent is conveyinga message as clearly as one who speaks.Silent messages should be heard <strong>and</strong> understood,since nonresponsiveness may provide clues to aclient’s difficulties in connecting with his or herown inner life or with others.

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