Course One
The Caregiver-Client Relationship and Self-Care
- Introduction (Part 1)
- The Caregiver-Client Relationship (Part 2)
- The caregiver-client relationship as the basis of everything
- Some first principles in working with people
- Some points about language and getting to know the client
- Creating the right atmosphere
- Persistence Patience Insistence Discipline
- Identification and maintaining Self-identity
- Tolerance and Individualization
- Responsibility, Control, Giving Permission
- Giving Time and Space; Listening vs. Preaching
- Gaining and maintaining trust
- Ethics
- Preparation, Flexibility and Adaptation
- Religion, Belief and Hope
- Time and closeness revisited
- Final remarks and activities
- Self-Care (Part 3)
- Final remarks and activities (Part 4)
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Rules and Procedures in the Group
We like to establish the working procedures, or rules, if you’d like, during the first or second session of the group so that everyone is on the same page. What follows are a few of the ones that we use. However, every situation is different. These procedures shouldn’t be dictated from above, but should be agreed on by every member of the group. The rules may need to be changed as circumstances change, of course.
A similar point applies to people being concentrated on what’s happening in the group. Under some circumstances and with some people, that’s difficult. Those difficulties should be discussed openly within the group. In this same spirit, we have a rule that mobile phones need to be put on silent and that no one can text during the group except for extreme emergencies.
The members of the group then choose the topic of that session. It can be theoretical or personal. Very frequently, the two go together. One example that has occurred in our groups is the topic of domestic violence. We have spoken about it from the very personal point of view of several group members and from several theoretical points of view of traumatization and also have talked about what to do about it practically, and how to heal from it. This kind of discussion generally goes on over several sessions. It’s the facilitator’s role to bring the group back to where it was when the new session begins.
Another rule we have is not to judge people, but to talk about their actions. This is a crucial difference. We all try our best. We all fail at times. Compassion and empathy are essential. This is a large part of what these courses are all about.
Another rule that we have is that anyone in the group can say “no” or “stop” if the topic gets too difficult to handle. Many things that go on in PET groups get emotional and hit sensitive areas. In that case, usually, the topic is put off until another session. One of the roles of the facilitator is to talk to the person who says “stop” and to find out what is going on, if the person is willing to talk about it. If not, in our groups, the group has to respect the person’s wishes.
As we’ve said, there may be other procedures or rules that each group will want to take.
Roles of the Facilitator
Ideally, in a PET group, everyone participates equally and takes full responsibility for the group so that a facilitator is not really needed. That doesn’t happen in many groups and so it’s generally a good idea to assign that kind of responsibility to one or two people. Also, people can facilitate in turns.
Facilitation takes experience. Even the most experienced people don’t always get it right. It’s also sometimes hard to see what is working and what isn’t. Our advice is to keep with it and, after each group session, to look at what you did and ask other people in the group what they thought about it. You can do that privately or, even better, ask during a group session what people thought of it. That also can bring solidarity to the group and increase trust.
One of the most important parts of a PET group is participation. Thus, everyone needs to speak and to express his or her point of view and to practice. It’s the responsibility of the facilitator to get the people who don’t speak to express themselves fully and to control people who dominate. That can be difficult, particularly when people have strong personalities. This is especially important when you’re talking about sensitive and personal issues, as frequently happens in PET groups.
Also, remember that PET groups are sharing groups and that they shouldn’t be lectures, at least not for the most part. That isn’t to say that it isn’t good for the facilitator or for someone else to talk for a while about a specific topic or to demonstrate a specific technique. However, one of the emphases of PET is on the experience of the participants and how various experiences contribute to the overall knowledge, skills, and attitudes of the group.
Location
Another point is where the group takes place. We’ve held groups just about everywhere you can think of, in formal classrooms and offices, in people’s living rooms and kitchens, in cafés, in parks, and in other places. The environment should be reasonably pleasant and private so that people can express themselves without the danger of them being overheard. Also, it’s important that the background noise level isn’t loud.
Other Equipment
It’s handy to have some paper with you to be able to draw or demonstrate things. That also can be done electronically. Mobile telephones generally are a little too small in our experience, but tablets can work fairly well. Doing things electronically also has the advantage that you can distribute the material to everyone later.
Final Comments
So, facilitating and participating in a PET group is serious business. It takes experience to get it right. Even the most experienced facilitators don’t always. Remember what we’ve said and what we will continue to say, namely that we’re always learning.
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