Group Activity Therapy : Perception Stimulation, Sensory Stimulation and Reality Orientation

Groups are groups of individuals who have relationships with one another, are interdependent and have the same norms (Stuart & Laraia, 2001 quoted from Cyber Nurse, 2009). Group therapy is a psychotherapy that is carried out by a group of patients together by discussing with one another led or directed by a trained therapist or mental health officer (Guidelines for Rehabilitation of Mental Patients in Mental Hospital in Indonesia in Yosep, 2007). Group therapy is psychological therapy carried out in groups to provide stimulation for patients with interpersonal disorders (Yosep, 2008).

Benefits of Therapeutic group activities include:
a. General
  • Improve the ability to test reality (reality testing) through communication and feedback with or from others.
  • Establish socialization
  • Improving psychological functions, namely increasing awareness about the relationship between emotional self-reactions with defensive behavior (enduring stress) and adaptation.
  • Generating motivation for the advancement of psychological functions such as cognitive and affective.
b. Specific :
  • Improve self-identity.
  • Convey emotions constructively.
  • Improve social relations skills to be applied daily.
  • Rehabilitation: improving the ability of self-expression, social skills, self-confidence, ability to empathize, and improve abilities about life problems and their solutions.
Group Activity Therapy :  Perception Stimulation
is therapy that uses activity as a stimulus related to experience and or life to be discussed in groups (Keliat, 2004). The focus of group activity therapy: perceptual stimulation is to help patients who experience a setback orientation with characteristics: patients with perception disorders; hallucinations, withdrawing from reality, lacking initiative or ideas, cooperating, being physically healthy, and being able to communicate verbally. (Yosep, 2007).

The purpose of group activity therapy: perception stimulation is that patients have the ability to solve problems caused by exposure to the stimulus. Meanwhile, specific goals: patients can perceive stimuli that are presented to them correctly and resolve problems that arise from the stimulus experienced (Darsana, 2007).

Activity perceives unreal stimulus and response experienced in life, especially for hallucinogenic patients. Activities are divided into four sessions that cannot be separated, namely:
  1. First session: knowing hallucinations
  2. Second session: controls hallucinations and screams hallucinations
  3. Third session: compile a schedule of activities
  4. Fourth session: how to take the right medicine

Group Activity Therapy: Sensory Stimulation
is therapy that is carried out by giving a certain stimulus to the client so that behavior changes occur.
Form of stimulus:
  1. Stimulus sounds: music
  2. Visual stimulus: picture
  3. Visual and sound combined stimulus: viewing television, video.
Goals : for clients to experience:
  1. Increased sensitivity to stimulus.
  2. Increased ability to feel beauty.
  3. Increased appreciation of the environment
Types:
  1. Activity therapy - Sound stimulation
  2. Activity therapy - Image stimulation
  3. Activity therapy - Sound and Image Stimulation

Group Activity Therapy: Reality Orientation
is an effort to orient the real situation to the client, namely oneself, others, environment / place, and time.
Clients with psychotic mental disorders, experience a decrease in the value of reality (reality testing ability). The client no longer recognizes the place, time, and people around him. This can result in clients feeling alienated and triggering anxiety. To overcome, there needs to be an activity that gives the stimulus consistently to the client about the reality around him. The stimulus includes; stimulus about environmental reality, namely; self, others, time and place.
General purpose: the client is able to recognize people, places, and times according to reality, whereas
Specific purpose are:
  1. Clients are able to know where they are and have been.
  2. Clients know the time correctly.
  3. Clients can get to know themselves and those around them properly.
The activities carried out in three sessions were in the form of identifying people, places and times. Clients who have an indication of the reality of disorientation are clients of hallucinations, dementia, confusion, not knowing themselves, misunderstanding other people, places, and time.
Stages of activity:
  1. Session I: People Orientation
  2. Session II: Place Orientation
  3. Session III: Time Orientation

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