LMSW Practice Test

What is a commonly cited reason for keeping therapy group sizes relatively small?

1. Reduced disruption and conflict

2. Enhanced clinical outcomes

3. Improved logistic management

4. Non-attendance and client turnover allowance

The correct answer is: Non-attendance and client turnover allowance

Keeping therapy group sizes relatively small is commonly associated with the allowance for non-attendance and client turnover, which is a crucial factor in maintaining the effectiveness and cohesion of the group. Smaller groups can accommodate such changes more easily without significantly disrupting the therapeutic process. When a group is small, the dynamics remain manageable, allowing for continuity and a stable environment even if some members are unable to attend regularly. This flexibility can help ensure that participants continue to benefit from the group experience, as the therapist can more readily adjust to changing group compositions. In contrast, larger groups may struggle more with the impact of individual absences or turnovers, potentially leading to fragmentation of the therapeutic process. This can complicate the maintenance of therapeutic alliances and contributions from each member may become less individualized. While other reasons like reduced disruption, enhanced clinical outcomes, and improved logistics are important considerations in group therapy, the ability to handle non-attendance and turnover effectively is a distinct advantage of smaller group sizes.