CAT CAT VIDEO TRANSCRIPT
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this training aid was developed to help
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address the clear gap in education and
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skills evidence in the field of
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substance misuse treatment one of the
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main ways people suffering from
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addiction problems are offered support
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is through some form of activity in
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groups however professionals who lead
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these groups all too often don't have a
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framework to understand how best to use
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groups there is an absence of a
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theoretical model and a lack of
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understanding of what is likely to be
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helpful in a group what you see
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presented here is influenced strongly by
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the work of Ervin yalom and Phillip
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Flores who have both written extensively
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on this topic here and have gotten I
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need to point to the grade
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Jimmy could you go on please it's my mum
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she died last year
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are you still
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it's too careful
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there's the have to keep I just have to
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give her a medication stop her from
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being in pain
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but used to steal them steal them just
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for for a hit
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thanks for sharing that Jimmy that's
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pretty big stuff
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we've all got secrets me I've done stuff
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I'm not proud of it's not just shooting
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me I was using none of my family riding
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might include me except for my granddad
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he's the only one I had in contact with
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it's pretty old oh you just sent me down
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to the post office to get his pension
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every week and I used to make the money
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because I need it to use it's just money
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this is medication medication that
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actually stopped her from being in pain
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I've stolen for my family might not be
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the same circumstances
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I could certainly relate to the feelings
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of shame and guilt
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how did she cope to me drugs heroin meth
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just anything my addiction takes us
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brother
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Jimmy Jimmy this is really pretty to
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bring this degree Jimmy do you think you
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could let the group know what it is
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about the group today that's allowed you
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to share this yeah but I am
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Gemma she got one revolt like real
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vulnerable like I just felt closer to
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her really close
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I'm wondering if you answered my
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question there was it do you think about
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this from that let me share that I don't
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know really
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maybe the traps sort of trust them no no
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no you know the real me Jimmy it sounds
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like you've been holding this in
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requital for quite a while
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what were you worried about what were
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you frightened about if you told the
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group about this what's afraid of who's
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gonna respect someone like me who's
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gonna respect someone that steals
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medication of their mum doesn't change
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the way I feel about you
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that took a lot that's what you just
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done I could never do that
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it's really great
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just remember those in you Jimmy has the
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Edit Jimmy do me I just had to see it
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was great that you managed to get it out
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there during this process Jimmy is
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clearly sitting in a lot of discomfort
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and when he finally speaks the rest of
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the group appeared to detect this and
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give a rapt attention it's clear
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something different is going on now
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disclosures such as Jimmy's can be
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fairly common in addiction support
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groups when there's enough cohesiveness
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in the group and readiness in the
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individual to disclose there can't be
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very powerful agents of change for a
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number of reasons but should never be
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forced some clients get the message from
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certain treatment philosophies that
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you're only as sick as your secrets or
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that unless you expose your shame it
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will eat you up and sabotage your
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recovery there's absolutely no evidence
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to support either of these views however
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if when people are ready to disclose
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shameful aspects of themselves
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it gives a clear message of trust which
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almost always brings the group members
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closer together by giving others
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permission to take risks and make
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further disclosures themselves there are
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a number of benefits for the group and
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for the individual in this as other
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group members identify with Jimmy they
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also are taking risks and exposing their
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vulnerability entering into the circle
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of trust with him however Jimmy seems
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too wrapped up in his remorse to receive
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the gifts offered to him at first but
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the communication clearly takes the
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group to a much deeper and more involved
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level of interaction than previously
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even mark shows some interpersonal
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sensitivity with his identification
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rather than focusing historically on the
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content of the disclosure as Nathan does
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Jax takes the opportunity to stimulates
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the second stage of interpersonal
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learning in the here-and-now after the
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first stage a genuine emotionally Laden
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inter personal experience has occurred
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the therapist has the opportunity to
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help the group illuminate the process in
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this case
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Jax invites what we might call a meta
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disclosure a disclosure about the
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disclosure pointing the group into the
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here and now inviting them to explore
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what the event said about the
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relationships between the people in the
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group by asking what allowed him to
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share his story Jim is able to highlight
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how another member of the group has
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affected him and how he feels towards
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them as a result Jax probes further and
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Jimmy is able to highlight how he's
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developed trust with the members of the
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group this will have a tangible effect
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on the relationships with the other
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members and on the group as a whole but
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by saying now you all know the real me
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Jimmy betrays continued feelings of
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shame
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so Tim offers another classic
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intervention designed to elicit further
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meta disclosure by asking what he was
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afraid would happen if he shared this
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Jimmy's been able to identify the root
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of his shame in the group that people
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would reject him and disrespect him this
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reveals an even deeper level of intimacy
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as he shares his fears
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however the fear catastrophe doesn't
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occur people are quite clear that on the
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contrary rather than looking down on him
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for his past actions they admire and
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respect his current honesty and courage
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when someone realizes that they are not
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judged by others about historical
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actions which they judge themselves it
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can be a great help to that person to
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give up their self judgement and put
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those events in the past
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you
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you
