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In a first session of a treatment group when everyone looks expectantly at the group worker, what is the most appropriate response?

  1. Ask, "Where would you like to start?"

  2. Ask everyone to say something about the problems bringing them to group

  3. Not break the silence; wait for the group to start things

  4. Comment that they might be expecting her to start things

The correct answer is: Ask everyone to say something about the problems bringing them to group

While the intention behind asking everyone to share about the problems that brought them to the group reflects a desire to promote dialogue and engagement, the most appropriate response in this scenario is to ask, "Where would you like to start?" This response is significant because it places the emphasis on the group members' needs and preferences, empowering them to take the initiative in guiding the discussion. Starting with an open-ended question invites participants to express their expectations and focuses on their collective interests, which is crucial in establishing a cohesive group dynamic. It encourages collaboration and enhances a sense of ownership over the group process, which can lead to a more productive and supportive environment. In this context, simply waiting for the group to initiate conversation might result in feelings of discomfort or anxiety among members who are looking for guidance. On the other hand, asking them to share personal problems could feel overwhelming for some participants early in the group process and may not facilitate a comfortable atmosphere for sharing. Commenting on their expectations may also not offer a clear direction or encourage participation.