Intro to Basic Counseling Interventions

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angbatiato  on October 30, 2011

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Intro to Basic Counseling Interventions

Counseling definition
A brief intervention which focuses on assets and strengths.
Can be used for grief, divorce, substance abuse, developmental and transitional issues, multicultural and social justice issues, prevention, career and vocational issues
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Counseling definition A brief intervention which focuses on assets and strengths.
Can be used for grief, divorce, substance abuse, developmental and transitional issues, multicultural and social justice issues, prevention, career and vocational issues
Qualities of an Effective Counselor -Active listening
-Awareness of non-verbals
-Culturally competent
-Empathic understanding
-Open-minded
-Objective
-Psychologically healthy
-Self-awareness
Challenges for a Counselor-in-Training -Talking too much
-Wanting to Help too much
-Self-disclosing too much
-Being a Buddy
-Discomfort with silence
-Minimizing client's feelings
Definition of Helping Special relationship between someone who needs help and someone who has been trained to provide assistance
Hill's Definition of Helping One person assisting another in exploring feelings, gaining insight, and making positive changes in their lives
Definition of Helping Skills Verbal and non-verbal communication that aids helpers in providing assistance to others
Counseling Characteristics -Helper and Client work together
-Helper facilitates but doesn't make changes and decisions for the client
-Client decides when and how to change
Misconceptions of Counseling -giving advice
-fixing problems
-being the expert
Goals of Counseling -Help client clarify feelings
-Help person see from a different perspective
-Relieve emotional pain or stress (Calling for an appt reduces pain by 20%)
-Support
-Help person move toward change
Eyesenck -Eyesenck (1952) meta-analysis showing counseling is ineffective, though study highly criticized
Phase Model -1996
-Remoralization phase - instillation of hope (sessions 1-3)
-Remediation phase - reduction in symptoms
-Rehabilitation phase - new coping skills are developed (most don't continue past phase 2)
Smith, Glass & Miller (1980) replicated study, improving methodology, proving that people who seek counseling are 80% better off.
Howard et al (1986) showed 50% improved before session, 75% after 8 sessions, 85% after 26 sessions
Wampold (2001) showed that no type of therapy is better than another. Debate was created comparing the common characteristics of counseling psychology to the specific ingredients of clinical psychology
Working Alliance -Bordin (1979) said there were three parts
-Goal - changes the client needs to make
-Task - what will take place during the process
-Bond - connection between counselor and client
Stages of Change-Prochaska, Norcross, DiClemente
-Precontemplation - unaware of need to change or no desire for change
-Contemplation - thinking about changing but no action
-Preparation - committed to changing and prepping self for change process
-Action - Begin to modify behaviors and surroundings
-Maintenance - change has been made and avoidance of relapses
Hill's 3 Stage Model -Exploration - help client to explore thoughts, feelings, behaviors (Rogerian)
-Insight - Help clients understand thoughts, feelings, behaviors (psychoanalytic)
-Action - Help clients decide what changes to make on the basis of their new insight (CBT)
Counselor's Role -Act as collaborator and facilitator
-No special knowledge on the client's life
-Contribute empathy and specific helping skills
-Guide clients through the 3 stage model
Counselor's Goals during Exploration -establish rapport
-encourage clients to tell their story
-encourage clients to explore thoughts/feelings
-facilitate emotional expression
-learn about the client from the client's POV
Skills in the Exploration Stage -attending
-restatement
-reflection
-open-ended questions
Counselor's Goals during Insight -collaborate with clients to achieve new insight
-help clients attain new awareness of their role in perpetuating problems
-address issues/dynamics within the therapeutic relationship
Insight Stage Skills -challenge
-interpretation
-self disclosure
-immediacy
Counselor's Goals during Action -Guide clients in making decisions and changes the reflect new self-understandings
Action Stage Skills -information
-direct guidance through CBT interventions, homework & experiential activities
What Influences the Helping Process -having awareness of the process
-context variables
-moment-by-moment interactions
-external world
*Can be uncomfortable for beginning counselors
Intentions for using Interventions -intentions are covert and not always understood by client
-intention guides choice of intervention
-single intervention can have multiple intentions
Client's Reaction -If the counselor is successful, the client reaction will match the helper's intention.
Becoming Aware of Client's Reaction -Non-verbals
-Clients may agree because they are agreeable or don't understand the purpose
-Counselor's perceptions can be distorted through countertransference
Helper Reevaluation -Keep assessing and reassessing intentions and client's response
-Must be open, self aware, and evaluative of your own intentions and client response

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