Terms in this set (34)
A temporary affiliation where the therapist takes one person's side for a short period of time.
Three Step Model
Join, deal with resistance, deal with the problem
First Stage of Three Step Model Do What?
Second & Third Stage of Three Step Model Do What?
Dealing with second order change
Types of resistance in the 3 Step Model
quantity (they are limiting the amount of information they are giving), content (they circle airfield and never land), style (manipulation, forgetting, or counselor stroking, false promising), legistical management (not pay or show up)
Rationale for the 3 Step Model
Until you deal with the resistance you can't get to the heart of the problem, you have to remove the roadblock.
Three types of confidentiality
1) no secrets, 2) secret keeper, 3) accountability with discretion
When confidentiality might be an issue
when you see them individually
What stance would each confidentiality type mean in therapy?
no secrets can cause lack of sharing, secret keeper can cause lack of trust between partners and difficulty for the therapist (multiple case files), and accountability with discretion can cause lack of trust because of what was kept secret (timing as well)
Alliances (Reflection) what kind of response might reflect this skill?
directs the clients attention to the unfolding inner experience. "What you are saying is that your silence is telling me that this is hard for you."
Alliances (Validation) what kind of response might reflect this skill?
Validate each partners experience of the relationship. "It makes sense to me that you feel that way."
Alliances (Tracking) what kind of response might reflect this skill?
You follow the dance and are able to articulate it. "How do you pull each other into the dance?" "What happens when you fight?"
the outline of an intake session
1) opening (chat and join) 2) confidentiality (set the rules) 3) the problem presentation (why are they here, let them tell their story, explore the problem in context -- how did it begin? precipitating incident? what have you done to try to solve in past? identity the pattern 4) gather information on FOO (pertinent to the their problem within the history) 5) see their commitment to each other 6) close the session and make it not abrubt, tell what we will do next, schedule next appt
JH Model Session One
Join with the couple. Goals are 1) trust, develop client relationship, and gathering info
JH Model Session Two
Separate Sessions. Goals are 1) discussing private concerns, reviewing the assessment with each partner, and grow their knowledge of self and their partner by bringing concerns to light
JH Model Session Three
Genogram. Goal is to increase awareness of potential problems and patterns that may be problematic
JH Model Session Four
Share all the information you have gathered. Goal is to evaluate relationship and reaffirm commitment.
JH Model Session Five
Communication. Goal is sharing with them how to have healthy interaction.
JH Model Session Six
Conflict Resolution. Goal is to deal with conflict in a healthy way
JH Model Session Seven
Finance, Time, Budget. Goal is to limit the amount of trauma from finances and come up with a family mission statement.
JH Model Session Eight
Sex and Spirituality. Goal is to increase knowledge and develop healthy life-giving patterns.
become part of the family, establish relationship and trust
maintaining "as is", supporting the marital structure,
follow as an interested party "following"
you make clear to dispel confusion
accomdate a couples style and find common experiences
emphasize a word (under tracking)
expanding content through open-ended questions
what constitues a higher-level response? (empathetic response)
the client feels as thought the therapist wants to understand their experience. the response is well-timed, accurate, empathetic, and concrete
example of a higher level response
you feel ________ because _________ and that caused in you _______
structure in an intake interview
estsablishing ground rules for therapy including lateness, appropriate talk, confidentiality, cancelation, not letting clients run a way with the session
what is the process in an intake inverview
using the 3rd ear and listening for the real problem. what is actually being communicated, trying to clarify meaning and intent. your body language and voice can help that process
what is concurrent session?
a couple seeing the same therapist but in individual sessions
a couple seeing two different therapists and the therapists have permission to collaborate together.