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comd 4200 counseling (copied)

Terms in this set (18)

counseling techniques for comm disorders:
-desensitization
-relaxation
-counterquestion
-reframing
-open-ended and indirect questions
-role playing
-empathetic listening
-paraphrasing content
-summarizing content
-silence
Desensitization
guiding client through a heirachy of situations from least to most anxiety provoking w/in the context of a safe and relaxed counseling environment
relaxation
tension is reduced in muscle groups to alleviate a client's feelings of anxiety.
counterquestion
when client asks a question that seeks confirmation or validation of the clients already made decisions, the clinician poses back a question that encourages the client to reveal the true intent of the original question.
reframing
client is encouraged to modify views or attitudes toward a negative situation that cannot be changed.
open-ended and indirect questions
- questions formulated to prevent parent/client being restricted in their response
- used to elicit spontaneous and detailed responses that provide insight into the client's attitudes, knowledge and feelings
role playing
problematic situations associated with the comm. disorder are ID and structured opportunities are provided for a client to act out more appropriate behaviors in hypothetical contexts.
empathetic listening
the clinician reflects back the content or emotions expressed by a client's message in a nonjudgmental way.
paraphrasing content
the clinician rephrases a client's message or statement in his or her own words. Mirroring back to the client lets them have an opportunity to clarify or correct their meaning.
summarizing content
Succinct, accurate paraphrasing of larger segments of client interaction
The goal for the clinician: capture overall gist of preceding discourse
silence
clinician refrains from speaking in order to shift the conversational floor to the client.
group counseling
-emotional support group, can foster universality (not alone), altruism (good feelings from helping others), imitative behaviors (learn from each other)
-clinician roles: determine group size/composition, set procedures for group interaction, promote trust/unity, assume less directive role, encourage, manage dominant members/ confrontation, determine hidden agendas, extinguish negative behavior, reinforce good behaviors, recognize needs for individual further counseling, determine appropriate end.
family systems counseling
-approach acknowledges the central role of the family.
-key concepts: 1. change in one member affects whole family 2. family unit is greater than sum of its parts 3. families exist w/in context of larger society.
-Consider diversity: cultural/ethnic backgrounds, poverty, single parent households
-case by case treatment to suit each individual family need
stages of counseling:
- Establishing the Therapeutic Relationship
- Implementing Counseling Intervention
- Terminating the Therapeutic Relationship
Establishing a therapeutic relationship
professionalism, courtesy, confidentiality, trust, acceptance, respect, presence
implementing counseling intervention
the 'work' stage, problem solving orientation
-therapy focuses on clients deficits
-client coping strategies or defense mechanisms may arise
-clinician needs to recognize the feelings that motivate client behaviors (constructive and destructive)
-client is encouraged to assume more active responsibility for self-motivation and therapeutic agenda.
terminating the therapeutic relationship
-includes preparing the client to become their own therapist
-focus becomes validating accurate client perceptions and encouraging client to keep taking responsibility for maintaining behavioral changes.
client and family emotional reactions to comm disorders:
-grief
-anger
-depression
-guilt
-shame
-anxiety
-inadequacy
-isolation
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