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33 Cards in this Set

  • Front
  • Back
reluctant client
-client referred by 3rd party and unmotivated to seek help
-may seek counseling but not do not want to go through the pain that change demands
building a relationship
begin to identify goals that the client wishes to achieve
uneffective goals:
1. unfocused- too broad , not prioritized
2. unrealistic goals-have merit but are not easily obtained
3.uncoordinated goals-may be incompatible with one another or with the personality of the client
part of structure:
practical guidlines
1. time limits
2. actions limits
3. role limits
4. procedural limits
structure
joint understanding between counselor and client regarding
1.characteristics
2.conditions
3.procedures
4.parameters...of counseling
effective goals:
1. goals mutually agreed on by client & counselot
2. goals are specific
3. goals are relevent to self defeating behavior
4. goals are quantifiable & measurable
5. goals are behavioral and observable
6. goals are understandable and can be restated clearly
client qualities:
counselor must condsider
1. body gestures
2. eye contact
3. facial expresion
4. vocal quality
to win battle for initiative
-anticipate anger, frustration, defensiveness
-show acceptance, patience, understanding, nonjudgmental
-pesuasion (foot in door & door in the face)
-confrontation
4 categories of resistence
1. amount of verbalization
2. style of communication
3. attitude toward counselor
4. couseling sessions
counselor client contract
-provide info about counseling process and themselves
-purposes, expectations, methods, responsibilities, ethics
foot in door
counselor asks client to follow minor request, then larger request
physical setting
-absolutly no interruption during session
-all calls held
client qualities:
most successful: YAVIS (young, attractive, verbal, intelligent, successful)
less successful: HOUNDs (homely, odd, unintelligent, nonverbal, disadvantaged) & DUDs (dumb, unintelligent, disadvantaged)
physical setting
-soft lighting
-quiet colors
-absence of clutter
-harmonious
-comfortable furniture
-diverse cultural artifacts
door in the face
client asked to do what seems to be impossible, then a more reasonable task
counselor qualities
1. self awareness
2. honesty
3. congruence
4. ability to communicate
5. knowledge
6. percieved expertness
7. attractiveness
Building a relationship
engaging clients to explore issues that directly affect them.
Initiative
motivation to change
problems building a solid client counselor relationship:
-move too fast or slow, fear of intensity, client rambling, excessive time and energy spent probing the past
two types of first interview
1. initiated by client
2. initiated by counselor
counselors presentations about themselves and their functionings should be
MULITMODAL:
-visual
-auditory
-written
-spoken
-desciptive
initiated by client
counselor is unsire of purpose
two battles
Client must win battle 1, patient must win battle 2
1. battle for structure (issue of admin control: scheduling, fees, participation
2. battle for initiative (motivation for change and client responsibility)
initial counseling interview can fulfill two funtions
-collect needed info about client
-signal the beginning of a relationship
initiated by counselor
counselor should immediatly his reason for wanting to see the client
empathy may be fostered by attentiveness:
amount of verbal & non verbal behavior shown to the client
begin relationship
focus on client's attitudes and emotions
uses:
1. restatement-mirro response
2. refletion of feeling-similar to restatement but uses verbal & non verbal expression
3. summary of feelings-paraphrasing an number of feelings
4. acknowledgement of non verbal behavior-ex.I notice your arms are folded across your chest
As a counselor AVOID:
1. advice giving
2. lecturing/preaching-sets up a power struggle
3. excessive questioning-need stmt's, observations, encouragers and questions
4. storytelling- focuses attention to counselor, not client
collect info
counselor focused: counselor wants client to talk about certain subjects
uses:
1. probe-question, starts with who, what,where, how (needs more than 1 or 2 word response)
2. accent-highlighting the last few words of a sentence
3. closed question-requires specific and limited response (is, do, are)
4. open question-allows client room to respond (what, how, could)
5. request for clarification-responce counselor uses to ensure he understands
5 non verbal skills involved in attentiveness: SOLAR
1. square
2. open posture
3. lean toward client
4. eye contact
5. relax
factors influencing progress and direction of counselling
1. physical setting
2. client's background
3. counselor's skill
4. quality of relationship established
Rapport
making the client feel comfortable by showing genuine interest and acceptance of the client
empathy
counselor's ability to enter the client's world
involves: perception & communication