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27 Cards in this Set
- Front
- Back
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why is termination avoided?
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-associated with loss
-not directly related to the microskills that facilitate a counseling relationship |
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Vickio-The goodbye brochure
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strategies for college students dealing with loss
1.5 D's for success 2.5 D's for unsuccess |
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referrals involve
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1.how-how to call on helping resources
2.when-timing is crucial |
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5 D's for unsuccessfully dealing with loss
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1.deny the loss
2.distort your experience by overglorifying it 3.denigrate your activities and relationships 4.distract yourself from thinking and departure 5.detach yourself abruptly for activities and relationships |
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premature termination
if a client drops out without notice: |
an exit interview should be set up
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benefits of an exit interview
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1.help client resolve negative feelings from that counseling experience
2.invite the client to continue counseling if they prefer 3.another form of treatment of referral can be considered 4.may increase the change that the next time that prson needs help they may seek counseling |
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in premature termination, counselors often make 2 mistakes
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1.blame himself or the client for what is happening
2.act in a cavalier(that's to bad for him, I have lots of clients) kind of way |
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how to prevent premature termination
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1.appointments-less time between them the better
2.orientation to counseling-the more clients know about counseling, the more likely they are to stay 3.consistency of the counselor 4.reminders to motivate client attendance-cards, calls,e-mails |
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referral
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arranging other assistance for a client when the inital arrangement is not or cannot be helpful
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recycling
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-process has not yey worked, attempt to reexamine all phases of the therapeutic process
-provides a second chance to achieve positive change |
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counselor-initiated termination
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good reasons:
-illness -countertransference -relocation -extended trip -realize that someone else can serve them better bad reasons: -anger -boredom -anxiety |
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client resistence
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1.asking for more time at end of session
2.asking for more appointments 3.dev. of a new problem |
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5 D's for successfully dealing with loss
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1.determine ways tomake transition a gradual process
2.discover the significance different activities have had in your life 3.describe this significance to others 4.delight in what you have gained and what lies ahead of you 5.define areas of continuity in your life |
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counselor initiated termination
client can benefit |
-realize the counselor is human and replacable
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follow up
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-checking to see how the client is doing sometime after termination
-reinforces gains client made -shows counselor's care and concern for client |
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functions of termination
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1.signals that something is finished
2.motivator 3.provides an oppertunity to practice learned skills(potential enpowering experience) 4.reminder that the client has matured |
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behaviors that signal the total end of counseling
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-decreased work load
-more humor -consistent reports of improving abilities to cope -less denial, withdrawal, anger, mourning, dependence |
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counselor initiated termination- ensure the client
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short term
-has names & numbers of other people in case of emergency forever -review progress -end relationship -make postcounseling plans |
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8 guidelines to end an intense counseling relationship positively
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1.be aware of the client's needs & wants
2.be aware of your own needs & wants 3.be aware of previous experiences with seperation and your inner reaction to those experiences 4.invite the client to share how he feels about ending the experience 5.share honestly with the client how you feel about the counseling experience 6.review the major events and bring the review into the present 7.supportively acknowledge the changes the client has made 8.invite the client to keep you up to date on what is happening in his life |
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2 other ways to end counseling
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1.fading-gradual decrease, sessions shortened and spaced apart
2.help clients develop problem solving skills |
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follow up is conducted in 4 ways:
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1.invite client in for a session to discuss progress
2.telephone client 3.send a letter asking about current status 4.mail out questionnaire dealing with current levels of functioning |
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deciding to terminate counseling
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1.have client's initial problems been reduced or eliminated?
2.have stress producing feeling that led to counseling been eliminated? 3.assess client's coping ability & degree of understanding to self and others 4.can the client relate to others and love and be loved 5.does he have abilities to plan & work productively? 6.can the client better enjoy life? |
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follow up can be
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1.short term-3 to 6 months
2.long term-at leat 6 months |
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terminating individual sessions
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1.initial sessions should have defined time limits (45-50 min generally)
2.client & counselor should be aware session is ending 3.no new material introduced or discussed during ending 4.toward end, summary is helpful 5.setting up the next session is key |
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timing of termination
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1.has the client reached behavioral, cognitive and affective goals?
2.can client show concretely where they have made progress in what they wanted to accomplish? 3.is the counseling relationship helpful? if not helpful, terminate 4.has the context of the initial counseling arrangement changed? prolonged illness, termination and referral should be considered |
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why refer?
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1.counselor can't handle problem
2.counselor is inexperienced in that area 3.counselor knows a nearby expert who can help 4.incompatible personalities 5.relationship is stuck in initial phase |
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termination
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-the decision, one-sided or mutual, to stop counseling
-least researched, most neglected aspect of counseling -unless handled appropriatly, can harm as well as heal |
