1.05 - Ch 9 - Client & Family Counseling Flashcards
What four things must be present in an effective therapeutic relationship?
Mutual…
Confidence Trust Respect Consideration
What is counceling?
The aspect of Speech-Language Therapy the focuses on the person rather than on the disorder
What five things influence the client’s (and their family’s) perception of a positive therapeutic relationship?
Sensitivity (empathy for the client’s feeling and circumstances)
Respect (for the client as an individual)
Honesty (tactful presentation of difficult information)
Motivation (to actively participate)
Listening (by the clinician that allows for the venting of feelings)
Do individuals clients require varying amounts of time to develop trust with the clinician?
Yes
Is a communication disorder usually a personal problem or a family problem?
Family problem
Clinicians should look beyond the observable aspects of the client and family behavior and consider their ______ and _______ states as well.
Internal emotional
Affective
Is counseling a one time event?
No
Counseling requires that ______ be set.
Boundaries
Clinicians need to recognize their ______ and realize when ______ need to be made to professionals with specialized counseling experience.
Limits (of their training and experience)
Referrals
Situations that are out a clinician’s scope of practice will involve either the ______ or the _____.
Content (topic areas)
Style (how the clinician & client interact)
What are the five key traits of an effective counselor?
Appropriate sharing
Nonjudgement
Tolerance of crying and emotional language
Being client/family centered
Refrains from solving the client’s issues
What is appropriate sharing?
Not sharing too much personal information
This assures that the focus of counseling remains on the client and their needs
Being nonjudgemental means that clinicians should not frame statements within the context of _______.
Good and bad
What are the three stages to counseling?
Establishing the therapeutic relationship
Implementing counseling intervention
Terminating the theraputic relationship
What falls under establishing the therapeutic relationship?
Providing information (as a pace that fits the client)
Setting the therapeutic agenda
What falls under implementing the counseling intervention?
The “work”
Problem-solving
Teaching & counseling
What are some emotional reactions to communication disorders?
(8)
Grief
Anger
Depression
Guilt
Shame
Anxiety
Inadequacy
Isolation
What are 10 counseling techniques for communication disorders
Desensitization
Relaxation
Counterquestioning
Reframing
Open-ended and/or indirect questions
Role Playing
Empathetic listening
Paraphrasing content
Summarizing content
Silence
What is Desensitization?
Mastering less stressful situations, then moderately stressful situations, to the most stressful situations
What is Counterquestioning?
Responding to a client’s question in a way that looks for the real intent behind the original question
(Mother keeps asking about a child’s cognitive test scores. Clinician asks if something in particular is bothering her. Mother says she prevented her child from being labeled mentally retarded.)
What is Reframing?
Encouraging the client and family to modify their views and attitudes towards a negative situation that cannot be changed
What are Open Ended (Indirect) Questions?
Questions that do not limit the client’s response to a quick one or two word answer
These are used to elicit spontaneous and detailed responses
What is Paraphrasing Content?
Rephrasing the clients message into your own words
What is Summarizing Content?
Paraphrasing and condensing large segments of client interaction
