advanced microskills Flashcards

1
Q

what are some advanced microskills

A

reframing
challenging (identifying incongruencies)
exploring options
therapist self-disclosure
normalising
externalising
orienting vs influencing questions
deconstructing questions

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2
Q

what is reframing

A

Supporting a client to understand a situation in a new light with a new awareness.

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3
Q

why do we reframe

A

helping client to see a different perspective
presenting an expanded view of the situation
reframing behaviour in an adaptive way
highlighting alternative possibilities
reframing loaded words and phrases
expanding perspectives of the self
Redefine problems

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4
Q

what do you need to be mindful of when reframing

A

Not implying agreement or support for the problem
Not always positive – silver lining

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5
Q

what is Challenging – Identifying Incongruencies

A

Confrontation is not a direct, harsh challenge. Think of it, rather, as a more gentle skill that involves listening to the client carefully and respectfully; and, then, seeking to help the client examine self or situation more fully.

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6
Q

why do we use challenging/identifying incongruencies

A

Assist clients to increase their self-awareness.
Highlight discrepancies that clients have previously been unaware of.
Provides space for exploration
Provide clarity

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7
Q

things to be mindful of for challenging/identifying incongruencies

A

It is done in relativity with the underlying strength of the relationship you share.
Is offered thoughtfully, and not in a way which is likely to be perceived as judgmental or reprimanding.

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8
Q

example of challenging/ identifying incongruencies

A

Client: “I can’t do anything right; I am always messing things up.”

Counsellor: Tom, I can hear how frustrated you feel but I’m a little confused when you state you can’t do anything right, especially in light of what you told me about your recent promotion at work?

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9
Q

what are the pros to self-disclosure

A

Providesa role model for appropriate social interaction (important for clients who may experience social anxiety)
Helpsthe client feel as though they are not alone
can reducethe power differential between counsellor and client, and reduce intimidation
Providesvalidation – can help the client to feel “normal”
Buildsrapport and trust
Human to Human Connection – I-thou relationship

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10
Q

cons to self-disclosure

A

Can movethe focus away from the client
Can compromisethe professional relationship – client views the counsellor more as a “friend
Can createrole confusion
Clientmay feel burdened, and so may “hold back” or censor information.
Clientmay feel the counsellor is “too involved”.
Can “pressure”the client into disclosing when they are not ready – by creating expectations.

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11
Q

what is Externalising

A

Principle or philosophy that refuses to locate problems within people – refuses to pathologise
The problem is the problem, the person is not the problem

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12
Q

why do we externalise

A
  • a context where people are separate from the problem
  • reduces guilt and blame but allows for responsibility.
  • frames the client to have a position to the problem
  • prevents the problem overwhelming the client
  • demonstrates the politics and context of people’s experiences
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13
Q

things to be mindful of when externalising

A

Intentions & theoretical underpinning
Not blaming someone else – eg not the child but the parent
Not undermining the problem – providing a way to speak about the problem
We separate selves from problem – not from responsibility – idea is that we invite people to take a position to reduce the effects of the problem on self and others

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14
Q

what is normalising

A

is a process that emphasises that the experiences a person finds upsetting exist within the range of normal functioning

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15
Q

why do we normalise

A

Make the feeling of distress normal and understandable
Sense that you are not alone
Can help reduce secondary emotions – eg being anxious about feeling anxious

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16
Q

things to be mindful of when normalising

A

Who/what determines what is a ‘normal’ response
Just because something is ‘normal’ doesn’t necessarily make it healthy or good for the growth and happiness of the individual, and just because something is ‘abnormal’ doesn’t necessarily make it unhealthy or bad for the growth and happiness of the individual.
Invalidating, reducing, ending meaning making process

17
Q

what is exploring options

A

Using an open question to facilitate exploration of options

18
Q

why do we explore options

A

When clients make a preemptive conclusion that there is ‘no solution’ or only two polar possibilities
Reflecting feelings of being ‘stuck’, ‘trapped’, ‘imprisoned’, ‘frozen’

19
Q

Things to be mindful of when exploring options

A

Not simply the providing of options or solutions
Done in a tentative way and as a contribution - a value add

20
Q

what are orientating questions

A

Help Counsellor orientate to the client’s situation (learning and understanding more about it)

21
Q

example of orientating questions

A

Asking about specific events, background, and circumstances that have brought them to counselling

22
Q

what are orientating questions featured in

A

Featured in Problem Focused Assessments Approaches – practitioner gathers information that will lead to formulation and treatment plan.

23
Q

what are influencing questions

A

used to invite change in the client’s perception and understanding

24
Q

example of influencing questions

A

what are your main hopes in coming here?

25
Q

what are influencing questions featured in

A

Featured in constructionist therapies – counsellor elicits relatively minimal information about client’s concern in order to avoid being swamped by problem story.

26
Q

what are Deconstructing Questions

A

Questions that expose the role of subjugating dominant discourses
Subjugating stories can be of gender, race, age, class, sexuality, religion, bodies – so entrenched in our culture that we can get caught up in them without event realising

27
Q

why do we use deconstructing questions

A

Invites a new perspective on the problem
Become aware of how certain modes of life and thoughts shape our existence and once we are aware of these we might choose different modes of thought

28
Q

things to be mindful of when using deconstructing questions

A

Not teaching or imposing
Safety