Chapter 7 Flashcards

1
Q

Johari Window of the Client

A

……………….Known to Self Not Known to SelfKnown to OthersNot Known to OthersI. Free Activity NW (Known, Known)II. Avoided/Hidden Area SW (Self Known, Unknown by Others)III. Blind Area NE (Self Unknown, Known by Others)IV. Unknown Activity (Unknown, Unknown)

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2
Q

What areas of Johari Window biggest at beginning of initiated cousnelling?When there is a close relationship?

A

IV, Unknown activity (unknown, unknown) is biggest at beginningI, free activity, (Known, Known) is biggest when close

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3
Q

functional fixity

A

seeing things in only one way, or from one perspective or being fixated on the idea that this particular situation or attribute is the issue.this is often how clients enter counselling

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4
Q

reframing

A

“a technique that offers the client another probable and positive viewpoint or perspective on a situation.”.family, instead of seeing one family member as the problem, see how all are contributing.gives awareness to situational factors associated with behavior.works towards more complex and accurate views, rather than simplistic black and white (i’m dumb)

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5
Q

leading

A

“certain deliberate behaviors counsellors engage in for the benefit of their clients”.like a quarterback leading their throw for the receiver, pointing to where they think they should go.lead cannot be too direct, nor undirected or uninvolved.from silence, acceptance, paraphrasing to persuasion and new ideas.minimal leads/encouragers are mhmm, yes.maximmum leads are confrontation.TIMING is crucial, can put relationship at risk.leads can be crucial, don’t want MUM effect

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6
Q

multifocused responding

A

.should tune your responding to the way clients like to absorb/perceive your information.individuals have preferences for way they process info through their senses.like, through hearing, seeing, kinesthetic (i think this is all bullshit).to a multimodal sensory person (i see your point and hear your concern, i feel you’re upset).more concrete terms for kids, or language learners

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7
Q

three types of empathy

A

a) subjective empathy.feel momentarily what it is like to be a clientb) interpersonal empathy.feeling the client’s experience from their perspectivec) objective empathy.having knowledge about client’s problem from reputable sources

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8
Q

empathic understanding in interpersonal process (measure)

A

1-5 levels1 and 2, counsellor doesn’t get client, or detracts from what they express. these levels not considered empathic.3, interchangeable responses between counsellor and client4 and 5, counsellor expresses what client is feeling deeper than they did

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9
Q

3 elements of empathy (meh?)

A

perceptiveness (perceive feelings)know-how (what to say, how to express it)assertiveness (fucking do it)effectiveness of empathy is determined by client reaction

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10
Q

two factors that make empathy possible

A

a) there are only a limited number of feelings, not infiniteb) having personal security so that you can let yourself go into the world of this other person and still know what you can return to your own world. Everything you are feeling is ‘as if.’

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11
Q

self-disclosure

A

“a conscious, intentional technique in which clinicians share information about their lives outside the counselling relationship”.can help establish trust and facilitate the counselling relationship.this reciprocal self-disclosure called DYADIC EFFECT.must match disclosure to the client’s needsserves 2 functions.models openness that can clients can observe and then be reciprocal in openness (modelling).develop new perspective, re-analyze own life in terms of counsellor’s life (you’re not alone, i get angry/stubborn too)

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12
Q

self-disclosure should be

A

-brief and focused-not add to the client’s problems-not be used frequentlyTIMING must be right

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13
Q

immediacy

A

counselor communication about how they are feeling about the client, themselves in relation to the client, and the therapeutic relationship.focuses on “here and now” within session.requires courage and assertiveness.counselling like a microcosm of how clients relate in real world

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14
Q

3 types of immediacy

A

1) immediacy focuses on a particular event in a session…what’s going on between you and i right now?2) overall relationship immediacy…how are you and i doing?…feel disappointed when you look at your watch in the middle of our sessions…these are things we would like to say to people but often don’t…as counsellor, you want to be the person that points out something in someone’s teeth right3) self involving statements…present-tense, personal responses to a client that are sometimes challenging…“i like the way you took charge of your life in that situation”

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15
Q

3 fears counsellors have about immediacy

A

1) afraid that clients will misinterpret their messages2) immediacy may produce and unexpected outcome3) can influence clients’ decisions to terminate counselling

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16
Q

what kinds of situations is immediacy best used in?

A

.tension, question of trust.social distance, like diverse backgrounds.any kind of dependency in either direction.attraction between client/counsellor

17
Q

humor

A

“giving an incongruent or unexpected response to a question or situation”.requires sensitivity and timing on part of counsellor!.can build rapport, dispel tension, distance clients from pain, challenge a belief, magnify an irrational belief.needs trust to do, a purpose, reciprocal respect.not at someone’s expense! avoid sarcasm

18
Q

confrontation

A

“challenges client to examine/modify/control an aspect of behavior that is currently non-existent or improperly used”.points out client discrepancies, contradictions, or maladaptive thoughts.honest examination of onself and insight.confronting client STRENGTHS more productive than confronting weaknesses.”you said… but look” structure

19
Q

contracting

A

.can let both parties determine direction and evaluate progress/change.especially good in limited number of sessions.can provide motivation, by providing structure and time pressure.can make problems look manageable by breaking them down into chunks.can empower client by placing responbility for change on them.assures client will return to counselling regularly

20
Q

setting up a contract (meh?)

A

.begin by asking client what you would like to work on.contract about person present at session, not like their kid or something.specific words, not try or maybe.have internally driven, not to please others like spouse.concrete.focus on change.ask how client may sabotage contract? resistanceSAFE.specific.awareness of procedures goals of counselling.fairness.efficacy (client is empowered)

21
Q

weakness of contracts

A

.cannot hold a client to a contract.some problems don’t lend themselves well to contracts.focuses on outward behaviors, client may not have gained insight or altered perception even if successful.fresh at first, can get bored fast.suicidal clients rated contract as least effective method

22
Q

rehearsal

A

overt or covertovert.client verbalizes or acts out what he or she is going to docovert.imagining or reflecting on desired goalhomework! can be….paradoxical (create the opposite effect).behavioral (practicing a skill).risk taking (doing something feared).thinking.break taking

23
Q

transference

A

“the client’s projection of past or present feelings, attitudes, or desires onto the counselor”.experiences with past people, maybe counselor reminds you of your sister or a personality you don’t like.”you sound just like my mother” (direct).client to counsellor.can be unconscious.there is indirect transference, harder to detect.negative and positive transference (just what you think they would be, see counsellor negatively or positively)

24
Q

countertransference

A

“the counselor’s projected emotional reaction to or behavior toward the client”.countertransference can be used as a diagnostic tool, you recognize, oh this is what this personality disorder usually elicits in me.useful to seek supervision if one suspects these issues or refer client at extreme.can result in losing objectivity, constant desire to please client, sexual/romantic feelings, compulsive advice giving, wanna be friends

25
Q

five patterns of transference

A

ways of seeing the counsellor.ideal, a seer, a nurturer, a frustrator, a non-entity

26
Q

four patterns of countertransference

A

overprotective, benign, rejecting, hostilefirst two are….OVERIDENTIFICATION: counselor loses his or her ability to remain emotionally distant from clientlast two are….DISIDENTIFICATION: emotionally removed from client