counselling 2 Flashcards

1
Q

What is the key difference between counselling adults and children

A

That key difference is that children often struggle to express what they really need from counselling or formulate what the goals should be.

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2
Q

Level 1 Goals

A

Level 1 Goals – Fundamental goals
These goals apply to all children.
* Enable the child to deal with painful emotions
* Enable the child to reach some level of congruence with thoughts, emotions and behavior
* Enable child to feel good about themselves. Self esteem
* Enable the child to accept their limitations and strengths
* Enable the child to change unhealthy behaviour or behaviour that has negative consequences.
* Maximise opportunity for child to pursue developmental milestones.
* Promoting general wellbeing

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3
Q

Level 2 Goals –

A

Level 2 Goals – The parents’ goals
Goals are set by the parents when they bring their child into therapy. Generally related to the parents agenda and are based on the child’s behaviour which they would like extinguished.

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4
Q

Level 3 Goals

A

Level 3 Goals – Counsellor goals
During the counselling process, the counsellor will develop a hypothesis about why the client is behaving in a particular way, drawn from information from their own experience and psychology.

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5
Q

Level 4 Goals

A

Level 4 Goals – Childs Goalds
These goals emerge during the therapy session and are the childs own goals, although they may sometimes be unable to verbalise the issue. These goals are based on what the child brings up and may sometimes match level 2 or 3 goals.

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6
Q

Whats the overall goals for the counselling session?

A

Therefore, the overall goals for counselling session should precedence the childs level 4 goals, while attending to the parents level 2 and the counsellors level 3 goals. When these are followed, level one goals will be automatically achieved.

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7
Q

What are desirable attributes for a child counsellor

A

1) Congruent: Child needs to perceive the relationship as trustworthy, safe, grounded, genuine, consistent and stable.
2) Intouch with their own inner child: Accessing our inner child doesn’t being childish or regressing, it means getting in touch with the part of ourselves that fits comfortably with a child’s world.
3) Accepting: By being accepting, the child can respond without filter or fear of judgement, and explore the darker or shadow side of themselves.
4) Emotionally detached: If a counsellor becomes too involved, the counsellor may become distressed by the painful material the child is sharing. Children will find it hard to cope with a crying counsellor. A counsellor generally should not verbally or non-verbally give a child affirmation in connection with the childs issues or desires. This sets the child up to say and do things that will please the counsellor rather than encouraging to be authentic. Validate the experiences. However, this does not mean being lifeless

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8
Q

Early pioneers Sigmund Freud:

A

Developed psychoanalytic psychotherapy including the following concepts: unconscious processes, defence mechanisms, id, ego, super ego, resistance, free association, transference, and psychosexual development

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9
Q

What is abraham Maslows Pyramid of needs?

A

Top: Need for self actualization – as the highest level
Need for achievement of self esteem
Need for love and belonging
Need for safety
Psychological needs e.g. food, water, rest, air

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10
Q

What is the SPICC model?

A

The Sequentially Planned Integrative Counselling for Children (SPICC) model draws on theoretical concepts and practical strategies from variety of well established psychotherapeutic approaches. These include, Client-Centred counselling, Psychodynamic Psychotherapy, Gestalt Therapy, Narrative Therapy, CBT, and Behaviour therapy

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10
Q

What is the SPICC model?

A

The SPICC model draws on theoretical concepts and practical strategies from variety of well established psychotherapeutic approaches. These include, Client-Centred counselling, Psychodynamic Psychotherapy, Gestalt Therapy, Narrative Therapy, CBT, and Behaviour therapy

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11
Q

Phase 1 Process | Modality | Outcome

A

Phase 1 | Child joins with counsellor | Client Centred Therapy | Sharing the story helps the child to begin to feel better

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11
Q

Phase 2 Process | Modality | Outcome

A

Phase 2 | The child continues to tell their story – Childs awareness of issues increases – Child gets in touch with emotions and may experience some catharsis – child deals with deflection and resistance | Gestalt Therapy | Raised awareness enables the child to clearly identify issues, get in touch with and release strong emotions

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12
Q

Phase 3 Process | Modality | Outcome

A

Phase 3 | The child develops a different perspective or view of themselves | Narrative Therapy | Reconstructing and thickening the childs preferred story enhances their self-perception

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12
Q

Phase 4 Process | Modality | Outcome

A

Phase 4| The child deals with self-destructive beliefs | CBT | Challenges unhelpful thoughts and thinking processes produce behaviour change

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12
Q

Phase 5 Process | Modality | Outcome

A

Phase 5 | Child rehearses, experiments with, and evaluates new behaviours. | Behaviour Therapy | Experiencing new behaviours and their consequences reinforces adaptive behaviours.

13
Q

Client Centred Therapy

A

Phase 1 | Child joins with counsellor | Client Centred Therapy | Sharing the story helps the child to begin to feel better

14
Q

Gestalt Therapy

A

Phase 2 | The child continues to tell their story – Childs awareness of issues increases – Child gets in touch with emotions and may experience some catharsis – child deals with deflection and resistance | Gestalt Therapy | Raised awareness enables the child to clearly identify issues, get in touch with and release strong emotions

15
Q

Narrative Therapy

A

Phase 3 | The child develops a different perspective or view of themselves | Narrative Therapy | Reconstructing and thickening the childs preferred story enhances their self-perception

16
Q

CBT

A

Phase 4| The child deals with self-destructive beliefs | CBT | Challenges unhelpful thoughts and thinking processes produce behaviour change

17
Q

Behaviour Therapy

A

Phase 5 | Child rehearses, experiments with, and evaluates new behaviours. | Behaviour Therapy | Experiencing new behaviours and their consequences reinforces adaptive behaviours.

18
Q

Why does Play Therapy work?

A

Play is the natural medium of communication for children. Conflict in the childs life can be communicated and resolbved through play
Toys are used like words by children and play is their language

19
Q

Play Therapy pioneers

A

Virginia Axline, a student of Carl Rogers, developed non-directive play therapy in the 1940’s based on Rogers’s principles of non-directive/person centred theory.

20
Q

Play Therapy modalities

A

Child-Centred Play Therapy – Play is directed by the child and the relationship between therapist and child is the primary healing factor
§ Sand tray and Storytelling in Play Therapy – using a sand tray and symbols to facilitate the child’s telling of their story
§ Narrative Play Therapy – child led, draws on developmental potential of play and narrative, starting points for creation of stories comes from the child’s play.

21
Q

Play therapy confidentiality

A
  • Up to the age of 14, children need parental consent in order to obtain counselling
  • § Parents have the right to information about their child’s treatment therefore confidentiality has limitations