Counselling and Rapport Flashcards
Define the therapeutic alliance
Agreement on the goals and tasks of therapy in the context of a positive affective bond between patient and therapist
What are the four components of the therapeutic alliance
- bonds
- views
- goals
- tasks
Define counselling
A professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education and career goals
What are the five stages of the counselling process
- Establishing the working relationship
- Assessing or defining the presenting problem
- Identifying and setting goals
- Choosing and initiating interventions
- Planning and introducing termination and follow up
Give examples of client variables
Age, sex, ethnicity, nature of problem, disorder severity, medication, motivation to change
List two process variables
- frequency and duration of sessions interventions
- use of between session time
Define rapport
Psychological climate that emerges from the interpersonal contact between counsellor and client
What are the four variables needed for establishment of rapport
- respect
- trust
- psychological comfort
- shared purpose
What does good rapport lead to
Positive psychological growth
What can poor rapport lead to
Undesirable or even counterproductive outcomes
What are the two points to explicit empathy
- Having the ability to see the concern or experience of the patient from their perspective
- Communicating back to the patient your understanding of their concern or experience through a supportive comment
List 4 guidelines for using questions judiciously
- don’t ask too many
- ask questions that have a purpose
- ask questions that help clients talk about specific experiences, behaviours and feelings
- challenges can be introduced in questioning
Why do counsellors use summaries
To help structure and clarify key discussion points within an interaction between the patient and counsellor
List the 5 key counselling skills
- social skills
- empathy
- questioning
- information giving and sharing
- summarising
Open questions
Allow the client to explore
Closed questions
Enable facts to be identified
What is the purpose of information sharing/giving
Can provide clients with new perspectives on the management of their situation
Define summarising
Deliberate step of providing an outline of the key points discussed
What is the purpose of summarising
To keep structure and clarify discussion points and ensure the message you have provided is received accurately
List the main ethical principles in counselling
- ethics codes
- informed consent
- confidentiality
- assessment and intervention
- management of multiple relationships
