Counselling and Rapport

Question 1

Define the therapeutic alliance

Answer 1

Agreement on the goals and tasks of therapy in the context of a positive affective bond between patient and therapist

Question 2

What are the four components of the therapeutic alliance

Answer 2

• bonds
• views
• goals
• tasks

Question 3

Define counselling

Answer 3

A professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education and career goals

Question 4

What are the five stages of the counselling process

Answer 4

1. Establishing the working relationship
2. Assessing or defining the presenting problem
3. Identifying and setting goals
4. Choosing and initiating interventions
5. Planning and introducing termination and follow up

Question 5

Give examples of client variables

Answer 5

Age, sex, ethnicity, nature of problem, disorder severity, medication, motivation to change

Question 6

List two process variables

Answer 6

• frequency and duration of sessions interventions

- use of between session time

Question 7

Define rapport

Answer 7

Psychological climate that emerges from the interpersonal contact between counsellor and client

Question 8

What are the four variables needed for establishment of rapport

Answer 8

• respect
• trust
• psychological comfort
• shared purpose

Question 9

What does good rapport lead to

Answer 9

Positive psychological growth

Question 10

What can poor rapport lead to

Answer 10

Undesirable or even counterproductive outcomes

Question 11

What are the two points to explicit empathy

Answer 11

1. Having the ability to see the concern or experience of the patient from their perspective
2. Communicating back to the patient your understanding of their concern or experience through a supportive comment

Question 12

List 4 guidelines for using questions judiciously

Answer 12

• 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

Question 13

Why do counsellors use summaries

Answer 13

To help structure and clarify key discussion points within an interaction between the patient and counsellor

Question 14

List the 5 key counselling skills

Answer 14

• social skills
• empathy
• questioning
• information giving and sharing
• summarising

Question 15

Open questions

Answer 15

Allow the client to explore

Question 16

Closed questions

Answer 16

Enable facts to be identified

Question 17

What is the purpose of information sharing/giving

Answer 17

Can provide clients with new perspectives on the management of their situation

Question 18

Define summarising

Answer 18

Deliberate step of providing an outline of the key points discussed

Question 19

What is the purpose of summarising

Answer 19

To keep structure and clarify discussion points and ensure the message you have provided is received accurately

Question 20

List the main ethical principles in counselling

Answer 20

• ethics codes
• informed consent
• confidentiality
• assessment and intervention
• management of multiple relationships