Counselling skills Flashcards

1
Q

What is counselling?

A

Counselling is the process of building a therapeutic alliance in order to help the person navigate current problems so that they are able to deal with them in the current situation and the future.

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2
Q

client-counsellor relationship

A

Clear and identified goals that both are working towards

Once the goal is achieved the relationship ends and the client takes the skills learnt into the real world

There is mutal respect from both sides even if they don’t always agree
It is not a friendship but a professional relationship with boundaries

The client puts trust into the counsellor to give them the skills to help themselves and the counsellor trusts that the client has the ability to help themselves and wants to

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3
Q

Egans key ingredients:

A
  1. Focus is on the client and the relating factors of the clients life
  2. Success is determined by the outcomes of the clients life and the life enahdning impact it has on the clients life
  3. Describe what an effective therapist looks like
  4. Develop a therpautic/working alliance with the client
  5. Learn and use the communication skills that are used within the therpautic realm
  6. Implement the basic principles that are related to cognition, behaivour and emotions
  7. Get the clients feedback to show how effective the outcomes are
  8. Understand that beliefs, values, nroms and moral principles play a major role in the helping process
  9. Helping the clients redo current bad decisions and help them mae and use life enhancing decisions
  10. Adopt a treatment model aligned with problem identification, problem control and error control
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4
Q

Core counsellor attributes

A
  1. Do no harm:
    Counsellor is ethically responsible to prioritize the wellbeing and safety of their clients. Do not let your status/power rule your helping.
  2. Be genuine and congruent
    Be authentic and do not play the role of the counsellor rather be yourself with a qualification
  3. Accept all clients with no judgmental regardless of what they bring to the session. In times that we disagree or have conflict we need to be respectful in our communication
  4. Communicate deep empathetic understanding
    Walking in the other persons shoes with our sockson. (see their world, understand their feelings, appreciate them as human beings, communicate verbally and non-verbally your understanding)
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5
Q

Case conceptualisation/case formulation

A

Understanding and interpreting the clients current problem within their whole history-some people will come with many problems, some may stem from childhood however the problem they are coming with today has nothing to do with childhood, however the behaviours and actions they are taking today is a reflection of something that happened in childhood. The counsellor needs to be able to understand them as a whole

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6
Q

Stages within the counselling process:

A
  1. Preparation
    It is important to prepare for each counselling session, regardless of whether it is a first session or a long-term client.
  2. Introduction:
    Setting the scene for the session by addressing confidentialy, mandatory reporting, costs, theoretical orientation and how the sessions will be structured. Also allowing client sto ask questions and to let them know that it is ok to be anxious and that they have courage just by showing up
  3. Cultural sensitivity:
    “awareness and appreciation of the values, norms, and beliefs characteristic of a cultural, ethnic, racial, or other group that is not one’s own, accompanied by a willingness to adapt one’s behavior accordingly.”
  4. Present problem:

invite the client to describe in their own words their reasons for coming to counselling, or simply asking them, in the words of Esther Perel “where shall we begin?”.

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7
Q

Microskills approach

A

Attending

Client observation

Minimal encouragers
paraphrasing, and summarising

Questioning

Feeling reflection

Reflection of meaning

Supportive challenging

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8
Q

Attending

A

Eye contact:
cultural differences

Body orientation:
Open posture

Mirror your client’s posture (appropriately)

Leaning in

Notice congruence/incongurence

Visual, verbal, vocal and body movement

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9
Q

Active listening

A

Empathetic in nature

True meaning of what client is saying/describing about their experiences

The process of relating that is unfolding in the counselling interaction

Indirect ways client is using tone of voice, body language affect

What is missing or not being voiced

TEXT VERSION* 2.4

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10
Q

Distorted listening

A

Filtered listening

elvaluative listening

stereotype-based listening

Fact centered rather than person centered listening

sympathetic listening

Interrupting

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11
Q

Reflecting

A

Mirroring the emotional elements of client communication

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12
Q

Experiencing feelings

A

People often use the word ‘feel’ when they are describing a thought

It can be tempting for a new counsellor to help their client avoid painful feelings rather than face them

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13
Q

Accurate feeling identification

A
  • Overt, covert, or a combination of both
  • Positive, negative or neutral
  • In or out of conscious awareness
  • Varying levels of intensity or a constant, chronic level of intensity
  • Congruent or incongruent
  • Helpful or harmful
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