Insight Stage

Question 1

Why are discrepancies important?

Answer 1

They are often signs of unresolved issues, ambivalence, or suppressed (or repressed) feelings.

Question 2

What were the terms Beck used to describe the way clients misconstrue events on the basis of faulty logic?

Answer 2

Automatic thoughts and dysfunctional interpretations

Question 3

What are the four problems helpers face with challenges?

Answer 3

• Not doing enough challenges
  
  • Fear of client’s feelings
• Using challenges inappropriately
  
  • Disregarding of clients feelings
• Using challenges too harshly
  
  • Arguing with clients
  • Trying to “catch” clients
  • Get back at clients
  • Knowing how to respond when clients disagree

Question 4

What are the skills used to facilitate insight?

Answer 4

• Open questions/probes for insight
• Interpretations
• Disclosures of insight

Question 5

What’s one way to develop open questions/probes?

Answer 5

Think about aspects of the narrative that do not quite fit.

Question 6

What are interpretations?

Answer 6

A statement that goes beyond what the client has overtly stated or recognize and gives new meaning, reason, or explanation for ABC so the client can see problems in a new way.

Question 7

How did Frank & Frank say interpretations make clients feel?

Answer 7

Interpretations increase clients’ sense of security, mastery, and self-efficacy by providing labels for experiences that seem confusing, haphazard, or inexplicable.

Question 8

What are some sources for developing interpretations?

Answer 8

• Verbal content of clients’ speech
• Past experiences
• Interpersonal patterns
• Defenses
• Developmental stages
• Existential concerns and spiritual issues
• Unconscious activities

Question 9

What are the four things Yalom said everyone struggles with?

Answer 9

• Death
• Freedom
• Isolation
• Meaning in Life

Question 10

How can you determine how the client feels about the interpretations?

Answer 10

• Something clicks or is an “aha” moment
• Energy and excitement
• Building on interpretations
• Starts thinking about what to do differently

Question 11

How can/should interpretations be raised?

Answer 11

• Direct statement
• Phrased more tentatively
• Be related to a feeling
• Phrased as a question

Stated tentatively and without jargon.

Question 12

What are the four subtypes of immediacy?

Answer 12

1. Open questions/probes about the relationship
2. Helper’s statements to their reactions to the client
3. Making the covert overt
4. Drawing parallels with outside relationships

Question 13

What are four justifications for using immediacy?

Answer 13

1. Helping relationships are microcosms
2. Issues present themselves in helping relationships
3. Sometimes client communication is partially directed toward the helper
4. Challenging clients to change maladaptive behaviors