M2. Couneseling and Anticipatory Guidelines

Question 1

Doctor who states that Family Practice emphasizes
knowledge in such areas as family
psychodynamics, interpersonal
relationship, counseling and
supportive
psychotherapy.

Answer 1

Dr. Rakel

Question 2

Developed the biosphychosocial
model that suggests that
physicians should check the
patient holistically (and not solely
by the biomedical problem)

Answer 2

Dr. Engel

Question 3

Involves individual counseling wherein

psychological issues are based on Carl Roger’s

Answer 3

CIA (catharsis, insight, action)

Question 4

→ May involve an individual or group

→ Usually done on clinical consult

Answer 4

CEA (Catharsis, Education, Action)

Question 5

Opening skills (7)

Answer 5

o Attending
o Bracketing
o Reflecting
o Leading
o Focusing
o Probing
o Summarizing

Question 6

CLosing skills (5)

Answer 6

o Interpretation
o Confrontation
o Information Giving
o Summarizing
o Goal Setting

Question 7

putting to clearer words and

summarizing what the patient is saying

Answer 7

Paraphrasing

Question 8

use same words with that of the patient but putting “is that it” at the end to confirm
counselor’s perception.

Answer 8

Perception Checking

Question 9

You have financial difficulties, your wife is
nagging at you, your daughter is rebellious, and
your son had an accident. But of this four, which
one gives you the most pressure? Is an example of

Answer 9

Focusing

Question 10

They must be open-minded. You can probe by
beginning the questions with “What”, “Where”,
“When”, and “How”

Answer 10

Probing

Question 11

Takes the form of words or phrases such as

“Yes”, “Go on”, “And then?” Is an example of what type of lead?

Answer 11

Iniderct leading

Question 12

You see, we have been married for 5 years
and we were okay most of the time but
several months ago, I noticed she had been
less talkative and irritable and I got a hard
time because she keeps cutting me off.
D: Tell me more about how she cuts you off?
Is an example of what lead

Answer 12

Direct lead

Question 13

I noticed that a while ago you looked out
at the door at your wife and you shut it? Could you
tell me what’s behind that action? Is an example of what

Answer 13

REFLECTING EXPERIENCE

Question 14

Giving suggestions and opinions based on experience.
Useful in crisis situations when several people must
cooperate to prepare patient for major readjustment

Answer 14

Advice giving

Question 15

Giving valid information based on expertise.

• Advise must be clear and relevant.

Answer 15

Informing

Question 16

2 Goals of CEA

Answer 16

1. Identify misperception or the ECM

2. Correcting the emotionally critical misperception

Question 17

“The good physician cures

sometimes, palliates often, but comforts always”. is stated by

Answer 17

Sir William Osler:

Question 18

When to use CEA

Answer 18

If you perceive the patient to be anxious or with medical perceptions