Online Counselling Lecture

Question 1

Principles of MI

Answer 1

Motivational interviewing

• Express empathy
• Support clients’ self-belief and ability to cope
• Roll with resistance - hope that you can work around the problem or come through enough discussion
• Develop discrepancy - get them to realise they are not at the place they want to be
• Take on a collaborative rather than expert role

ALSO

• Look forward
• Look back
• Query extremes
• Use scales
• Ask evocative questions

Question 2

Use of MI in practice

Answer 2

Used only for challenging clients
Purpose to allow clients to process the reasons for and against treatment, and at the end of the day, it is their decision

Question 3

Reflective listening

Answer 3

Repeat - repeat what the client/patient just said
Rephrase - staying close to what the client/patient just said but with some rephrasing
Paraphrase - take a guess at the meaning of the client has said and reflect it back
Reflect feeling - emphasise the emotional dimension through feeling statements and metaphors

Question 4

Purpose of reflective listening

Answer 4

Demonstrate to the speaker that you have heard what they said
Give the speaker a chance to correct you if you misheard
Validates the speaker simply by demonstrating that you have given them the time and courtesy by listening

Question 5

Core principles of praise

Answer 5

1) Descriptive praise, high on specificity of the behaviour that you want to encourage
2) Make it spontaneous
3) Emotionally loaded

Question 6

Potential Obstacles to Client-Professional Rapport

Answer 6

Challenging clients

• parents who are told their child has HL
• elderly
• unwilling to pursue most effective treatment

Audiologist

• experience
• resources
• expertise
• agenda

Other factors

• legal
• social
• cultural
• psychological
• resources
• parental beliefs

Question 7

What are some good things?

Answer 7

Lower return rate - better financially

Better outcomes- willing to share, good rapport

Question 8

What do we want to get out of it?

Answer 8

We want to show them empathy, a belief in the client, build reciprocal trust and respect so that they feel safe, heard, and comfortable

Question 9

What is the difference between bribe and reward?

Answer 9

Bribe given before action

Reward given after