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Basic Counseling Skills > Quiz #4 > Flashcards

Quiz #4 Flashcards

1
Q

In the working stage of the counseling process, utilization of the skill of “Reframing” is useful because it:

A

Helps generate an alternative perspective

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2
Q

Progress Note

A

An outcome evaluation method completed after each session meant to track progress throughout treatment

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3
Q

“Rolling With Resistance” is one of the key principles of what type of therapy?

A

Motivational Interviewing

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4
Q

A client presents for counseling indicating having troubles communicating with their partner. They also state that they are unsure of how psychotherapy could be beneficial for them. This client is likely in which stage of change?

A

Contemplation

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5
Q 
As identified in lecture, all of the following are trends in counseling EXCEPT:
A. Managed mental health services
B. Technology Influences
C. Decreased role of neuroscience
D. Integrative care
A

C. Decreased role of neuroscience

  • correct answer because counseling is seeing an increased role of neuroscience in practice
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6
Q

The rapport-building stage of the interviewing process is the longest: True or False?

A

False

- The working stage is the longest

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7
Q

Clients always progress through the stages of change model in order: True or False?

A

False

  • Not all clients start at the first step.
  • Easy for clients to move back and forth between stages.
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8
Q

Very little time is spent in the termination stage with motivational interviewing: True or False?

A

False

- This is a heavy focus in Motivational Interviewing

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9
Q

Describe how to utilize the technique of “Reframing” with clients

A
  • Guide the client to see the problem in a more constructive and responsible way.
  • Therapist must come up with a new/more constructive definition of a problem that fits facts just as accurately as the old definition.
  • Therapist must appreciate the client’s worldview and then replace it with an acceptable alternative.
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10
Q

What is case conceptualization?

A
  • Conceptualization of what facilitates client growth and what contributed to the development of presenting problem.
  • Sets stage for treatment planning
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11
Q

Describe 3 reasons termination might occur with a client?

A
  • Client reasons ( )
  • Therapist reasons ( )
  • Mutually agreed upon (goals met)
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12
Q

Describe 3 reasons termination might occur with a client?

A
  • Client reasons - Client stops coming (say they are not coming back), Increased No-Shows.
  • Therapist reasons - Therapist leaves/moves, Referral for the client might be made if goals aren’t being met.
  • Mutually agreed upon (goals met) - Ideal situation/everyone agrees with decision to end/closure can be achieved.
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13
Q

Example of a Challenge/Confrontation Statement

A
  1. You said “THIS”, but you also said “THAT”.
  2. You believe “THIS”, but you experience “THAT”
  3. You said “THIS”, but you acted “IN THIS WAY”
  4. On one hand, “YOU SAID THIS”; on the other hand, “YOU SAID SOMETHING DIFFERENT”
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14
Q

Example of a Minimal Encourager

A
  1. Uh huh
  2. Yes
  3. Can you tell me more about that?
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15
Q

Example of a Probe

A

Tell me more….

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16
Q

Example of a Open-Ended Question

A
  1. Can you tell me about your problems with…
  2. You say you have —-problems. What do you mean by that?
  3. Could you tell me about the kinds of problems you have been having?
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17
Q

Example of a Close-Ended Question

A

Yes/no facts, specific information

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18
Q

Example of a Reflection of Content Statement

A
  1. Sounds like…
  2. You think…
    Ex: In a lot of ways Ron has acted as more of a father to you than your biological dad.
19
Q

Example of a Reflection of Meaning Statement

A
  1. It sounds like…
  2. It seems to me….
    Ex: Still, it is important for you to acknowledge someone who has been so supportive in your life.
20
Q

Example of a Reflection of Feeling Statement

A
  1. You feel —- because….
  2. Sounds like you’re….
  3. You seem to be feeling….
    Ex: You feel a bit guilty about including your stepfather
21
Q

What are working stage interventions?

A
  • Intervention skills based on goals set in collaboration with clients.
  • Once case conceptualization has been developed, we use these skills to inform (create) our treatment.
22
Q

What are the working stage interventions?

A
  • Brainstorming
  • Practicing new behaviors
  • “Homework”
  • Reframing
  • Increasing client expectations, hope, and motivation
23
Q

What is addressed in the “Brainstorming” working stage intervention?

A
  • Challenges - What might stand in your way?
  • Generating Ideas - What do you want to accomplish?
  • Evaluating Solutions - after good list is made.
24
Q

What is addressed in the “Practicing new behaviors” working stage intervention?

A
  • Awareness - When are feelings experienced?/Understanding what our patterns of behavior are first.
  • Knowledge
  • Experience
  • Follow-Up - To see what changes we could make.
25
Q

What is addressed in the “Homework” working stage intervention?

A
  • This is the “action/working stage” - Follow-up/what do you want to work on? What do you want to accomplish by the next time we meet?
  • Increase Awareness
  • Practice, Practice
  • Puts client in charge
26
Q

What goal setting criteria must be met when assigning a client “Homework”?

A
  • “Homework” should be positive, specific, measurable, realistic, important to the client.
27
Q

What is the purpose for the “Reframing” working stage intervention?

A
  • Developed from cognitive therapy

- Generate alternative perspectives - that could help alleviate some of the client’s distress.

28
Q

What is the purpose for the “Reframing” working stage intervention?

A
  • When a therapist asks a client to see the problem situation in a new, more solvable or positive way.
  • ## Generate alternative perspectives - that could help alleviate some of the client’s distress.
29
Q

Who created Motivational Interviewing?

A
  • Miller and Rollnick
30
Q

What is Motivational Interviewing?

A
  • a collaborative person-centered form of guiding to elicit and strengthen motivation for change.
  • technique based approach
31
Q

What are the 3 parts of Motivational Interviewing?

A
  • Collaboration - working together
  • Evocative - drawing out the person’s motivation/not imposing change/evoking change.
  • Autonomy of Client - allowing the client to remain responsible for change, autonomy (independence) is maintained.
32
Q

What are the 4 key tenets/principles of Motivational Interviewing?

A
  • Express Empathy
  • Support Self-Efficacy - on the part of the client/helping them realize that change is possible/they can do it.
  • “Roll With Resistance” - instead of wrestling with the client.
  • Develop Discrepancy - helping the client point out mismatches/using supportive challenges.
33
Q

What is the purpose of using Motivational Interviewing?

A
  • Used for substance/alcohol abuse
  • Does not impose change on the client
  • Geared at exploring any ambivalence on the part of the client and resolving it.
  • Works with the client/where they are at, with what their values are in order to make change.
34
Q

What is the Stages of Change Model? How many stages are there?

A
  • a technique based approach allowing you to tailor your interventions to the different levels where the client might be.
  • Uses 5 Stages
35
Q

What are the Stages of Change?

A
  • Precontemplation
  • Contemplation
  • Preparation
  • Action
  • Maintenance and Relapse Prevention
36
Q

What is the “Precontemplation” stage of change?

A
  • Less aware level of denial

- I don’t have a problem, I don’t need to be here, They’re making me come/not sure why.

37
Q

What is the “Contemplation” stage of change?

A
  • Client is leaving room to contemplate/to think about how they might have issues to examine.
38
Q

What is the “Preparation stage of change?

A
  • Client has made a commitment to a change, but have not started acting on that change.
  • “Smoking Cessation Models” is an example.
39
Q

What is the “Action” stage of change?

A
  • Client’s quit date has come and they have begun action oriented steps towards their goal.
40
Q

What is the “Maintenance and Relapse Prevention” stage of change?

A
  • Happens towards the termination phase.
41
Q

What is the “Maintenance and Relapse Prevention” stage of change?

A
  • Happens towards the termination phase.
  • Equipping them with the tools they need to succeed when triggers come up etc.
  • Spread out sessions over time with decreasing frequency.
42
Q

What are the steps required to “Reframing” with a client?

A
  • Use the nonjudgmental listening cycle to fully understand the problem.
  • Build a bridge from the client’s viewpoint to a new way of looking at the problem.
  • Reinforce the bridge.
43
Q

How do you perform “Reframing” with a client?

A
  • Identify the details of the problem, people involved, their relationships, and the environment where the problem exists.
  • Acknowledge some aspect of the client’s viewpoint, while at the same time, suggesting another way of looking at it.
  • Assign homework that forces the client to see the problem in a new light.

Basic Counseling Skills (2 decks)

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