Session 3

Question 1

What are the three phases of the helping process?

Answer 1

Phase 1: Problem exploration, engagement, assessment, and planning
Phase 2: Implementation and goal attainment
Phase 3: Termination

Question 2

Why is it important to tease these apart? ? Is there overlap?

Answer 2

• each phase has distinct objectives

- reassessment based on new information

Question 3

What are the chief elements of Phase 1?

Answer 3

Exploring problems or concerns
Establishing rapport and enhancing motivation (whose motivation?)
Formulating a multidimensional assessment
Mutually negotiating goals

Question 4

What is happening for the client during Phase 1? What are they “assessing”?
How long does it last?

Answer 4

• may last long term
• can this organization meet my needs?
• who is the person providing my care?

Question 5

Stages of change in motivational interviewing

Answer 5

pre-contemplation
contemplation
preparation
action
maintenance/relapse

Question 6

(Shulman, 2009) Warming up”: When is it helpful? When is it not helpful?

Answer 6

• beginning, when building repertoire

- as the assessment continues, may feel interrogating

Question 7

(Shulman, 2009) “Tuning in”: What are the benefits of paraphrasing? What are the liabilities?

Answer 7

• make sure understand client’s comments

- seem repetitive

Question 8

(Shulman, 2009) Genuineness: When is self-disclosure appropriate? When is it not? What is use of self?

Answer 8

• is this in the clients best interest or am I disclosing to release some of my own anxieties and discomfort?
• meaningful
• takes away from client-centered session and approach

Question 9

Establishing rapport and earning trust: When do clients not trust? How is it best to engage this?

Answer 9

add

Question 10

What are the benefits and risks of approaching cultural difference in Phase 1?

Answer 10

add

Question 11

Developing mutual expectations: How is this best done?

Answer 11

• what do you expect from client
• what does client expect from worker?
• establish these role and expectations

Question 12

Containment: How do we use silence effectively?

Answer 12

• allow silence when it feels meaningful

Question 13

Touch: How do we think about touch? And why?

Answer 13

• stigma

- tread carefully (client’s trauma based, triggers)

Question 14

What are 3 obstacles to direct communication?

Answer 14

Clients may feel ambivalent about seeking or accepting help
Societal taboos discourage “real” talk about topics such as sex, dependency, substance use, etc.
Clients may find certain feelings painful and frightening

Question 15

What are 3 indirect styles of communication clients may use?

Answer 15

Hinting
Use of metaphor
Allegory or parallel examples

Question 16

(Shulman, 2009) What is tuning in to the authority theme?

Answer 16

-power is always being negotiated and is always imbalanced between client and worker
-client’s concern he or she many not be understood
-worker taking defense and not “tuning in” to client’s needs
-

Question 17

(Shulman, 2009) What does it mean to work from an inter-ethnic stance?

Answer 17

• need to begin with a broad aspect of family and recognize the myriad of forms that families can take
• focus on the relationship of culture and empathy “cultural empathy”
• diversity within diversity
• cultural competency is crucial to social work

Question 18

What elements of the physical environment matter?

Answer 18

Adequate ventilation and light
Comfortable room temperature
Ample space Attractive furnishings and décor
Chairs that adequately support the back
Privacy appropriate to the cultural beliefs of the client
Freedom from distraction
Open space between participant

Question 19

Hinting

Shulman, 2009

Answer 19

indirect cue

Question 20

Use of metaphor

Shulman, 2009

Answer 20

-intended to send a message without expressing content directly

Question 21

allegory or parallel examples

Shulman, 2009

Answer 21

-indirect communication