Therapeutic Relationship Flashcards
what is to core of the helping process?
the relationship between a social worker and a client
Basic conditions for therapeutic process
trust with a worker
listening on both sides
recognition that the therapeutic process is a joint exploration
engagement
process by which social worker explores clients feelings about coming in for help and establish a therapeutic alliance/tx alliance
resistance may happen, if so worker should clarify the process
what are the dynamics of power and transparency in the sw/client relationship?
transparency and power are linked. There is power in the role, titles, and education associated with social workers. Transparency about role expectations should be discussed and power differences should be acknowledged
Explain the following roles Advocate Broker Change agent counselor mediator
Advocate - a champion of rights of others
Broker - identifying, locating, and linking client to needed resources
Change agent - working with others, uses the problem solving model to identify the problem, solicit input, and plan for change
Counselor - improving social functioning
Mediator - dispute resolution in order to accomplish goals
What is the primary role of a social worker
Resource - assuming various roles depending upon the nature of the client problems
What empathic communication/responding
establishes rapport, starts where the client is, increases client participation, responds to nonverbal messages, decreases defensiveness, and defuses anger
encourages rational discussion and sets the stage for problem solving
In what ways can culture impact communication?
eye contact level of personal space speaking volume appropriateness of physical touch other nonverbal cue such as smiling, facial expression, time, and silence
Signs of domestic abuse
controlling coercive behavior
somatic complaints i.e. chronic pain without dx
behavioral presentation i.e. no emotional expression
suspicious injury
Cycle of Violence
Phase I: Tension Building
Phase II: Battering Incident/acute explosion
Phase III: Honeymoon/”Loving-contrition”
Batterer During the Tension Building Phase
moody, nitpicking, isolates, her, withdraws affection, puts down, yelling, during or drugs, threatens, destroys property, criticizes, sullen, crazy-making
Batterer During the Battering Incident Phase
hitting, choking, humiliation, imprisonment, rape, use of weapons, beating,
Batterer During the Honeymoon Phase
I’m sorry/begs, forgiveness/promises to get counseling/goes to church/AA/sends flowers, brings presents, “i’ll never do it again”, wants to make love/declare love, enlists family support/cries
Victim During the Tension Building Phase
attempts to calm him, nurturing, silent/talkative, stays away from family/friends, keeps kids quiet, agees, withdraws, tries to reason, cooks his favorite dinner, general feeling of walking on eggshells
Victim During the Battering Incident Phase
protects him/herself anyway she can, police called by her, kids or neighbor, tries to calm him, tries to reason, leaves, fights back
Victim During the Honeymoon Phase
agrees to stay, return, or take him back, attempt to stop legal proceedings, sets up counseling appointments for him, feels happy, hopeful
Describe the following communication techniques active listening silence questioning reflecting/validating paraphrasing/clarifying reframing facial expression/postures or gestures
leaning in being attentive, asking open-ending questions
allowing introspective time or time to think
open or closed-ended formats
showing empathetic understanding of clients problems
restating clients’ ideas and thoughts
shows clients that there are different perspectives
direct eye contact/arm movements
Congruence in Communication
matching awareness and experience with communication
nonverbal and verbal matching
Name and describe the types of feedback
one-on-one intragroup group-to-group consultative 360
Stages of the Therapeutic Relationship
Intake
Focus is on assessment and building rapport / trust,
treatment planning and goal setting
Active Treatment
Mutually working with the client to achieve agreed
upon goals. Reassessment of progress with goals.
Termination / Discharge
Summarizing Treatment. Worker may meet with
resistance. Development of aftercare plan. Reentry
plan is explained (if applicable)
