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
