Week 4: Therapeutic Process

Question 1

The Five Stages of the Therapeutic Process Model (Ivey & Ivey)

Answer 1

1. Relationship
2. Story & Strengths or Assessment
3. Goals or Preferred Future
4. Re-story or Intervention
5. Action & Ending

Question 2

Relationship Stage of the Therapeutic Process

Answer 2

Initiating the session
Rapport building
Defining structure - creating and agreement between client and therapist
Creating an alliance
Creating a safe physical setting
Transparency around time, payment, limits, confidentiality, reporting, etc.

Question 3

Story & Strengths or Assessment Stage of the Therapeutic Process

Answer 3

Listen to the client’s story
Explore the problem
Define how the problem might be interfering with the person’s daily life & how long it has been prevalent
What are the client’s behaviours, thoughts, & feelings associated with the problem
Explore how the client has been coping & what has or hasn’t been working & explore resources/knowledge available to achieve solution

Question 4

Goals or Preferred Future Stage of the Therapeutic Process

Answer 4

What changes is the client seeking? 
Provides structure for session 
Enhances motivation & ownership 
Help create roadmap
Help define goals - which might changes during the counselling session

Question 5

Re-story or intervention stage of the therapeutic process

Answer 5

Exploring alternatives for action

Help client reframe story & formulate options

Question 6

Action & Endings stage of the therapeutic process

Answer 6

Outline next steps & taking plans out into the world
Homework - ideas and activities between session
Ending session: reflecting on what has been helpful or less helpful

Question 7

How do we invite people to talk to us? (Answerson, 2007)

Answer 7

Listen, hear & speak:
Respectfully
As a learner
To understand
With care
Naturally

Question 8

Orientating questions

Answer 8

questions which orientate the therapist to the client - elaboration on events, circumstances surrounding them coming to counselling

Question 9

Influencing

Answer 9

questions which invite change in the client’s perception & understanding

Question 10

The Four Es

Answer 10

Experience: tell me about a specific time when this problem was most present in your life?
Effects: How is this problem impacting you/your relationships? What does it have you doing/thinking about yourself/others?
Evaluation: Is it okay/not okay for you/others to be doing/thinking this?
Explanation: Why? Why not? What does this suggest it important to you?
Alternative story: When did first realise this was important? Why would have noticed? What would they have noticed? When/who else? Tell me more?