Basic Counseling Skills > Quiz #3 > Flashcards

Quiz #3 Flashcards

(54 cards)

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1
Q

What are the three types of Self-Disclosure statements?

A
  1. Inescapable
  2. Inadvertent
  3. Deliberate
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2
Q

Inescapable Self-Disclosure

A

Immediately apparent about helper such as a physical ailment, broken bone, or injury.

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3
Q

Inadvertent Self-Disclosure

A
  1. Non-verbal
  2. Defensive body language/tone of voice
  3. No eye contact
  4. Helper lets personal emotions come through to client.
  5. Makes the client feel judged.
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4
Q

Deliberate Self-Disclosure

A

On-purpose, help the client feel more comfortable/open up more. Used to aid the client.

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5
Q

When should you use a confrontation/supportive challenge?

A
  1. Only after building a strong therapeutic relationship

2. Use in the middle, not the beginning or end because it leads to negative start to the session/less processing time.

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6
Q

Why should you use a confrontation/supportive challenge?

A
  1. To increase the client’s awareness and insight about their behavior
  2. To identify maladaptive feelings. cognitions, or behaviors.
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7
Q

What are some functions of confrontation/supportive statements?

A
  1. Help the client develop new ways of thinking
  2. Help build awareness in new areas that might not have been thought about yet/considered yet
  3. Help facilitate change.
  4. Help in dealing with and overcoming resistance or denial
  5. Helps clients own their problems
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8
Q

How do you use confrontation/supportive challenges?

A
  1. Identify specific issues because the more data involved, the stronger/better it will be.
  2. Make tentative statements because it gives the client room to disagree/keep things client driven.
  3. Make sure you remain nonjudgmental
  4. Tone is calm/non-defensive
  5. Monitor verbal/nonverbal cues of client
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9
Q

How to use immediacy during a confrontation/supportive statement?

A
  1. “I” statement - What am I feeling as the helper?
  2. Non-judgmental - Not trying to make client go on the defensive.
  3. Don’t overburden the client with too much information - stay specific.
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10
Q

Define Immediacy. How would you utilize this skill in a counseling setting?

A
  1. Type of deliberate self-disclosure. Focuses on the material and how it relates to you as the helper.
  2. Allows processing of the “how” within the relationship.
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11
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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12
Q

When you demonstrate High Confrontation and High Support you are?

A

Helping - best condition for helping. Deeper topics discussed, self-examination is high, trust is moderate to high.

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13
Q

When you demonstrate High Confrontation and Low support you are?

A

Criticizing - worst condition for helping. Very superficial discussions, trust is low/met with resistance, self-examination is low.

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14
Q

When you demonstrate High Support and Low Confrontation you are?

A

Befriending - moderately deeper discussions, trust is high, self-examination is low, social relationship/not willing to challenge them.

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15
Q

When you demonstrate Low Support and Low Confrontation you are?

A

Ignoring - superficial discussions, trust is low to moderate, self-examination is low.

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16
Q

High Confrontation and High Support is —–, while High Confrontation and Low support is——.

A

Helping; Criticizing

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17
Q

What is critical when establishing a safety plan with a client?

A

Consider potential barriers that may restrict the safety plan.

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18
Q

What are the important elements of a safety plan?

A
  1. Focus on strengths - What can they do?
  2. Ask what would be most helpful - Decide if their idea is safe or not.
  3. Be simple and specific - Who, what, when, where, why, how often? Concrete suggestions.
  4. Evaluate Barriers - What will stand in their way?
  5. Discuss what to do in emergency/crisis - Resources/contacts, call 911.
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19
Q

What is true about using advice-giving with clients?

A
  1. Clients have already received advice from others prior to coming in for counseling.
  2. Clients are less likely to follow through on advice given.
  3. Advice given may violate a client’s value system
  4. Stay client driven is best.
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20
Q

What is false about using advice-giving with clients?

A

Advice-giving is the most effective way to provide new insight for clients.

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21
Q

Dr. Therapist has ten high risk clients on his caseload and has been displaying symptoms of trauma himself. HIs situation would best be described as:

A

Vicarious Victimization

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22
Q

What is Vicarious Victimization?

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A

When clinicians repeatedly exposed to traumatic stories absorb clients’ experiences so extensively that they develop symptoms of their own.

23
Q

Effective self-disclosure reveals something personal about the helper that he/she is currently dealing with.
True or false?

24
Q

What is a deliberate self-disclosure of feelings?

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A

Models expression of feelings for clients and provides opportunity to examine similarities and differences.

25
What is a deliberate self-disclosure of similarity?
Allows helpers to communicate approval and reassurance - I understand what you are going through because I have been there too.
26
What is a deliberate self-disclosure of information?
Provides information about training, experience - helps creditability, helps client know why your qualified to help them.
27
What are the reasons/intentions of self-disclosure?
1. Increase the therapeutic alliance 2. Deepen client understanding and insight 3. Generate new perspectives 4. Model and educate 5. Deal with resistance 6. Normalize client's experience
28
What are some risks of self-disclosure?
1. Possible boundary violation - think before you say 2. Shift focus from client to helper - client feels ignored 3. Role reversal - personal struggles/express emotion. 4. Client discomfort with helper self-disclosure - depends on previous experiences in therapy.
29
What are some poor intentions/bad reasons for a helper to engage in self-disclosure?
1. Anxiety relief - "me too" situation 2. To be liked - not shared with purpose for client 3. To solve client's problem - "fix-it" attempt 4. To solve helper's problem - only helping your own struggles in the moment, not the client.
30
How can you be effective with self-disclosure?
1. Consider carefully your intentions to self-disclose 2. Keep focus on client always 3. Be concise/specific 4. Focus on insights of disclosure, not details, don't say too much. 5. Bring focus back to client quickly using your basic counseling skills 6. Use self-disclosure infrequently 7. If you feel uncomfortable self-disclosing, don't do it 8. Monitor client's reactions to your disclosure
31
Self-disclosure by the therapist to alleviate his/her own anxiety is a less effective way to use the skill. True or False?
True - the client's interests/needs are primary
32
Women are equally likely to complete suicide as men | True or False?
False - men more likely to complete suicide/more lethal methods
33
What place is suicide in for leading causes of death in the United States?
Suicide is the 10th leading cause of death in the U.S. It is the leading cause of injury-related death.
34
How much more likely are men to commit suicide than women?
Men are 4 times more likely to complete suicide/Women attempt 3 times more frequently.
35
What is the highest at-risk group for suicide?
White males over 85 years old.
36
What are some at-risk groups for suicide?
1. Military veterans - risk doubled during Iraq/Afghanistan 2. GLBT youth - 41% of trans/non-conforming attempted 3. Everyone is at risk - 4.6% of population has attempted suicide.
37
What region in Colorado has highest suicide rate?
The Rocky Mountain Region - rural, isolation, less outreach to social services, higher firearm ownership, rugged/western individualism.
38
Ethics and Multicultural competence are at the top of the microskills hierarchy True or False?
False - Ethics and multicultural competence are the foundation of the hierarchy.
39
What is at the top of the Microskills Hierarchy?
Personal Style/Theory
40
Although it is important to therapists to practice good self-care, they are not ethically obligated to do so True or False?
False - Psychologists are obligated to take good care of themselves to provide good care to others.
41
What is Compassion Fatigue?
Exposure to trauma/intense interaction over time has caused loss of empathic abilities/ability to be a fine tuned clinician.
42
What are the signs/symptoms of burnout?
1. Physical, mental, emotional exhaustion - worn out 2. Insensitivity to others - don't care anymore/struggle to connect. 3. Sense of hopelessness about one's actions - Nothing I can do to make a difference anyway 4. Sense of isolation and invalidation - big reason for leaving profession.
43
Self - Care Model
1. Intrapersonal work - What do we need to do within ourselves. 2. Professional development - How do I learn more about different techniques? How do I learn more about working with different populations? 3. Physical and recreational activities - Having good diet/exercise/sleep routines. 4. Interpersonal support - Having good connections with others, having good consultation resources, engaging in supervision, having friends that are not in psychology profession.
44
What are the strategies for self-care?
1. Self- Monitoring - 2. Self-Empathy - 3. Take Time and Space - 4. Good Health Practices - 5. Seek Professional Counseling if Needed - 6. Deflect, Rather than Internalize - 7. Talk more about positive things 8. Find a way to survive the system 9. Humor 10. Connections with others
45
What are the key components of Suicide/Risk Assessment?
1. Thoughts - What would make you more comfortable? 2. Plan - how often have you felt this way? Who have you told? What are the thoughts? 3. Access - to method of choice. 4. Intent - When? How? What's kept you safe so far?
46
What are the stressors connected with clinical work?
1. Vicarious Victimization - Overexposure to traumatic stories - causes therapist to experience symptoms of their own. 2. Burnout - compassion fatigue/loss of empathic ability/ability to be a fine tuned clinician. Worn out physically, mentally, emotionally. 3. Emergency Services - extra hours, mental take home work, "On - Call" 4. Paperwork - on-going evaluation of client progress for insurance companies. 5. Economic - insecurities/uncertainty
47
What is Cognitive Dissonance? How does it play a role in Confrontation?
1. Theory that states that we are motivated to keep cognitions such as values, beliefs, and attitudes consistent. 2. When people experience inconsistencies in their thoughts, feelings, and behaviors, this creates tension, and they are motivated to reduce the tension. 3. We can either convince ourselves that the incongruity is unimportant or else change of the incompatible elements.
48
Example of a Minimal Encourager
1. Uh huh 2. Yes 3. Can you tell me more about that?
49
Example of a Probe
Tell me more....
50
Example of a Open-Ended Question
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?
51
Example of a Close-Ended Question
Yes/no facts, specific information
52
Example of a Reflection of Content Statement
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.
53
Example of a Reflection of Meaning Statement
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.
54
Example of a Reflection of Feeling Statement
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
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