In the working stage of the counseling process, utilization of the skill of “Reframing” is useful because it:
Helps generate an alternative perspective
Progress Note
An outcome evaluation method completed after each session meant to track progress throughout treatment
“Rolling With Resistance” is one of the key principles of what type of therapy?
Motivational Interviewing
A client presents for counseling indicating having troubles communicating with their partner. They also state that they are unsure of how psychotherapy could be beneficial for them. This client is likely in which stage of change?
Contemplation
As identified in lecture, all of the following are trends in counseling EXCEPT: A. Managed mental health services B. Technology Influences C. Decreased role of neuroscience D. Integrative care
C. Decreased role of neuroscience
- correct answer because counseling is seeing an increased role of neuroscience in practice
The rapport-building stage of the interviewing process is the longest: True or False?
False
- The working stage is the longest
Clients always progress through the stages of change model in order: True or False?
False
- Not all clients start at the first step.
- Easy for clients to move back and forth between stages.
Very little time is spent in the termination stage with motivational interviewing: True or False?
False
- This is a heavy focus in Motivational Interviewing
Describe how to utilize the technique of “Reframing” with clients
- Guide the client to see the problem in a more constructive and responsible way.
- Therapist must come up with a new/more constructive definition of a problem that fits facts just as accurately as the old definition.
- Therapist must appreciate the client’s worldview and then replace it with an acceptable alternative.
What is case conceptualization?
- Conceptualization of what facilitates client growth and what contributed to the development of presenting problem.
- Sets stage for treatment planning
Describe 3 reasons termination might occur with a client?
- Client reasons ( )
- Therapist reasons ( )
- Mutually agreed upon (goals met)
Describe 3 reasons termination might occur with a client?
- Client reasons - Client stops coming (say they are not coming back), Increased No-Shows.
- Therapist reasons - Therapist leaves/moves, Referral for the client might be made if goals aren’t being met.
- Mutually agreed upon (goals met) - Ideal situation/everyone agrees with decision to end/closure can be achieved.
Example of a Challenge/Confrontation Statement
- You said “THIS”, but you also said “THAT”.
- You believe “THIS”, but you experience “THAT”
- You said “THIS”, but you acted “IN THIS WAY”
- On one hand, “YOU SAID THIS”; on the other hand, “YOU SAID SOMETHING DIFFERENT”
Example of a Minimal Encourager
- Uh huh
- Yes
- Can you tell me more about that?
Example of a Probe
Tell me more….
Example of a Open-Ended Question
- Can you tell me about your problems with…
- You say you have —-problems. What do you mean by that?
- Could you tell me about the kinds of problems you have been having?
Example of a Close-Ended Question
Yes/no facts, specific information
Example of a Reflection of Content Statement
- Sounds like…
- You think…
Ex: In a lot of ways Ron has acted as more of a father to you than your biological dad.
Example of a Reflection of Meaning Statement
- It sounds like…
- It seems to me….
Ex: Still, it is important for you to acknowledge someone who has been so supportive in your life.
Example of a Reflection of Feeling Statement
- You feel —- because….
- Sounds like you’re….
- You seem to be feeling….
Ex: You feel a bit guilty about including your stepfather
What are working stage interventions?
- Intervention skills based on goals set in collaboration with clients.
- Once case conceptualization has been developed, we use these skills to inform (create) our treatment.
What are the working stage interventions?
- Brainstorming
- Practicing new behaviors
- “Homework”
- Reframing
- Increasing client expectations, hope, and motivation
What is addressed in the “Brainstorming” working stage intervention?
- Challenges - What might stand in your way?
- Generating Ideas - What do you want to accomplish?
- Evaluating Solutions - after good list is made.
What is addressed in the “Practicing new behaviors” working stage intervention?
- Awareness - When are feelings experienced?/Understanding what our patterns of behavior are first.
- Knowledge
- Experience
- Follow-Up - To see what changes we could make.
