3. Counseling Skills - I Portfolio Assignment None II...

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Unformatted text preview: I. Portfolio Assignment: None II. Readings: Parrott (1997) SKILLS BASIC COUNSELING III. Handouts: None IV. Video: Example skills (Dr. Budman) V. Lecture Outline: I. Qualities of Effective Counselors Purkey & Schmidt (1996) • Neukrug (1999) • II. The Therapy Environment Counselor • Office • Nonverbal Behavior • III. Counseling Skills Essential Skills • 1. 2. 3. • Listening Skills Empathy and Understanding Questions Common Pitfalls in Beginners Psych 3083_Basic Skills_2014 1 BASIC COUNSELING SKILLS • How you will present yourself to your patients? • What are helpful basic techniques regardless of your theoretical orientation? Psych 3083_Basic Skills_2014 2 Basic Counseling Skills I. Qualities of Effective Counselors – Purkey & Schmidt (1996) – Neukrug (1999)—characteristics empirically & theoretically related to therapist effectiveness. 1. Being empathic: Empathy is skill that can: a) b) c) d) build rapport elicit information help client feel accepted empirically related to positive client outcomes Psych 3083_Basic Skills_2014 3 BASIC COUNSELING SKILLS Neukrug (1999): 2. Being genuine: a) Research mixed on whether related to positive outcomes 3. Being accepting: a) Rogers: accept clients without "strings attached; unconditional positive regard b) Research shows relationship with positive client outcomes. Psych 3083_Basic Skills_2014 4 BASIC COUNSELING SKILLS Neukrug (1999): 4. Open-minded and nondogmatic: able to hear the client and be open to whatever the client might say a) Example: open-minded and accepting: 5. Being mentally healthy: a) Some research shows counselor MH related to positive client outcomes. b) 66%-84% therapists have been in therapy c) Other ways to maintain MH Psych 3083_Basic Skills_2014 5 BASIC COUNSELING SKILLS Neukrug (1999): 6. Being Competent a) Therapist expertise has shown to be a crucial element for client success in therapyThis is an ethical and legal responsibility— Psych 3083_Basic Skills_2014 6 Basic Counseling Skills II. The Therapy Environment 3 Components are important: – How the therapist presents him/herself (covered above) – Office – Nonverbal Behavior Psych 3083_Basic Skills_2014 7 BASIC COUNSELING SKILLS – Office 1. 2. 3. 4. Should be Quiet Comfortable Confidential What should your office look like? Dress; Language Psych 3083_Basic Skills_2014 8 BASIC COUNSELING SKILLS • Nonverbal Behavior: some say it can be as much as 80% of what we communicate to others!! • Personal Warmth: conveys acceptance to client Psych 3083_Basic Skills_2014 9 Nonverbal Cues of Personal Warmth and Coldness NONVERBAL CUE WARMTH COLDNESS Facial Expression smiling frowning Voice soft but audible; intonation loud; monotone Posture relaxed but alert; leaning toward pt stiff; discomfort; leaning away from pt Eye contact frequent avoiding contact or staring Gestures open, welcoming minimal or expansive Enthusiasm and Interest interested; attentive Physical proximity close, but mindful of personal space Touch? Little to none; none without knowledge of what touch means to specific pt Psych 3083_Basic Skills_2014 distant; on opposite side of desk 10 Basic Counseling Skills III. Counseling Skills – Essential Skills 1. 2. 3. – Listening Skills Empathy and Understanding Questions Common Pitfalls in Beginners Psych 3083_Basic Skills_2014 11 Basic Counseling Skills Essential Skills: ABILITY TO LISTEN and SHOW EMPATHY 1. 2. 3. Listening Skills Empathy and Understanding Questions Psych 3083_Basic Skills_2014 12 Basic Counseling Skills 1. Listening skills – Listen: "to give close attention in order to hear, to give ear, to hear and attend to". – A good listener: • talks minimally • concentrates on what is being said • does not interrupt • does not give advice • gives and does not expect to get • accurately hears content of what is said • accurately hears feelings • able to communicate other is being heard • asks clarifying questions • does not ask other kinds of questions • does not interpret Psych 3083_Basic Skills_2014 13 Basic Counseling Skills Hindrances to listening: • preconceived notions about client • anticipating what client will say • thinking about what you are going to say • personal issues that interfere with your ability to • listen strong emotional reaction to what client is saying • distraction Psych 3083_Basic Skills_2014 14 BASIC COUNSELING SKILLS 2. Empathy and Understanding – CRITICAL POINT: Accurately convey the AFFECT and CONTENT – Formula response for beginning therapists: reflection of the feeling followed by paraphrasing the content. Psych 3083_Basic Skills_2014 15 BASIC COUNSELING SKILLS 3. Questions Kleinke (1994) identified 4 types 1. Lineal questioning: attempts to expose cause and effect 2. Circular questioning: direct and continual as it attempts to zero in on a suspected problem area. 3. Strategic questioning: used to gently challenge the client and may have a hidden agenda. 4. Reflective questioning: clients are encouraged to go within, reflect, and consider new ways of being in the world. Psych 3083_Basic Skills_2014 16 BASIC COUNSELING SKILLS -Some Common Pitfalls by Beginning Therapists Examples from reading…. 1. 2. 3. Not setting limits Interrogating Others? Psych 3083_Basic Skills_2014 17...
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