Lecture 7 The Helping Interview Chapter 4

The concept of case management includes: a. Developing client goals b. Managing contact hours c. Keeping client records d. Monitoring client progress

Counseling and Psychotherapy: A Multicultural Perspective 1996 Fourth Editionby Allyn & Bacon by Allen E. Ivey, Mary Bradford Ivey, Lynn Simek-MorganAllen E. IveyMary Bradford IveyLynn Simek-Morgan The Art of case management includes:

Counseling and Psychotherapy: A Multicultural Perspective 1996 Fourth Editionby Allyn & Bacon by Allen E. Ivey, Mary Bradford Ivey, Lynn Simek-Morgan p.53Allen E. IveyMary Bradford IveyLynn Simek-Morgan The Concept and art are based on a series of skills 

Handout: Microskills Hierarchy

All three are important in creating the helping environment? (p ) a. The office environment b. Nonverbal Behavior c. Personal Characteristics of the helper But First --Never underestimate the Power of Ambiance…

a. A desk placed between you and your client in order to maintain "anonymity" b. A closed body posture c. Giving advice Good Or Bad? conducive to an effective helping environment

Creating the Helping Environment Office Environment – Should Be Welcoming – Do Exercise 1 Back of Chapter Personal Characteristics of Helper Eight Characteristics Noted in Chapter 1 No Destructive Characteristics

Importance of Nonverbal Behaviors Some Important Nonverbals – Posture – Tone of Voice – Personal Space – Eye Contact – Touch (know limits) May Not Be Universal Across Cultures

Handout – Nonverbal Attending Patterns Which of these can you see in the following pictures?

Posture Counseling and Psychotherapy: A Multicultural Perspective 1996 Fourth Editionby Allyn & Bacon by Allen E. Ivey, Mary Bradford Ivey, Lynn Simek-Morgan p.56Allen E. IveyMary Bradford IveyLynn Simek-Morgan

summary Counseling and Psychotherapy: A Multicultural Perspective 1996 Fourth Editionby Allyn & Bacon by Allen E. Ivey, Mary Bradford Ivey, Lynn Simek-MorganAllen E. IveyMary Bradford IveyLynn Simek-Morgan

summary Counseling and Psychotherapy: A Multicultural Perspective 1996 Fourth Editionby Allyn & Bacon by Allen E. Ivey, Mary Bradford Ivey, Lynn Simek-MorganAllen E. IveyMary Bradford IveyLynn Simek-Morgan

summary Counseling and Psychotherapy: A Multicultural Perspective 1996 Fourth Editionby Allyn & Bacon by Allen E. Ivey, Mary Bradford Ivey, Lynn Simek-MorganAllen E. IveyMary Bradford IveyLynn Simek-Morgan

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure – Offer Professional Disclosure Statement Limits of Confidentiality Length of the Interview Purpose of the Interview Credentials Limits of Relationship Theoretical Orientation Legal Concerns Fees for Services Agency Rules – Have Client Give Informed Consent – Use Empathy and Listening Skills to Build Trust

Counseling Techniques Listening Skills – Helps to Build Trust and Shows Understanding – Encourages the Client to Reflect on What He or She Has Said – Ensures That You Are on Track and Facilitates Gathering Information Hindrances to Listening – Do Activity 4.1, p. 100

What To Do To Listen Effectively 1.Calm Yourself down 2.Stop Talking and Don't Interrupt 3.Show Interest 4.Don't Jump to Conclusions or Ask Questions 5.Actively Listen 6.Concentrate on Feelings 7.Concentrate on Content 8.Maintain Appropriate Eye Contact 9.Have an Open Body Posture 10.Be Sensitive Personal Space

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure Focus on Problems Client Wishes to Work On Validate Initial Identification of Problem Use of Questions May Be Helpful

Which of the following is an open question? (p. 106) a. Do you feel sad or angry about your parents' divorce? b. I hear you saying that you have a lot of feelings about your parents' divorce. c. How do you feel about your parents' divorce? d. How sad do you feel about your parents' divorce?

Which of the following is a closed question? (p. 106) (www) a. Do you feel sad or angry about your parents' divorce? b. I hear you saying that you have a lot of feelings about your parents' divorce. c. How do you feel about your parents' divorce? d. How sad do you feel about your parents' divorce?

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure Other Skills Can Now Be Used – Confrontation – Probing Questions – Advanced Empathy Push Envelope—Move Into Inner World of client But, Maintain Sensitivity and Be Supportive Develop Informal Verbal Agreement or Written Contract Focused on Goals A client of yours tells you that he looked all week for a job but was not successful. You say, "You really worked hard this week on finding a job. I want to validate your efforts, even though you did not find one"! This is an example of Affirmation giving.

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure Advice giving has great potential for harm – avoid it A client of yours tells you that he is worried that he will not be able to find a job. You say, "I know you can do it — you have all the qualities you need to do this. ” This is an example of Encouragement

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure Taking responsibility and making efforts toward change occurs in this stage In this stage is it common to see the use of empathy, modeling, self- disclosure, questions, confrontation, and affirmations and encouragement If you are to confront a client, it is crucial that you have built a solid trusting relationship with the client

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure Now Working On Goals Determined in Stage 3 Facilitate Progress Use Variety of Skills Client Begins To Take Responsibility Client Works on Accomplishing Goals Advice Giving: Suggests Helper May Hold the Solution (Least Helpful Response) Offering Alternatives: Suggests May Be a Number of Ways to Tackle Problem Information Giving: Offers the Client Valuable “Objective” Info

Self-Disclosure May Facilitate Client Disclosure Can Model Positive Behaviors Rule of Thumb: – If It Feels Good to Disclose, Don’t Do It--You’re Probably Satisfying Your Own Needs, Not Helping the Client – Example: A client with whom you are working is going through a divorce. You tell the client, "I remember what a painful experience I went through with my divorce."

Modeling An Effective Ways to Encourage New Behaviors Two Types of Modeling: – Subtly –A subtle process whereby the learning of new behaviors by the client are a by-product of the helping relationship – Intentionally –An intentional process whereby the professional simulates new behaviors for the client

Which of the following describes modeling in the counseling relationship? (p. 104) a. The manner in which the client models from his or her family b. The person whom the client has most “ modeled ” after in his or her life c. An intentional process whereby the professional simulates new behaviors for the client d. A subtle process whereby the learning of new behaviors by the client are a by-product of the helping relationship e. a and b f. c and d g. All of the above

Stages of the Helping Relationship 1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure As Goals Are Reached, Clients and Helpers Think About Ending Work Through Feelings About Ending Termination Should be A Gradual Process Use a Variety of Skills

1. Rapport and Trust Building 2. Problem Identific ation 3. Deepening Understanding and Goal Setting 4. Confront -ation 5. Work 6. Closure Successful Termination is Likely If: – clients discuss termination early – goals are clear so clients know when counseling is near completion – the helper respects the client’s desire to terminate yet feels free to discuss feelings that termination may be too soon – the relationship remains professional (e.g., not a friendship) – clients know they can return –Summarizing client accomplishments: clients are able to review the success they had in counseling – clients can discuss feelings of loss around termination

In reference to termination, which should probably not occur? (p. 113) a. Termination should be discussed early b. Goals should have been clear so clients know when termination is near c. Clients have a clear understanding that their “ work is done ” and they will not be welcomed back to counseling in the future d. Clients can review the successes they have had e. Clients can discuss their feelings around leaving

Be sure to know the following for the exam from the reading… Important to know

The "Tarasoff Case" made it clear that: (p. 118) a. confidentiality should never be broken. b. records are never confidential. c. if a client is in danger of harming self or others, one needs to do all that is necessary to make sure no one is harmed. d. confidentiality is assured as long as you have "privileged communication."

Which is not true about the security of case notes? (p. 119) a. If written records are kept in file cabinets, the file cabinets need to be locked b. If records are kept on computers, computers should be password-protected c. Clerical staff can never view written records d. Clerical staff should understand the importance of confidentiality and may be asked to sign statements acknowledging the fact that they understand the importance of confidentiality.

Not on test but covered above in confront slide 29. In which stage of the helping relationship is it common to see the use of empathy, modeling, self-disclosure, questions, confrontation, and affirmations and encouragement? (p. 112) a. Rapport and Trust Building b. Problem Identification c. Deepening Understanding and Goal Setting d. Confrontation e. Work f. Closure 30. Taking responsibility and making efforts toward change occurs in which stage of the helping relationship? (p. 112) a. Rapport and Trust Building b. Problem Identification c. Deepening Understanding and Goal Setting d. Confrontation e. Work f. Closure