Putting It All Together: Working in the Three Stage Model

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Presentation transcript:

Putting It All Together: Working in the Three Stage Model Chapter 18: Integrating Skills in the Action Stage Putting It All Together: Working in the Three Stage Model Chapter 19 Hill

Chapter 18 Integrating Skills for the Action Stage “Ideal teachers are those who use themselves as bridges over which they invite their students to cross, then having facilitated their crossing, joyfully collapse, encouraging them to create bridges of their own.” Leo Buscaglia

Rationale for Exploring Feelings IMPLEMENTING THE ACTION SKILLS: NEED FOR FLEXIBILITY NEED TO REMAIN HUMBLE ABOUT THE DIFFICULTIES IN CHANGING CULTURAL CONSIDERATIONS Not just hearing their stories or narratives for entertainment.

DIFFICULTIES HELPERS MIGHT EXPERIENCE IN THE ACTION STAGE MOVING TOO QUICKLY TO ACTION NEEDING TO BE THE EXPERT TOO MUCH INVESTMENT IN THE CLIENT CHANGING IMPOSING ONE’S VALUES ON CLIENTS NOT BEING BOLD ENOUGH IN ENCOURAGING CLIENTS TO CHANGE NOT BEING SUPPORTIVE ENOUGH GETTING STUCK ON ONE IDEA ADHERING TOO RIGIDLY TO THE STEPS Not just hearing their stories or narratives for entertainment.

Session Management Intake: Demographics Presenting Concern Client Background Health and Medical Records Expectations

First Session Beginning the Session (Confidentiality) Rules, Questions to Expect, Anything you want to know about the process Establish Goals and Clarify Expectations What do you want to accomplish? You may want to refer Establish a Relationship Ending the First Session

First Session Helper’s Work Between Sessions How serious is the problem? How is the individual behaving? How much does the individual disclose or withhold about the problem What did the individual talk about? Defenses, barriers, context Personal assessment Supervision

Subsequent Sessions Beginning the Session Wait for individual to Talk Summarize More structure-less structure Develop a Focus One problem at a time (trash can) Respect individual’s decision on where they want to go. Focus on one concern at a time (jumping) Keep focus on the individual (not on changing another person (ethics-talking about another person)

Subsequent Sessions Ending the helping process When to Terminate Context, the environment in which the chaplain is working Make a referral-Individual needs are beyond the chaplain’s area of expertise. Normally, the chaplain sets the conditions of helping in the first session. However the chaplain’s door is always open.

Dealing with Difficult Individuals Reluctant and Resistant Individuals Most people are reluctant to change (why?) Safe topics Forced to see the chaplain (no reason) Not the chaplains responsibility; however, in a military context chaplains need to realize the importance of the individual (exploration, listening, restatements work well with resistant individuals in the military) Learn to see resistance as normal

Dealing with Difficult Individuals Angry Most people do not like angry individuals (why?) How to approach anger? What are the underlying feelings of anger? Justified, apologize.

Dealing with Difficult Individuals Overly Talkative Individuals Defense mechanism Interrupt (sorry to interrupt, but I’m not going to be able to help you unless I can add a few things here and there. Let me see if I understand what you are saying. T sign. (Immediacy, depends on relationship with individual..

Dealing with Difficult Individuals Overly Quiet Individuals Listens, open questions, probes Sometimes helpers fill in silence because of their own feelings. Use different strategies. Some individuals have difficulties in expressing feelings or thoughts.

Dealing with Difficult Individuals Overly Quiet Individuals Listens, open questions, probes Sometimes helpers fill in silence because of their own feelings. Use different strategies. Some individuals have difficulties in expressing feelings or thoughts.

Dealing with Difficult Individuals Individuals w/ Suicidal Ideation Questions to ask: Are you thinking about suicide? Do you have a plan for attempting suicide? Do you have the mans to carry out your plan? Have you attempted suicide in the past? Do you use alcohol or drugs? Have you been withdrawn and isolated lately? Have you been focused on death? Are you feeling helpless or worthless?

Dealing with Difficult Individuals Individuals w/ Suicidal Ideation Questions to ask: Do you have a plan for the future? Who knows about your suicide feelings? How do you think others would feel if they knew you committed suicide? Questions not to ask: You will feel better tomorrow You have so much to live for Everything will be okay

Example Extended Interaction 440 Divide into pairs (helper/client-440) Gives you an idea of a beginning session. Questions