1. 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

2. 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

3. 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.

4. 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.

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

6. 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

7. 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

8. 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)

9. 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.

10. 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

11. 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.

12. 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..

13. 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.

14. 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.

15. 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?

16. 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

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