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Case Work II Chapter 7 Responses and Leads
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Benjamin stated – when I respond, I speak in terms of what the client has expressed. I react to the ideas and feelings he has communicated to me with something of my own. Benjamin stated – when I lead, I take over. I express ideas and feelings to which I expect the client to react.
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Client – Centered Responses & Leads Silence Silence can be a response. The response is nonverbal but can express a great deal. Silence has meaning. “Mm-hm” “Mm-hm” is a verbal response “Mm-hm” can indicate approval or criticism by the helper. See pp. 209-210
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Client – Centered Responses & Leads Restatement Restatement – serves as an echo to let the client hear what he/she has said on the assumption that this may encourage them to go on speaking – looking deeper. Restatement can be effected in 4 basic ways: 1.) Restate exactly what has been said without even changing the pronoun the client has used.
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Client – Centered Responses & Leads Restatement (cont.) 2.) Restate exactly, changing only the pronoun. 3.) Restate part of what has been said – the part the helper feels to be more significant and worth having the client hear again. 4.) Restate in summary fashion what the client has said.
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Client – Centered Responses & Leads Clarification Clarification is commonly understood to mean the helper’s clarification for the client of what the latter has said or tried to say. See examples – pp. 213 – 215. Reflection This is a very difficult response to achieve. To reflect the feelings and attitudes of the client demands deeply emphatic listening and understanding.
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Client – Centered Responses & Leads Reflection (cont.) When reflecting, the helper verbalizes what the client feels. Reflection is very similar to restatement except that the former is more loaded emotionally. See examples pp. 215 – 218. When reflecting, the therapist neither guesses nor assumes. True reflection will be accepted by the client because it simply consists of putting into words the feeling tone of what he has just said. When the helper uses reflection, he responds not to his own inner frame of reference but solely to the feeling tone of the client.
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Client – Centered Responses & Leads Interpretation and Explanation There are 2 kinds of interpretation: 1.) The first is based on the internal frame of reference of the client. 2.) The second one is based on the internal frame of reference of the therapist or helper. When a helper interprets what they have understood from the client’s communication to me in terms of their life space, the helper is responding to him.
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Client – Centered Responses & Leads Interpretation and Explanation (cont.) When the helper interprets it in terms of his/her own life space, the helper has crossed the rubicon and is expected to have them respond to the helper. See pp. 220 – 221 Explanation – it is a descriptive statement. It may include evaluative overtones – whether intended as such or not – that may be sensed by the client.
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Client – Centered Responses & Leads Interpretation and Explanation (cont.) The helper may utilize explanation as a lead – in structuring the interview – for example – or as a response to the client’s statements and questions. As it is descriptive in character, explanation should be neutral in tone.
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Client – Centered Responses & Leads Orientation to Situation See examples – pp. 221 – 222. Explanation of Behavior See examples – pp. 222 – 223. Explanation of Causes See pp. 223 – 224.
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Client – Centered Responses & Leads Explanation of the Therapist See pp. 224 – 225 In many situations, these two responses, interpretation and explanation – merge and elements of both are present in the response.
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Therapist – Centered Leads and Responses In leading we must be conscious that we are doing so and know whom we are leading and to what end. Encouragement Our attitude, our approach, our responses – all are meant to support and reinforce the client in his/her efforts to change in a direction meaningful and worthwhile for the client.
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Therapist – Centered Leads and Responses Assurance/Reassurance We use assurance/reassurance as leads to tell the client in words that we believe in his capability to overcome obstacles, to face up to this situation successfully. See pp. 280 – 281 Suggestion Suggestion Suggestion is a mild form of advice. Its overtones tend to be tentative and vague. See pp. 231 - 232
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Therapist – Centered Leads and Responses Advice Advice essentially is telling someone else how to behave – what to do or not to do. It may be directly or indirectly. Non threateningly or as an ultimatum. See pp. 233 – 239 It is often easier to advise than to become more deeply involved in the struggles of another. When advice is given, it should be followed up.
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Therapist – Centered Leads and Responses Urging Urging is very closely related to persuasion and cajoling. Urging is a lead or response – the purpose of which is to prod clients – to not escape what they should evade. Urging involves supporting in order to strengthen the client’s determination to carry out whatever it is that both partners have discussed and the helper – at least, feels would be beneficial to the client. See pp. 241 - 243
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Therapist – Centered Leads and Responses Moralizing Moralizing is a mixture of advice giving and urging with one significant addition. Use of conscience and: morals – those sacred, social norms no one in his right sense could possibly oppose or even question. See pp. 245 - 246
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Therapist – Centered Leads and Responses Authority Leads and Responses In this group the therapist perceives his role in a specific light and acts accordingly. Agreement – Disagreement Here the helper tells the client whether in their opinion the latter is right or wrong.
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Therapist – Centered Leads and Responses Approval – Disapproval Approval – Disapproval is similar to agreement – disagreement. However, the question is not of right or wrong, but of good or bad. The helper expresses a valve judgment when from his frame of reference, this seems appropriate. See pp. 250 - 251
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Therapist – Centered Leads and Responses Opposition and Criticism When a helper opposes, they are saying “no” to a contemplated course of action. When the helper criticizes, he/she expresses their displeasure with the client’s “bad” conduct or mistaken action. The helper from his/her vantage point, is certain that this opposition or criticism is well – founded. See pp. 251 - 252
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Therapist – Centered Leads and Responses Disbelief Disbelief assumes that the client’s perception of a given situation is incorrect or distorted and that the helper, from his/her position, can detect this and present and undistorted, more objective view. See p. 252
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Therapist – Centered Leads and Responses Ridicule In intent, ridicule is related to disbelief, but the lead or response is sharper, more sarcastic. Here the helper condescendingly instructs the client for the purpose of demonstrating how absurd the client and his/her perceptions are. See p. 253
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Therapist – Centered Leads and Responses Contradiction “It is not so. It is otherwise.” The helper is saying “no” “wrong”, to what the client has expressed. See p. 254 Denial and Rejection Of the leads and responses listed in this series, denial and rejection are the most extreme.
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Therapist – Centered Leads and Responses Denial and Rejection (cont.) The client is made to understand that under prevailing conditions, the client can be neither guided nor assisted. See pp. 254 – 255 Open Use of Authority Helper makes open use of their authority. The helper assumes complete responsibility for what occurs in the interview and dominates the situation accordingly.
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Therapist – Centered Leads and Responses Scolding When scolding, the helper interprets and evaluates the ideas, feelings, and actions of the client. See p. 256 Threat The helper will mobilize the power at his command – which is much greater than any the client can muster. See p. 257
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Therapist – Centered Leads and Responses Command The helper unequivocally orders the client to follow their instructions. See pp. 257 – 258 Punishment The helper – feeling he/she must chastise the client for some impropriety of deed or attitude – brandishes the power and influence implicit in his role. See pp. 258 - 259
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