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Introduction for an essay on the therapeutic alliance
Introduction for an essay on the therapeutic alliance
The principle of therapeutic alliance
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Recognise and response to crisis situations
Q6: Explain how client’s barriers can impact upon the helping relationship?
Client’s barriers can impact on the helping relationship by;
• Clients not wanting help/or scared of what might happen if they ask for help.
• There might be communication difficulties which can impact on the helping relationship.
• If a client is a sole parent or caregiver this can also impact on the helping relationship as clients may think that asking for help could impact on them looking after children.
• There may also be some distrust from clients that have had a bad experience with another service; this can impact on the helping relationship.
These barriers can impact on the helping relationship as there needs to be trust, full support and a lot of communication when helping a client without these it can become quite difficult to help someone in a crisis.
Q7: Why is debriefing and supervision important when dealing with clients in crisis?
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Weather that is you are angry, sad or depressed about your crisis it is still good to talk about how you may be feeling because sometimes all you may need is the support from someone to get you through the crisis situation. It is also important to supervise your client as they may still be in shock, they might have anxiety, post-traumatic stress or even depression. So it’s very important to supervise your client so you can be there with them and be able to see those signs of depression or anxiety so you can to help them through this and support them by giving them extra help through other support
Giving bad news should be done carefully and humanely, and trust should be established as well as a relationship being built. Empathy is one of the most important things. Maybe if you relate a client's situation with a situation you were once in, and explain how you once grieved, it will help you two relate as a person. You should also never rush your client once bad news is delivered. Give them your full attention, answer their questions, make sure that your client is aware that you are empathetic and you care.
Thirdly, I also came to know how the knowledge of individual prevention is useful in a crisis through this course. I have gained knowledge regarding individual prevention skills and strategies in order to avoid or prepare for a crisis situation. A helper should stay out of a client’s personal space, timing is very important when intervening, a comfortable, practical clothing, be aware of home visits etc. all
Contrary to the similarities of both models, The ABC Model of Crisis Intervention is used as an assessment consisting of three components: A- achieving contact, B-boiling the problem down to basics and C-coping (Kanel, 2010). Kanel (2010) suggest that the ABC Model of Crisis Intervention is designed for a client whose functioning level has decreased following a psychosocial stressor. It’s most effectively applied within 4 to 6 weeks of the crisis. The Seven Task of Assessment consists of the following seven tasks: (1) Initiating Contact, (2) Defining the Crisis, (3) Providing Support, (4) Examining Alternatives, (5) Re-establishing Control, (6) Obtaining Commitment, and (7) the Follow Up (James, 2013). The Seven Task Assessment is a more detailed assessment focusing solely on the difficulties faced by the client due to a severe crisis. It allows for a closer encounter with the client to evaluate the crisis’ severity, their current emotional status, alternative methods, support systems and coping
As we all know, there is a solution to every problem - but having the resources and support to resolve one of these could be the hindrance to a satisfying outcome for you, the worker. Often, one feels they haven't done enough to meet the client's needs, especially when you keep hitting road blocks, therefore you go above and beyond - often putting yourself in an uncomfortable situation in the long run. I can see these two concerns listed as being a personal challenge for any human service professional.
There are many things that goes into a client seeking help out of the human service system. For some, it is because they realize they have a problem that they the help of a professional. For others, they need to be told by their family that they need to seek help. For others, they have safety needs and that’s why they seek help, or they have physical needs and know that without help they will not have any of the basic needs of life.
The counselling process is one that may last for as little as one session or for years, it is within the middles stages of the helping relationship that particular counselling skills such as a focusing, challenging and immediacy can be implemented, as well as use of advanced empathy that can be applied due to increased familiarity with a speaker. Many actions may occur within middles stage of the helping relationship such as transitions that occur for a multitude of reasons and the outcome of which can vary based on the attitude of the speaker. Self-awareness remains vital throughout the entire counselling relationship due to the continual influence of empathy in the helping relationship and remaining aware my own motives and values when using advanced empathy and specific counselling skills. Ethics and boundaries are also involved within the counselling process as within a counselling relationship, I as the counsellor, must be careful with the balance or expenditure of power when challenging.
Counseling skills has provided me with a valuable insight into the helping relationship and how it is both created and maintained in order to encourage growth and development in the client. The factors involved within the helping relationship include considering Roger’s core conditions, congruence, unconditional positive regard and empathy as the three main characteristics necessary in a helping relationship. In order to fully incorporate all three of Roger’s core conditions, I as the counselor must be self-aware, as a lack of self-awareness may inhibit truly listening and understanding the client; self-awareness can be enhanced through exercises such as Johari’s window. Counseling skills such as body language and active listening also plays a role within encouraging the client to open up and can help me as the counselor convey empathy.
... properly interact and communicate well with their clients, they need to be emotionally intelligent, self aware, create a therapeutic relationship and develop reflective practices. All of the above contributes to an individual’s health and so it’s very important that we are able to control our emotions, correct and learn from our mistakes, examine and balance our life and create a therapeutic environment so that our clients feel comfortable, safe and trust us enough to live their life in our hands.
Effective crisis intervention must follow ethical principles which ensure that client is not placed in further harm also that the decisions and opinions of the client are respected throughout the process and the intervention upholds a rights-based approach. This involves good listening communication skills, observing, understanding, genuineness, respect, acceptance, non-judgment and sensitivity demonstrating empathy, among other support provided by counselor. A number of specific strategies can be used to promote effective listening during crisis intervention. These include using open-ended questions - “what” or “how” questions. They are used to encourage sharing of information from a client about their feelings, thoughts and behaviors, and are particularly useful when exploring problems during a crisis.
Elizabeth Vernet (as cited in Shallcross, 2011) stated “It is important for counsellors to understand that there are risk factors inherent in the work and that noticing signs of stress or distress is a sign of health, not impairment, none of us is immune to the work.” Empathy is an essential part of counselling and in order to be empathetic we need a connection to our own wellbeing.
In order to help client to felt at ease, I attempted to establish a safe atmosphere for client to disclose his issues and also to develop a sense of trust between us by conveying a non-judgmental and non-critical attitude. I use open questions, to invite client to elaborate on information. At the beginning of the session, I manage to use open question to explore more about client issue. Client presenting problem will be financial
The start of the conversation can be seen as a strength because the skilled helper introduced who they were and then they told the client about the confidentiality statement. This could be seen as a strength because the client would know what the boundaries are in the session and what the skilled helper has to do when they are aware that the client may be in danger of harming themselves. Making the client aware about the confidentiality statement can increase the chance of the
There are few circumstances counselors have to oblige when dealing issues from clients. Counselors have to be trustworthy; this is a fundamental to understanding and solving issues. Counselors have to keep information gathered confidential and restrict any disclosure of information to anybody. Clients voluntarily seek help to counselors for therapy or any kind of help they need. Hence as a counselor it is important to respect their clients’ self-government and ensure precision in information given. Commitment of a counselor plays a big role in a therapy. It is not ethical for a counselor to neglect a client such that the client’s well being is not taken care of. It is also important for counselors to have a fair treatment with all their clients. No matter how each client will be, there must not be any form of judgment, which will cause any form of unfair
The area of multiple (or dual) relationships in counseling highlights the need for ethical, professional boundaries, yet these are shifting. How might clients be harmed (or helped) by these relationships? Give examples. The client can be helped because he or she is seeing the counselor in a more comfortable setting.
The most interesting fact garnered from the reading was psychological first aid being utilized as an alternative to “psychological debriefing” which has been found to be ineffective. In contrast, psychological first aid involves factors that seem to be most helpful to people’s long-term recovery (according to various studies and the consensus of many crisis helpers). These include (World Health Organization, 2011): feeling safe, connected to others, calm and hopeful, having access to social, physical and emotional support; and feeling able to help themselves, as individuals and