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Quizlet on therapeutic communication
Therapeutic communication technique
Concept Of Therapeutic Communication
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With my first client, I experienced a moment of incongruence, with my previous counselling model and the current one, which I am practicing from. When I was a phone crisis worker I followed, a solution-focused therapeutic practice. Solution-focused allowed me to gently ask and explore with clients their ideas or strategies to help them. I had a step by step framework to work from. Working from a trauma informed practice has been difficult to get use to. I have to be careful with my thoughts, words, and actions with the client. This has not felt natural to me thus far. I want to empower the client, respect their voice and boundaries, but I am not sure how to integrate my previous knowledge with my current knowledge. Perhaps, it may not be possible to integrate them. Therapist or Witness Relationship …show more content…
As I am starting out seeing individual clients, I have felt uncomfortable with the power dynamics of the therapist and client.
This is because I feel like the clients believes I am the expert and have all the answers. I feel more at ease viewing clients as an equal. Perhaps, it may be in my head, yet I feel that it is easier to converse with the clients when I am a witness versus an expert. I do understand that boundaries of the therapist and client relationship are placed for the client’s safety and for the therapist to remain unbiased. However, I was more comfortable with clients when I was working as a group counsellor, because I felt like I was part of the group. The women in the group and I were comfortable, open, and enjoyed laughs together. The sessions flowed well. In my mind, when I view the role of a therapist it is more structured. The roles of the therapist and client are clearly defined in individual
counselling. My first individual client session was with a child. I used rapport building games to create rapport with the client. In the session, my client and I were playing a game called the potato chip game, which we used Legos instead. This game was to take turns asking each other questions to get to know one another. At one point in the session, the client wanted to play with the Legos. Part of me felt like I had to maintain following my session structure and complete the game. Whilst, the other part of me wanted to allow my client to just play. After the session, I asked my supervisor what I should have done. She said that she could see that I was too focused on following the structure that I missed out on what the client wanted to do. She advised that sometimes we can abandon the game if it does not work and attune to want the client wants. This is a lesson, which I am still working towards.
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
...ential impediment to postmodern and CBT interventions is practitioner incompetence. Psychological harm to clients is a potential danger of interventions implemented by untrained or inexperienced therapists. Likewise, the attitude and professional maturity of the practitioner are crucial to the value of the therapeutic process. In both approaches, whether taking on the role of teacher or collaborator, the therapist’s stance is one of positive regard, caring, and being with the client. While techniques and therapeutic styles may vary between and within the postmodern and CBT counseling approaches, they both enlist the client’s diligent participation and collaboration throughout the stages of therapy to accomplish positive therapeutic outcomes.
The relationship between the counsellor and client is fundamental to the success of the counselling experience and the results that will follow. The counsellor and client need to build rapport and trust. The client needs to feel comfortable enough to open up and discuss their inner most thoughts and fears in the knowledge that the discussion is confidential and non-judgemental. The resulting relationship should be one of mutual respect.
For clients who express their experiences for the first time in counseling, it can be a powerful force to help them heal. It is important for the counselor to pay close attention to the person’s body language, affect and tone. The counselor must consider the possible scenarios that may occur in the first session. Cultural aspects of the client must be considered. From the client’s perspective, the first session is an important session, even if the first session is mostly an information gathering session. The client may have experiences much trauma in their life, never being able to trust a person with their closest feelings. This is why it is very important to establish rapport and trust in...
According to Allison L. Kramer (2016) in her “Why we can’t be friends” article, researches have observed numerous relationships between psychotherapists and their present and/ or previous clients. Boundary issues have been studied in the world of ethics and dual-role relationships with current clients are ordinary for some practitioners in their daily practice. Meaning it isn’t rare to run into dual relationships in counseling. These relationships aren’t always negative nor avoidable states Kramer. The example she used for dual-role relationships being advantageous and unavoidable was a school guidance counselor having multiple roles in the school. The counselor could also be “a coach of a sports team, thus filling both a counselor and
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
Caution and strict compliance with regulations, laws and following a proper client-therapist relationship will ensure a smooth ride for both a client and their therapist. Dual relationships and boundary breaking are perhaps the most fatal blow to that of said relationship. For a therapist to truly show compassion they must limit any instance of a dual relationship or boundary push. Erosion of one’s trust and guidance can build slowly over time if just the wrong thing is said. Through building dual relationships or breaking boundaries, this becomes all too apparent. To become a competent therapist that is filled to the brim with helpful resources, there are things one must limit.
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
Mutual understanding is defined as common understanding of communicatory meaning and is a core component in achieving client-centered practice (O’Toole, 2012). Effective communication between an OT and a client leads to the establishment of empathy, respect and trust all of which build the premise for mutual understanding (O’Brien & Hussey, 2013). Respect refers to showing regard to what a client is expressing while empathy is the ‘direct, clear and accurate recognition of the emotions of the individual’ (O’Toole, 2012, p.14). If communication is effective in developing empathy and respect, then client participation in all aspe...
The important method has done differently in each clients. With each therapeutic methods he had learned, he has to find a model that fits with the client, and if that method does not work, they do more research and find a method of therapeutic that can help the client overcome his obstacle.
Even if the client says something that is obviously distorted, do not attack or challenge their views, as you likely are pushing them to face something they are not ready to face, and telling them in effect that therapy is about being pushed to face unpleasant things.” I do not agree with this portion of the article. Pushing the client to deal with their problems is what therapy is about, but I say I will not argue or degrade the client. Challenging the clients to accept their demons, or trauma is what seeking help is about. Enabling the client to not focus on their past is coming their therapy session stuck. I understand to meet each client “where they at,’ but I have a hard time accepting that. I do agree with the article when stated, “Do not interpret the client 's words or actions to the client, or speculate on the dynamics underlying their personal functioning or the functioning of those around them.” The very difficult thing a person can do is assume what you are about to say or
It is very clear to me, as a facilitator, to understand the importance to offer gentle, non-judgmental support and guidance without trying to fix or change the outcome of the person I come in contact with. During the healing process of resolving trauma/challenging emotions, we need to be aware of giving people the power to trust their own intuition, keep your own ego out of the way, and make them fell safe enough to
I think the major technique is focusing on the person and not the problem which would help the client to achieve independence and allow the client to cope with current and future problem they may face. Another major technique is the client determines the course of directions of therapy. Another technique is the person-centered therapy which is a non-directive which allows the client to be the focus of the therapy session without the therapy giving advice.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.