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Resourcd File

  1. 1. Unit 24 Task 3. (Covering P4, P5, M3 and D2.) You are a trainee counsellor from Brighton University and you have been asked by your previous sixth from to be a guest speaker for current BTEC Level 3 students. The form tutor needs you to deliver a talk which will provide the students with some key information with regards to the benefits of implementing counselling into a care plan and the importance of reflection when engaging in interactions with clients. You need to deliver a talk on the points identified below and you will be able to refer the scenarios provided on the next page to provide examples. a) Describe the importance of referral to other organisations. (P4) b) Describe potential boundary issues that could occur in a helping relationship. (P5) c) Discuss how supervision & peer feedback can improve use of skills and self development. (M3) d) Evaluate the effectiveness of the use of counselling skills in aiding clients’ decision making processes. (D2) a) Describe the importance of referral to other organisations. (P4) You need to include the reasons for referral, the availability of organisations to which clients may be referred and the accessibility of organisations to which clients may be referred. b) Describe potential boundary issues that could occur in a helping relationship. (P5) You need to be able to describe confidentiality, limits of own skills, client resistance and practitioner resistance. c) Discuss how supervision & peer feedback can improve use of skills and self development. (M3) Use the photocopy of the book and the notes we made whilst reading it to do this section. d) Evaluate the effectiveness of the use of counselling skills in aiding clients’ decision making processes. (D2)
  2. 2. Scenarios: Confidentiality: You are employed as a counsellor by an employee assistance programme (EAP) for a large haulage company. The EAP funds six sessions of counselling, after an initial assessment. Your client, John, is an HGV driver for the company. He discloses in the fifth session that he is drinking heavily – up to a bottle of vodka in the evening – and having an occasional drink at work. John says that he is ‘sorting this out’ by seeing you and asks you to keep it confidential for the time being so that he doesn’t risk losing his job. You believe John is making progress and view his disclosure as an important statement of trust, but remain unsure about what to do. (A. Reeves, Therapy Today, December 2010 Online Issue) Limits of own skills: Lucy is a counsellor who is a year away from completing a two-year diploma in personal coaching. Martin, one of her private counselling clients, has asked her if she will see his brother Alex. Alex has been made redundant and wants some ‘confidence and career coaching’. Alex knows that Martin has been having counselling for the past year to help him overcome depression following a messy divorce. Lucy’s supervisor Estelle has cautioned Lucy about seeing a relative of a client, whatever the service being offered, because of the potential boundary issues and effects on the relationship she has with Martin. However, Lucy believes that as she’s offering coaching it will be a very different relationship with Alex that the issues are just not the same, and that Estelle doesn’t understand as she doesn’t coach herself. (A. Reeves, Therapy Today, November 2010) Client Resistance: Jake is an 18-year-old male client you have been seeing for three months. He does not get on well with this family, has few friends, and generally talks of his sense of isolation and detachment from others. He smokes cannabis to ‘calm himself down’, and binge drinks. He is unemployed, having left school with few qualifications. He referred himself because he was depressed, and has attended two thirds of the appointments made (the rest DNA). He seems ambivalent about therapy, which you have unsuccessfully tried to explore. He tells you that while he doesn’t have any specific plans at present, he wishes to be dead. He cannot see the ‘point’ anymore and feels hopeless. He refuses your permission to speak to his GP and does not explain why. (A. Reeves, Therapy Today, June 2011) Practitioner Resistance: Aimee is a young counsellor. She is keenly aware of fashion and it is important to her to dress in a fashionable and attractive way. She likes to wear low-cut tops and short skirts, or low-cut dresses in summer, and either peep-toe sandals or high heels. She wears full make-up and perfume as a matter of course. Aimee has a strong religious faith and wears a symbol of this outside her clothing. This too is important to her. However, a colleague has recently mentioned that this might be off-putting to some of her clients. Amy took this to her supervisor, who responded by saying that, in fact, her whole style of dress may be inappropriate as it may give the wrong signals. However, Aimee believes that if she changed her style of dress she would be uncomfortable and not congruent. Inevitably, she believes, this would spill over into her client work.
  3. 3. Key Questions: The importance of referral. (P4)  What is a referral?  Think of some reasons why a counsellor may refer a client to someone else.  What other organisations may a client be referred to?  Your client is from Shoreham by Sea. Research these organisations, where are they in relation to Shoreham by Sea, how easy are they to get to by car and by public transport, are they free or do they cost money, if so how much, what is the waiting time. All these have an effect on if they are available and how easy they are to access.
  4. 4. Potential Boundary Issues. (P5)  When can you break confidentiality?  When else may confidentiality be broken?  What may happen if confidentiality has to be broken and the client knows about it?  What may happen if the client finds out confidentiality has been broken and they didn’t know about it?  Why may your own skills become a boundary if they are limited? Resistance an explanation. A resistance is anything that can get in the way of the helping relationship. It could be the client’s thoughts and feelings that slow down the progress or cause it to stop, or they may have been reluctant to enter counselling in the first place so don’t want to be there. This may be because they don’t feel they need help, or because they have been referred from another agency. Other clients may not want to talk about their problems to a stranger or reveal personal information that they may not have told anyone else. A practitioner may use resistance through avoiding sensitive topics that they do not feel able to talk about; this can lead to the clients continuing with their problematic behaviours. There are many reasons why practitioners don’t want to raise sensitive issues with the client these include: • It may not be the presenting problem. There is a reluctance to ‘pry’ due to a concern about jeopardising the relationship with clients. • Lack of knowledge about the particular behaviour and a belief that only specialists can handle these problems. • Lack of confidence in responding once the issue has been raised and possibly proves to be a problem. • A belief that if the presenting problem can be ‘fixed’ then the underlying issues e.g. drug use may go away of their own accord. • Degree of comfort/discomfort with own use.  Why may resistance in the client and the practitioner become a boundary issue ?