Chcaod511 b session three


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Chcaod511 b session three

  1. 1. Session three 17/03/11
  2. 3. Why are they important? <ul><li>Questions can either prohibit the flow of information in a conversation or enhance the content </li></ul><ul><li>Open ended questions assist by helping the counsellor gain a better understanding of the client, subsequently leading to a deeper helping relationship </li></ul>
  3. 4. Closed questions <ul><li>Can be answered with one or two word responses </li></ul><ul><li>Don’t leave room for elaboration, opinion or interpretation </li></ul><ul><li>Limited creativity </li></ul><ul><li>Prohibit the conversation to flow </li></ul>
  4. 5. Closed questions <ul><li>Are usually phrases such as; </li></ul><ul><ul><li>Did you? </li></ul></ul><ul><ul><li>When? </li></ul></ul><ul><ul><li>Do you want to? </li></ul></ul><ul><ul><li>Will you? </li></ul></ul><ul><ul><li>Have you? </li></ul></ul>
  5. 6. Closed questions <ul><li>Can be useful when.. </li></ul><ul><ul><li>Needed quick and direct responses in relation to a situation </li></ul></ul><ul><ul><li>During assessment </li></ul></ul><ul><ul><li>To clarify something the client has said </li></ul></ul><ul><ul><li>To highlight an important point </li></ul></ul>
  6. 7. Open ended questions <ul><li>Cannot be answered with one or two word responses </li></ul><ul><li>Require some thought in responding </li></ul><ul><li>Provide much more detail which can assist in the flow of conversation and deeper insight </li></ul><ul><li>Gives the client more time to talk </li></ul>
  7. 8. More benefits <ul><li>Encourages the client to consider there responses more deeply and reflect on the content of the conversation </li></ul><ul><li>Enhances listening as counsellors have to wait for a longer response with these questions.  </li></ul><ul><li>Counsellors can still lead a conversation by steering with questions however they will receive more in depth responses </li></ul>
  8. 9. Activity <ul><li>Turn the following closed questions into open ended; </li></ul><ul><ul><li>So you would have been upset that you didn’t get the job? </li></ul></ul><ul><ul><li>H ow have you felt since you started reducing your cannabis use? </li></ul></ul><ul><ul><li>You mentioned that you have been getting along with your boyfriend better since you told him about your use. </li></ul></ul><ul><ul><li>Do you drink often? </li></ul></ul>
  9. 10. Paraphrasing <ul><li>In addition to questioning, paraphrasing is essential in ensuring that you have understood what the client has said in response to the question </li></ul><ul><li>Example: </li></ul><ul><li>Client: “I find it really hard not to use weed when I go to my mate’s house.” </li></ul><ul><li>Counselor: “It sounds like you can already identify some of your triggers to use, particularly at your mate’s place.” </li></ul>
  10. 11. Paraphrasing is used <ul><li>To assist the counsellor to portray that they have understood what the client has said </li></ul><ul><li>To help the client by focusing on what they have said </li></ul><ul><li>In order to encourage the client to elaborate </li></ul><ul><li>To ensure that the counsellor has understood the client or to elicit more information </li></ul>
  11. 13. Client perceptions <ul><li>Problem behaviours are often linked to irrational beliefs present in the client </li></ul><ul><li>These beliefs need to be challenged and the client assisted to form a new set of beliefs which encourage more pro-social behaviours and coping </li></ul><ul><li>Challenging needs to be assertive, not aggressive </li></ul><ul><li>It can be done inadvertently or directly </li></ul>
  12. 14. Irrational beliefs <ul><li>Rational Emotive Behaviour Therapy (REBT) identifies 12 irrational beliefs </li></ul><ul><li>In REBT intervention focuses on assisting clients to replace these irrational beliefs with rational ones </li></ul><ul><li>The following has been obtained from </li></ul>
  13. 15. Irrational belief 1 <ul><li>The idea that it is a dire necessity for adults to be loved by significant others for almost everything they do— </li></ul><ul><li>Rational belief....... </li></ul><ul><ul><li>Instead of their concentrating on their own self-respect, on winning approval for practical purposes , and on loving rather than on being loved. </li></ul></ul>
  14. 16. Irrational belief 2 <ul><li>The idea that certain acts are awful or wicked, and that people who perform such acts should be severely damned – </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that certain acts are self-defeating or antisocial , and that people who perform such acts are behaving stupidly, ignorantly, or neurotically, and would be better helped to change.  People's poor behaviors do not make them rotten individuals. </li></ul></ul>
  15. 17. Irrational belief 3 <ul><li>The idea that it is horrible when things are not the way we like them to be— </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that it is too bad, that we would better try to change or control bad conditions so that they become more satisfactory, and, if that is not possible, we had better temporarily accept and gracefully lump their existence. </li></ul></ul>
  16. 18. Irrational belief 4 <ul><li>The idea that human misery is invariably externally caused and is forced on us by outside people and events </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that neurosis is largely caused by the view that we take of unfortunate conditions . </li></ul></ul>
  17. 19. Irrational belief 5 <ul><li>The idea that if something is or may be dangerous or fearsome we should be terribly upset and endlessly obsess about it— </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that one would better frankly face it and render it non-dangerous and, when that is not possible, accept the inevitable. </li></ul></ul>
  18. 20. Irrational belief 6 <ul><li>The idea that it is easier to avoid than to face life difficulties and self-responsibilities </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that the so-called easy way is usually much harder in the long run. </li></ul></ul>
  19. 21. Irrational belief 7 <ul><li>The idea that we absolutely need something other or stronger or greater than ourself on which to rely -- </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that it is better to take the risks of thinking and acting less dependently </li></ul></ul>
  20. 22. Irrational belief 8 <ul><li>The idea that we should be thoroughly competent, intelligent , and achieving in all possible respects -- </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that we would better do rather than always need to do well, and accept ourself as a quite imperfect creature, who has general human limitations and specific fallibilities. </li></ul></ul>
  21. 23. Irrational belief 9 <ul><li>The idea that because something once strongly affected our life , it should indefinitely affect it -- </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that we can learn from our past experiences but not be overly-attached to or prejudiced by them. </li></ul></ul>
  22. 24. Irrational belief 10 <ul><li>The idea that we must have certain and perfect control over things -- </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that the world is full of improbability and chance and that we can still enjoy life despite this </li></ul></ul>
  23. 25. Irrational belief 11 <ul><li>The idea that human happiness can be achieved by inertia and inaction -- </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that we tend to be happiest when we are vitally absorbed in creative pursuits, or when we are devoting ourselves to people or projects outside ourselves. </li></ul></ul>
  24. 26. Irrational belief 12 <ul><li>The idea that we have virtually no control over our emotions and that we cannot help feeling disturbed about things -- </li></ul><ul><li>Rational belief </li></ul><ul><ul><li>Instead of the idea that we have real control over our destructive emotions if we choose to work at changing the “musturbatory” hypotheses which we often employ to create them. </li></ul></ul>
  25. 27. Challenging these beliefs <ul><li>Pro-social modelling </li></ul><ul><li>Identifying the belief when it presents in the client </li></ul><ul><li>Educating and equipping the client with skills to identify irrational thinking and strategies to address these </li></ul>