FUNDAMENTAL OF
COUNSELING
PART I: COUNSELING RELATIONSHIP.




                10/4/2012   MRS.ANUJA CHAVAN.   1
DEFINITION OF
COUNSELLING
   American Counseling Association
    defines it as „ the application of mental
    health, psychological or human
    development principles, through
    cognitive, affective, behavioral or
    systemic interventions, strategies that
    address wellness, personal growth, or
    career development as well as
    pathology.‟

                      10/4/2012   MRS.ANUJA CHAVAN.   2
2010 DEFINITION BY ACA
   “Counseling is a professional
    relationship that empowers diverse
    individuals, families, and groups to
    accomplish mental
    health, wellness, education, and
    career goals.”




                     10/4/2012   MRS.ANUJA CHAVAN.   3
GUIDANCE
   What is Guidance?

    ◦ “Guidance is a process of helping
      people make important choices that
      affect their lives, such as choosing a
      preferred lifestyle”




                      10/4/2012   MRS.ANUJA CHAVAN.   4
PSYCHOTHERAPY
   What is Psychotherapy?

    ◦ Traditionally focuses on serious
      problems associated with
      intrapsychic, internal, and personal
      issues and conflicts. It deals with the
      “recovery of adequacy”




                      10/4/2012   MRS.ANUJA CHAVAN.   5
SUMMARY
 Deals with wellness, personal
  growth, career & pathological
  concerns.
 Conducted with normally functioning
  people or people with serious
  problems.
 Theory based.
 Process that may be developmental /
  intervening.
                 10/4/2012   MRS.ANUJA CHAVAN.   6
:
   Counseling is centered on the difficulties of the
    client.

   Counseling is a learning situation which
    eventually results in a behavioral change.

   Effectiveness in counseling depends largely on
    the readiness of the client to make changes and
    the therapeutic relationship with the counselor.

   The counseling relationship is confidential.


                         10/4/2012   MRS.ANUJA CHAVAN.   7
MEANING OF COUNSELING
RELATIONSHIP
 A process where C facilitate a change
  of attitude & behavior of client.
 It‟s an interactive process. Focusing
  on:
a. Behavior of client.
b. Beilef‟s & values.
c. Level of emotional distress.
Note: connection is imp. Relationship
    between C & c is imp.
                  10/4/2012   MRS.ANUJA CHAVAN.   8
   Pepinsky &Pepinsky define
    relationship “as a hypothetical
    construct to designate the inferred
    affective character of the observable
    interaction between 2 individuals.”




                     10/4/2012   MRS.ANUJA CHAVAN.   9
Process Model:


                  RELATING




           UNDERSTANDING




                 CHANGING

                 10/4/2012   MRS.ANUJA CHAVAN.   10
Respect   Empathy                                     Concreteness
                    Congruence        Immediacy




                      10/4/2012   MRS.ANUJA CHAVAN.              11
EMPATHIC
                    UNDERSTADING




                                             RESPECT &
WARMTH                                        POSITIVE
                                            REGARD




     CONCRETENESS                   GENUINESS




                      10/4/2012    MRS.ANUJA CHAVAN.     12
LEVELS OF EMPATHY
   Primary Empathy:
    Responding in such a way that it is
     apparent to both the client & counselor
     the counselor has understood the client‟s
     major themes.

   Advanced Empathy:
    This takes the relationship one step further.
     You are exploring
     themes, issues, meanings, and emotions
     that are below the surface of what is being
     shared by the client.
                       10/4/2012   MRS.ANUJA CHAVAN.   13
FACILITATIVE CONDITIONS
Rogers (1957; 1959) stated that there are six necessary and sufficient conditions
required for therapeutic change:

Therapist-Client Psychological Contact


Client incongruence, or Vulnerability


Therapist Congruence, or Genuineness


Therapist Unconditional Positive Regard (UPR)


Therapist Empathic understanding


Client Perception


                                     10/4/2012   MRS.ANUJA CHAVAN.              14
Stage II- In-depth
                    Exploration Stage.




                                                     Stage III-
 Stage I- Initial
                                                   Commitment to
Disclosure Stage
                                                      Action




                       10/4/2012   MRS.ANUJA CHAVAN.               15
:
 Goals within counseling help to set the
  tone and direction one travel’s with their
  client.
 Without goals, the sessions will wander
  aimlessly.




                    10/4/2012   MRS.ANUJA CHAVAN.   16
 Mutually agreed on by the client
  and counselor.
 Specific.
 Relevant to behavior.
 Achievement & success oriented.
 Quantifiable & measurable.
 Behavioral & observable.
 Understandable & can be re-stated
  clearly.

                10/4/2012   MRS.ANUJA CHAVAN.   17
Psycho                     Adjustment
   Support      educational                  &Resource
                 Guidance                     Provision


     Crisis                              Problem solving
                 Symptom
 intervention                              & Decision
                Amelioration
    &Mgmt                                    Making



  Insight &        Self -                 Transcendental
Understanding   Actualization               Experience


                    10/4/2012   MRS.ANUJA CHAVAN.         18
 Advice Giving
 Lecturing
 Excessive Questioning
 Storytelling
 Asking “Why?”
 Asking “How did that make you
  feel?”

                10/4/2012   MRS.ANUJA CHAVAN.   19
 When working with a client, you want
  to send a message that you are
  listening.
 This can be done by being attentive
  both verbally (responding to the client) and
  nonverbally.
 SOLER is an acronym which serves to
  remind us how to listen.


                     10/4/2012   MRS.ANUJA CHAVAN.   20
   S: Face the client squarely; that is, adopt a posture
    that indicates involvement.

   O: Adopt an open posture. Sit with both feet on the
    ground to begin with and with your hands
    folded, one over the other.

   L: As you face your client, lean toward him or her.
    Be aware of their space needs.

   E: Maintain eye contact. Looking away or down
    suggests that you are bored or ashamed of what
    the client is saying. Looking at the person
    suggests that you are interested and concerned.

   R: As you incorporate these skills into your
    attending listening skills, relax.

                           10/4/2012   MRS.ANUJA CHAVAN.    21
DIAGNOSTIC SKILLS
 To understand if the c has any
  psychological problems.
 Identification of specific problems is 1st
  step for treatment planning.
 It can be informal /formal procedures.
 Detailed history leads to generating
  hypothesis which leads to final
  inferred.

                    10/4/2012   MRS.ANUJA CHAVAN.   22
 The 1st step is to conduct thorough
  intake interview .
 Understanding Antecedents and other
  associated factors is important.
 If no diagnosis is derived then use
  psychological assessment.
 Questioning
 Probing and leading


                 10/4/2012   MRS.ANUJA CHAVAN.   23
MOTIVATIONAL SKILLS

 MI developed by William Miller &
  Stephen Rollnick.
 Semi-directive client-centered
  approach,
 Non-judgemental, non-confrontational
  &non-adversial.
 To create more insight & awareness




                 10/4/2012   MRS.ANUJA CHAVAN.   24
4 General Principles
 Express Empathy
 Develop Discrepancy
 Roll with Resistance
 Support Self-Efficacy




                  10/4/2012   MRS.ANUJA CHAVAN.   25
GOALS:
 To establish Rapport
 To elicit change talk
 To establish commitment language
  from the client.




                 10/4/2012   MRS.ANUJA CHAVAN.   26
SKILLS- OARS
OPEN-ENDED QTS.

AFFIRM

REFLECTIVE LISTENING
• -SIMPLE
• -AMPLIFIED
• -FEELINGS.
SUMMARIZE
               10/4/2012   MRS.ANUJA CHAVAN.   27
COMMUNICATION




   VERBAL          VOCAL           BODILY               TOUCH
                                                                     TAKING ACTION
COMMUNICATION   COMMUNICATION   COMMUNICATION        COMMUNICATION




                                   10/4/2012    MRS.ANUJA CHAVAN.                28
DIMENSIONS



                                                                   BODILY
VERBAL                          VOCAL                                        - FACIAL EXPRESSION
                                                                             -GAZE
         -LANGUAGE                       - VOLUME                            -EYE-CONTACT
         -CONTENT                        -ARTICULATION                       -GESTURES
         -AMT.OF SPEECH                  -PITCH                              -POSTURE
         -OWNERSHIP OF SPEECH            -EMPHASIS                           -PHYSICAL CLOSENESS
                                         -RATE                               -CLOTHES
                                                                             -GROOMING




                                        10/4/2012        MRS.ANUJA CHAVAN.                         29
COMMUNICATION SKILLS
 It involves observable behavior
 It comprises of both verbal &non-
  verbal communication pattern.




                  10/4/2012   MRS.ANUJA CHAVAN.   30
SKILLS
                            Attending &
                            Encouraging

                            Restating &
                            Paraphrasing
                            Reflecting Content
                            & Reflecting
                            feeling.
                            Clarifying &
                            Perception
                            Checking

                            Summarizing.




         10/4/2012   MRS.ANUJA CHAVAN.           31
DEEPER LEVELS OF
COMMUNICATION

              SELF-DISCLOSURE




    RESPONDING TO
     NON –VERBAL                CONFRONTATION
        CUES




                    10/4/2012   MRS.ANUJA CHAVAN.   32
IMPEDIMENT TO
COMMUNICATION
                        C‟s
                  predisposition.

                                           Premature
                                          Advice Giving




 Story Telling.                              Lecturing


                    Excessive
                   Questioning

                       10/4/2012   MRS.ANUJA CHAVAN.      33
Some Basic Principles
   Each client must be accepted as an individual
    and dealt with as such (the counselor does not
    necessarily approve of all behavior, but still
    accepts the client as a person).

   Counseling is basically a permissive
    relationship; that is, the individual has
    permission to say what they please without
    being reprimanded or judged.

   Counseling emphasizes thinking with; not for
    the individual.

   All decision-making rests with the client.

                         10/4/2012   MRS.ANUJA CHAVAN.   34
   Counseling is centered on the difficulties of the
    client.

   Counseling is a learning situation which
    eventually results in a behavioral change.

   Effectiveness in counseling depends largely on
    the readiness of the client to make changes and
    the therapeutic relationship with the counselor.

   The counseling relationship is confidential.


                         10/4/2012   MRS.ANUJA CHAVAN.   35

Fundamental of counseling

  • 1.
    FUNDAMENTAL OF COUNSELING PART I:COUNSELING RELATIONSHIP. 10/4/2012 MRS.ANUJA CHAVAN. 1
  • 2.
    DEFINITION OF COUNSELLING  American Counseling Association defines it as „ the application of mental health, psychological or human development principles, through cognitive, affective, behavioral or systemic interventions, strategies that address wellness, personal growth, or career development as well as pathology.‟ 10/4/2012 MRS.ANUJA CHAVAN. 2
  • 3.
    2010 DEFINITION BYACA  “Counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.” 10/4/2012 MRS.ANUJA CHAVAN. 3
  • 4.
    GUIDANCE  What is Guidance? ◦ “Guidance is a process of helping people make important choices that affect their lives, such as choosing a preferred lifestyle” 10/4/2012 MRS.ANUJA CHAVAN. 4
  • 5.
    PSYCHOTHERAPY  What is Psychotherapy? ◦ Traditionally focuses on serious problems associated with intrapsychic, internal, and personal issues and conflicts. It deals with the “recovery of adequacy” 10/4/2012 MRS.ANUJA CHAVAN. 5
  • 6.
    SUMMARY  Deals withwellness, personal growth, career & pathological concerns.  Conducted with normally functioning people or people with serious problems.  Theory based.  Process that may be developmental / intervening. 10/4/2012 MRS.ANUJA CHAVAN. 6
  • 7.
    :  Counseling is centered on the difficulties of the client.  Counseling is a learning situation which eventually results in a behavioral change.  Effectiveness in counseling depends largely on the readiness of the client to make changes and the therapeutic relationship with the counselor.  The counseling relationship is confidential. 10/4/2012 MRS.ANUJA CHAVAN. 7
  • 8.
    MEANING OF COUNSELING RELATIONSHIP A process where C facilitate a change of attitude & behavior of client.  It‟s an interactive process. Focusing on: a. Behavior of client. b. Beilef‟s & values. c. Level of emotional distress. Note: connection is imp. Relationship between C & c is imp. 10/4/2012 MRS.ANUJA CHAVAN. 8
  • 9.
    Pepinsky &Pepinsky define relationship “as a hypothetical construct to designate the inferred affective character of the observable interaction between 2 individuals.” 10/4/2012 MRS.ANUJA CHAVAN. 9
  • 10.
    Process Model: RELATING UNDERSTANDING CHANGING 10/4/2012 MRS.ANUJA CHAVAN. 10
  • 11.
    Respect Empathy Concreteness Congruence Immediacy 10/4/2012 MRS.ANUJA CHAVAN. 11
  • 12.
    EMPATHIC UNDERSTADING RESPECT & WARMTH POSITIVE REGARD CONCRETENESS GENUINESS 10/4/2012 MRS.ANUJA CHAVAN. 12
  • 13.
    LEVELS OF EMPATHY  Primary Empathy: Responding in such a way that it is apparent to both the client & counselor the counselor has understood the client‟s major themes.  Advanced Empathy: This takes the relationship one step further. You are exploring themes, issues, meanings, and emotions that are below the surface of what is being shared by the client. 10/4/2012 MRS.ANUJA CHAVAN. 13
  • 14.
    FACILITATIVE CONDITIONS Rogers (1957;1959) stated that there are six necessary and sufficient conditions required for therapeutic change: Therapist-Client Psychological Contact Client incongruence, or Vulnerability Therapist Congruence, or Genuineness Therapist Unconditional Positive Regard (UPR) Therapist Empathic understanding Client Perception 10/4/2012 MRS.ANUJA CHAVAN. 14
  • 15.
    Stage II- In-depth Exploration Stage. Stage III- Stage I- Initial Commitment to Disclosure Stage Action 10/4/2012 MRS.ANUJA CHAVAN. 15
  • 16.
    :  Goals withincounseling help to set the tone and direction one travel’s with their client.  Without goals, the sessions will wander aimlessly. 10/4/2012 MRS.ANUJA CHAVAN. 16
  • 17.
     Mutually agreedon by the client and counselor.  Specific.  Relevant to behavior.  Achievement & success oriented.  Quantifiable & measurable.  Behavioral & observable.  Understandable & can be re-stated clearly. 10/4/2012 MRS.ANUJA CHAVAN. 17
  • 18.
    Psycho Adjustment Support educational &Resource Guidance Provision Crisis Problem solving Symptom intervention & Decision Amelioration &Mgmt Making Insight & Self - Transcendental Understanding Actualization Experience 10/4/2012 MRS.ANUJA CHAVAN. 18
  • 19.
     Advice Giving Lecturing  Excessive Questioning  Storytelling  Asking “Why?”  Asking “How did that make you feel?” 10/4/2012 MRS.ANUJA CHAVAN. 19
  • 20.
     When workingwith a client, you want to send a message that you are listening.  This can be done by being attentive both verbally (responding to the client) and nonverbally.  SOLER is an acronym which serves to remind us how to listen. 10/4/2012 MRS.ANUJA CHAVAN. 20
  • 21.
    S: Face the client squarely; that is, adopt a posture that indicates involvement.  O: Adopt an open posture. Sit with both feet on the ground to begin with and with your hands folded, one over the other.  L: As you face your client, lean toward him or her. Be aware of their space needs.  E: Maintain eye contact. Looking away or down suggests that you are bored or ashamed of what the client is saying. Looking at the person suggests that you are interested and concerned.  R: As you incorporate these skills into your attending listening skills, relax. 10/4/2012 MRS.ANUJA CHAVAN. 21
  • 22.
    DIAGNOSTIC SKILLS  Tounderstand if the c has any psychological problems.  Identification of specific problems is 1st step for treatment planning.  It can be informal /formal procedures.  Detailed history leads to generating hypothesis which leads to final inferred. 10/4/2012 MRS.ANUJA CHAVAN. 22
  • 23.
     The 1ststep is to conduct thorough intake interview .  Understanding Antecedents and other associated factors is important.  If no diagnosis is derived then use psychological assessment.  Questioning  Probing and leading 10/4/2012 MRS.ANUJA CHAVAN. 23
  • 24.
    MOTIVATIONAL SKILLS  MIdeveloped by William Miller & Stephen Rollnick.  Semi-directive client-centered approach,  Non-judgemental, non-confrontational &non-adversial.  To create more insight & awareness 10/4/2012 MRS.ANUJA CHAVAN. 24
  • 25.
    4 General Principles Express Empathy  Develop Discrepancy  Roll with Resistance  Support Self-Efficacy 10/4/2012 MRS.ANUJA CHAVAN. 25
  • 26.
    GOALS:  To establishRapport  To elicit change talk  To establish commitment language from the client. 10/4/2012 MRS.ANUJA CHAVAN. 26
  • 27.
    SKILLS- OARS OPEN-ENDED QTS. AFFIRM REFLECTIVELISTENING • -SIMPLE • -AMPLIFIED • -FEELINGS. SUMMARIZE 10/4/2012 MRS.ANUJA CHAVAN. 27
  • 28.
    COMMUNICATION VERBAL VOCAL BODILY TOUCH TAKING ACTION COMMUNICATION COMMUNICATION COMMUNICATION COMMUNICATION 10/4/2012 MRS.ANUJA CHAVAN. 28
  • 29.
    DIMENSIONS BODILY VERBAL VOCAL - FACIAL EXPRESSION -GAZE -LANGUAGE - VOLUME -EYE-CONTACT -CONTENT -ARTICULATION -GESTURES -AMT.OF SPEECH -PITCH -POSTURE -OWNERSHIP OF SPEECH -EMPHASIS -PHYSICAL CLOSENESS -RATE -CLOTHES -GROOMING 10/4/2012 MRS.ANUJA CHAVAN. 29
  • 30.
    COMMUNICATION SKILLS  Itinvolves observable behavior  It comprises of both verbal &non- verbal communication pattern. 10/4/2012 MRS.ANUJA CHAVAN. 30
  • 31.
    SKILLS Attending & Encouraging Restating & Paraphrasing Reflecting Content & Reflecting feeling. Clarifying & Perception Checking Summarizing. 10/4/2012 MRS.ANUJA CHAVAN. 31
  • 32.
    DEEPER LEVELS OF COMMUNICATION SELF-DISCLOSURE RESPONDING TO NON –VERBAL CONFRONTATION CUES 10/4/2012 MRS.ANUJA CHAVAN. 32
  • 33.
    IMPEDIMENT TO COMMUNICATION C‟s predisposition. Premature Advice Giving Story Telling. Lecturing Excessive Questioning 10/4/2012 MRS.ANUJA CHAVAN. 33
  • 34.
    Some Basic Principles  Each client must be accepted as an individual and dealt with as such (the counselor does not necessarily approve of all behavior, but still accepts the client as a person).  Counseling is basically a permissive relationship; that is, the individual has permission to say what they please without being reprimanded or judged.  Counseling emphasizes thinking with; not for the individual.  All decision-making rests with the client. 10/4/2012 MRS.ANUJA CHAVAN. 34
  • 35.
    Counseling is centered on the difficulties of the client.  Counseling is a learning situation which eventually results in a behavioral change.  Effectiveness in counseling depends largely on the readiness of the client to make changes and the therapeutic relationship with the counselor.  The counseling relationship is confidential. 10/4/2012 MRS.ANUJA CHAVAN. 35