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Growing Hope    Anne Barnwell March 30, 2011 Anne Barnwell   March 30, 2011 1
Counselors create   working partnerships  to help clients grow their dreams  into tangible realities. Anne Barnwell   March 30, 2011 2
Carl Rogersperson centered therapy  An ideal therapeutic relationship includes:  Congruence and genuineness   Unconditional positive regard and acceptance  Accurate empathic understanding Corey, G., (2009). Theory and Practice of Counseling and Psychotherapy. Cengage Learning Anne Barnwell   March 30, 2011 3
Qualitative research supports aperson centered approach     Validation is important in forming a working alliance as well as: Teaching new skills  Attentive body language and non-verbal behavior  Guidance and challenging           Bedi, R.P., (2006). Concept mapping: the client’s perspective on counseling alliance formation Journal of Counseling Psychology, 53:1 pp. 26-35 Anne Barnwell   March 30, 2011 4
What clients rate as important Validation Education  Nonverbal gestures Presentation and body language Guidance and challenging Referrals and recommended materials Honesty Emotional Support and Care Session Administration Clients personal responsibility Setting Bedi, R.P., (2006). Concept mapping: the client’s perspective on counseling alliance formation Journal of Counseling Psychology, 53:1 pp. 26-35 Anne Barnwell   March 30, 2011 5
My approach to counseling  I plan to: Observe carefully and listen actively Avoid assumptions Value personal choice and self determination no matter what level of disability Learn what clients have to teach about their life journeys Anne Barnwell   March 30, 2011 6
Skilled helping starts by asking clients to tell their story -  What does the big picture look like to them?  Gerard Egan Anne Barnwell   March 30, 2011 7
When do they feel alive and growing?  When do they feel stuck? Anne Barnwell   March 30, 2011 8
Draw out their story Use a mix of tuning in, listening, empathy, probing, and summarizing. Respect their perspective on their own story. Help clients talk about their past as it relates to the present. Look for experiences, thoughts, feelings and behavior.          Egan, G., (2010). The Skilled Helper: A problem-Management and Opportunity-development approach to helping Anne Barnwell   March 30, 2011 9
Skilled helpers encourage clients to reframe problems –  Look for opportunities Challenge unused strengths How has the experience of disability affected their lives? Anne Barnwell   March 30, 2011 10
Reframing Disability What does it mean to them to have a disability? What experiences, thoughts, and feelings have they had  as a consequence of having a disability? How is this style of thinking working for them?  Would they consider thinking of it in a new way? Anne Barnwell   March 30, 2011 11
The new vision for people with disabilities: Independence, productivity, self-determination,  integration, and inclusion Anne Barnwell   March 30, 2011 12
Self-Determination and Productivity Self -determination Productivity 13 Anne Barnwell   March 30, 2011
Self-determination – the practice of individuals with intellectual disabilities making important decisions in their lives Productivity – the value of work or study in peoples lives and receiving appropriate wages for that work 14 Anne Barnwell   March 30, 2011
Integration and Inclusion Integration Inclusion 15 Anne Barnwell   March 30, 2011
	 Integration – contrasts with segregation.  It  can focus on bringing the behavior and appearance of people with disabilities more in line with community norms 	Inclusion – the inclusion of all people into the community;  society creates supports that allow people to be themselves 16 Anne Barnwell   March 30, 2011
Skilled helpers assist people to think about their preferred future -   and then nurture that vision. Gerard Egan Anne Barnwell   March 30, 2011 17
Help clients set goals they can visualize as pieces of a larger picture. Anne Barnwell   March 30, 2011 18
Each step in the job seeking and skill building process may seem scary -   So skilled helpers need to create opportunities for clients to move  from “I can’t”        to “I can”.  Anne Barnwell   March 30, 2011 19
Albert Bandura Self-Efficacy Theory Self-mastery - performance accomplishments Learning by observation- vicarious experiences Encouragement– verbal persuasion Emotional experiences- emotional arousal        O’Sullivan, D., & Strauser, D.R., (2007), Operationalizing Self-Efficacy, Related Social Cognitive Variables, and Moderating Effects , Rehabilitation Counseling Bulletin, vol.52, no.4. Anne Barnwell   March 30, 2011 20
Enhancing self-efficacy Ensure clients have the skills they need –       decision making and goal setting, as well as vocational skills Provide encouragement Use success as a reinforcer Use interventions that fit client learning styles        Egan, G., (2010). The Skilled Helper: A problem-Management and Opportunity-development approach to helping Anne Barnwell   March 30, 2011 21
Ideally as clients accomplish each step, they grow in pride and self-worth,  self-efficacy, and self-determination. Anne Barnwell   March 30, 2011 22
Maintaining progress comes from watering the garden Help clients plan adequate support to reach their goals Financial Emotional Physical Educational Anne Barnwell   March 30, 2011 23
  “The existential view of human nature is captured, in part, by the notion that the significance of our existence is never fixed once and for all; rather we continually re-create ourselves through our projects.” GerardCorey Anne Barnwell   March 30, 2011 24
We’re each responsible for cultivating our own garden Anne Barnwell   March 30, 2011 25
As counselors we have the privilege of helping people   grow Anne Barnwell   March 30, 2011 26

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Rehab Counseling Timed Growing Hope

  • 1. Growing Hope Anne Barnwell March 30, 2011 Anne Barnwell March 30, 2011 1
  • 2. Counselors create working partnerships to help clients grow their dreams into tangible realities. Anne Barnwell March 30, 2011 2
  • 3. Carl Rogersperson centered therapy An ideal therapeutic relationship includes: Congruence and genuineness Unconditional positive regard and acceptance Accurate empathic understanding Corey, G., (2009). Theory and Practice of Counseling and Psychotherapy. Cengage Learning Anne Barnwell March 30, 2011 3
  • 4. Qualitative research supports aperson centered approach Validation is important in forming a working alliance as well as: Teaching new skills Attentive body language and non-verbal behavior Guidance and challenging Bedi, R.P., (2006). Concept mapping: the client’s perspective on counseling alliance formation Journal of Counseling Psychology, 53:1 pp. 26-35 Anne Barnwell March 30, 2011 4
  • 5. What clients rate as important Validation Education Nonverbal gestures Presentation and body language Guidance and challenging Referrals and recommended materials Honesty Emotional Support and Care Session Administration Clients personal responsibility Setting Bedi, R.P., (2006). Concept mapping: the client’s perspective on counseling alliance formation Journal of Counseling Psychology, 53:1 pp. 26-35 Anne Barnwell March 30, 2011 5
  • 6. My approach to counseling I plan to: Observe carefully and listen actively Avoid assumptions Value personal choice and self determination no matter what level of disability Learn what clients have to teach about their life journeys Anne Barnwell March 30, 2011 6
  • 7. Skilled helping starts by asking clients to tell their story - What does the big picture look like to them? Gerard Egan Anne Barnwell March 30, 2011 7
  • 8. When do they feel alive and growing? When do they feel stuck? Anne Barnwell March 30, 2011 8
  • 9. Draw out their story Use a mix of tuning in, listening, empathy, probing, and summarizing. Respect their perspective on their own story. Help clients talk about their past as it relates to the present. Look for experiences, thoughts, feelings and behavior. Egan, G., (2010). The Skilled Helper: A problem-Management and Opportunity-development approach to helping Anne Barnwell March 30, 2011 9
  • 10. Skilled helpers encourage clients to reframe problems – Look for opportunities Challenge unused strengths How has the experience of disability affected their lives? Anne Barnwell March 30, 2011 10
  • 11. Reframing Disability What does it mean to them to have a disability? What experiences, thoughts, and feelings have they had as a consequence of having a disability? How is this style of thinking working for them? Would they consider thinking of it in a new way? Anne Barnwell March 30, 2011 11
  • 12. The new vision for people with disabilities: Independence, productivity, self-determination, integration, and inclusion Anne Barnwell March 30, 2011 12
  • 13. Self-Determination and Productivity Self -determination Productivity 13 Anne Barnwell March 30, 2011
  • 14. Self-determination – the practice of individuals with intellectual disabilities making important decisions in their lives Productivity – the value of work or study in peoples lives and receiving appropriate wages for that work 14 Anne Barnwell March 30, 2011
  • 15. Integration and Inclusion Integration Inclusion 15 Anne Barnwell March 30, 2011
  • 16. Integration – contrasts with segregation. It can focus on bringing the behavior and appearance of people with disabilities more in line with community norms Inclusion – the inclusion of all people into the community; society creates supports that allow people to be themselves 16 Anne Barnwell March 30, 2011
  • 17. Skilled helpers assist people to think about their preferred future - and then nurture that vision. Gerard Egan Anne Barnwell March 30, 2011 17
  • 18. Help clients set goals they can visualize as pieces of a larger picture. Anne Barnwell March 30, 2011 18
  • 19. Each step in the job seeking and skill building process may seem scary - So skilled helpers need to create opportunities for clients to move from “I can’t” to “I can”. Anne Barnwell March 30, 2011 19
  • 20. Albert Bandura Self-Efficacy Theory Self-mastery - performance accomplishments Learning by observation- vicarious experiences Encouragement– verbal persuasion Emotional experiences- emotional arousal O’Sullivan, D., & Strauser, D.R., (2007), Operationalizing Self-Efficacy, Related Social Cognitive Variables, and Moderating Effects , Rehabilitation Counseling Bulletin, vol.52, no.4. Anne Barnwell March 30, 2011 20
  • 21. Enhancing self-efficacy Ensure clients have the skills they need – decision making and goal setting, as well as vocational skills Provide encouragement Use success as a reinforcer Use interventions that fit client learning styles Egan, G., (2010). The Skilled Helper: A problem-Management and Opportunity-development approach to helping Anne Barnwell March 30, 2011 21
  • 22. Ideally as clients accomplish each step, they grow in pride and self-worth, self-efficacy, and self-determination. Anne Barnwell March 30, 2011 22
  • 23. Maintaining progress comes from watering the garden Help clients plan adequate support to reach their goals Financial Emotional Physical Educational Anne Barnwell March 30, 2011 23
  • 24. “The existential view of human nature is captured, in part, by the notion that the significance of our existence is never fixed once and for all; rather we continually re-create ourselves through our projects.” GerardCorey Anne Barnwell March 30, 2011 24
  • 25. We’re each responsible for cultivating our own garden Anne Barnwell March 30, 2011 25
  • 26. As counselors we have the privilege of helping people grow Anne Barnwell March 30, 2011 26