International interviewing and counseling 9th ivey chapter 01

Chapter Goals and Competency Objectives Awareness and Knowledge ▲ Define and discuss similarities and differences among interviewing, counseling, and psychotherapy and review who actuall

Intentional Interviewing and Counseling:

Facilitating Client Development in a

Chapter 1

Intentional Interviewing, Counseling, and Psychotherapy

Chapter Goals and Competency Objectives

Awareness and Knowledge

▲ Define and discuss similarities and differences among interviewing, counseling, and psychotherapy and review who actually conducts most of the helping sessions This may be surprising and rewarding

▲ Explore the session as both science and art We ask you to reflect on yourself as a potential helper While science undergirds what is said here, you, as an

independent artist, will find your own integration of knowledge and skills

▲ Identify intentionality and cultural intentionality as bases for increasing your flexibility to reach a wide variety of clients facing an endless array of concerns, issues,

and challenges.

▲ Examine key goals of counseling and psychotherapy: self-actualization, resilience, and resolution of client issues.

▲ Consider the place of cutting-edge neuroscience in your work and in the future of counseling and psychotherapy.

▲ Identify the locations where counseling and psychotherapy are practiced.

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Chapter Goals and Competency Objectives (cont.)

Skills and Action

▲ The microskills hierarchy provides a foundation for interview action, not only in a beginning form but also in

conjunction with multiple theories and approaches to counseling and therapy, including person-centered, cognitive behavioral therapy (CBT), crisis counseling, and many others.

▲ As your first practical exercise, record a counseling session demonstrating your natural style of communicating and helping This provides a baseline so that later you can examine how your counseling style may have changed and grown during your time with this book Practicing and developing a Portfolio of Competencies provide a summary and journal of your experience.

Introduction: Interviewing, Counseling, and Psychotherapy

Sienna:

“I wonder when I’ll be able to see Freddy [baby’s father] again Mom works hard to keep him away from me I mean, I want him involved; he wants to be with me and the baby But my mom wants me home His mom said she’s looking for a two-bedroom apartment so we could possibly live there, but I know my mom will never go for it She wants me to stay with her until I graduate from high school and, well, to be honest, so that this never happens again [points to her belly].”

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Introduction: Interviewing, Counseling, and Psychotherapy (cont.)

Defining Interviewing, Counseling, and Psychotherapy

▲ The terms interviewing, counseling, and psychotherapy are used interchangeably in this textbook

▲ Interviewing: the process of gathering data, providing information and advice to clients, and suggesting workable alternatives for

resolving concerns

▲ Coaching: “partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and

professional potential” (International Coach Federation, 2015)

▲ Counseling: an intensive and personal process for clients; focused on listening and developing strategies for change and

growth

▲ Psychotherapy: focused on deep-seated and entrenched client issues, which often require more time for resolution Many of the

skills and concepts of interviewing and counseling are also used in psychotherapy

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Cultural Intentionality: The Flexible, Aware, and Skilled Counselor

▲ The culturally intentional counselor acts with a sense of purpose (intention), skill, and respect for the diversity of clients.

▲ You can facilitate client development in many ways

▲ Cultural intentionality is a central goal.

▲ Be yourself, but

 realize that to reach a wide variety of clients, you will need to be flexible, constantly changing behavior and learning new ways of interacting with each client

Intentionality and Flexibility

▲ Intentionality speaks to the importance of being in the moment and responding flexibly to the

ever changing situations and needs of clients.

▲ Flexibility is basic to the art form of helping.

 However, flexibility must be based on solid knowledge, awareness, and skills that turn into culturally intentional action.

Cultural Intentionality

▲ Cultural intentionality: acting with a sense of capability and flexibly choosing an action from a range of alternatives.

▲ The interview occurs in a cultural context, and you need to be aware of diversity and differences

▲ The culturally intentional individual has more than one action, thought, or behavior to choose from in responding to changing life situations and diverse clients

▲ The culturally intentional counselor can assist clients in addressing a variety of situations while honoring and respecting diverse cultural beliefs

▲ Without basic understanding of and sensitivity to a client’s uniqueness, you may fail to establish a relationship and achieve an understanding of the client’s issues

Resilience and Self-Actualization

▲ Clients come to us feeling that are not functioning effectively and are focused on what’s wrong

with them They are stressed, stuck, overwhelmed, and unable to act.

▲ They may have a negative self-concept; they may be depressed, or they may be full of anger

Resilience and Self-Actualization (cont.)

▲ What does intentionality and flexibility mean for you as a counselor or therapist?

 Clients will benefit and become stronger as they feel heard and respected

 They will become intentionally flexible with new ways to resolve their concerns.

 Resolving specific immediate issues will help them feel empowered and facilitate further action.

▲ Resilience is both a short-term and long-term goal of effective counseling and therapy.

▲ We seek to help clients resolve issues and concerns, handle future difficulties, become more competent, and respect themselves more

▲ Helping a client resolve an issue contributes to client resilience.

▲ Pointing out to clients that they are demonstrating resilience and ability helps facilitate longer-term success.

▲ Counseling’s ultimate goal is to teach self-healing—the capacity to use what is learned in counseling to resolve future issues.

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▲ Self-actualization:

 The curative force in psychotherapy—man’s tendency to actualize himself, to become his potentialities to express and

activate all the capacities of the organism (Rogers, 1961, pp 350–351)

 Intrinsic growth of what is already in the organism, or more accurately of what is the organism itself self-actualization is growth-motivated rather than deficiency-motivated (Maslow, Frager, & Fadiman, 1987, p 66)

▲ Closely related to both cultural intentionality and resilience

▲ Rogers and Maslow believed in the ability of individuals to overcome challenges and take charge of their lives

▲ Counseling and psychotherapy sessions are important for being in relation to others and their cultural/environmental

▲ Microskills

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The Microskills Hierarchy

▲ The microskills hierarchy summarizes the

successive steps of intentional counseling and psychotherapy

▲ The microskills rest on a base of ethics, multicultural competence, neuroscience, positive psychology, and resilience

From Attending and Observation to Listening and Influencing

▲ Once you have mastered attending and observation skills, you will move up the microskills pyramid to the empathetic basic

listening skills of questioning, observation, encouraging, paraphrasing, summarizing, and reflecting feelings.

 Once you have basic competence, you will be able to conduct a session using only listening skills.

 The five-stage structure provides an empathetic relationship-story and strength-goals-restory-action framework for integrating microskills into a

complete counseling session.

▲ Afterward, you will encounter the influencing skills of interviewing, counseling, and therapy

(self-disclosure and feedback, logical consequences, and some basics of decision counseling), providing information and direction for the client, emphasizing stress management, psychoeducation, and therapeutic lifestyle changes.

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Mastering Microskills

▲ After mastering listening skills, the ability to conduct an interview using only your listening skills, and the advanced skills, you will be prepared to consider alternative theories and models of helping

▲ The microskills are used in multiple forms of practice of counseling and psychotherapy.

 For example, mastering the listening skills and the structure of the interview will give you a strong foundation for learning person-centered theory and becoming a competent Rogerian.

The Microskills Hierarchy: The Listening and Action Skills of the Helping Process

▲ At the apex of the microskills pyramid, you will integrate skills to develop your own style of

counseling and therapy and transcendence.

 Transcendence speaks to your capacity to go beyond yourself and successfully apply your newly mastered skills to help others.

▲ As you gain expertise, you will learn that each client has a totally unique response to you and your natural style

 Many clients will work well with you; some will require that you adapt to their style

 Having many alternatives ready to help your varying clientele is desirable.

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The Six-Step Learning Framework

The six-step learning framework:

1. Introduction. Focus on a single skill and identify it as a vital part of the holistic interview

2. Awareness , Knowledge, and Skills Read about the single skill or strategy and/or hear a lecture on the main points of effective use from your instructor.

3. Observation View skills via transcript and process analysis or watch a live or videotaped demonstration of microskills interviewing

4. Multiple Applications Review different applications of the skills, variations according to diversity and other dimensions, and additional ways in which a skill or strategy can be used.

5. Action: Key Points and Practice You can use video or audio recording for skill practice Role-play practice with observers and feedback sheets

is also effective Seek immediate feedback after each practice session Use the Feedback Sheets.

6. Portfolio of Competencies and Personal Reflection Develop and organize a summary of your interviewing, counseling, and psychotherapy skills

Neuroscience and Neurobiology: Implications of Cutting-Edge Science for the Future of

Counseling and Psychotherapy

▲ Recent developments in brain science are changing the way we look at people and the influence of the environment on

individuals

▲ The brain is constantly developing new neural networks This is an example of brain plasticity and neurogenesis.

▲ Effective counseling and therapy can cause development of useful new neurons and neural connections in the brain

▲ “Neuroplasticity can result in the wholesale remodeling of neural networks a brain can rewire itself” (Schwartz & Begley, 2003,

Neuroscience and Neurobiology: Implications of Cutting-Edge Science for the Future of

Counseling and Psychotherapy (cont.)

▲ Eighty percent of medical issues involve the brain and stress (Ratey & Manning, 2014)

▲ In most forms of counseling and psychotherapy practice, stress is considered an underlying issue

▲ Stress management and therapeutic lifestyle changes are effective routes toward both mental and physical health and necessary regardless of personal counseling style or preferred theoretical approach.

▲ Helping clients to manage stressful life events is critical in many styles in client intervention and treatment.

▲Strategies to help clients better cope with stress and manage stressful issues

Office, Community, Phone, and Internet: Where Do We Meet Clients?

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Library School Detention center or jail Client’s workplace Church

Restaurant

Counseling, interviewing, and therapy can

take place outside of the formal office:

Office, Community, Phone, and Internet: Where Do We Meet Clients?

questions.

 However, this practice is fraught with practical and ethical issues.

relationship.

Your Natural Helping Style: Establishing Your Baseline

1. Ask a friend or family member to role-play a client who must make a decision related to a concern, an issue, or an opportunity Interview or practice counseling that “client” for at least 15 minutes, using your own natural style

2. Read pages 28-30 of Chapter 2 and follow the ethical guidelines as you engage this volunteer client

3. A video recording, with feedback from colleagues and/or clients, is the preferred method for examination of your counseling style

4. When your interview concludes, ask the volunteer client to complete the Client Feedback Form (Box 1.3)

5. Transcribe the video or audio tape for later study and analysis

6. What stands out for you from the client feedback form?

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▲ Review your audio or video recording and ask yourself and the volunteer client the following questions Include your thoughts about these questions in your Portfolio of Competencies

1. What did you do right in this session? What did the client notice that was helpful?

2. What stands out from the Client Feedback Form?

3. What was the essence of the client’s story? How did you help the client bring out his/her narrative/issues/concerns?

4. How did you demonstrate intentionality? When something you said did not go as you anticipated, what did you do next?

5. How did you experience the session? How authentic and genuine did you feel?

6. Name one thing you would like to improve in the next session What actions will you take to make the improvement?

Key Points: The Art of Applying and Taking Action As You Work Through This

Book

▲ Interviewing, Counseling, and Psychotherapy

▲ Counseling Is Both Science and Art

▲ Cultural Intentionality

▲ Resilience and Self-Actualization

▲ Microskills and the Microskills Hierarchy

▲ Neuroscience/Neurobiology and Stress

▲ Places Where We Meet Clients

▲ Your Natural Helping Style

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