Confrontation
- counseling microskill that must be used with great care
- involves moving a client from an immobilized developmental process toward change and transformation. It is an integrative skill using both listening and influencing.
- heavily utilized in Gestalt therapy, motivational interviewing, and multicultural and feminist therapy
Empathy response
- an essential counseling skill.
- counselor affirms the story that is being told with acceptance and genuine understanding.
- Includes 1) feeling, 2)context, 3) include body language that reflects what is being said
here-and-now
- does not mean ignoring the past and the future.
- includes sharing of past events and future aspirations, but the focus is on client's feeling about and reactions to past and future in the present, rather than what has or may happen
- role play is one way to keep here/now
ABC Model of Intervention
- A represents the Activating Event. B represents the Belief about A. C represents the Consequences.
- If the activating event cannot be avoided, the client will learn how to dispute the belief. This will help lessen harmful negative emotions such as rage, betrayal, or shame. Instead, he may feel disappointment, frustration, or regret. While these are still negative emotions, they are less harmful and their consequences are more manageable.
- emotion regulation skill
Triggers
An internal or external trigger. Sometimes, it involves a misinterpretation of the trigger
Appraisals
The trigger is appraised as intentional, unexpected, and preventable. Those with a low tolerance for frustration are likely to appraise a trigger in such a negative way.
Experiences
physical and mental inner experience and the thoughts that accompany it. There may be a rush of adrenaline, raised blood pressure and heart rate, rapid breathing, fury, and an inability to think about anything else.
Expressive patterns
These are the observable responses. They may be verbal or physical
Expressive patterns are typically reinforced in childhood or modeled after someone, such as a parent.
Psychoeducation
- essential counseling microskill.
- Aim to grow the confidence of your clients by sharing knowledge or teaching skills they can use for a lifetime. This empowerment will enable your clients to make informed decisions about their healthcare.
- Discourage random internet searching or “googling” for information.
Reframing/redirection
- essential counseling microskill using critical thinking.
- The client explains her current problem. The counselor discerns how the client interprets the issue, how she views it as a part of her life. The counselor then provides a fresh perspective on the problem, often surprising the client.
- Ideally, your reframing/redirecting will elicit a positive response in which the client has a fresh way of looking at her problem.
- use of reframing/redirecting involves exposure of strengths.
Summarization
As you summarize, you meld together what the client is saying with your observations, also considering what hasn’t been spoken.
- it ensures that you correctly understood his story.
- organizes the client’s communication
- gives validity to your client’s feelings and experiences.
Transference
concept in which the client projects their feelings on the therapist
Countertransference
occurs when feelings are aroused in the therapist by the client. These feelings are related to the therapist's unresolved conflict from past or present relationships rather than the actual therapeutic relationship with the client. I
Repression
Unacceptable feelings are sent to the unconscious
Altruism
Helping others to avoid unacceptable personal feelings
Humor
Uncomfortable feelings are expressed in a humorous method
Sublimation
Modifies unacceptable feelings to be more socially acceptable
Suppression
Unacceptable feelings are not dealt with
Acting Out
Behaving in a socially unacceptable way to avoid feelings
Splitting
Separating into two opposite constructs
Regression
Reverting back to an earlier self
Denial
Refusing to accept reality
Rationalization
Converting an unacceptable outcome into a reasonable explanation
Reaction Formation
Coverting unacceptable feelings into their opposite
Projection
Attributing unacceptable feelings to others
Displacement
Feelings are redirected at others to releave tension created by those feelings
Identification
Acting like someone else
Intellectualization
Thinking rather than feeling
Dissociation
Removing one's self from emotions
Undoing
Acting in a right way to reverse wrong behavior