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Counseling Test 2

Chapter 7

Empowerment Process of helping the client discover personal strengths and capacities to take control of their lives. Identify barriers and remove the gaps
Five empowering activities 1. motivating 2. Confronting 3. Helping clients think differently 4. goal setting 5. action planning
Variables in unsuccessful counseling Motivation, capacity, opportunity
Motivation Push of discomfort, pulll of hope, internal pressures that drive you
Push of Discomfort - hate it in the time, with perspective and reflection it wasn't as bad/ even good - at the moment at its worse, your done -what level do you get to to have that motivation to do/ not do something
Pull of hope what someone or something uses to change
Internal Pressures that drive you want to change cause you don’t like how it makes you feel, or how the event played out
Motivational problems Burnout, Client in denial, involuntary client, Learned helplessness, Ambivalent, Energized but fragile
Burn out "I'm tired, I don't know if I can do this again" Investigate reason for previous failure
Client in denial "I don't have a problem" educational info needed
Involuntary client "I'm here for another reason". use empathy
Learned helplessness "I can't, nothing will help" increase locus of control
Ambivalent "I have mixed feelings" Explorer mixed feelings
Energized but fragile "I really want to change, but crumble easily" use positive reinforcement and plan for obstacles
Motivational interviewing 1. use of empathy 2. Develop discrepancy 3. Roll with resistance 4. Support self efficacy
Develop discrepancy The method is to initiate "change talk". Strategies include: using scaling questions, using elaboration skills, looking back and forward with the client, exploring goals and values vs. current behavior, positives/ negatives of status quo
Rolling with resistance Power struggles can occur when counselors confront clients with arguments for change. Power struggles will occur when: offer unsolicited advice, tell clients how they should feel, ask excessive questions, orde, preach, argue for change, blame/ criticize
Radical acceptance A strategy that involves encouraging expression of statements that you tend to disagree with or philosophically oppose
Amplified reflection A technique that exaggerates what a client has with the hope that the client Will present the other side of ambivalence
Self efficacy Promoting client confidence, identify past success, reviews drinks and resources, work on small and achievable goals, a firm the client effort and successes
Stages of change/ Trans theoretical model of change Pre-contemplative, contemplative, preparation, action, maintenance
Pre-contemplative stage Client at this stage have no intention of changing. These clients do not perceive themselves as having a problem. "I don't have a problem"
Contemplative stage Clients no they have a problem and are thinking about change but have not developed a plan or made a commitment to take action "maybe I should do something about it"
Preparation stage Clients have made a decision to change and motivating them is no longer the principal task "I'm going to do it next week"
Action stage Clients are actively involved in the chain process "I'm changing"
Maintenance stage Clients are faced with challenges to maintain the changes that has been made and to deal with relapses. "I've done it. I need to keep doing it"
Cognitive behavioral counseling A counseling approach that assess clients to identify and modify unhelpful thinking and problematic behavior
CBT ABC model 1. Activating event 2. Beliefs 3. consequence behavior or emotion
Automatic thoughts Thoughts that occur spontaneously and are often outside of one's awareness
Thinking patterns Fold the reasoning caused by distortion, incomplete analysis, egocentricity, rigidity, and self-defeating thoughts
Unhelpful thinking patterns include Emotional decision-making, distortion, selective attention, worry or rumination, magnification and minimization, Mind reading, perfectionism, self-defeating thoughts
Emotional decision-making Making decisions while emotional. Emotions can and often should play a part in most decisions. Is problematic when it results in negative outcomes
Distortion Results from misinterpretations, faulty assumptions, or cultural biases, and can include delusional thinking
Selective attention Errors arise from a failure to look at all aspects of a problem or situation
Worry or rumination Excessive amounts of this interferes with problem-solving and it may lead to feelings of anxiety, depression, Helplessness and pessimism
Magnification and minimization These types of thinking patterns distort fax by extreme and exaggerated thinking
Perfectionism These individuals are under constant stress caused by the anxiety to perform, or the realization that they have failed to reach or sustain their unrealistic expectations of self
Self-defeating thought Inner dialogue of critical messages
Thought stopping/ diversion A technique for breaking the pattern of repetitive self-defeating thought patterns
Mindfulness Focusing on a moment to moment experiences without judgment
Reframing A technique for helping clients look at things differently I suggesting alternative interpretations, Perspectives, or new meanings
Goal setting A counseling process that helps clients define in precise, measurable terms what they hope to achieve from the work of counseling
Outcome goal A goal related too what the client hopes To achieve from counseling
Process goal The methods and procedures that will be used in counseling to assist clients in reaching their goals
Effective goals are Concrete, specific, measurable, challenging but realistic, timely owned by client and under their control
Purpose of goal setting Gives direction, find goals, motivates clients, provide a benchmark of progress
Steps for action planning/ problem solving process 1. identify alternatives 2. choose an action strategy 3. develop and implement plans 4. evaluate outcomes
Contingency plan A preventive plan that anticipates possible barriers that clients might encounter as they carry out action plans
HALT An acronym for hungry, angry, lonely, and tired. Halt is a quick way to help clients assess triggers and plan alternative responses
Brief counseling An approach to counseling characterized by a focus on resources And solutions rather than problems
Miracle question Use in brief or single session counseling as a way to help clients who have difficulty coming up with defined goals. It challenges clients to imagine how their lives would be different is a miracle solve their problem
Anti-oppressive practice When counselors work for structural changes in organizations, policy, and in promoting equity in the distribution of resources, opportunities, And power
Learned helplessness The state of mind that occurs when individuals have learned through failure that their efforts will not result in change
Motivational interviewing A nonconfrontational counseling approach that promotes behavioral change by assisting clients to recognize and resolve ambivalence
Change talk Client statements favoring change
Sustain talk Client statements favoring the status quo
Created by: Lysa545