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6 ingredients of positive change
-therapeutic relationship
-goals and a sense of direction
-therapeutic learning
-encouragement of self awareness and insight
-improvement in clients abilities
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Ingredients of positive change) Therapeutic relationship
characterized by the rapport build between the client and therapist
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Ingredients of positive change) a shared understanding:
all the parties involved should be aware of the plan and resolution of the process
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Ingredients of positive change) Therapeutic learning:
should include feedback and corrective experiences
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Ingredients of positive change) Improvement in clients abilities
-change dysfunctional behavior, modify behavior, modify thoughts, acquire coping strategies etc
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What are the 5 characteristics of successful clients
-maturity
-capacity for relationships
-ability to establish appropriate interpersonal boundaries
-introspection and psychological mindness
-high frustration tolerance
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characteristics of successful clients) Maturity
well organized person will be able to commit to treatment and to follow through suggestions to help themselves
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characteristics of successful clients) Capacity for relationships
clients with good interpersonal skills are more likely to collaborate with the therapist
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characteristics of successful clients) ability to establish appropriate interpersonal boundaries
not being too dependent or independent of the therapist
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characteristics of successful clients) Introspection and Psychological mindness
people who are accustomed to looking within themselves and thinking in insightful ways about people and relationships are more likely to continue with treatment
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characteristics of successful clients) High frustration tolerance
people that have patience will persevere and last longer in treatment than needy, impulsive people
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within session factors of patients) 4 important factors of this
-motivation
-positive and realistic expectations of the treatment
-full participation in treatment
-cultural sensitivity
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within session factors of patients) Motivation
it is important that the client is cooperative and engaged with the treatment/process
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within session factors of patients) Positive and realistic expectations of treament
People should have a good idea how and what psychotherapy is
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within session factors of patients) Full participation treatment
Successful clients think that their own success came because they were actively engaged with the process
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4 important conditions for building a positive therapeutic alliance
-empathy
-unconditional positive regard
-congruence
-hope/Optimism
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important conditions for building a positive therapeutic alliance) Empathy
ability to see the world through the clients eyes and to communicate that understanding so the client feels heard and validated
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important conditions for building a positive therapeutic alliance) unconditional positive regard
this gives the client the message that the client is there for them and not because its their job
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important conditions for building a positive therapeutic alliance) Congruence
- Being genuine.
- *give clients honest, clear, and sensitive messages
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important conditions for building a positive therapeutic alliance) hope or optimism
persistence and showing that they are in this for the long haul till the patient gets better or progresses
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what are 2 things that should be established within the first few sessions?
-role induction
-developing a therapeutic alliance
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first few sessions) Role induction
clients should be informed what to expect and their role in the process
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first few sessions) Developing therapeutic alliance
- a client usually makes up their mind about whether or not they will be able to create a relationship with the therapist within the first sessions.
- *after that, it is hard to change the perception
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4 types of encouragers
-minimal encouragers
-restatement
-paraphrasing
- summarization
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encouragers) 3 types of minimal encouragers
-umm-hmm
-repetition of a word
-how so?
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encouragers) Minimal encouragers- umm-hmm
use this when the client is talking about themselves and being productive with their time
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encouragers) Minimal encouragers- repetition of a word
repeats a clients phrase or spoken word to encourage the client to narrate further
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encouragers) Minimal encouragers- how so?
it prompts the client to hone in on a specific topic to explore more specific
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encouragers) paraphrase
- gives the client the opportunity to hear what they said without it being analyzed, interpreted, or add depth
- *also the therapist does not recite the words rather paraphrases
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encouragers) Summarization
clinician pulls together and synthesized things what the client has been telling him/her.
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4 reasons why the background information is important
-important developmental factors
-history may be impacting present
-revealing patterns
-revealing coping strategies
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3 thoughts on intake interview
- - a lot of different questions across multiple contexts
- *asking questions about abuse, gang life, school, family etc in one session
-seems odd for first time clinicians
-gaging comfort and couching questions
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Why are open-ended questions better for counseling sessions?
they require the client to go more in depth and express their viewpoints.
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