Название: Counseling and Psychotherapy
Автор: Группа авторов
Издательство: John Wiley & Sons Limited
Жанр: Психотерапия и консультирование
isbn: 9781119904106
isbn:
Questioning
Questioning, when done in an open manner, enables the counselor or therapist to gain important information and allows the client to remain in control of the information presented. Using open questioning, the counselor or therapist designs questions to encourage the broadest client responses. Open questions, as opposed to closed questions, generally cannot be completely answered by either yes or no, nor can they be answered nonverbally by shaking the head. This type of questioning places responsibility with clients and allows them a degree of control over what information will be shared.
Example
1 Client: I’ve thought a lot about what we talked about last week, and I feel I have to work on changing my behavior.
Open Questioning
1 Counselor/Therapist: Would you tell me what you think needs to be done to change your behavior?
2 Client: (short pause) I need to stop screwing up my chances for a relationship. I need to face what it is that makes me run away.
Open Questioning
1 Counselor/Therapist: Would you please talk more about the “it” that makes you run away?
2 Client: I can’t tell you what it is. All I know is that I hear this voice saying, “Run, run.”
Probing and Leading
Probing and leading strategies enable a counselor or therapist to gather information in a specific area related to the client’s presented concerns (probing) or to encourage the client to respond to specific topic areas (leading). Each of these strategies enables the counselor or therapist to explore in greater depth areas that are seen as important to progress within the session.
Example
Probing
1 Counselor/Therapist: I want you to be more specific about this “voice.” Whose voice is it? What does it say to you?
2 Client: (very long pause) I guess it’s my voice. It sounds like something I would do. I’m such a jerk.
Leading
1 Counselor/Therapist: You told me whose voice it is, but you didn’t tell me what the voice says. Would you talk about this?
2 Client: (raising his voice) It says, “Get out or you’re going to get hurt. She doesn’t like you and she’ll use you and drop you just like the rest.”
Strategies That Add Depth and Enhance the Relationship
Some strategies are used to enhance and expand the communicative and relationship patterns that are established early in the counseling or therapeutic process. When used effectively, these strategies should open up deeper levels of communication and strengthen the relationship patterns that have already been established. Counselors or therapists using these strategies model types of behaviors that they wish their clients to emulate. Such behaviors include, but are not limited to, risk taking, sharing of self, demonstrating trust, and honest interaction. This set of strategies includes self-disclosure, confrontation, and responding to nonverbal cues. The following paragraphs present explanations and examples of these strategies.
Self-Disclosure
Self-disclosure has implications for both clients and counselors or therapists. In self-disclosing, the counselor or therapist shares with the client their feelings, thoughts, and experiences that are relevant to the situation presented by the client. The counselor or therapist draws on situations from their own life experiences and selectively shares these personal reactions with the client. It is important to note that self-disclosure could have both a positive and a negative impact on the helping relationship, and care must be taken in measuring the impact it may have. From a positive perspective, it carries with it the possibility of modeling self-disclosure for the client or helping the client gain a different perspective on the presenting problems. From a negative perspective, self-disclosure might place the focus on the counselor’s or therapist’s issues rather than on those of the client. When self-disclosure is used appropriately, gains are made by all persons involved, and the relationship moves to deeper levels of understanding and sharing.
Example
Self-Disclosure
1 Counselor/Therapist: (aware of the client’s agitation) The anger I hear in your voice and words triggers anger in me as I think of my own lost relationships.
2 Client: (smiling) I am angry. I’m also glad you said that. Sometimes I feel like I’m the only one who ever felt this way.
Self-Disclosure
1 Counselor/Therapist: (smiling) I am very pleased with what you just said. At this moment, I also do not feel alone with my anger.
Confrontation
Confrontation enables the counselor or therapist to provide the client with feedback in which discrepancies are presented in an honest and matter-of-fact manner. A counselor or therapist uses this strategy to indicate their reaction to the client, to identify differences between the client’s words and behaviors, and to challenge the client to put words and ideas into action. This type of direct and honest feedback should provide the client with insight into how they are perceived as well as indicate the degree of counselor or therapist caring.
Example
1 Client: (smiling) I feel angry at myself a great deal. I want so much to find a person and develop a relationship that lasts.
Confrontation
1 Counselor/Therapist: You’ve said this several times in our sessions, but I’m not sure I believe you, based on what you do to keep it from happening. Make me believe you really want this to happen.
2 Client: What do you mean, you don’t believe me? I just told you, didn’t I? What more do you want?
Confrontation
1 Counselor/Therapist: Yes, I’ve heard СКАЧАТЬ