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Session 4 Hand Outs Chapter 2 Counselling Lesson 3-5
Session 4 Hand Outs Chapter 2 Counselling Lesson 3-5
1. Articulate the characteristics and needs of the different types of clientele and audiences for counselling
2. Appreciate the services of the counsellors render in different setting.
3. Illustrate the different processes and methods of counselling.
4. Propose suggestions on how needs can be effectively addressed
Values Integration
The values that students can learned in this session are appreciating the services of the counselors.
Reflect on the services and clientele and audiences of counselors
Vocabulary
AIDS- (Acquired Immune deficiency syndrome) - the immune system is severely weakened.
Serious infections and health problems happen
Mental health- includes our emotional, psychological, and social well-being. It affects how we think,
feel, and act. It also helps determine how we handle stress, relate to others, and make choices.
Intricacies- something that is complex or detailed
Work settings-used to be describe the surrounding conditions in which an employee operates and
location where a task is completed.
Interventions- action taken or strategies to improve a situation, especially a medical disorder
Practitioners- someone who works in a job that involves long training and high levels of skill.
Scientific tool- based on or characterized by the methods and principles of science and it is done very
systematically
Termination- as used in psychology, refers to mutual ending of services between a client therapists.
Rapport- a close harmonious relationship which the people or people or groups concerned
understand each other’s feelings or ideas and communicate well.
Psychoanalytical- a method of analysing psychic phenomena and treating emotional disorders
that involves treatment sessions during which the client is encouraged to talk freely about personal
experiences and especially about early childhood and dreams.
Behavioural- relating to the way someone behaves , involving or emphasizing behaviour
Transference- is process of projecting one’s feelings toward an important figure in your life onto
someone else. It is one method through which those conflicts can be recognized and hopefully,
resolved.
Psychotherapy- or talk therapy, is a way to help people with a broad variety of mental illnesses and
emotional difficulties and help eliminate or control troubling symptoms so a person can function better
and can increase well-being and healing.
Rectify- put something right or to correct
Reorientation – is the act of figuring out again where you are in relationship to your environment , or
changing direction
Analytic Psychology- theory of mind that emphasizes the importance of wholeness for each
individual and it emphasizes the significance of the present
Experiential theory- which are concerned generating impact on the emotions of clients to effect
change.
Person- Centred Theory- has been described as “if-then” approach because this approach this
approach considers that if certain conditions exist in the counselling relationship, then the client will
move toward self-actualization
Congruence – a state in which a person’s ideal self and actual experience are consistent or every
similar.
REBT- (Rational Emotive Behaviour Transaction Analysis)-highlight the role of cognitions on
emotions with the assertion that persons can be best appreciated in terms of internal cognitive dialogue
or self-talk
Cognitive –concerned with mental processes (as perception , thinking, learning, and memory)
especially with respect to the internal events occurring between sensory stimulation and the overt
expression
Rational- refers to being of sound mind and having (or exercising) the ability to reason. In addition,
psychology being rational means using conscious thought processes to solve problem.
DE catastrophizing- a method is referred to as “what if and includes priming clients for results that
may strongly affect the client
TA-(Transaction Analysis) - refers to examining and dissecting transactions between people.
Transactions – any interaction between the person and the social or physical surroundings,
particularly during involvement between at least two individuals.
Anxiety- fear or nervousness about what might happen
Depression- a serious medical condition in which a person feels very sad , hopeless , and
unimportant and often is unable to live a normal way
Suicide- the act of killing yourself because you do not want to continue living
Discussion
A. Lesson 3 Clientele and Audiences in Counselling
The clientele and audiences of the counselling profession come from different settings.
Counsellors deal with a mixture of people with different concerns and issues. Through the years, special
counselling populations have evolved. The special clientele have been given increasing attention by the
counselling profession due to frequent occurrences and growing number of clients.
The special counselling profession is composed of the people who abuse drugs, people who use tobacco,
women, older adults, people with AIDS, victims of abuse, gay men and lesbian women, and people with
disabilities.( Gibson and Mitchell, 2003). The items below briefly describe each of the following special
counselling population:
Women
Even with the changing role of women in society, men still predominantly control purchasing and
decision-making powers. Most men still have less participation in household responsibilities and child
care. In this case women’s advancement is constrained. What complicates this situation is the
women’s perception about themselves and the society’s expectations. Counsellors are responsible in
helping women appreciate their own values, abilities, aptitudes, and interests and to utilize these to
develop their full potential. (Gibson and Mitchel, 2003)
Older Adults
The aging population is increasingly rising and demands more attention. Retirees who are adjusting to life
outside work feel lost and ignored. Life for them suddenly loses meaning. A transition from a busy like to
retirement stage must be instituted. This is a challenge to the counselling profession. Other aging issues
that require attention of counselling include loss of a partner, decline of mental capacity and mobility,
increased loneliness, decline in financial security, etc.
Victims of Abuse
This population represents victims of domestic violence characterized by spouse and child abuses.
Spouse abuse is often associated with poverty, drug abuse and career disappointments. The abuse has
also become rampant and has caused psychological damage to the victims. The counsellors are
increasingly being utilized to help the victims.
Gay Men and Lesbian Women
There is a growing number of gays and lesbians that are coming out. However, there are still sectors in
the society, including their own families that avoid and discriminate them. They are usually the victims of
harassment, violence, discrimination, and isolation. Gays and lesbians, like other sectors of the society,
suffer from peer denial, family clash, health uncertainties, and prejudgment. Counselling will focus on
self-awareness, self-awareness, self- acceptance and understanding.
The situation of the special counselling populations indicates the increasing and growing need of the
counselling profession. However, counsellors helping institutions, in general, need to continue upgrading
themselves to match the changing requirements of their clientele.
Counselors in Schools – has grown rapidly. According to Gibson and Mitchell (2003), counselors
are recognized especially in the preventive interventions and developmental stage. There are
elementary school counselors, junior high school counselors, secondary school counselors,
counselors in vocational schools, counselors in higher education, and counselors in community and
junior colleges. The counseling service in the schools is usually located under the student affairs
program. It is under the supervision of the Dean of Students Affairs.
Counselors in the Community Setting – refers to employment in community, agency, and other
non-school professional situations. Counselors can be found in community and mental health
agencies, employment and rehabilitation agencies, correctional settings, and marriage and family
practice. ( Gibson and Mitchell , 2003 )
Counselors in the Private Sector – refers to counselors who decided to do full time work as
private practitioners or engage in part – time private practice while employed by community
agencies. This is feasible if the counselors expertise and specialization matches or relevant to an
adequate client population in the geographic area. ( Gibson and Mitchell , 2003 )
Counselors in the Government - counsellors are also present in various agencies of government or
institutions supported by the government that are into social welfare, health, and education.
Relevant agencies or institutions include public schools, public social welfare agencies such as that
for the youth, children, and the aging.
C. Lesson 5 Counselling and Its Processes, Methods, and Tools
Processes in Counselling
The counselling process is considered as an art and a science. The art, which is the subjective
part, requires counselling to be sensitive to the world of client. It entails good listening skills and ability
to demonstrate care and empathy. The science which represents the objective part of the process requires
the use of scientific tools to obtain comprehension on what is happening during the different stages of
counselling process.
There are six stages of the counseling process, namely, relationship building, assessment and
diagnosis, formulation of the counseling goals, intervention and problem solving, termination and follow
–up, and research and evaluation.
1. Stage One: Relationship Building
This is the heart of counselling process because it provides the force and foundation for the counselling to
succeed. (Tylus, 2003
This stage involves establishing rapport,
promote acceptance of the client as a person with worth,
establishing genuine interaction,
promote direct mutual communication
helping clients understand themselves,
helping client focus and
Slowly promote counselling relevant communication, from the client.
2. Stage Two: Assessment and Diagnosis
One of the most crucial stages.
This serves as the window for the counsellor to have a thorough appreciation of the client’s
condition.
It entails analysis of the root causes of problems.
The data that will be gathered in diagnosis will be utilized in the formulation of goals.
3. Stage Three: Formulation of Counselling Goals
Goals are important as it sets the direction of the counselling process.
It shall serve as the parameter of work and the client-counsellor relationship.
Counselling goals may be treated as a process goal or outcome goal.
The client and counsellor must agree on the counselling goals.
4. Stage Four: Intervention and Problem Solving
Guidelines: (Cormier and Cormier (1998) as cited by Tysul (2003)
The counselor has to provide a mapping of the different approaches offered.
Describe the role of the counselor and client for each procedure.
Identify possible risks and benefits that may come.
Estimate the time and cost of each procedure.
Kafner and Busemeyer identified the six-stage model for problem solving:
Problem detection
Problem definition
Identification of alternative solutions
Decision-making
Execution
Verification
5. Stage Five: Termination and Follow –up
The essential goal in counselling is to witness a client progress on his/her own without the
assistance of the counselor.
There are four components of termination which were identified by Quintan and Holahan:
1. Discussion of the end of counselling
2. Review of the course of counselling
3. Closure of the counsellor-client relationship
4. Discussion of the client’s future and post-counselling plan
6. Stage Six: Research and Evaluation
This stage can be undertaken at any point in the counselling stage.
Research and evaluation are fundamental part of the evaluation.
Results of the research provide a scientific appreciation of the counselling situation.
METHODS IN COUNSELLING
The items to be discussed in this section involve the theoretical orientations of counsellors and
their corresponding approaches. The approaches to be studied which are within the broad theoretical
categories include psychoanalytical, affective, cognitive, and behavioural (Galding, 2000).
The presentation of the theories and methods will be divided into three. The first part focuses on
the classic theories of Freud (psychoanalytic), Adler (Individual Psychology), and Jung (Analytic
Psychology). The second part centers on experiential theories of Rogers (Person- Centred Therapy) and
Pearl (Gestalt /Therapy) , the third part is about Rational Emotive Behavior Therapy of Ellis, Cognitive
Theory of Beck , and Transactional Analysis of Berne.
1. CLASSIC THEORIES -The psychological theories developed by Sigmund Freud, Alfred Adler, and
Carl Jung are considered as the classic schools for the reason that they primed the underpinning of clinical
practice.
FREUD’S PSYCHOANALYTIC THEORY -The approach of Freud in counselling and
psychotherapy is popularly known as psychoanalysis which is an analysis of the mind. Its objective is to
restructure the personality by resolution of intrapsychic conflict, which focuses in the internal forces such
as unconscious processes .It focuses on personal adjustment through reorganization of internal forces
within the person to help him/her become aware of the unconscious aspect of his/her personality. It
focuses on personal adjustment through reorganization of internal forces within the person to help
him/her become aware of the unconscious aspect of his/her personality.
Psychoanalysis has three goals:
1. to help clients gain insights about themselves
2. to help clients work unstuck issues
3. to help clients cope with the stresses of the society
Methods/Techniques Description
FREE ASSOCIATION a method to encourage the patient to discuss whatever
comes to his mind in order to release suppressed
emotions.
DREAM ANALYSIS a method to explore unconscious process using dreams.
INTERPRETATION a process of giving insights to patients about their inner
conflicts which can be reflected in resistance,
transference, and other processes.
Phases Description
First Phase: Establishing the Relationship
Use of listening skills Effective listening skills are necessary to
promote mutual trust and respect
Winning respect and offering hope Winning the respect of clients and offering
hope can increase the client’s motivation
towards becoming involved in counselling
Encouragement Encouragement gives the feeling of support
to the clients which can help believing in
themselves.
Condition Description
1. Counselor Congruence This implies that the counsellor must be congruent with what
they experience and why they communicate. For example: “If
you feel threatened by the client, you cannot say you enjoy their
company” will create confusion among the clients.
2. Empathic Understanding This implies that the counsellors must attempt to understand the
client from the client from the client’s perspective or frame of
references.
3.UnconditionalPositive Regard This implies that it is vital for the counsellors to a sense of
acceptance and respect to the client. It does not mean accepting
and tolerating anything about the client’s actions or words but to
see and consider the client as a person.
Manifestations that the client is ready to move towards self-actualization include:
- Openness to experience
- Self-trust
- Possesses internal source of evolution
- Willingness to grow
The person-centred psychology minimizes the use of techniques. Rogers believes that the counselling
relationship can be form core conditions that are necessary for self-actualization. Nevertheless the
approach utilizes listening to communicate appreciation. (Roger, 1961 as cited by Tysul (2003)
B. Perls Gestalt Therapy
Gestalt‘s counselling approach focuses on the here and now.( Yontef’s and Jacob ,2000 as cited
by Tysul, 2003).
It refers to the dialogue between the therapist and the client wherein the client experiences from
the inside what the therapist observes from the outside.
The goal of the approach is awareness on the environment, of responsibility for choices, of self,
and self-acceptance.
This approach is approach is appropriate for people who lack awareness and have a feeling of
“out of touch.’’
Technique Description
ASSUMING The methods requires the client to rephrase a statement to assume
RESPONSIBILI
responsibility. Ask the client to end all the statement with—and I take
TY responsibility for it.
Example: I will report to the principal what David did to Diana and I will
take responsibility for it.
USING The method encourages the clients to take personal responsibility by saying,
PERSONAL “I or me “instead of stating in general terms such as “we or us”.
PRONOUNS Example: Instead of saying, we got scared of the angry people who mobbed
our car, say; I got scared of the angry people who mobbed our car.
NOW I AM The methods is a means to assist the clients in getting in touch with
AWARE her/himself. The counsellor may ask the clients to close their eyes to get in
touch with inner world and say,” Now I am aware………’’
Example: Now I am aware of the silence and I’m afraid that I will hear
something scary.
THE EMPTY The methods can help the clients to work through conflicting parts of
CHAIR personality. The empty chair technique is done by putting an empty chair in
TECHNIQUE front of the client. The empty chair is the chair of the personality that avoids
to do what the clients wants to do.
The counsellor will instruct the client to start the conversation with the
his/her other personality seated at the chair in front of him/her stating why
he/she want to give feedback and what is feedback all about. After that, the
client will be asked to sit on the empty chair and express why s/he does not
want to give feedback. Then the client will move back and forth until the
issue is resolved.
Technique Description
Cognitive Reforming ideas that are reasonable and irrational. Focus on
“defeating cognitions
Emotive Techniques focus on the client’s “affective or emotional domain”
Behavioural Techniques Focus on the full array of behavioural methods such as assertiveness
training, relaxation therapy, self-management, self-monitoring, and
homework assignments.
Technique Description
DECATASTROPHIZIN This method is referred to as “what if” and includes priming clients for
G results that may be strongly affect the clients.
REDEFINING This method assists clients to drum up clients who have a lost sense
control on an obstacle by rearticulating an obstacle to something that may
be useful.
Example: “I am a ugly” to “I am beautiful.’’
DECENTERING This method comprise of instructing the clients to observe and get
practical appreciation of other people’s response. This will help clients
apprehend that they are not the “centre of attention”.
BEHAVIORAL This method applies a broad selection of methods to assist clients
TECHNIQUES obtaining “essential skills, relaxing, preparing for difficult situations, and
exposing them to feared situations.
Source: Galding, 2000