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C4P4: A Consultation Checklist

Landy Gobes
Abstract or proficient," and "to make prepared .
The C4P4 Checklist-(Contact, Contract, for a test of skill" (p. 1251). Supervision is
Context, Content, Process, Parallel process, defined as ,. a critical watching and directing"
Professional level of development, and Plan (p. 1185). Both words, training and supervi-
for the future)-is both an organizing tech- sion, imply a long-term process of professional
nique and a memory aid for consultants. development that is directed by another
Consultation is differentiated from supervi- professional.
sion and training. A consultant, however, is "one who gives
professional advice or services" (Webster's
The checklist presented in this article is a Dictionary, 1983, p. 282). One implication of
memory aid (4 Cs and 4 Ps) and an organizing this definition is that a consultant may work on
technique for a consultant to use in each con- a short-term basis and does not necessarily have
sultation session. It is not an exhaustive listing a relationship with or ongoing responsibility for
of the components of consultation, supervision, the consultee.
or training. The C4P4 checklist is designed for The C4P4 Checklist (Table 1) is a useful and
consultation rather than for supervision or train- easily memorized framework which contains
ing because it does not address the long-term eight components of the consultation process.
needs of the supervisee or the relationship Although the components are listed in the usual
issues between trainer and trainee. order of attention, this order may vary from
The transactional analysis literature contains session to session. These components are
four major articles that address supervision and monitored by the consultant at two levels,
training. Barnes (1977) described techniques namely, the process between the consultant and
for contractual supervision. Erskine (1982) the consultee and the process between the con-
outlined approaches to supervision of sultee and his or her client.
psychotherapy and organized them according
to stages of professional development. Zalcman
Table 1
and Cornell (1983a, 1983b) created two three-
The C4P4 Checklist
dimensional frameworks to illustrate clinical
supervision. Finally, Loria (1983) wrote about
the necessity for sound educational principles Contact
in TA training. Contract
These four articles described in different Context
ways the process of training a psychotherapist.
Content
To train, according to Webster's Dictionary
(1983), is "to form by instruction, discipline, Process
or drill," "to teach so as to make fit, qualified, Parallel Process
Professional Level
The author wishes to acknowledge the support of the
of Development
members ofthe Professional Development Seminar of the Plan for the
Institute ofIntegrative Psychotherapy, Kent, Connecticut, Future
U.S.A., and the ideas ofServaas van Beekum, Helen Camp-
bell, and Julie Hay in the formulation of this article.

42 Transactional Analysis Journal


C4P4: A CONSULTATION CHECKLIST

Elements of the C4P4 Checklist content of the client problem to make sure that
Contact. The consultant's ability to be in con- important elements are not being overlooked.
tact with the consultee is crucial to good con- For example, if the client mentions suicide or
sultation. "Contact is the full awareness of in- violence, the consultant ascertains that the con-
ternal desires, needs, perceptions, emotions, or sultee has taken appropriate action for the safety
thoughts, with the concomitant ability to shift and protection of those involved.
to full awareness of what and who is in the Process. Process describes all that happens
environment-a rapid oscillation between the between people in a consultation or therapy ses-
internal and the external, between the self and sion. The consultant monitors the process be-
the other person" (Erskine & Moursund, 1988, tween the consultant and the consul tee and the
pp. 48-49). While remaining available for con- process between the consultee and the client at
tact, the consultant notices the degree of con- the social and at the psychological level. At the
tact he or she experiences with the consultee social level, for example, the consultant might
in the consultation session. In addition, the con- notice the time structuring and stroking patterns
sultant considers the degree to which the con- within a therapy group, a classroom, or a com-
sultee and the client are in contact. The con- pany. At the psychological level of process, a
sultant notices interruptions to the contact, who consultant might investigate transferential and
interrupts, what aspects of the contact are in- contertransferential issues.
terrupted, and in what way. Blocked and Parallel process. Clarkson (1991) described
tangential transactions are two examples of in- parallel process as "the interactional field of
terrupted contact (Mellor & Schiff, 1975, the therapist/patient field replicated in the
p. 305). therapist/supervisor field" (p. 181). She con-
Contract. Berne (1966) defined a contract as tinued, "Any combination of patient and
"an explicit bilateral commitment to a well- therapist reactions to each other thus forms a
defined course of action" (p. 362). A consul- dynamic field which is manifested in the super-
tant establishes such a contract for the consulta- visory relationship and referred to as parallel
tion process and also determines whether the process" (p. 181). Thus the consultant deter-
consultee has a clear and valid contract with mines if the process of the client's session is
the client. Steiner (1974) stated that the four recurring in the consulting session. The con-
basic requirements of a valid contract are sultant needs to be aware of and to avoid the
mutual consent, consideration, competency, human tendency toward parallel process. For
and a lawful object (pp. 243-250). Being in example, if the client is vague and long-winded,
good contact and establishing an operational and if the consultee is also tending toward lo-
contract are essential components of the pro- quacity, then a crisp, concise response from the
cess between consultant and consul tee as well consultant is in order.
as the process between consultee and client. Professional experience level. The profes-
Context. Context is "the interrelated condi- sional experience level of a consultee is deter-
tions in which something exists or occurs" mined by subjectively rating his or her ex-
(Webster's Dictionary, 1983, p. 283). One of perience and competency. A consultee is rated
the first tasks of consultation is to determine as a beginning, an intermediate, or an advanced
the context of the consultation problem. For ex- clinician, educator, or organizational trainer.
ample, a consultee might ask, "What do I do The style of consultation varies with the con-
when my client cancels her appointment?" The sultee's level of professional development
answer depends upon the context. Some of the (Erskine, 1982). The appropriate support for
contextual questions the consultant might ask a beginner would not meet the needs of an in-
are: Why did the client cancel? Is this a new termediate practitioner and might even be in-
client? Has this happened in the past? What is sulting to someone who is highly skilled.
your usual policy for cancellation? These and A beginner needs support, encouragement,
other questions explore the context of both the and information. Consultation will be more ef-
client's and the consultee's situations. fective for the beginner if the consultant em-
Content. Content refers to the topics dis- phasizes what the consultee has done correctly
cussed in a session. The consultant considers and gives him or her one new piece of infor-
the content of the consultation problem and the mation, rather than pointing out the myriad of

Vol. 23, No.1, January 1993 43


LANDY GOBES

things that the beginner has left undone. With She maintains a private practice in psycho-
an intermediate practitioner, however, a con- therapy and training in West Hartford, Con-
sultant can use a more challenging approach. necticut, U.S. A. , and is a Fellow ofthe Institute
For example, the evocative use of questions, for Integrative Psychotherapy ofNew York City.
such as: "Why did you take that direction?" Please send reprint requests to Landy Gobes,
can help an intermediate professional to solidify 1168 New Britain Avenue, West Hartford, CT
his or her thinking. With an advanced profes- 06110, U.S.A.
sional, a consultant might ask an expanding
type of question, such as: "How could you REFERENCES
have done that work differently?" or "From Barnes, G. (1977). Techniques of contractual supervision.
In M. James and contributors, Techniques in transac-
what other theoretical framework could you
tional analysis for psychotherapists and counselors (pp.
consider this issue?" This approach might 166-175). Reading, MA: Addison-Wesley.
allow the advanced consultee to solve his or her Berne, E. (1966). Principlesofgroup treatment. New York:
own problem by looking at it from an additional Grove Press.
perspective. Clarkson, P. (1991) Further through the looking glass:
Plan for the future. To finish the consulta- Transference, countertransference, and parallel process
tion session, the consultant ascertains that there in transactional analysis psychotherapy and supervision.
are future plans for both the consultee and the Transactional Analysis Journal, 21, 174-183.
client. These may be treatment plans in a Erskine, R. G. (1982). Supervision of psychotherapy:
Models for professional development. Transactional
clinical setting, or they may be any type of ac- Analysis Journal, 12, 314-321.
tion plan. This allows for continuity and pro-
Erskine, R. G., & Moursund, J. P. (1988). Integrative
vides a sense of closure. psychotherapy in action. Newbury Park, CA: Sage
Publications.
Summary Loria, B. R. (1983). Beyond training: The education of
The C4P4 Checklist is a memory aid and an transactional analysts. Transactional Analysis Journal,
organizing technique. By jotting down this list 13, 134-141.
at the beginning of a consultation session, a Mellor, K., & Schiff, E. (1975). Redefining. Transactional
Analysis Journal, 5, 303-311.
consultant can attend to each area of concern.
Even though the checklist is designed to be used Steiner, C. M. (1974). Scripts people live: Transactional
analysis of life scripts. New York: Grove Press.
in a consultation session, a supervisor or trainer
Webster's ninth new collegiate dictionary. (1983).
who works within the context of a longer train- Springfield, MA: Merriam-Webster.
ing relationship may sometimes use the
Zalcman, M. J., & Cornell, W. F. (1983a). A bilateral
checklist as a framework for an individual model for clinical supervision. Transactional Analysis
supervisory session. Journal, 13, 113-123.
Zalcman, M. J., & Cornell, W. F. (1983b). Addendum
Landy Gobes, M. S. w., is a Teaching and to "a bilateral model for clinical supervision." Transac-
Supervising Transactional Analyst (Clinical). tional Analysis Journal, 13, 195-197.

44 Transactional Analysis Journal

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