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SWK COUNSELING

2. OBSERVATION SKILLS
● Emphasizes learning how to notice
COUNSELING SKILLS the vast range of things your client is
1. ATTENDING BEHAVIOR doing and saying that can be
Attending: fully engaging in listening as a sources of information about him or
client communicates with you. You will her.
communicate your full engagement through ● CLIENT OBSERVATION: is about
a number of verbal and nonverbal noticing obvious and subtle
behaviors. behaviors that your client is
demonstrating
● Attending is equally important in the As you observe behavior being exhibited by
last session as it is in the first. the client, remember that your impression
● Attending behavior is really about and sense of him or her is only a
listening with your whole being. hypothesis, not an absolute, and then
Eye contact + body posture/orientation + continue to observe and determine the
client’s verbal content/voice + degree of accuracy of your hypotheses.
counseling environment = ATTENDING
NON-VERBAL BEHAVIOR - Facial
EYE CONTACT - with the intent of raising Expression and Body Movement
your awareness of gaze in a communicative PARAPERAL BEHAVIOR- Listen to the
interaction with another person. way he or she is speaking.
VERBAL BEHAVIOR - in observing client
BODY POSTURE AND ORIENTATION - verbal behavior is what the client is not
Orienting your body toward your client and saying
sitting with an open posture by not folding 3. PARAPHRASING
your arms across your torso will The focus is about to shift to counselors’
communicate openness to your client. spoken responses that facilitate further
leaning in slightly toward the client also can depth and development of the conversation
communicate interest and concern for him with the client.
or her.
Is the heart of active listening.
ROOM ARRANGEMENT - physical
environment of the office or room a few Paraphrasing is an effective way of having a
studies and my own clinical experience true verbal interchange with another person
have suggested that mindful use of desks while communicating your attentiveness.
and tables, availability of comfortable chairs,
and the type of lighting may be conducive to 4 Components of Paraphrase:
establishing rapport with clients. ● Recall the message
● Identify the essential content
VERBAL BEHAVIOR (Following the client’s ● Translate the content into the
lead) - consisting of following your client's counselors word, and
lead rather than introducing new topic ● Check out, that is, receive
directions, and paralinguistics. verification from the client as to
Paralinguistics refers to aspects of your accuracy.
nonverbal behavior that are conveyed SILENCE: There is a time for talking and a
through speech but are completely separate time for silence.
from the verbal content.
SWK COUNSELING

Client Content - refers to his or her story, The difference between open and closed
meaning the topics and issues he or she is questions. Open questions tend to elicit
bringing to the session. expanded verbalizations, whereas closed
The client affects the feelings and internal questions can be answered in a word or
emotional experiences in the context of the two.
story.
We further identified several specific
Questioning takes us further into the realm strategies that will minimize the potential
of counselor directiveness; the questions damage caused by excessive or
you ask, if ask any, will most definitely steer inappropriate questioning. Those
the focus of your interaction with your client strategies include
in a particular direction. 1.being aware of your para verbals
2.asking your questions in a soft, slow
QUESTIONS: must be used with manner;
mindfulness, for a number of reasons. 3.asking only one question at a time and
4.paraphrasing or reflecting on the client's
It is quite important that when you use response before asking another; 5.avoiding
questioning in a counseling session, you do asking "why?" questions.
so with a clear and specific intent, rather
than relying on questions as an easy way to FEELING REFLECTION
keep your client talking. ● a counselor statement that extracts
and mirrors the emotional elements
open question is one that will likely result of the client's communication.
in a person answering with a lengthy ● feeling, emotion, and affect.
response. The answer to an open question ● feeling reflection identifies the effect
is usually not one that can be given in a being communicated in a client's
single word. message.
open questions will result in the client ● client's affect, he or she is talking
continuing to talk and giving you more about the client's displayed emotions
material, some of which may be pertinent to ● emotions and feelings refer to
the counseling focus, and some of which one's internal, subjective experience
may not. of emotional arousal, including the
open-ended question stems, "what" physiological experience, the
questions are likely to result in a person physical, and the nonphysical
giving facts and details, whereas "how" aspects of having a particular
questions are more likely to yield process emotion.
or sequence information (Ivey & Ivey, 2007). ● Reflecting feelings are of
paramount importance! The tone of
closed questions seek a specific your voice, rate of your speech, and
response, often one that can be offered in a volume of your speech should match
single word or two. the client's feelings you are
Novice counselors may erroneously assume attempting to reflect.
that in a counseling session, open
questions are always better than closed The steps of a feeling reflection are as
questions. This is not necessarily true; in follows:
some circumstances closed questions are 1.Entry Qualifier (Looks like you're feeling.I
preferable. hear you expressing.
SWK COUNSELING

2.Feeling identification (There are two the client and, even worse, damage your
aspects of emotions, both of which are client and happiness.
important to the accuracy of identification.
One is the general category of the feeling defined as making a statement in response
itself, and the other is to choose a word that to material your client has shared, which
correctly corresponds with the intensity reflects back to him or her the basic core
level.) beliefs or principles that have been
3.Accuracy Check (Am I hearing you? Did communicated in his or her verbalizations.
I get that? Does that fit for you?)
Reflecting meaning can serve several
THE IMPORTANCE OF FEELINGS purposes:
Some possible reasons a client may ● Raising the client's awareness of his
suppress emotions. or her belief system
● Raising awareness of the
1.Fear of Loss of Control interpretations with which he or she
2.Difficulty Verbalizing Emotional makes sense of the world
Experiences ● Helping the client shift perspective
3.Complexity or Intensity of Ambivalent from intense emotionality about one
Feelings (uncertainty as to situation to a broader, generalized
which approach to follow) perspective that can help lessen the
4.Counselor Power And Responsibility emotional intensity
● Providing a basis from which you
Basic mechanics of a good feeling can offer alternative interpretations
reflection. Those elements include: of a situation
1.Making a statement that focuses on the
client ASPECTS OF INDIVIDUAL DIFFERENCE
2. Accurately identifying the stated or IN MEANING-MAKING
implied feelings 1. Spirituality
3.Permitting room for the client to correct 2. Level of Cognitive Functioning
you if your description of the client's 3. Level of Emotional and Psychosocial
emotional Maturity
experience doesn't fit with the client's 4. Resilience
subjective experience of those emotions
Sometimes it can be enlightening and
Basic models of emotion processing: empowering for a person to come to the
anger, fear, surprise, disgust, sadness, realization of the meaning he or she is
contempt attaching to a precipitating event. Many of
you probably spend considerable time
Some of your clients will be fairly willing thinking about your own meanings, values,
and able to explore their feelings with and schemas; Therefore, the meaning
you; others will not. When a client is your client imbues in an event might be
coming for counseling willingly, and yet completely outside the realm of his or
seems resistant to acknowledge or process her awareness.
feelings, there are multiple possible
explanations. Regardless of the reason, it is Reflection of meaning can also be a way
extremely important that you use caution of helping a client move away from intense
and refrain from pushing too hard. It could emotional experiencing to gain some
damage your therapeutic relationship with distance and self-understanding. This, too,
SWK COUNSELING

can be an empowering process, as it can ● Inconsistency in perceptions or


help a client acquire a sense of self-control thoughts between the counselor and
client Inconsistency between client's
The essence of Reflection of meaning is behavior and societal external
to listen to your client's story and then infer expectations
the core fundamental values or
self-perceptions that are driving his or her HOW TO EFFECTIVELY CONFRONT A
interpretation of the event or situation. CLIENT
1. Timing
Few points:
1. As you counsel, you will need to reflect a.THE CLIENT'S EMOTIONAL STABILITY
meaning at a level of development b.THE CLIENT'S EXTERNAL
commensurate with your client's stage. RESOURCES
This is a concrete example of the c.THE RISKINESS OF THE BEHAVIOR
admonition d.THE CLIENT'S STAGE OF READINESS
some readers may have heard before: FOR CHANGE
"Start where your client is."
2.Once again, the issue of self-awareness 2. Carrying Out the Confrontation
is paramount. You need to be aware of a.One aspect involves the words you use
what your own meaning-making and when you confront, and the other is
schemas are, and also your own level of eg the para verbal and nonverbal behavior you
development. exhibit as you are challenging.
3.Recognize that your client may not
share your interpretation of reality and 3. How You Respond to Your Client's
that the meaning he or she makes of a Response
situation is every bit as valid to him or her Observing a client's contradictory behaviors
as your own is to you. or thoughts may be a source of frustration
for a counselor. The frustration could be the
The discrepancies a client exhibits may take result of any of several factors:
one ofseveral different forms, as noted by
Hill and O'Brien (1999). Discrepancies may ● The counselor is very invested in
involve: effectively helping the client.
● Inconsistency between two spoken
statements ● The counselor believes that the
● Inconsistency between words and source of the conflict and the "right"
actions solution are obvious.
● Inconsistency between two
behaviors ● The counselor is worried about the
● Inconsistency between verbalized possible risks to which the client is
emotions and nonverbally expressed exposing him- or herself.
emotions
● Inconsistency between values and ● The counselor is tired of the client
actions continuing to come to counseling
● Inconsistency between reported expressing a desire for change, but
perceptions and reported persisting in the problematic
experiences Inconsistency between behaviors between sessions.
the "real self" and the "ideal self
SWK COUNSELING

• Within the pain and trauma one sees the


hope and possibility for transformation.
STRENGTH-BASED PERSPECTIVE • Hope is a strong motivator. As it is a belief
What is Strength-based perspective? that something will be better.
It is a ‘perspective’ that values working with
people and communities in order to build • A “strengths model” (as opposed to
capacities that can lead to more resilient pathology and deficit models) can guide
communities. disaster-related interventions.
• Most disaster survivor’s individual
5 SW Perspectives behavior is organized, controlled, and
• SW perspectives are emerging from the adaptive. Survivors often exhibit
practice and values of social work. selflessness and personal strength.

5 key perspectives that define social Essential of the Strengths Perspective


work: P=promise, possibility, positive
Ecosystems perspective - the exchange expectations, potential
between individuals, families, groups and
communities and their environment. It C=competence, capacities, courage
incorporates Systems Theory that uses
construct analysis on complex activity in the R=resilience, reserves, resources,
social environment and together they help resourcefulness
explain how the environment influences
people and people influence their As Saleeby says...
environment. “It is incumbent on those of us who work
Social Justice Perspective - The manner with people to make sure that social
in which society distributes resources institutions and others even those with good
among its members, including material good intentions do not stamp out the yearning or
and social benefits, rights and protections distort it to the serve the interests and
(Birkenmaier, et all, 2014) purpose of others.”

Human Rights Perspective - inherent to “From the ashes of destruction, mayhem,


humans which allows for fundamental and oppression may emerge the human
freedoms that allows for the full spirit, the capacity for the heroic. We can
development to fully develop and use their never dismiss the possibility of redemption,
human qualities (intelligence, talents, resurrection and regeneration”.
conscience, spiritual, etc.) (UN Human
Rights Principles of the Strengths Perspective
1. Every individual, group, family
and community has it own
The Strengths Perspective - Affirming and strengths.
working with the strengths found both in 2. Trauma and abuse, illness and
people seeking help and their environments. struggle may be injurious but they
A focus on basic dignity, and the resilience may also be sources of
of people in over- coming obstacles. challenges and opportunity.
3. Assume that you do not know the
The strengths perspective moves one away upper limits of the capacity to
from being problem focused to looking at grow and change. Take individual,
the possibilities
SWK COUNSELING

group, and community for their members. The Strengths


aspirations seriously Perspective focuses, in a sense, also in
Hold high our expectations of those we caretaking, since this is related to hope;
serve and make allegiance with their hopes, “hope realized through the strengthened
visions and values. sinew of social relationships in family,
neighborhood, community, culture, and
• Respect for ‘”innate resilience” country.” (p. 20).

A) that people have the ability to change 7. Families have the right to make
their perspective, their thinking, and can mistakes and learn from them.
change the quality of their life, and B) that • Every situation and decision can be
health and wisdom arise from our spiritual viewed as an opportunity to learn and grow.
essence. Even the decision that may not work best
for families should be regarded by the
4. We best serve families by helping professional as a learning
collaborating with them. opportunity. Rather than penalizing the
• When we approach families as a helper or family for its decision, allow for discussion
collaborator (having specialized education, as to what may have been behind the
tools, and experience to offer, but open to decision, why the decision was
the wisdom, knowledge, and experience unsuccessful and what can be done
that families bring with them) we work with differently to effect positive outcomes.
families rather than on their cases. In the
Strengths Perspective, family’s voices are 8. Know yourself and your family.
heard and valued at all levels of • Knowing who you are, your strengths,
intervention, including micro, mezzo, and cultural values, capacities, biases and
macro levels, such as in practice with limitations is important to understand when
individuals, families, and groups, working with families in need. Your ability or
communities, and in policy advocacy. lack thereof to understand or empathize
with another may be directly related to your
5. Every environment is full of resources. personal experiences and beliefs. In
• Every environment is full of individuals, addition, your ability to learn from and about
families, informal groups, associations, and the families you engage is critical in
institutions willing to help others. When ensuring a successful working relationship.
given the opportunity, they contribute with
all kinds of assets and resources that others RESILIENCE
profoundly need, such as knowledge, ● The ability to bear up in spite of the
company, special talents, time, and place, ordeals.
and the like. There are resources, ● The ability to absorb or resist stress
partnerships, and strengths available in the or shock, and to recover from it.
community that are ready to be used, while ● A process of continued growth and
we engage in policy advocacy and social articulation of capacities, knowledge,
action in pursuit of social justice and insights and virtues in meeting the
structural transformation. demands and challenges however
chastening.
6. Caring, caretaking, and context.
• Human well-being is essentially related to
caring. We should facilitate and assist
families, groups, and communities to care
SWK COUNSELING

reduce feelings of shame and stigma in


survivors. New meanings about traumatic
THE COMMUNITY RESILIENCY life events can emerge with a more realistic
MODEL self-appraisal.
CRM is based on cutting-edge
neuroscience and teaches six wellness CRM helps individuals discern the
skills to restore the mind, body, and difference between sensations of distress
spirit to well-being during or after a and well-being. Once discernment is made,
traumatic experience. CRM is biologically a person chooses what to pay attention
based, educating about the autonomic to—sensations of distress or sensations of
nervous system and how the body responds well-being. Wellness skills are taught to help
to stress. It is used for self-care for the person learn to read the nervous system
children, teens, and adults to stabilize and return to a balanced state called the
emotions, resulting in more adaptive Resilient Zone or the Zone of Well-Being.
thinking when facing emotional and This results in clearer thinking and greater
physical distress. CRM skills can be affect regulation. Current neuroscience has
learned and used during and after identified a concept called “interoception.”
stressful and traumatic events. They can Grabbe et al. (2020) state:
be delivered in small doses through
community workshops or individually. CRM Conscious awareness of the body’s internal
can be delivered by the natural leaders of state and its perturbations, the ‘felt sense’ or
communities (ministers, teachers, first interoception, is currently under study as a
responders and more) and mental health source of emotion regulation and resiliency.
therapists and medical practitioners. Natural Interoception, which means ‘looking inside,’
leaders are individuals who may or may not is critical to preventing stress-related
have formal education in mental health or
sequelae of trauma…
designated leadership roles but are looked
to for guidance because of their embodied
personal qualities of treating others with UNDERSTANDING RESILIENCY IN
respect, compassion, and empathy. They TRM AND CRM - THE ZONES
share their wisdom with equanimity in a way The Resilient Zone is also called the Zone
that encourages and empowers their of Well-Being. Children call it the Okay
community. Zone. Every person has a Zone of
A person delivering CRM is called a CRM Well-Being. When you are in your
guide. CRM guides integrate Resilient Zone, you can think clearly,
psychoeducational materials about the handle feelings better, and manage the
common reactions after stressful/traumatic sensations inside the body. There are a
events, including information about the variety of emotions you can experience
stress response and the autonomic nervous including happiness, sadness, and
system. CRM teaches that many responses anger. These emotions are naturally
are biologically based and thus are not human. When in your zone, you can
about mental weakness. CRM has distilled manage the emotions from the best part of
the complexity of neuroscience into simple, yourself. As one little boy once said to one
understandable concepts. This approach of our CRM teachers, “You mean I can be
helps individuals understand the common ‘Okay sad’ and ‘Okay mad’ and be Okay.”
human responses to stressful and traumatic When you are in your Resilient Zone, there
events through a lens of biology. CRM is a natural rhythm or flow within your
concepts and skills have been found to nervous system; just like there is in nature
SWK COUNSELING

with the seasons, the rising and setting of reminders are designed to alert us to
the sun, the cycles of the moon and the potential danger to aid in our protection. The
ocean (Figure 1.1). alerts are set off based on experience,
which means the reminders are different for
When traumatic and/or stressful events each person. For example, for some people
occur, the natural rhythm within the who have been sexually abused, a certain
nervous system can be thrown out of smell, sound, or body position could be a
balance. At times, all of us can be bumped reminder that cues a desire to flee, and the
out of our Resilient Zones and have internal sensations of distress can bump the
challenges handling even small stressors. person out of their Resilient Zone. This is
Because of stressful or traumatic our nervous system working for our
experiences, some people may feel bumped protection.
out of their Zone of Well-Being most or all
the time or even stuck in.

one of the zones. When bumped out of


the Resilient Zone, a person can be on
edge (in the High Zone) and/or
depressed and tired (in the Low Zone) or
go between the two. Some people
describe it as like being on a roller coaster.
When we go back and forth between the
High and Low Zones, we may have
problems with our family, work, and
community. CRM and TRM hold no
judgment about the zones. The zones
simply exist and when we become aware of
what bumps us out of the Resilient Zone,
this awareness can help us manage our
thoughts and feelings in more adaptive and
flexible ways with compassion and greater
self-understanding. One of the goals of
CRM and TRM is to help people identify the
sensations, feelings and thoughts
connected to being within their Resilient
Zones and their High or Low Zones. We can
learn to use our skills and strengths to
return to a greater sense of
well-being (Figure 1.2).

To de-weaponize our language, we reduce


using the word “trigger” when we refer to
“reminders” or “cues” of a stressful
event. Reminders or cues can be almost
anything reminding a person of a traumatic
or stressful event (e.g., a smell, sight,
sound, touch, body position). The reminder
can often be outside of awareness. These

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