Professional Documents
Culture Documents
Cap 10 PDF
Cap 10 PDF
10
EXPLORING AND DISCOVERING
Evaluating and
5 Taking Action Ending Professional
Relationships
Thinking about
3 Exploring and
Using Questions Readiness and
Discov ering
Motivation
1 Understanding Yourself Ways of Understanding and Values, Ethics, and Legal Professionalism and
and Others Perceiving Self and Others Obligations Professional Relationships
175
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
176 Chapter 10
Learning Objectives
Client Attributes
● Willingness to explore history of problems, discuss their environment/situation,
and discover strengths
In this chapter, you will continue to develop your ability to use your professional
skills in order to more fully understand clients. Clients need to be willing to look
more deeply and share more fully. This level of exploration is only possible if the
clients experience their relationship with practitioners as safe and trusting.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 177
Think about a problem in your life, either current would help the practitioner gain an understanding
or in the past. If a practitioner were working with of your problem? List the questions followed by an
you on this problem, what five open-ended questions explanation of why you selected each question.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
178 Chapter 10
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 179
paying your bills. I imagine that is an everyday worry for you. (Pause) Tell me more
about the challenges you are facing.” In order to better understand the demands and
stresses in the client’s life, there are several areas to consider:
● Number of children and other people in the household
● Job demands
● Caretaking responsibilities for family members
● Deaths, illnesses, and major health challenges
● Current or past traumatic events in their family or community
● Changes, such as moving, job changes, marriage or divorce, new relationships,
and relationship break-ups
● Demands related to attending school, church involvement, and volunteer
activities
● Whether their income is adequate to meet their expenses
Think of someone you know who has been a have noticed as indications that the person is having
caretaker for a seriously ill close relative for a long trouble coping. Write a reflecting comment and five
period of time or someone who has been dealing open-ended questions a practitioner could use to
with another type of long-term stress. List what you gain further information about this client.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
180 Chapter 10
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 181
● To a family: “I am sure that coping with George’s illness has been painful and
maybe exhausting. Having friends bring dinner and help with the children
must have been very helpful.”
● To a couple: “What a shock it has been to lose everything in a flood! I know
you have really appreciated the help of the Red Cross, the loan from your
parents, the money from your insurance, and the willingness of your friends
to let you live with them until you find a place.”
Think of someone in your life who saw and identified Were you told, “Good job! You got nine right.” Or
one of your strengths. What was that experience like instead, were you asked, “Why did you miss one?”
for you? Now think about a time when something As a practitioner, do you want to be the person who
you didn’t do well was noticed and highlighted, focuses on the one word that was missed or on the
while something you did well seemed to be ignored. nine words that were correct?
An example might be when you were a child and Now think about three friends or family
got nine out of ten spelling words right on a test. members. Identify one or more of their strengths.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
182 Chapter 10
● What are some of the ways that people in your family help each other?
● If someone else had a problem similar to yours, what would you suggest that
person do?
● Think of someone that you know who has solved a problem similar to yours.
What did that person do that might work for you?
Write down five additional questions you might use certain tasks or goals. For example, “Tell me about
to find out about strengths or positive factors. (Hint: the strengths and skills that you used when you
You can ask about strengths and achievements in learned to drive.”)
the past, including qualities needed to accomplish
In homework exercise 2.14, you identified an could make to you that would demonstrate that
experience that was empowering to you. Using the practitioner understood how important that
that experience or another empowering experience, experience was for you or how much you learned
identify three reflecting comments a practitioner from dealing with that experience.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 183
DEMONSTRATING RESPECT
Focusing on strengths is a way of demonstrating respect. In Chapter 5, we discussed
the importance of showing respect in relationships with clients. Respect can be ex-
pressed through expressing understanding and validating the client’s story; by show-
ing interest in the client’s thoughts, feelings, wants, needs, and goals; by creating and
maintaining a collaborative environment; by asking about strengths, resources, po-
tential, and capacities; and by identifying strengths. Using language that expresses a
belief that clients can change and are able to solve their problems also shows respect
(Corey, 2016; Hays, 2008).
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
184 Chapter 10
Over the next few days, notice what people do or say a lack of respect. Write a list of five things that you
that you believe demonstrates respect. Also notice noticed that demonstrate respect.
what people do or say that you believe demonstrates
Using your skills related to expressing active listening high school, I only worked during the summer and
and understanding, using questions to gain further in- just did the usual chores around the house. College
formation, and exploring and discovering more about is much harder and I am working to help pay for my
the problems, environment, strengths, and resources, college expenses plus helping around the house much
you are ready to do more work with Hideko. more since my mother is sick and helping with my
Hideko enters the office and sits tentatively on mother’s care. Sometimes it just feels like way too
the couch. Viviana notes that she is dressed casually much. Anyway, after what the hospital social worker
and has medium-length hair. She is pale and doesn’t said I thought it over and felt like talking to someone
appear to be wearing any makeup. She crosses her might possibly help.”
legs and tucks her hands under them. After covering
VIVIANA: “So this is a very new experience for you.
the beginning information, including confidentiality
You’re used to figuring out your challenges, but this
issues (mandated reporting, etc.) and informed con-
is different. You mentioned that you’ve been having
sent, Viviana asks Hideko to sign a release of infor-
some ‘‘trouble.’’ Would you tell me more about
mation to the hospital social worker. Viviana thought
that?”
it might help her to provide more effective treatment
if she understood more of the stressors that Hideko HIDEKO: “Well, I’m not sleeping very well, and it’s
was experiencing with her mother. just hard for me to keep up with everything. Last
week I found myself staring into space during class.
HIDEKO: “I’d be glad to sign the release of
That is just not like me. I can’t allow myself to be so
information form, but the hospital social worker
distracted and not succeed. I have always gotten top
doesn’t know me very well. She sees me when my
grades in the past.”
mother is in the hospital, and I sometimes talk to her
about home health care for my mother. She suggested VIVIANA: “You sound troubled… how long has this
that I come see you after noticing that I looked more been going on?”
tired than usual. She said I sighed several times. When
my mother was out of the room, she asked me if I was HIDEKO: “Hmm… I guess a couple of months now.
okay and I told her things weren’t going very well. So It’s frustrating. I’m sick of feeling like this. And I don’t
she suggested that talking to someone might help.” know what to do about it. I’ve never had this happen
before …”
VIVIANA: “I understand you are a college student
and are working, and it sounds like your mother has VIVIANA: “It sounds like you have been quite
some health problems and you help with that. (pause) distressed. Tell me what was happening in your life a
Will you tell me about what things aren’t going well couple of months ago.”
for you?” HIDEKO: “Well, my boyfriend and I broke up. He
HIDEKO: “Well … (pause) I’ve never been in said I just never had enough time to be with him and
counseling before so I don’t really know what to say. he didn’t see it getting any better.” (short pause—
In the past I could figure out what needs to be done Viviana notices that Hideko looks very sad and is
and just do it, but this is different. When I saw in wringing her hands)
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 185
VIVIANA: “It is painful for a relationship to end, 2. What new facts have you learned?
particularly when it sounds like it wasn’t what you 3. What are your current impressions or hunches
wanted. Tell me more about what he meant about it about the case?
not getting any better.”
Hideko tells Viviana that she and her boyfriend Demonstrating Active Listening
dated for two years. He understood that her classes 4. Identify the statements the practitioner made that
were demanding, but had trouble with the fact that her express active listening and understanding.
family didn’t accept him because he wasn’t Japanese. 5. Write three additional things that the practi-
She thought the biggest problem was that on top of tioner might have said to express active listening
everything else she had to spend a lot of time helping and understanding.
her mother, and didn’t have much time to be with him. 6. What happened in the interview that makes you
Hideko explained that her mother had been in a very think the client felt understood?
serious automobile accident four years ago. Her mother 7. Write a summarizing statement that the practi-
had a “traumatic spinal cord injury and incomplete tioner might use with Hideko.
paraplegia. She also has lost bowel and bladder control.”
When the accident happened Hideko was still in high Using Question
school. As the only daughter she felt it was her duty to 8. Evaluate whether the practitioner used questions
care for her mother, so she told her mother she would appropriately.
drop out of school to take care of her. Her mother 9. Did the practitioner make any common mis-
wanted her to continue going to school. In order to takes in her use of questions? If so, explain the
manage school and caring for her mother, Hideko gave mistakes.
up most of her high school activities. Although Hideko 10. List the words and topics that need further clar-
had planned to go on to college, she decided to give that ification. Write what you would say to express
up because of the demands of helping her mother; how- understanding related to each item in your list.
ever, both parents insisted that she continue her studies. Write a question that could follow each of your
Because of their very high medical expenses, her parents previous statements.
couldn’t afford all of Hideko’s college expenses. 11. What are your thoughts about whether the prac-
Her mother has not been getting better and has titioner used allowing silence appropriately?
been in and out of the hospital. She is also often in
pain caused by damage to nerve fibers. Hideko feels Exploring and Discovering
like she has to do well in school and must help her 12. List what you know about the following topics:
mother. Nearly the only time she used to take off was history of the problem, previous attempts to solve
the little time she had with her boyfriend. “He is right. the problem, severity and frequency of the problem,
I don’t think it will get any better. It may never get client’s feelings about the problem, how the prob-
any better.” Hideko’s eyes tear up as she says this. lem is affecting other people, how the problem is
affecting the client’s functioning, available social
VIVIANA: “You seem sad right now.” (pause … support, how the problem is affecting people in the
Viviana allows silence … Hideko begins to cry) family, and stress and demands in the client’s life.
HIDEKO: “I know I should be able to do all of this, 13. For every area that you don’t know about, write
but sometimes I just feel overwhelmed.” an active listening and expressing understanding
Later in the meeting, Viviana learned that both of statement followed by an open-ended question to
Hideko’s parents were born in Japan. The family has many gain further information.
relatives in Japan, and they visit Japan when possible. 14. What do you know about the client’s strengths
Hideko’s parents speak in Japanese at home, so Hideko is and resources (including cultural and spiritual
fluent in Japanese. Hideko’s parents are Buddhist. Hideko resources)? Write two statements the practitioner
said that she isn’t an active Buddhist but accepts much of could have made to identify strengths and/or
what she has learned about Buddhism. positive factors.
Questions 15. What are three questions the practitioner could
have used to identify further strengths and/or
1. How has your initial perception of the client
positive factors and resources?
changed?
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
186 Chapter 10
Because these skills require considerable practice to necessary basic information, for example, “This
master, you will be using and evaluating the use of happened when I was a junior in high school.”
expressing understanding and using questions to ex- ● Talk for a brief period, pausing to give the prac-
plore as well as the skills introduced in this chapter. titioner a chance to respond while telling of
In the practice exercises, each set of skills will be in- your story. Remember that your role is to give
cluded at least twice. the practitioner a chance to practice these skills.
Working on whatever problem you may be fac-
Exercise Objectives ing is not the goal.
● To practice gaining further information about Practitioner Role
problems and challenges and the situation and ● Listen for gaps in information related to prob-
environment. lems and the environment and ask questions to
● To identify and ask questions about strengths. gain further information.
● To practice expressing warmth, empathy, re- ● Use the skills related to expressing understand-
spect, and genuineness in appropriate and effec- ing, using questions, and exploring and dis-
tive ways. covering further information about challenges,
environment, strengths, positive factors, and
Step 1: Preparation resources.
Form a group of three people. Working with the ● Identify strengths and positive factors, including
same group of 3 people will allow you to build from factors related to resilience and empowerment.
where you ended the last meeting. Each person will ● You can stop the meeting at any time to get sug-
have the opportunity to play the roles of client, prac- gestions from the persons in the roles of client
titioner, and peer supervisor. Each meeting will last and/or peer supervisor.
about 10 minutes. ● Remember that your goal is to practice the
Client Role skills. Even if this was a real interaction with a
● Think about a problem that you encoun- client, it would be inappropriate to begin work-
tered in the past. These exercises will be much ing on problem solving until you thoroughly
more authentic if you talk from your own understood the situation and had set goals with
experience. the client.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 187
this evaluation system, the peer supervisor monitors that these are only 10-minute interviews, so the
the skills used by the social worker. The client, social practitioner will not have the time to fully cover
worker, and peer supervisor identify strengths and each area.
areas for growth. ● Give the practitioner one point for each strength
discussed, explored, or discovered
Client Role ● Discuss the practitioner’s ability to demonstrate
● Share how you experienced the practitioner.
respect.
● Did you feel understood?
● In what ways was the practitioner warm, em-
pathic, respectful, and genuine? Respect Evaluation Scale
● What did the practitioner do particularly well? Level 1: The practitioner did not invite
● In what ways could the practitioner improve? discussion of and/or recognize the client’s
strengths, resources, and/or capacities, and/
Practitioner Role or showed a lack of respect for the client’s
● Evaluate your use of skills related and gaining abilities, such as helping or providing answers
further information about problems and the that the client did not ask for.
situation and discovering client strengths and Level 3: Once during the meeting, the practi-
resources tioner invited discussion of and/or recognized
the client’s strengths, resources, and/or ca-
Peer Supervisor Role
pacities, and the practitioner did nothing that
● Go over the items for beginning subsequent
showed a lack of respect for the client’s abilities,
meetings and ending the meeting.
such as helping or providing answers that the
● Based on your notes, give feedback to the
client did not ask for.
practitioner on the use of reflecting the client’s
Level 5: Three times during the meeting, the
feelings, content, feelings and content, and
practitioner invited discussion of and/or rec-
meanings, and summarizing. Give the practi-
ognized the client’s strengths, resources, and/or
tioner a point for each reflecting comment.
capacities, showed positive regard for the client,
● Give the practitioner one point for each time
and did nothing that showed a lack of respect
he or she expressed understanding before using
for the client’s abilities, such as helping or pro-
questions, used open-ended and closed-ended
viding answers that the client did not ask for.
questions appropriately, and asked one question
at a time. ● Discuss with the practitioner the appropriate
● Give the practitioner one point for each time he scores for warmth, empathy, genuineness, and
or she explored meanings, explored the basis of respect and give the practitioner the appropriate
conclusions, and allowed silence. points for each area.
● Give the practitioner one point for each topic ● Identify any inappropriate response made by
related to problems or challenges and situation the practitioner (see evaluation form). Minus
and environment that was adequately discussed one point for every inappropriate response.
whether the practitioner asked about the topic ● Add all the individual points and the points on
or not. The practitioner doesn’t need to ask the scales to get the total score.
about areas discussed by the client, just those ● Record the feedback in the practitioner’s text-
topics the client does not discuss. Remember book for future reference.
continued
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
188 Chapter 10
EVALUATION FORM
______________________________________________________________________________________________
Name of Practitioner ______________________
Name of Peer Supervisor ___________________
Directions: Under each category (in italics) is a list of behaviors or skills. Give one point for each skill used by
the practitioner.
Beginning
Beginning Subsequent Meetings
Give one point for each topic covered by the practitioner.
1. Asked client where he or she would like to begin _________
2. Summarized previous meeting _________
3. Identified tasks for this meeting _________
4. Asked about client progress _________
5. Asked about client homework _________
6. Asked client about problems _________
7. Made an observation about previous meeting _________
8. Did a check-in _________
9. Sought questions and/or feedback from the client _________
Demonstrating Active Listening
Demonstrating active listening by expressing your understanding is so important that for this group of
skills one point should be given for each time the practitioner used one of the skills.
1. Reflected feelings _________
2. Reflected content _________
3. Reflected feelings and content _________
4. Summarized _________
5. Reflected meanings _________
Exploring and Assessing with Clients
Using Questions
Give one point for each skill used by the practitioner.
1. Expressed understanding before asking questions. _________
2. Asked open-ended questions when appropriate. _________
3. Asked one question at a time. _________
4. Asked closed-ended questions when appropriate. _________
Seeking Clarification
Give one point for each skill used by the practitioner
1. Explored the meanings of words and body language _________
2. Explored the basis of conclusions drawn by the client _________
3. Allowed silence _________
Learning about Problem/Challenge and Situation
Give one point for each topic discussed.
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203
Exploring and Discovering 189
Problems or Challenges
1. Previous attempts to solve problem _________
2 History of the problem(s)
3. Severity or intensity of the problem(s) _________
4. Feelings about having the problem(s) _________
5. Effects of the problem(s) on other areas (such as health, sleeping, and ability to
function at school or work) _________
Situation and Environment
1. Effect of the problem on other people _________
2. Available social support and strengths in the environment _________
Interactions with family _________
3. Other demands and stresses in the situation/environment _________
Discovering Strengths and Resources
1. Identified strengths _________
2. Asked questions about strengths and resources _________
Common Mistakes or Inappropriate Responses (subtract one point for each)
(offering advice, reassuring, offering excuses, asking leading questions, dominating through teaching, labeling,
and interrogating) _________
Core Interpersonal Qualities
Using the scales in Appendix A, evaluate the appropriateness and effectiveness of the practitioner’s expres-
sion of warmth, empathy, respect, and genuineness. On the following lines write the scores, from 1 to 5, for
warmth, empathy, respect, and genuineness.
Score for warmth _________
Score for empathy _________
Score for respect _________
Score for genuineness _________
Total score _________
SUMMARY
This chapter focused on the ongoing, interactive ● Severity or intensity of the problem
assessment and exploration process of collecting, ● Feelings about the problem
organizing, and thinking about information. In this ● Effects of the problem on functioning
chapter, you learned about the importance of thor- ● The situation and environment of the client
oughly exploring challenges, problems, situations, ● Invite clients to discover strengths, to discuss
and environments. You also learned about discov- resources, to consider possible other times they
ering client strengths, resources, areas of resiliency, have solved problems
and empowerment. You had opportunities to think ● Give examples of acknowledging strengths and
about how to apply what you have learned about positive factors
human behavior and the social environment in the In the Apply and Demonstrate Exercise you
previous chapters and other courses. used your ability to explore and discover more
As a review, give examples of questions that about the clients’ problems and challenges, envi-
could be used to explore: ronment, strength, and resources. You also demon-
● Previous attempts to solve the problem strated your ability to show respect for your clients.
● The history of the problem
Copyright 2018 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-203