Doc-20240830-Wa0037 240908 025045
Doc-20240830-Wa0037 240908 025045
Doc-20240830-Wa0037 240908 025045
Meaning of counseling
•Counseling is a professional advice given by a counsellor based on personal or psychology
related problems of the individuals.
-How a client is feeling and what they think about the problem they have sought help for
Definition of counseling
•American counseling association (ACA) (1997) accepted the following definition of professional
counseling:
•Behaviour (overt changes in the ways clients act, their coping skills, decision making skills, and
relationship skills)
•Beliefs and values ( ways of thinking about self, others and the world ) or emotional concerns
relating to these perceptions.
•Levels of emotional distress (uncomfortable feelings or reactivity to environmental stress).
GOALS OF COUNSELLING
The main objective of counselling is to bring about a voluntary change in the client. For this purpose the
counsellor provides facilities to help achieve the desired change or make the suitable choice.
The goal of counseling is to help individuals overcome their immediate problems and also to equip them
to meet future problems.
Some counsellors hold the view that counselling should enable the counsellee to make decisions. It is
through the process of making critical decisions that personal growth is fostered,.
Reaves and Reaves (1965) point out that the primary objective of counselling ling is that of stimulating
individuals to evaluate, make, accept and act upon his choice counselling is to help individual learn as to
what is needed in choice making, by which 1s meant that the individual should lean to make decisions
independently.
It has been stressed more than once that it is not for t the counsellor to make decisions for his clients. lf
it were so, it would cease to be counselling.
Decisions are always the counselees own, and they are responsible for themselves. In other words, the
counselees should know how and why they made the concerned decisions.
In the process of decision-making, information may be required and the counsellor should provide it or
help obtain it. The information may have to be clarified, sorted out and analysed. The counsellor should
help in this such that the counsellee is able to make responsible decision.
Tyler (1961) also defines the goal of counselling as decision-making. The counsellor has to help the
counsellee utilize the resources-intra-personal and environmental-available and make decision based on
them to cope with life situations.
The counsel or has the goal of understanding the behaviour, motivations, and feelings of the counselee.
He has different goals at different levels of functioning. The immediate goal is to obtain relief for the client
and the long-range goal is to make him 'a fully functioning person'. Both the immediate and long- tem
goals are secured through what are known as mediate or process goals.
The long-range goals are those that reflect the counsellor S philosophy of life and could be stated as:
The long-range and immediate goals are not unrelated. There is an inter-relation between the m, as both
depend on the process goals tor their realization. 1he process goals are the basic Counselling dimensions
which are essential conditions for counselling to take place. They comprise empathic understanding,
warmth and friendliness which provide for interpersonal exploration which, in turn, helps the client in his
self-exploration and self-understanding eventually lead to the long-range goals, namely, self-
actualisation, self realization and self enhancement patterns of behaviour enhancement. The client may
have certain inhibiting and se become a fully-f, functioning which are eliminated and overcome, to enable
the person.
Mediate goals (Parloff, 1967) may be considered as specific steps contributing to the realization of general
goals. Behaviourists place much emphasis on mediate goals. These comprise the reduction of anxiety,
feeling of hostility, undesirable habits, etc., on the negative side; and the increase of pleasure, acquisition
of adaptive habits, understanding of self, etc., on positive side.
Specific counseling goals are unique to each client and involve a consideration of the client's expectations
as well as the environmental aspects.
The general public tends to view counseling as a remedial function and emphasizes immediate goals, such
as problem resolution, tension reduction, and the like.
Counselee may refer to the resolution of a particular conflict or problem situation. However, the goals of
counseling are appropriately concerned with such fundamental and basic aspects such as self-
understanding and self actualization. These help provide the counselee with self-direction and self
motivation.
Counseling in its spirit and essence is generative. It aims at assisting the individual to develop such that
he becomes psychologically mature and is capable of realizing his potentialities optimally.
Some of the different goals that are adopted either explicitly or implicitly by counsellors are listed:
1.Insight: The acquisition of an understanding of the origins and development of emotional difficulties,
leading to an increased capacity to take rational control over feelings and actions.
2.Relating with others: Becoming better able to form and maintain meaningful and satisfying relationships
with other people: for example, within the family or workplace.
3.Self-awareness: Becoming more aware of thoughts and feelings that had been blocked off or developing
a more accurate sense of how self is perceived by others.
4.Self-acceptance: The development of a positive attitude towards self, marked by an ability to
acknowledge areas of experience that had been the subject of self-criticism and rejection.
7.Problem-solving: Finding a solution to a specific problem that the client had not been able to resolve
alone. Acquiring a general competence in problem solving.
8.Psychological education: Enabling the client to acquire ideas and techniques with which to understand
and control behaviour.
9.Acquisition of social skills: Learning and mastering social and interpersonal skills such as maintenance
of eye contact, turn taking in convers actions, assertiveness or anger control.
11. Behaviour change: The modification or replacement of maladaptive or self destructive patterns of
behaviour.
12. Systemic change: Introducing change into the way in that social systems (eg. families) operate.
13. Empowerment: Working on skills, awareness and knowledge that will enable the client to take control
of his or her own life.
14 Restitution: Helping the client to make amends for previous destructive behaviour.
15. Generativity and social action: Inspiring in the person a desire and capacity to care for others and pass
on knowledge and to contribute to the collective good through political engagement and community work.
• Counseling as a profession grew out of the progressive guidance movement of the early 1900s.
Its emphasis was on prevention and purposefulness—on helping individuals of all ages and stages
avoid making bad choices in life while finding meaning, direction, and fulfillment in what they did.
• Today professional counseling encompasses within its practice clinicians who still focus on the
avoidance of problems and the promotion of growth, but the profession is much more than that.
• The focus on wellness, development, mindfulness, meaningfulness, and remediation of mental
disorders is the hallmark of counseling for individuals, groups, couples, and fami-lies across the
life span.
• To understand what counseling is now, it is important first to understand the history of the
profession and how counseling is similar to and different from concepts such as guidance and
psychotherapy.
Guidance:
• Guidance focuses on helping people make important choices that affect their lives, such as
choosing a preferred lifestyle.
• One distinction between guidance and counseling is that guidance centers on helping individuals
choose what they value most, whereas counseling helps them make changes.
• Much of the early work in guidance occurred in schools and career centers where an adult would
help a student make decisions, such as deciding on a course of study or a vocation. That
relationship was between unequals and was beneficial in helping the less experienced person find
direction in life.
• Similarly, children have long received “guidance” from parents, religious leaders, and coaches. In
the process they have gained an understanding of themselves and their world.
Psychotherapy:
• Traditionally, psychotherapy (or therapy) has focused on serious problems associated with
intrapsychic, internal, and personal issues and conflicts.
• Psychotherapy has historically involved a long-term relationship (20 to 40 sessions over a period
of 6 months to 2 years) that concentrated on reconstructive change as opposed to a more short-
term relationship (8 to 12 sessions spread over a period of less than 6 months).
• Psychotherapy has also been more of a process associated with inpatient settings—some of which
are residential, such as mental hospitals—as opposed to outpatient settings—some of which are
nonresidential, such as community agencies.
History of counseling
• Before 1900 :Counseling is a relatively new profession (Aubrey, 1977, 1982). It developed in the
late 1890s and early 1900s, and was interdisciplinary from its inception. “Some of the functions
of counselors were and are shared by persons in other professions”.
• Before the 1900s, most counseling was in the form of advice or information.
• 1900–1909 : Counseling was an infant profession in the early 1900s. During this decade, however,
three persons emerged as leaders in counseling’s development: Frank Parsons, Jesse B. Davis, and
Clifford Beers.
• Frank Parsons, often called the founder of guidance, focused his work on growth and prevention.
His influence was great in his time and it is “Parson’s body of work and his efforts to help others
[that] lie at the center of the wheel that represents present day counseling” .
• He is rightly called the “father of guidance” and is best known for founding Boston’s Vocational
Bureau in 1908.
• Parsons had a colorful life career in multiple disciplines, being a lawyer, an engineer, a college
teacher, and a social worker before ultimately becoming a social reformer and working with
youth .
• Jesse B. Davis was the first person to set up a systematized guidance program in the public
schools .He was known as a broad scholar, writer and a tireless activist. He introduced “vocational
and moral guidance” as a curriculum into an English language composition course. Davis worked
for educational and vocational problems of students; a clear illustration of the early ties of
counseling to vocational guidance.
• Clifford whittingham Beers, a former Yale student, was hospitalized for depression several times
during his life (Kiselica & Robinson, 2001). He found conditions in mental institutions deplorable
and exposed them in his book, A Mind That Found Itself (1908), which became a popular best
seller.this help to change societal attitude towards mental illness.His work was also a forerunner
of mental health counseling.
• 1910s - founding of the National Vocational Guidance Association (NVGA), which was the
forerunner of the American Counseling Association(1913).
• The French psychologist Alfred Binet and his associate Theodore Simon introduced the first
general intelligence test in 1905.
• World War I was another important event of the decade. During the war “counseling became
more widely recognized as the military began to employ testing and placement practices for great
numbers of military personnel”.psychological instruments were used for screening purposes.
Clinicians equipped to administer and interpret these screening were called psychometrist.
• In 1915, the first guidance journal “Vocational Guidance” was published.
• 1920 -The 1920s were relatively quiet for the developing counseling profession. This was a period
of consolidation.
• A notable event was the certification of counselors in Boston and New York in the mid-1920s . The
publication of new psychological instruments such as Edward Strong’s Strong Vocational Interest
Inventory (SVII) in 1927. The publication of this instrument set the stage for future directions for
assessment in counseling .
• A final noteworthy event was Abraham and Hannah Stone’s 1929 establishment of the first
marriage and family counseling center in New York City. This center was followed by others across
the nation, marking the beginning of the specialty of marriage and family counseling.
• Child Guidance Movement was primarily initiated as the result of the work of G. Stanley Hall.
• 1930- Development of the first theory of counseling, which was formulated by E. G. Williamson
and his colleagues (including John Darley and Donald Paterson) at the University of Minnesota.
His emphasis on a direct, counselor-centered approach came to be known by several names—for
example, as the Minnesota point of view and trait-factor counseling.
• John Brewer helped broaden counseling beyond occupational concerns. He emphasized this
change and published a book “Education as Guidance” He maintained that every teacher be a
counselor and that guidance be incorporated into school curriculum.
• Alcoholic anonymous was founded. AA was a self-help approach to alcohol addition.
• 1940- Carl Rogers rose to prominence in 1942 with the publication of his book Counseling and
Psychotherapy, which challenged the counselor-centered approach of Williamson as well as major
tenets of Freudian psychoanalysis. Rogers emphasized the importance of the client, espousing a
nondirective approach to counseling.
• The certification of school counselor was established. The National mental health was introduced.
This act authorised fund for research for training into the area of prevention, diagnosis and
treatment of mental health disorders.
• 1950- American Personnel and Guidance Association. APGA grew out of the Council of Guidance
and Personnel Associations (CGPA), a loose confederation of organizations “concerned with
educational and vocational guidance and other personnel activities” .
• New theories created by Albert Ellis, Aaron Beck, Eric Berne, Donald super and B.F Skinner.
• At that time the most popular theories were psychoanalysis and insight oriented theories, trait-
factor, and client centered theories. This decade is also important for the development of new
theories, such as Behavioral, Cognitive and Learning theories.
• The American Rehabilitation Counseling Association (ARCA) was charted. This association
promotes the development of professional counselor and the advancement of counseling
profession.
• 1960- C. Gilbert Wrenn introduced the concept of the culturally encapsulated counselor in his
book titled " The counselor in the changing world" . This concept mean that counselor lacked the
understanding or ignoring of another's cultural background.
• The impact of the developmental model lessened, however, as the decade continued, primarily
because of three events: the Vietnam War, the civil rights movement, and the women’s
movement.
• Each event pointed out needs within society and the main focus of that time was on crises
counseling and other short-term interventions.
• Humanistic counseling theories of Dugald Arbuckle, Abraham Maslow, and Sidney Jourard. A were
established. 1963 Community Mental Health Centers Act, which authorized the establishment of
community mental health centers.The American Psychological Association (APA) legalization
committee proposed a restriction on who could provide counseling/perform counseling practice.
• 1970-Diversification of counseling was established. The diversification of counseling meant that
specialized training began to be offered in counselor education programs. It also meant the
development of new concepts of counseling.; Lewis and Lewis (1977) coined the term community
counselor for a new type of counselor who could function in multidimensional roles regardless of
employment setting.
• American mental health counseling association and four other new division of APGA formed.
Virginia was the first state to adopt a professional counselor licensure law, doing so in 1976.
Helping skills program established.
• 1980- APGA changed its name to the American Association for Counseling and Development
(AACD) to “reflect the changing demographics of its membership and the settings in which they
worked .
• The National Board for Certified Counselors (NBCC), which was formed in 1982. The NBCC
developed a standardized test and defined 8 major areas of knowledgeThis was a national
certifying organisation for professional counselor in the US .
• The Association for Counselor and Educator in Government (ACEG) was charted.This encouraged
counselors to deliver guidance, counseling and education to all members of the armed services
and their families.
• 1990-The American Association For Counseling and Development (AACD) changed their name to
the American Counseling Association,with 16 subdivisions, that is still used in present day. The
changed name better reflected the work of the members.
• Increased attention to counseling within a pluralistic society: Multicultural issues were given due
attention in a pluralistic society.
• The Association for Gay, Lesbian and Bisexual Issues in Counseling (AGLBIC) was charted. This
organisation serves members of the counseling profession and seeks to promote awareness and
understanding of sexual identity topic and sexual minority issues.
• 2000s-More than 31,000 counselors held the certification of NationalCertified Counselor. The
20/20 committee was formed and "A Vision for theFuture of Counseling was introduced.
• The Affordable Health Care Act was passed. This law was significant to the counseling profession
because counselors needed to have an understanding about client's health insurance coverage.
• Today, As you can see, the counseling profession has come a long way. Even today, the profession
is still continuing to grow and thrive in society. Counseling organizations, such as the American
Counseling Association, continue to work on developing and raising awareness for the counseling
profession.
Counselling process
• The counselling process is a planned, structured dialogue between a
counsellor and at client. It is a cooperative process in which a trained
professional helps a person called the client to identify sources of difficulties
or concerns that he or she is experiencing.
• Together they develop ways to deal with and overcome these problems so
that person has new skills and increased understanding of themselves and
others.
• . For example students in a college or university may be anxious about how
to study in university, lack of clarity on educational or career direction, have
difficulty living with a room-mate of another race or religion, have concerns
with self-esteem, feelings with being "stressed out", difficulties in romantic
relationships and so forth.
• The fact that counselling is described as a process, there is the implicit
meaning of a progressive movement toward an ultimate conclusion.
• Hackney and Cormier (1987) describes the counselling process as a series of
steps through which the counsellor and client move.
• Counselling can help client learn to make better decision.
• It can help improve personal skills, develop greater confidence, in the
persons academic or work performance.
• Counsellors can help the client only if they are willing to receive help, attend
scheduled sessions, and engage in new ways of thinking pattern and acting
outside of the counseling settings.
Stages of counselling process
• The word process helps to communicate much about the essence of
counseling.
• A process is an identifiable sequence of events taking place over time.
Usually there is the implication of progressive stages in the process.
• For example, there are identifiable stages in the healing process for a serious
physical injury such as a broken leg. Similarly, there are identifiable stages in
the process of human development from birth to death. Although the stages
in this process are common to all human beings, what happens within each
of these stages is unique for each individual.
• Counseling also has a predictable set of stages that occur in any com plete
sequence.
• Initially, the counselor and the client must establish contact, define together
"where the client is" in his or her life, and clarify the client's current
difficulties. If successful, the client commits to using counseling as a tool for
personal growth.
• This stage is followed by conversation that leads to a deeper understanding
of the client's needs and desires in the context of his or her interpersonal
world and to a mutually acceptable diagnosis of the problems.
• Finally, the participants agree on goals for change and design and implement
action plans to accomplish the identified goals. When a client comes to a
counselor to discuss a concern that is fairly specific and compart mentalized
(such as which of two job offers to accept), the entire sequence of stages
may be accomplished in a single session.
• In contrast, when a client comes to a counselor with highly disruptive,
distressful, or long-standing con cern (such as learning how to live as a single
parent or how to cope with an eating disorder), the stages may be
accomplished over many sessions.
• Once rapport has been established and in-depth exploration has been
undertaken, the participants will define each problem or issue more fully and
develop goals for resolving the problems. Next, the client and counselor
devise a plan of action for change that the client carries out and modifies
depending on its success.
• If new information emerges that changes either the understanding of the
problems or the goals for counseling, the process is adapted to meet these
new circumstances.
• First Stage: Initial Disclosure- Relationship Building
• At the beginning of counseling, the counselor and the client typically do not
know one another.
• Counsellor and client must establish contact, define "where the client is" in
his or her life, and clarify the client's current difficuties.
• client is probably anxious about disclosing concems because he-or-she-is not
sure how the counselor will receive the disclosures. Hackney and Cormier
(2001) describe two sets of feelings clients have at the beginning of
counseling: I know I need help and "I wish I weren't here".
• Any counseling process, be it individual or group, starts with the interview
stage. This stage could also be referred to as the familiarization, orientation
or introductory stage. This stage is very important because for you as a
counselor to start well determines the success of other stages and the entire
counseling relationship. The first step involves building a relationship and
focuses on engaging clients to explore issue that directly affect them.
• "Relationship" is a term that has been used in many different situations. It
could imply the ties between two people in love, the bond between family
members or close friends or colleagues or even the bond between a person
and his or her pet. In conselling, relationship takes on a more specific
meaning. The counsellor establishes rapport with the client based on trust,
respect and mutual prupose. When there is good rapport, a positive
psychological climate is created and vice-versa. The likelihood of desirable
outcomes is greater when the psychological climate is positive. Mutual
purpose means both the counsellor and client have common goals leading
to what has been described as a theurapetic alliance.
• The counsellor establishes rapport with the client based on trust, respect and
mutual purpose.
• To encourage client disclosure, the counselor must offer a climate that
promotes trust in the client and encourages clients to put their own
resources to use to address the sues they bring to counseling, Carl Rogers
(1951) described these trist-promoting conditions as the characteristics of
the helping relationship.Empathy, Genuineness and Unconditional positive
regard.
• Rogers placed importance that the counsellor treat the client as a person
with inherent worth and dignity regardless of the client's behaviour
appearance. This is significant when the client is someone who is of a
different ethinic background, religion, gender, socioecnomic statues or
educational level from the counsellor. In other words, the client is treated as
a human being and the counsellor should also embrace the client's world
view.
situation.It is the counselor's task to sort out ambiguous statements and help the
client find descriptions that will accurately portray what is happening in his or her
life. Concreteness promotes clearer insight by the client into his her life and
provides the counselor with a fuller sense of the uniqueness of the client's
experience.
• If these conditions are present in the initial disclosure stage of counsel ing,
clients will be encouraged to talk freely and to elaborate on their concerns.
• Essentially what counselors are doing when they communicate in these
ways is giving clients permission to use their tendency to active self
improvement in this relationship, Gelso and Carter (1985) refer to this point
in counseling as the establishment of a "working alliance
• In the process, clients don't simply tell the counselor what the problem is,
they begin to clarify the dimensions of life concems, rethink their problem
and its relation to other parts of their lives, and consider the potential for the
counselor to help and support change.
• In other words, as clients work to try to communicate their ideas and feelings
to another, they also reach greater personal understanding and become
aware of possibilities for change in a problem that seemed insoluble prior to
counseling.
• Research by Michael Lambert and his colleagues (2001, 2002) high lights the
importance of the first stage of counseling. Their work suggests that clients
decide in the first three sessions whether they believe that coun seling with
this particular counselor will help them reach their goals for change.
• They make this decision based largely on the effectiveness of the counselor
in forging a therapeutic alliance, in conveying real interest in them as unique
people, and in a communication style that eases the difficulty of discussing
painful and sensitive issues.
• When clients are not positively disposed toward the counselor in the first
few sessions, they are at risk for dropping out of counseling before they
reach their goals.
WHAT TO ASSESS?
Hackney and Cormier (2005) listed the following important components of
assessing the client:
Identifying Data
• Name, address, phone number [to enable the counsellor to contact and
gives an indication of the conditions under which the client lives
• Age, gender, marital status, occupation [gives an indication of the age of the
client and some background about marital status]
Problems Presented
• Present the problem exactly the way the client reports them and the
following questions might reveal additional information:
• How does the problem interfere with the client’s daily life?
• What are the behaviors, thoughts and feeling associated with the problem?
How often and how long has the problem existed?
• Is a Patten of events? e.g. when? With whom? Is it predictable?
Family History
Personal History
Whiston suggested that to understand in more detail the problem stated by the
client, the counsellor could explore the following areas:
How does the problem manifest itself?
• Feelings associated with the problem (e.g. anger, fear)
• Thinking associated with the problem (i.e. the client’s beliefs, perceptions)
• Behaviors associated with the problem (e.g. rude, insults, avoids being in a
crowd)
Physiological complaints associated with the problem (e.g. stomach aches,
unable to sleep)
• Interpersonal effects (e.g. quarrels with family members, keeps to himself,
bullies classmates)
There are different ways in which counsellors use the information collected
about their clients. Some counsellors look mainly for patterns of behavior.
Others use it for planning relevant counselling strategies and approaches to use
with problems. For ex ample, a person who complains that he is unable to make
friends, the counsellor moght look at the client’s behaviour in interpersonal
relationships and use behavioural strategies that emphasizes acquisition of
social skills and interpersonal strategies that deal with relationships between
people.
Counsellors who do not assess the problems presented by their clients “are
more likely to formulate wrong conclusions about client problems and irrelevant
or non-workable counselling approaches and strategies. As a result, not only is
more time spent on ‘hit and miss’ counselling, but ultimately clients might leave
with the same set of problems they brought to the first session.
When goals are stated clearly, both the counsellor and client have a better
understanding of what is to be accomplished. For example, “to help the client
develop his or he self-esteem”. Clarity of purpose allows the counsellor to work
more directly with th e client’s problems or concerns. Stating goals in behavioral
terms, enhances the clients’ understanding of what is to be done. It also allows
both client and counsellor recognize progress when it happens which reinforces
further progress.
1. How to open the session:- After the client has been introduced to the
counselor by name the counselor may want to spend a few minutes in social
conversation to relieve the tension and anxiety the client is probably
experiencing. However, the counselor must be careful not to spend too much
time in this fashion. Some clients come to counseling at the insistence of a third
party. Teachers and parents often require an individual to see a therapist for
psychological counseling. Clients referred under such circumstances are
frequently more anxious and resistant to the process. This situation requires
careful thought and planning on the counselor's part. Regardless of the reason
for referral the counselor must come across as warm and accepting.
3. Goals for the first session:- The initial counseling interview is in some ways
the most important. The client begins to build trust in the counselor during this
session, and many of the counselors' behaviors are being carefully scrutinized.
The primary goal of the first session is establishing rapport.
COUNSELING PROCEDURE/SKILLS-1
Procedure in the counseling process.
1. Establish a safe, trusting environment.
2. Help the person put their concert into words.
3. Active listening: find out the client's agenda. - Paraphrase ,summarize, reflect,
interpret.
- Focus on feelings, not events.
4. Transformation problem statement into goal statements.
5. Explore possible approaches to goal.
6. Help person choose one way towards goals.
7. Make a contract to fulfil the plan (or to take the next step)
8. Summarize what has occured, clarity, get verification.
9. Get feedback and confirmation.
Skills.
1. Listening - The act of listening is further delineated into the following two
components,
a) Attending - Orienting oneself physically to the patient to indicate one is aware
of the patient, and in fact that the client has your full, undivided attention
and that you care.
b) Listening /observing - Capturing & understanding the verbal and non-verbal
information communicated by the patient.
2. Empathy.
3. Genuineness
4. Unconditional positive Regard.
5. Concreteness.
6. Eye contact : Maintaing good eye contact is how a professional counselor
conveys interest, confidence, and involvement in the client's story.
7. Body position - Your body position should convey to the client your interest
and involvement.
• Face the client and adopt an open, relaxed and attentive body posture, as this
will assist in putting your client at ease.
• Do not cross arms & legs.
• Do not sit behind a desk or other barriers.
• slightly lean in the upper body towards the client.
• Let your clients decide the physical distance b/w you and them by offering to
let them the chairs but make at sure to an individual comport level set up your
own personal space boundaries, too.
8. Vocal Tone.
• Emotions are frequently conveyed via tone of voice.The pitch, pacing and
volume can all have an effect on how a client responds emotionally to a
professional counselor.
•Your voice can do much to help create a soothing and anxiety regulating
atmosphere for the client.
• Verbal underlining - giving, increased vocal emphasis to certain words or short
Phrases - helps convey a sense of empathic understanding.
OPENING TECHNIQUES.
Counseling is a technique/skill concerned with helping people to help
themselves by the development of a special relationship which leads the client
into a greater depth of self understanding.
-There are many different techniques that counsellors can use with their clients.
Opening Techniques: Greeting, to pics, physical arrangements, attitudes, Non
verbal skills (SOLER), Rapport building.
-The opening process is one of the most important parts of the interaction with
the client. It is a chance to get to know the client and for them to get to know
the counsellor. It is also where the counsellor will set the tone for the rest of the
therapeutic relationship.
Greet the client warmly- smile and shake hands.Then open up the topics to be
discussed.
- counseling may take place anywhere but some kind of physical setting may
promote and enhance the counseling process better than others
-Benjamin (1987) and Shertzer and Stone (1980) emphasise that among the
most important factor that influences the counseling process is the
place where coursaling occurs. Optimal conditions within the room where
counselling is to be rendered can provide a conducive environment to both
counselor and counselee.
-The optimal condition include a room with quiet colors, Lighting that is neither
too flashy and bright nor too dull and depressing clutter free with harmonious
and comfortable furniture and good ventilation.
- It should be free from outside disturbances and should exude a feeling of
warmth.
-In short, it should be comfortable such that relaxed atmosphere is provided in
which the counselee can talk in a relaxed mood.
-The sitting arrangement with in the room depends on the counsellor.
-Benjamin (1987) suggests that counselors include two chairs and in the setting.
The chairs 90 degree angle from one another that the clients tablmay can look
at their counselors or straight ahead. Counselors could opt for other variations
of physical arrangement as per their comfort level.
Attitudes: There is probably nothing which has a greater impact on the outcome
of a counseling. than the helper's attitude. Attitucles can be positive or reactive.
They include the following:
• Respect: It is one of the most important human attitudes required. It
normally begins with respecting one's self, so that others respect you in turn.
It is having good intentions and warm regard for client. Avoid judgement.
• Genuineness / congruence- Genuiness is at times referred to as congruence.
It the consistency what you are, as or harmony b/w what you say, a
counsellor. This condition reflect & honesty, transperancy and trust. This
element is basic to a counseling relationship. Once it is established, open
communication, warmth and respect for the client gradually develop.
• Unconditional positive Regard (warmth).
-Unconditional positive regard makes client feel welcomed & valuedas
individuals.
• Empathy:Empathy is the ability to understand what client experience &
communicate this kind of feeling.
• Carl Rogers (1980), defined it as perceiving the internal frame of reference
of another person.
• Gerald Egan (1990), explains it as private perceptual world of entering the
client, & being sensitive to his/her feelings, whether good or bad.
Once the initial process has begun, there are some guidelines that followed for
effective counselling. These are as follows:
Keeping the Focus on the Other Person. When the counselee focuses excessively
on another person (or people), it is important to redirect the conversation towards
his focusing on himself, and make them take responsibility for his own actions.
Silence is Golden. If counselling skills are used appropriately, there will be silent
periods in the conversation. At first, this might make the client uncomfortable.
When counselling, however, silence actually improves the conversation remarkably.
It allows time to consider what has been said, and to gather thoughts and clarify
them. Silence also gives time and space to get in tough with thoughts and feelings,
which are not so immediate and close to the surface.
Outbursts and ventilation. When the counselee are already in or get into an
emotional state, the counselor should be aware that they will need a period of time
to discharge the emotions (in Phase 1) before moving on either to define or resolve
the problem.
Repression Thoughts are often expression of feelings at various levels of
awareness. If your counselee is exhibiting strange or inexplicable behaviors, it may
be due to a repressed feeling. When counselee are avoiding discussing emotions-
refusing to acknowledge emotions and talking only on a logical level when the
counselor suspect there are indeed emotions involved- then encourage them to
talk about the repressed feelings. The counselor can either reflect only the emotion
content of their communication, or ask direct questions about what they are feeling.
Symptom or cause. The counselor should be aware that the original problem as
presented by the counselee is often not a full explanation of the real problem. It
could be a symptom of the underlying problem, or it could be totally unrelated,
especially if the counselee feels too uncomfortable to jump straight into talking
about the real problem.
Counselling Skills
There are specific counselor skills that are basic to the therapeutic process and are
most used by most counselors and therapists regardless of their particular
theoretical orientation.
Non-verbal communication behaviors using the body are eye contact, posture,
facial expression, hand and arm gestures etc. Non-verbal communication behavior
using vocal media are: Tone of voice, rate of speech, loudness of voice etc.
a. Open ended leads:- An open-ended lead essentially says to the client "tell me
about it". Unlike a closed question, the open-ended lead requires more than the
yes or no. Open-ended leads encourage clients to share their concerns with the
counselor.
c. Silence and passive listening:- Possibly the most basic skill is using silence within
the counseling interview. First, silence lets the clients know that the responsibility
for the interview lies of their shoulders, second, silence allows clients to delve
further into thoughts and feelings and to ponder the implications of what has
transpired during the session. Silence communicates to the client a sincere and
deep acceptance. It demonstrates the counselor's deep concern and willingness to
let the client experience the relationship without sensing pressure to be verbal.
LISTENING TECHNIQUES
> Closed: A closed question is the practice of asking a question that can be
answered as a 'yes' or 'no'. Closed questions should generally be avoided in the
counseling relationship, as they do not encourage deeper exploration.
3. Silence: When attentive, silence allows space for the client to reflect on what
they are saying and to continue talking. In the counselling context, silence
takes on a particular and important role, facilitating the client's movement
and journey.
While using silence in counselling may seem unfamiliar and daunting to
someone just starting counselling training, experience both within skills
practice and on placement generally shows student counsellors just how
powerful silence can be.
It allows the client to speak about their issues without interruption
(sometimes a new experience for them).
Silence also enables the client space to process their thoughts and feelings
without distraction. This helps them gain clarity on the difficulties they face
and consider a possible way forward.
Silences occur for a number of reasons, for the counsellor it can be:
The person-centered counsellor trusts that the client will work in a way, and at a
pace, that is suitable for them. The counsellor gives the client control of the content,
pace and objectives. This includes listening to silences as well as words, sitting with
them and recognizing that the silences may facilitate the counselling process.
The counsellor zooms in on the emotions behind the story, or narrative, that
the client is bringing.
Focusing allows access to deeper levels of awareness, wisdom, and self-guidance
that reside inside each of us.
Simply stated, Focusing allows us conscious access to that which often remains
unconscious or subconscious, due to the fact that most people do not know how
to access it.
> Making an effort to get in touch with your conversational partner's frame of
reference sends a message of respect. Therefore, empathic responses play an
important part in building relationships.
The therapeutic alliance should be an empathic relationship. The skill and practice
of communicating empathy to clients should not be an "add on," but should flow
naturally from this relationship.
> Arthur Clark (2007) devotes an entire book to empathy in counseling and therapy.
He describes three kinds of empathy: subjective, interpersonal, and objective.
In his view subjective empathy "enables a counselor to momentarily identify with
a client through intuitive reactions and fleetingly imagine and experience what it is
like to be a client".
> Objective empathy arises from what a counselor has learned from various sources,
including his or her own experience or from reputable theories and research
findings.
reference and understand what the client is thinking and feeling together with the
ability to communicate this understanding without prejudice to the client.
➤ Both subjective and objective empathy can either contribute to and facilitate
interpersonal empathy or, conversely, stand in the way.
> Perceptiveness: Feeling empathy for others is not helpful if the helper's
perceptions are not accurate. But empathy, as used here, is much more than a
feeling for the other person and, therefore, accuracy is more complicated than one
would first think.
> Know-how: Once you are aware of what kind of response is called for, you need
to be able to deliver it.
Being assertive means being able to stand up for your own or other
people's rights in a calm and positive way, without being either aggressive, or
passively accepting 'wrong'.
The word 'paraphrasing' refers to the rewording of the content of what clients say.
Paraphrasing is repeating the thoughts and feelings of the client but in the words
of the counselor or therapist.
Reflection paraphrasing are very similar; the difference between them being that
the former is generally used to describe a rewording of the emotional content,
while the latter is mainly concerned with the factual.
The word 'reflection' refers to the skill of communicating back to clients that their
words and feelings have been heard.
> These strategies enable the counselor or therapist to provide feedback to the
client regarding both the ideas (content) and the emotions (feelings) that the client
is expressing.
> By reflecting content, the counselor or therapist shares his or her perceptions of
the thoughts that the client is expressing. This can be done either by using the
client's words or by changing the words to better reflect the counselor or
therapist's perceptions.
> By reflecting feelings, a counselor or therapist goes beyond the ideas and
thoughts expressed by the client and responds to the feelings or emotions behind
those words.
ADVANCED EMPATHY
Empathy is the ability to emotionally understand what other people feel, see things
from their point of view, and imagine yourself in their place. Essentially, it is putting
yourself in someone else’s position and feeling what they must be feeling.When
you see another person suffering, you might be able to instantly envision yourself
in the other person’s place and feel sympathy for what they are going through.
Empathy was defined as the ability to tune in to the client’s feelings and to be able
to see the client’s world as it truly seems to the client. At its primary level, an
empathic response communicates an understanding of the client’s frame of
reference and accurately identifies the client’s feelings. In contrast advanced
empathy takes the client a step further into self-exploration by adding deeper
feeling and meaning to client’s expression.
Types
There are two types of Empathy:
➢ Empathy allows the client to feel really understood and the non-
judgmental, understanding, caring, attitude of the counsellor fosters a
safe environment where the client can express their feelings.
➢ The intense listening, probing and clues from clients expressions and
body language or how they view their experiences or their behaviours
allows the counsellor to see or sense feelings or meanings that the client
is scaresly aware of.
> To access the unknown, the underlying feelings, the counsellor must focus on the
edge of the client’s awareness.
➢ The felt sense is the door to the unknown. Its may be accessed by
echoing words or sensations the client is experiencing – reflecting
tightness, blackness.
➢ The therapeutic value of advanced empathy is helping the client to
become aware of feelings and meanings.
THEME IDENTIFICATION
The advanced empathic response also helps the counselor to identify themes in
the counseling session. Typically, client expresses a variety of concerns during the
session. At the outset these concerns may seem unrelated. The counselor who
listens carefully and with a tramed ear can begin to hear the relationshin among
various incidents, situations, problems, and feelings.
SELF-DISCLOSURE
Within the counseling relationship, the counselor may choose to reveal himself to
the client to facilitate the client’s openness. In one method of self-disclosure, the
counselor might use immediacy to share his or her reactions to the client or to
their relationship openly in the here and now. In another method the counselor
might respond to a client statement that is closely related to the counselor’s own
experience by sharing the similar experience in feeling terms. Self- disclosure,
when properly implemented, can promote a client’s feeling of being understood.
It can also enable the counselor to identify client feeling at a deeper level than
might otherwise be achieved. In this respect, self-disclosure can facilitate
advanced empathetic response.
INTERPRETATION
Interpretive statements cover a broad range of counselor responses, their
purpose is to add meaning to elient's attitudes, feelings and behavior. The two
important interpretive techniques clarification and confrontation.
a. Clarification
b. Confrontation
Immediacy
ROLE PLAYING
Role playing, also called behavioural rehearsal, can be especially useful in solving
interpersonal relationship difficulties.
Role-Playing focuses on patients who have phobias and want to overcome them
by learning new behaviors. The sessions will consist of the therapist taking the
role of someone who may be difficult for the patient to confront. When the client
is interacting with the counselor they will use the new behaviors that have been
taught to them during treatment.
Role-Playing can help individuals overcome the fears by breaking the habit and
learning new behavioral techniques. How well the treatment plan works is going
to depend on how severe the fear is.
Treatment works by gradually exposing the patient to the situation through role-
playing and rehearsal. They will learn methods in reducing the amount of anxiety
they experience.
These methods will provide them with courage and help them relax when
nervous feelings begin taking over.
The counselor will teach the patient relaxation techniques, deep breathing and
demonstrate biofeedback.
Being that there are some fears that cannot be cured there is medication to help
patients who are affected by it heavily.
The medications are used with therapy although they usually are not prescribed
until the counselor is aware of the severity. The medications that are most
effective in treating social phobias are antidepressants and SSRIs.
By the end of treatment the patient should be able to approach their situation
slowly while working on learned relaxation components.
The key to Role-Playing Therapy is slow progress and gradually learning the new
target behavior which can be accomplished using imagination, trust in the
therapist and gradual courage.
Counseling Skills-II:
BEHAVIOURAL TECHNIQUES
2) Shaping
3) Chaining
4) Token economies
5) Modelling
This technique involves learning through observation and modeling the behavior
of others. It is a method of teaching by demonstration where the therapist shows
how a specific behavior is to be performed. In modeling the patient observes
other in delging in target behaviors and getting rewards for those behaviors. This
will make the patient repeat the same behavior and earn rewards in the same
manner.
1) Extinction
2) Aversion Therapy
3) Assertiveness Training
A behavior therapy technique in which the patient is given training to bring about
change in emotional and other behavioral pattern by being assertive.
Social skills training helps to improve social manners like encouraging eye contact,
speaking appropriately, observing simple etiquette and relating to people.
Using the right tone and volume of voice, expressing opinions to others,
perceiving how others are feeling and showing empathy, appropriate emotional
responses.
5) Systematic desensitization
This technique was proposed by Joseph Wolpe 1958. It involves having a client
make a list of fears and then teaching the individual to relax while concentrating
on these fears. In this, patient attain a state of complete ralaxation and are then
exposed to the stimulus that elicits the anxiety response.
a) Behaviour Contracts:
b) Social Modelling:
When the present concern of the client involves a problematic relationship with
another person, it is often useful for the client to practice new ways of relating to
the other party with the counsellor. The client is given instructions regarding how
to act so that the situation will resemble real life, and then the client and
counsellor act out the situation. This gives the client the opportunity to get
feedback from the counsellor regarding the effectiveness of the client's
behaviour. This technique is similar to the "empty chair" technique from the
Gestalt approach.
• The person to be oriented must be aware of what he/ she gets, or the
frame of the possible outcomes Related with any alternative and each his
/her objective.
• Decision theory helps to collect these data in order that the Subject be
oriented toward the actions that are more coherent with his her wishes.
• The counsellor must help the client to find out the possible consequences
of his her Actions and set choice criteria neither too optimist, nor too
pessimist.
1.First, counselor needs to make sure that they understand client’s issue or
dilemma.
2.Next, help the client brainstorm and come up with possible Solutions.
3.Next, help the client evaluate the possibilities by helping them Understand the
negative and positive consequences of the possible choice.
4.Another option is to use a pro/con list. For each option, have two columns, one
for pros and one for cons. The client will then start to list the pros and cons.
Next to each pro or con, have the client assign an numeric value from 1 to 10 that
represents the saliency of each option, with 1 being not very salient and 10
extremely salient.
• Use positive numbers for pros and negative for cons. When the client
finishes the list, total up the numbers in the two columns, then add those
numbers together. This number represents how beneficial the choice is,
with the higher numbers being more beneficial.
This step should include answers to problems such as -What is the problem?
What prevents a solution? When and under what circumstances does the
problem occur? And So on.
During this phase the clients’ values are examined so that the solution will be
consistent with the clients’ values and long-range goals.
Identify Alternatives
Examine Alternatives
At this stage the advantages and disadvantages of each proposal are weighed,
based on factual information such as amount of time and money involved.
At this stage a tentative decision Is taken regarding how to solve the problem.
Evaluate Outcomes:
5)Deliberating and weighing the facts, probable outcomes and values for each
alternative.
• Their job is to provide an opportunity for the person to describe their feelings
and problems for themselves and then to reach decisions and actions that are
based on informed choices.
• The emphasis is on helping the client draw On resources available to him and
become committed to managing life’s problems with self-reliance. The aim is
to offer a listening ear, offer minimal advice, help client know himself and
discover Solutions to problems.
• Minimal attention is given to letting client talk and ventilate without any
particular direction. Instead, the counsellor is actively engaged in the process
to help client focus on issues and generate solutions.
• Counselling should focus on helping him to deal with his present problem. It is
also the task of the coun sellor help him assume responsibility for his life now.
It should be noted that normalising problems is firstly an orienta tion of the
counsellor.
2)Problem Identification: This step involves the counselor and the client
attempting to identify the problem in as much detail as possible. A client is
more likely to continue in counseling and to achieve positive outcomes if
the counselor and client agree on the nature of the problem.
5)Verification: The counselor in this final step should discuss with the client how
the client will know when the problem has been solved. This step requires that
goals be clearly specified, that they be translated into specific behavioral
objectives, and that the possibility for progress in accomplishing these goals be
realistically viewed. Counselors are to verify the effectiveness of interventions
: Clients often present counsellors with rather vague problems that, as stated, are
insolvable. Therefore,as a first step the problem must be stated in a solvable
manner. Instead of accepting vague descriptions of feelings, such as “I am so
depressed”, the counsellor seeks the stimulus for the client’s feelings “I am
feeling sad and lonely as I have just moved into this new city and I don’t have any
friends.” The counsellor emphasizes that problems cannot be solved when stated
vaguely, when they are not dealing with the present and when they are
attributing to the outside forces.
d)A problem which when solved will bring about some improvement
Problems reflect the ways things are And goals represent the future. In other
words, problems equal Restraining forces; goals equal facilitating forces. Goals
should be Workable and concrete and should be owned by the client.
Choose the Means that will most Effectively Achieve Established Goals:
The means must be consistent with the client values, should Have a high
probability for success, and should help the client move Systematically towards
the goal.
Some criteria need to be established which will Become the basis for measuring
the effectiveness of the action Programmes.
Implementation
Goal Setting
• Whether or not to set goals for the counseling process and the type of goals
considered acceptable will largely be determined by the counselor’s theatrical
orientation. Traditionally, behaviorists have been concerned with identification of
specific counseling goals, stated as behavior, that can be easily identified and
measured. Counselors with a humanistic orientation, on the other hand, would be
inclined to identify a few broad goals, such as improved self-concept or increased
self-understanding, rather than to focus on behaviors.
• Once relationship has been terminated, the counselor will want to keep in
touch with the client to see, how things are progressing. This
communicates the counselor’s genuine concern for the client’s further
growth and development.
GROUP COUNSELLING
Individuals who have similar problems when put together for counselling
intervention, they identify with others and realize that they are not alone
that, there are other people who share similar problems. This makes
them open up so as to share experience and find a way of finding
solutions to their problems.
The broader concept of group therapy refers to any helping process that
takes place in a group, including support groups, skills training groups
(such as anger management, mindfulness, relaxation training or social
skills training), and psycho-education groups.
AIMS/GOALS
PRINCIPLES
e) Nature of membership
1. Forming
2. Storming
3.Norming
4. Performing
5. Adjourning
• Finding closure
• The sense of the group is that the work is done
• May be apprehension over the impending loss of group identity
and friendships
• Cleaning up the group’s undone tasks and removing symbols of
the group. Evaluating the results and producing final reports.
• The final stage is very important because it gives the members
the opportunity to clarify their experiences, consolidate the
gains they have made and revisit their decisions about the newly
acquired behaviour they want to implement in their everyday
life.
• Saying goodbye.
Advantages
• More clients can be treated at once, fostering cost effectiveness
• Members benefits by hearing others discuss similar problems;
feelings of isolation, alienation, and uniqueness often decrease,
encouraging members to share problems.
• Group therapy allows clients to explore their specific styles of
communication in a safe atmosphere where they can receive
feedback and undergo change.
• Members learn from others multiple ways to solve problems,
and group exploration may help them to discover new ways
• Members learn about the functional roles of individuals in a
group. Sometimes, a members share the responsibility as the co-
therapist. Members become culture carriers.
• The group provides for its members understanding,
confrontation, and identification with more than one person
Disadvantages