In Depth Exploration

8/3/2019 In Depth Exploration

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In-depth exploration

: By Ashish Juneja

1/23/2012 1Email: [email protected]


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Continued from Initial DisclosureBoth client and counselor become aware of:

y Significant events that shaped the client personality

y Influence of ethnicity, culture, socio-economic status,gender and sexual orientation

y Deficiencies in client coping skills

y Strengths which client posses but may not be using

y Signification relationships with significant others inclient's life that effect clients thought, feelings and actions

y Feeling about self and others

y Goals implicit in clients unsuccessful efforts



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Goals of in-depth explorationy Both client and counselor should gain insight into the

clients strengths, deficiencies, interpersonal

functioning.y Use insights to begin formulating goals



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Principles governing use of

feedbacky Feedback is hard to receive

y Feedback that does not fit a persons self image will be

harder to receive than feedback that is consistent withthe self image

y Feedback is never fully internalized at the time it isreceived

y Feedback is easier to receive from the trusted sourcey Feedback is easier to receive when the giver offers it

with calm presence



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Principles governing use of

feedback

y Feedback is more effective when it is communicated clearly and

specifically

y Feedback can only be absorbed in small doses

y Feedback is presented for the clients consideration, not as the

indisputable truth



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Immediacyy immediacy refers to the current interaction of the

therapist and the client in the relationshipPatterson

y Immediacy response is the communication thatprovided feedback to the client about therapists innerexperience of the relationship at given moment.

y Three kinds of immediacy responses according to

Egan-those that review overall relationship with theclient, those that explore changes in clients demeanoras different issue, those self involving statements thatreflect counselor effective response



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Immediacy responsey Provide opportunities to client and counselor to

explore whether they are working together effectively.

y Provide opportunity to identify effective relationshipskills

y Help client examine his or her own relationship skills

y Generalize the dependency of the counselor client

relationship and other relationships as well.y Provide opportunity to counselor to react to changes in

client participation



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Confrontationy General term implies conflict or attack

y Counseling intervention in which counselor verbalizes

the discrepancies, contradictions and omissionsexpressed in clients words or actions.

y Done for and with the client not to and against client.

y First step is to identify mixed messages, conflict and

incongruity in the clients statements.y Requires observation, questioning and listening.



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Confrontation-Discrepanciesy Discrepancies between the clients perception and

accurate informationy

Helping the client correct misconceptions.

y Discrepancies between the client expectations andlikely possibilities

y Help the client think rationally and sensibility about what is happeningwith the client.

y Counselor may hear irrational thinking

y Example- I may be loved and everyone or I cannot be happy



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Confrontation-Discrepancies (Contd.)Discrepancies between the verbal an body messages

y Body messages provide more accurate information

y Providing the client honest feedback about body messages can lead to

honest communication.

y Example- Saying in am interested but maintains defensive posture with

arms crossed.y Hiding the feelings-Smiling while discussing or describing the

distressing event



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Confrontation-Discrepancies (Contd.)Discrepancies between behaviors and stated goals

y Persons who seeks to be accepted by others but behavior

may be unlikely acceptable.

Contradictions between statements and actions

y Example-case of a woman who was trying to cope with

separation initiated by her husband



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Confrontation-Mixed messagesy A mixed message is an incongruent message-one part

of the message appears to contradict other parts of the

message.y Example-I love you when you do what I want. These

are delivered by parents to children.



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Confrontation-Omissionsy Sometimes clients presents the incomplete

information about the life and the experiences

uncomfortable to discuss.y Example- A mother may have three children but

discusses about two only.

y Counselor may confront these omissions discovered

through listening carefully.y Confrontation to omission demands attention to the

primacy of the client as focal person in counselingexperience.



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Working with client defensesy Work with rather than to attack the client resistance.

y Counselor must help the client to see and experience

the things with brighter clarity.y Counselor should learn from the experience with the

client which approaches are most acceptable.



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Guidelines for constructive

confrontationy Confrontation should not be the predominant mode of

feedback to a client. It should be used sparingly.

yBeing angry towards a client is risk of misusingconfrontation as a mask of anger.

y Be clear with the reasons of confronting. Plan shouldbe based on clients needs and not your own.

y Be a total ally of the client.y Use direct and simple language.

y Be prepared to admit confrontation may be wron ifclient denies its accuracy.



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Interpretationy Interpretation is the form of additive responding.

y The purpose is to explain rather than merely describe

a client's behavior and to change a clients frame ofreference in therapeutic directionClark, 1995

y According to Ivey and Ivey-with interpretation thecounselor provides the client new alternative way to

consider the situation.y Some therapists use the term reframing

y New frame for viewing the clients concern



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Interpretation- (Contd.)y Interpretive response involves placing meaning to the

observational data using theory.

ycounselor presents the client with the hypothesesabout relationships, meanings or behaviors thatemerge from his or theoretical understanding ofhuman personality.

y

Example- Case of Raynette who lives with her mother,sister and infant daughter. She reports feeling stuckthat life is not going anywhere.



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Interpretation- (Contd.)y Interpretation accounts for 6-8 % of counselors'

responses.

yAccording to Frank and Frank- interpretation is the

valuable counseling intervention as it supports theclients security and mastery.

y It offers a name to set of experiences that are confusing

and overwhelming.y Premature interpretation backfires.

y Should not be used at the close of the counselingsession.



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Sourcesy The Counseling Process-A multi-theorictical

integrative Approach.Elizabeth Reynolds Welfel,

Lewis E. Patterson

1/23/2012 Email: [email protected] 19

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In Depth Exploration