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9780534625771

The Heart of Counseling A Guide to Developing Therapeutic Relationships

by ;
  • ISBN13:

    9780534625771

  • ISBN10:

    0534625770

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2005-06-09
  • Publisher: Brooks Cole
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List Price: $128.95

Summary

With a unique emphasis on the bond between client and counselor, Cochran and Cochran's counseling skills text teaches students concrete and detailed steps for developing the therapeutic relationship. Each of the book's thirteen chapters addresses a specific therapeutic relationship skill-builder: how to listen therapeutically; how to strive for empathy; how to express empathy; how to strive for unconditional positive regard; the art of being genuine; getting started with new clients; the ongoing structuring of the therapeutic relationship; helping clients get started; managing client crises with therapeutic relationship skills; ending therapeutic relationships; considerations for providing therapeutic relationships across cultures; and using therapeutic relationships in non-counseling situations.

Table of Contents

PREFACE xv
INTRODUCTION 1(182)
Why the "Heart" of Counseling
1(1)
A Few Notes about Us
2(1)
A Note About Our Theoretical Base and Background
3(1)
Important Notes on Case Examples
3(1)
How to Use This Book
4(1)
1 Eleven Concepts-Roots That Ground and Grow with The Heart of Counseling
5(14)
Primary Skill Objectives
5(1)
Focus Activity
5(1)
Introduction
6(1)
Important Guidance for Your Study of These Concepts
6(1)
Avoid Intellectual Overload
6(1)
Remember That Experience Is the Best Teacher and Communicator
6(1)
Eleven Underlying Concepts
7(10)
Self-Actualization
7(2)
When Blocks Come into One's Path toward Self-Actualization and Ideal Maturity
9(1)
The Capacity for Awareness, to Reason, Question, and Choose
9(1)
Interpretation of Experience and Development of Self-Concept
10(2)
Awareness of Existence, Choice, and Questions of Self-Worth
12(1)
Self-Responsibility is Anxiety-Provoking
13(1)
Awareness of Aloneness
13(1)
Emotions Are Useful and Necessary for Growth
14(1)
Every Action Is a Choice of Destiny
15(1)
The Internal World
16(1)
Locus of Control and Evaluation, and Being
16(1)
Activities and Resources for Further Study
17(2)
2 The Rich and Subtle Skills of Therapeutic Listening
19(24)
Primary Skill Objectives
19(1)
Focus Activity
20(1)
Tuning in and Listening
21(1)
The Many Levels and Nuances of Reflecting
22(3)
The Broad Skill of Reflection: From Paraphrasing to Themes to Confrontation, Challenge, Summary, and Beyond
22(2)
The Broad View of Communication from Clients
24(1)
The Do's and Don'ts of Listening Therapeutically
25(1)
Overview of What You Are Communicating with Your Actions
25(1)
Do's
25(1)
Don'ts
26(1)
Important Explanations of the Behaviors of This Do's and Don'ts List
26(10)
Your Listening Body Language
26(1)
Reflect Your Perception of What Your Client Communicates
27(1)
Reflections as Declarative Statements
28(1)
The Question of Questions or Questioning Tone
29(3)
Keep Your Reflections Short, Whenever Possible
32(1)
The Special Issue of Verbatim Reflections
32(1)
Focus Your Reflections on Your Client's Main Point, or the Things Communicated That Seemed Most Important, Most Emotionally Laden for Your Client
33(1)
Be Prepared for and Accept Corrections
34(1)
The Issue of Interruptions
34(1)
Allow Your Clients to Own Most Silences
35(1)
How Therapeutic Listening Differs from Listening Outside of Counseling and from Nonlistening
36(1)
How and Why Listening Therapeutically Works
36(2)
What's Difficult about Listening-Common Errors and Problems in Listening for Beginning Counselors
38(3)
Common Interfering Thoughts
38(1)
Therapeutic Listening Is Not Normal and Can Feel Odd
39(1)
The Urge to Fix Immediately
39(1)
Sometimes Clients Want a Quick Fix
40(1)
The Desire to Ask Informational Questions That Are of Interest to You
40(1)
Stories
40(1)
Returning to Important Communications
41(1)
Multitasking with Therapeutic Listening
41(1)
Activities and Resources for Further Study
41(2)
3 Striving for Empathy
43(17)
Primary Skill Objectives
43(1)
Focus Activity
44(1)
Introduction
45(1)
What Empathy Is and Isn't
46(2)
Understanding What Empathy Is by Considering What It Is Not
46(1)
Intricacies of Empathy
47(1)
A Sample of the Preponderance of Literature Supporting and Clarifying the Importance and Power of Empathy
48(2)
Why Empathy Is Important, Powerful
50(4)
Connecting at the Core
50(1)
Joining on a Scary Journey
50(1)
Self-Awareness
51(1)
Self-Experience
51(1)
A Profoundly Different Relationship
52(1)
Joy in Connecting
52(1)
Furthering Communication and Connection
53(1)
What Gets in the Way of Empathy
54(3)
Habit
54(1)
Fear of Feelings
54(1)
Misattributed Responsibility
55(1)
Letting Go of Control
56(1)
Activities and Resources for Further Study
57(3)
4 Expressing Empathy
60(18)
Primary Skill Objectives
60(1)
Focus Activity
61(1)
Various Ways to Express Empathy
62(2)
Matching Client's Tone
62(1)
Facial Expression and Body Language
62(1)
The Most Overt Means-Words
63(1)
Do's and Don't of Expressing Empathy
64(1)
Overview
64(1)
Do's
64(1)
Don'ts
65(1)
Explanations and Discussion from This Do's and Don'ts List
65(5)
Focus Your Attention Primarily on Client Emotions, Secondarily on Thoughts and Actions
65(1)
Strive to Feel with Your Client, to Feel What Your Client Feels
65(1)
Reflect Client Feelings and Underlying Thoughts through the Tone, Facial Expressions, Body Language, and Gestures That Come Naturally to You
66(1)
Reflect Client Feelings with Words for the Emotions You Feel with Them, When Natural
66(1)
Reflect Feelings and Underlying Thoughts That You Perceive Your Client to Imply
66(1)
State Your Empathy in Declarative Statements and, When Unsure, State Your Empathy with More Tentative Declarations
67(1)
Use Reflections to Restate Client Feelings and Underlying Thoughts More Clearly, Directly, and More Precisely and Concisely
67(1)
Be Prepared for and Accept Corrections
68(1)
Don't Let Your Words for What You Feel with Clients Come Out Sounding Like Assessments
68(1)
Don't Respond from a Hidden Agenda of What You Believe Clients Should Realize
69(1)
Don't Do Most of the Talking
69(1)
Don't Make "Me Too" or "Must Feel" Statements
69(1)
Nuances of Expressing Empathy That Don't Quite Fit Our Do's and Don'ts List
70(3)
Remaining Animated, Natural, and Spontaneous in Expressing Empathy
70(1)
Variation of Tone in Expressing Empathy
70(1)
Responding to Implied Emotions
70(1)
Responding to Unpleasant Emotions
71(1)
Discerning When to Respond More to Emotions and When to Respond More to Content
72(1)
Common Difficulties, Pitfalls, and Dead Ends
73(3)
Thinking of the Word, Rather Than Feeling with Your Client
73(1)
Trying Too Hard to Get It Just Right
73(1)
A Limited Vocabulary for Feelings
74(1)
The Problem with Claiming Understanding or Shared Experience
74(1)
Personal Confidence and Faith in the Counseling Process
75(1)
A Lack of Unconditional Positive Regard
75(1)
Activities and Resources for Further Study
76(2)
5 Striving for and Communicating Unconditional Positive Regard
78(24)
Primary Skill Objectives
78(1)
Focus Activity 1
79(1)
Focus Activity 2
79(1)
Introduction
80(2)
Paths toward Holding Others in Reasonably Consistent Positive Regard
80(1)
The Tandem: Empathy and Unconditional Positive Regard
81(1)
What UPR Is and Isn't
82(4)
Beginning Thoughts on What Unconditional Positive Regard Is
82(2)
What UPR Is Not
84(2)
A Sample of the Literature Supporting and Clarifying the Importance and Power of UPR
86(1)
Why UPR is Important, Powerful
86(4)
Self-Acceptance = Change
87(1)
UPR = Full Expression of Emotions
88(1)
As We Accept Our Clients, Our Clients Come to Accept Themselves
88(1)
A Safe Environment
88(1)
Evaluation by Others Can Be a Poor Guide for One's Self
89(1)
Rewards for the Counselor and Client
89(1)
How UPR Is and Is Not Communicated
90(2)
What Gets in the Way of Having and Communicating UPR
92(5)
Having an Agenda for Your Client
92(1)
Counselors Believing They Know Better Than Their Clients
92(1)
Burnout
93(2)
Lack of Self-Acceptance
95(1)
Counselors Inadvertently Seeking to Fill Their Own Needs through Clients
95(1)
The Analytic Mind
95(1)
Some Clients are Hard to Like
96(1)
Clients Doing or Saying Things That Run Counter to Their Counselor's Moral Constructs
96(1)
Initial Judging Thoughts
97(1)
How UPR in Counseling May Relate to UPR outside of Counseling
97(1)
Activities and Resources for Further Study
98(4)
6 The Delicate Balance of Providing Empathy and UPR in a Genuine Manner
102(22)
Primary Skill Objectives
102(1)
Focus Activity
103(1)
Introduction
103(1)
What Genuineness Means and Does Not Mean
104(1)
A Sample of Literature Supporting and Clarifying Genuineness and Its Importance
105(2)
The Importance of Genuineness in Counseling
107(3)
Keeping Therapeutic Listening, Empathy, and UPR Real: A Therapeutic Relationship with a Real Person
107(1)
The Connection to and Role of Genuineness in the Set of Core Conditions
107(1)
Modeling
108(1)
Creating a Safe Place for Emotional Honesty
109(1)
How Counselor Genuineness Is and Is Not Communicated
110(4)
Declarations of Genuineness Are Rarely Helpful
110(1)
Sometimes Counselors' Experiences of Clients "Bubble up" or Cannot Be Hidden
110(1)
State Your Reaction When Your Reaction to Clients Interferes with Your Empathy and UPR
111(2)
Being Who You Are in the Phrasing of Your Reflections
113(1)
Make Only Careful, Judicious Self-Expressions, Beyond Your Ever-Present Empathy and UPR
114(1)
What Makes the Delicate Balance of Providing Empathy and UPR in a Genuine Manner Difficult
114(8)
The Errant Thought-I Am Who I Am
114(1)
The Challenge of Clients Who Are Hard to Like
115(1)
The Need for a High Level of Self-Development for This Counseling Skill
115(2)
The Question of Expressing Your Positive and Negative Experiences of Clients
117(1)
The Need for High-Level Observational Skills, Therapeutic Listening, and Empathy
118(1)
Clients Who Ask for Your Experience of Them
119(2)
The Need to Balance Freedom That Optimizes Personal Connections and Allows Experiences to Bubble Up into Expression with Avoiding Influence That Limits Client Expression
121(1)
A Closing Thought on Genuineness
122(1)
Activities and Resources for Further Study
122(2)
7 Logistics of Getting Started with New Clients
124(26)
Primary Skill Objectives
124(1)
Focus Activity
125(1)
Introduction
125(1)
Gathering Information and Understanding for an Initial Session Report Using Your Skills in Therapeutic Listening, Empathy, UPR, and Genuineness
126(3)
Learning about Initial Counseling Sessions from Situations That Require Intake or Initial Session Reports
126(1)
Practical Reasons for Information Gathering in Initial Sessions
127(2)
Incorporating Counseling-Related Assessment with Your Skills in Therapeutic Listening, Empathy, UPR, and Genuineness
129(1)
The Issue of Writing Notes during Sessions
130(1)
Writing an Initial Session Report
130(10)
Identifying Information
131(1)
Presenting Problem/Concerns
131(1)
History of the Problem/Previous Interventions
131(1)
Reason for Coming to Counseling Now
132(1)
Alcohol/Drug Use and/or Medical Concerns
133(1)
Related Family History/Information
133(1)
Major Areas of Stress
134(1)
Academic/Work Functioning
134(1)
Social Resources
134(1)
Initial Impressions or Understanding of the Person and Concerns
135(2)
Treatment Plans
137(2)
Additional Notes on Thinking through Initial Impressions or Understandings of the Person and His or Her Concerns and Treatment Plans
139(1)
Keeping Ongoing Case Notes
140(1)
Common Dilemmas or Situations in Getting Started with New Clients
141(1)
A Need to Know What to Expect
141(1)
Anxiety
141(1)
An Explanation(s) of Counseling That Helps Clients Begin
142(1)
Information Your Clients Should Know When Getting Started
142(2)
Confidentiality
142(1)
Who and/or Why Referred
143(1)
Potentially Helpful Information Related to the Presenting Problem
144(1)
Goals
144(4)
Problems with Goals
144(1)
The Thinking behind Our Solutions to Establishing Goals
145(1)
Reasonable Goals
146(1)
Unreasonable Goals
147(1)
Communicating Goals
148(1)
Activities and Resources for Further Study
148(2)
8 Initial and Ongoing Structuring of Therapeutic Relationships
150(17)
Primary Skill Objectives
150(1)
Focus Activity
151(1)
Introduction
151(1)
Logistics
151(4)
Session Length and Ending Sessions
151(1)
Time Warnings and the Importance of Letting Clients Own Their Endings
152(2)
Exceptions to Ending on Time
154(1)
The Awkwardness of Giving Time Warnings and Guidance for This
154(1)
Possibilities of Varying the Time Warning Structure for Some Clients
155(1)
A Few More Suggestions on This Time Thing
155(1)
Helping Clients Understand the Structure of Interactions in Counseling or How Counseling May Work for Them
155(7)
A Client Who Asks for Guidance
156(1)
A Client Who Seems to Insist on a Quick Solution
157(2)
A Client Who Has Great Discomfort with Silence
159(1)
A Client Who Attends Sporadically
160(1)
A Client Who Just Does Not Know Where to Start
161(1)
Higher-Level Reflections Can Also Help Clients Understand How to Use Counseling
162(2)
Example 1
162(1)
Example 2
163(1)
Explaining Therapeutic Relationships or Use of Counseling to Significant Persons in Clients' Lives
164(1)
Problems for Beginning Counselors in Explaining Clients' Potential Use of Counseling
165(1)
Activities and Resources for Further Study
166(1)
9 When Clients Need Help Getting Started
167(16)
Primary Skill Objectives
167(1)
Focus Activities
168(1)
Activity 1
168(1)
Activity 2
168(1)
Introduction
168(1)
Mistakes You May Make That Inhibit Your Clients' Beginning Use of Counseling
169(4)
Trying Too Hard or Worrying about Motivating Clients to Make Rapid Use of Counseling
169(1)
Not Recognizing That Your Client Began to Use His or Her Therapeutic Relationship with You As Soon As You Began to Provide It
170(1)
Lack of Acceptance
171(1)
Pedantic Reflections
172(1)
Reflections That Sound Like "Aha" Conclusions
172(1)
Slipping into Questions
173(1)
When in Doubt, Please Review
173(1)
Examples of Counselor Actions That Help Clients Struggling in Starting
173(5)
Start Where Your Client Is
173(1)
Respond to the Level of Emotion Each Client Expresses
174(1)
Remember the Uniqueness of Each Client's Pace
175(1)
Remember That It's Natural to Feel Uncomfortable in the Beginning
175(1)
Give Them Room
176(1)
Respect Your Client's Pace
176(1)
See the Big Picture in Your Clients' Communication
176(1)
Dispel Expectations of a Need for a Problem or Profundity
177(1)
Sharing Experience in Letting Go
177(1)
And Finally, Hang in There
177(1)
Asking Questions or Suggesting Topics That Clients May Find Helpful in Their Struggles in Starting
178(2)
Stating Why a Client Was Referred or Why You Offer Counseling
179(1)
Suggesting Common Areas of Importance for Discussion
179(1)
Basing Questions/Suggestions of Information That You Already Have and Are Interested In
180(1)
Open Questions
180(1)
Concluding Thoughts on Helping Clients Who Are Struggling in Starting
180(1)
Activities and Resources for Further Study
181(2)
10 Managing Client Crises with Therapeutic Relationship Skills 183(38)
Primary Skill Objectives
183(1)
Focus Activity
184(1)
Part 1
184(1)
Part 2
185(1)
Part 3
185(1)
Introduction: Therapeutic Relationships as a Source of Power and Influence to Help Clients Manage Crises
185(1)
Principles of Managing Client Crises with Therapeutic Relationship Skills
186(5)
Self-Responsibility, Dignity, Integrity, and Least-Restrictive Interventions
186(1)
Acceptance
187(1)
Empathy
187(1)
Tell Your Client What's Going On with You
187(1)
Remember to Reflect
188(1)
Help Your Clients Make Their Plan
189(1)
Plan Specifically
189(1)
Err on the Side of Caution
189(1)
Say the Words
190(1)
Respond to the Possible Communication of a Dangerous Situation As Soon As Possible
190(1)
Consideration of Assessment Factors
191(3)
A Plan
191(1)
Lethality of the Plan
192(1)
A Means
192(1)
Preventive Factors
192(1)
Future Orientation
193(1)
A Sudden Change or Switch
193(1)
Previous Attempts
193(1)
Lowered Inhibitions and Impulse Control
193(1)
Ability to Guarantee Safety
194(1)
And Finally...
194(1)
Non-Self-Harm Agreement/Safety Plan
194(3)
A Good Safety Plan Is Time Specific
194(1)
Relate the Safety Plan to Avoiding Elements within Your Client's Suicide Plan or Thoughts
195(1)
Get Rid of the Means
195(1)
Avoid Lowered Inhibitions and Impulse Control
195(1)
Prevent Harm by Contacting Someone Immediately
196(1)
Work Slowly and Carefully
196(1)
And Finally...
197(1)
A Case Example of a Client with Mild Suicidal Ideation
197(4)
The Issue of Hospitalization
201(1)
Know Your Local Laws, Guidelines, and Procedures
201(1)
When to Seek Hospitalization
201(1)
Maintaining Maximal Client Self-Responsibility
201(1)
Responding with Empathy to Clarify Intent
201(1)
Counselor Responsibility
202(1)
The Issue of Paying for Hospitalization
202(1)
An Example with a Client Experiencing Strong Suicidal Ideation
202(4)
An Example with a Client Who Is at Risk of Harming Others
206(6)
Assessment Factors in Determining Risk and Safety Plans in Domestic Violence Situations, Especially Those That Rise to the Level of Imminent Danger
212(2)
Physical Violence
212(1)
The Extent of Physical Violence and Any Potential Pattern
212(1)
Triggers and High-Risk Behaviors
213(1)
Children
213(1)
Planning for Safety
213(1)
Common Difficulties for Beginning Counselors Helping Clients Manage Situations That Are or May Be of Imminent Danger
214(5)
The Seriousness of the Situation and the Weight of Decisions-The Danger Itself
214(1)
"What if I Panic and Know What to Do, But I Forget?"
214(1)
The Pressure of Never Being 100% Sure
215(1)
Discerning the Difference between Your Feelings and Empathy
215(1)
Errors in Empathy
216(1)
Preoccupation with Liability
216(1)
Having to Let Go and Let Clients Be Responsible-Trusting That Each Client Will Actually Do the Plan Agreed To
216(1)
Self-Confidence and Self-Perception of Competence to Make Such Decisions
217(1)
Coordination with Other Professionals-Fearing Breaking Trust to Ask for Help
217(1)
Coordination with Client Loved Ones or Significant Others
218(1)
The Infinity of Unknown or New Situations for Which There Is No Script
218(1)
Shifting into Crisis Management Panic Mode and Forgetting to Continue to Build and Use a Therapeutic Relationship with Each Client
218(1)
Activities and Resources for Further Study
219(2)
11 Ending Therapeutic Relationships 221(29)
Primary Skill Objectives
221(1)
Focus Activity
222(1)
Introduction
222(1)
The Principle of Independence
223(1)
Planfulness
224(10)
Committing to Review for Client Readiness to End throughout Ongoing Work
225(1)
Reviewing for Client Progress, Satisfaction, and Decisions toward Ending
225(2)
Setting a Tentative Plan for Counseling, Reviewing Progress, Satisfaction, and Decisions about Whether and How Long to Continue with an Initially Reluctant Client
227(1)
Recognizing the Many Forms of Progress
228(4)
Consideration of Alternative Modes of Planful Endings
232(1)
Counting Down to the Ending
233(1)
Letting Your Clients Know They May Return
233(1)
Telling Your Clients How You See Them in the End or Last Meeting
233(1)
Arbitrary Endings
234(8)
Help Clients Plan for the Premature Ending
236(1)
Counting Down
237(1)
Discussing/Suggesting Continued Work and Progress
237(1)
Special Problems or Situations That Occur with Arbitrary Endings
238(4)
Seeking Feedback in Final Meetings
242(1)
Common Difficulties for Beginning Counselors around Ending
243(3)
Not Wanting to Let Go
243(1)
The Frequent Happy/Sad Endings
243(1)
Seeming to Want Too Much to End
243(1)
Client Reluctance to End
244(1)
Surprise That a Client Seems More Okay with Ending Than You Do
245(1)
Unknown Reasons for Clients Ending and the Temptation for Counselors to Speculate or Blame Themselves for Some Error
245(1)
Great Satisfaction and Joy in Endings
246(1)
Activities and Resources for Further Study
247(3)
12 Therapeutic Relationships across Cultures 250(16)
Primary Skill Objectives
250(1)
Focus Activity
251(1)
Introduction: All Counseling Is Cross-Cultural-But You Have to Reach Out
252(2)
Reaching across Cultural Differences with Your Skills and Your Self
254(1)
Humility
255(1)
Be Wary of Cultural Assumptions
255(1)
Know Yourself through Immersing Yourself
256(1)
Think Broadly
256(5)
The Fairly Foreign World of Children
258(1)
Clients and Others Who May Not See the Value of Counseling
259(2)
Common Problems or Experiences of Beginning Counselors in Counseling across Cultures
261(3)
Opportunity to Experience a Diversity of Clients
261(1)
Difference as Advantage to the Counselor
261(1)
Missing the Feelings for the Cultural Context
261(1)
Missing the Content for the Context
261(1)
Significant Value Differences
262(1)
The Experience of Connecting
262(1)
Sensing a Need for Information and Context Education
262(1)
Reaching Out and Becoming Accessible
263(1)
Activities and Resources for Further Study
264(2)
13 Growing Your Therapeutic Relationship Skills and the Core Conditions of Counseling 266(14)
Primary Skill Objectives
266(1)
Focus Activity
267(1)
Introduction
267(1)
Developing Yourself through Developing Your Skills in Therapeutic Relationships
268(1)
The Question of Multiple or Dual Relationships with Clients
269(5)
Therapeutic Relationship Skills in Consultation
272(1)
With Teachers
272(1)
With Parents and Loved Ones of Clients
273(1)
With Other Professionals from Related Fields
273(1)
Therapeutic Relationship Skills in Job Task Negotiation
274(1)
Therapeutic Relationship Skills in the Classroom
275(2)
Empathy Sandwich
275(1)
Project Special Friend
276(1)
Teaching Clients and Others to Use the Skills of Therapeutic Relationships in Their Relationships
277(1)
"Oh, the Places You'll Go"
278(1)
Activities and Resources for Further Study
278(2)
SKILL SUPPORT RESOURCE A: BRIEF SUMMARY NOTES FOR CHAPTER 1: ELEVEN CONCEPTS-ROOTS THAT GROUND AND GROW WITH THE HEART OF COUNSELING 280(2)
SKILL SUPPORT RESOURCE B: DO'S AND DON'TS OF REFLECTIVE LISTENING AND EXPRESSING EMPATHY 282(2)
SKILL SUPPORT RESOURCE C: SAMPLE INITIAL SESSION REPORT ITEMS 284(1)
SKILL SUPPORT RESOURCE D: ESSAY ASSIGNMENT FOR PARTICULAR USE IN READYING YOUR SELF-AWARENESS FOR COUNSELING ACROSS CULTURAL DIFFERENCES 285(2)
REFERENCES 287(5)
SPECIAL REFERENCE LIST FOR PRE-CHAPTER QUOTES 292(3)
INDEX 295

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