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Skills and Tools for Today's Counselors and Psychotherapists : From Natural Helping to Professional Counseling (with DVD),9780534644901
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Skills and Tools for Today's Counselors and Psychotherapists : From Natural Helping to Professional Counseling (with DVD)

by ;
Edition:
1st
ISBN13:

9780534644901

ISBN10:
0534644902
Format:
Paperback
Pub. Date:
8/26/2005
Publisher(s):
Cengage Learning
List Price: $159.95

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Summary

This innovative text/DVD package covers essential counseling communication skills, gives an overview of the nature of helping, applies knowledge and skills to the core areas helping professionals should master, and systematically explores the ethical, professional and cross-cultural issues to be considered as part of the counseling endeavor. Role plays and demonstrations of counseling skills and process stages, presented on the accompanying DVD, provide students with the opportunity to see these essential skills in action.

Table of Contents

Preface xix
DVD Box xix
Core Areas of Knowledge and Skills xx
Part I: Understanding the Nature of the Helping Relationship xx
Part II: Clinical Skills: Attitudes and Techniques for Effective Counseling xxi
Part III: Clinical Tools: Managing the Change Process xxii
Part IV: Professional Toolboxes xxii
Acknowledgments xxvii
PART ONE Understanding the Nature of the Helping Relationship
1(66)
From Natural Helper to Professional Counselor
3(11)
Do Counseling and Psychotherapy Work?
3(1)
Natural Helping versus Professional Counseling
4(4)
Highlight 1.1 Counseling Does Work and Provides a Deliberate Mechanism to Help Clients
5(2)
Professional Perspectives 1.1 Pushing a Client Too Far
7(1)
Exercise 1.1 Natural Styles of Helping
8(1)
Core Areas of Knowledge and Skills
8(4)
Ethical, Professional, and Cross-Cultural Issues
9(1)
Helper Attitudes
9(1)
Techniques
10(1)
Diagnosis
10(1)
Case Conceptualization
11(1)
Treatment Planning
11(1)
Case Management
11(1)
Theory
11(1)
Learning to Be a Counselor: An Ongoing Process
12(1)
DVD Box: Introduction
12(1)
Chapter Summary
12(2)
The Stages of the Counseling Relationship
14(31)
DVD Box: Introduction
14(1)
Understanding the Stages of the Counseling Relationship
14(22)
The Preinterview (Preparatory) Stage
15(1)
Case Illustration 2.1 Preinterview (Preparatory) Stage
16(1)
Exercise 2.1 Reflections on the Preinterview
17(1)
Stage 1: Rapport and Trust Building
17(3)
Case Illustration 2.2 Stage 1: Rapport and Trust Building
20(1)
Exercise 2.2 Reflections on Rapport and Trust Building
21(1)
Stage 2: Problem Identification
21(2)
Case Illustration 2.3 Stage 2: Problem Identification
23(1)
Exercise 2.3 Reflections on Problem Identification
24(1)
Stage 3: Goal Setting and Treatment Planning
25(1)
Case Illustration 2.4 Stage 3: Goal Setting
26(1)
Exercise 2.4 Reflections on Goal Setting and Treatment Planning
27(1)
Stage 4: Work
27(2)
Case Illustration 2.5 Stage 4: Work
29(1)
Exercise 2.5 Reflections on Work
30(1)
Stage 5: Closure
30(2)
Case Illustration 2.6 Stage 5: Closure
32(1)
Exercise 2.6 Reflections on Closure
33(1)
Stage 6: Postinterview
33(1)
Case Illustration 2.7 Stage 6: The Postinterview
34(1)
Exercise 2.7 Reflections on the Postinterview
35(1)
Learning to Be a Counselor: An Ongoing Process
36(1)
DVD Box: Clinical Tools and Intake Interview Introduction, Intake Interview, Working Stage Interview, Termination Interview
36(1)
Chapter Summary
36(1)
Summarizing the Stages
37(1)
Chapter 2 Appendix: Stages and Associated Core Areas of Knowledge and Skills
38(7)
Ethical, Professional, and Cross-Cultural Issues
45(22)
Ethical Issues
45(15)
Defining Ethics
46(1)
Exercise 3.1 Ethical versus Moral Beliefs
46(1)
The Development of and Need for Ethical Codes
47(1)
Exercise 3.2 Developing Ethical Guidelines
48(1)
Codes of Ethics and Ethical ``Hot Spots''
48(1)
Critical Ethical and Legal Issues
48(5)
Professional Perspectives 3.1 Jaffe v. Redmond
53(3)
Exercise 3.3 Ethical Dilemmas
56(1)
Resolving Ethical Dilemmas
56(4)
Exercise 3.4 Resolving Ethical Dilemmas
60(1)
Professional Issues
60(3)
Managed Care
60(3)
Exercise 3.5 Discussing Issues
63(1)
Cross-Cultural Issues
63(2)
Counseling Does Not Work for Many People of Color
63(1)
Professional Perspecitves 3.2 Lack of Awareness of Own Biases and Prejudices
64(1)
Clinical Work with People of Color
64(1)
Learning to Be a Counselor: An Ongoing Process
65(1)
DVD Box: Introduction
65(1)
Chapter Summary
66(1)
PART TWO Clinical Skills: Attitudes and Techniques for Effective Counseling
67(98)
Attitudes and Characteristics of the Effective Clinician
69(22)
DVD Box: Clinical Skills, Eight Attitudes and Characteristics
69(1)
Helper Attitudes
70(12)
Destructive Attitudes
70(1)
Attitudes That Effect Change
70(1)
Eight Attitudes to Embrace
71(1)
Exercise 4.1 Are You Empathic?
72(2)
Exercise 4.2 Genuineness
74(1)
Exercise 4.3 Being Accepting
74(1)
Professional Perspectives 4.1 Being Open to a Client's Perspective
75(1)
Exercise 4.4 Open-Mindedness
76(1)
Exercise 4.5 Cognitive Complexity
77(3)
Exercise 4.6 Psychological Adjustment
80(1)
Exercise 4.7 The Therapeutic Alliance
81(1)
Exercise 4.8 Competence
82(1)
Common Concerns for Beginning Clinicians
82(4)
Countertransference
83(1)
Dealing with Difficult or Resistant Clients
83(1)
Imposter Syndrome
84(1)
White Knight Syndrome
84(1)
Professional Perspectives 4.2 A Failed Rescue
84(1)
Exercise 4.9 Possible Effects of Common Beginning Concerns on Critical Attitudes
85(1)
Attitudes Toward Clients of Color
86(3)
DVD Box: Cross-Cultural Issues and Attitudes
88(1)
Exercise 4.10 Attitudes Toward Multicultural Counseling
88(1)
Learning to Be a Counselor: An Ongoing Process
89(1)
Chapter Summary
89(2)
Foundational Skills: Nonverbal Behavior, Silence and Pause Time, Listening, Paraphrasing, and Empathy
91(26)
DVD Box: Nonverbals, Silence and Pause Time
91(1)
Nonverbal Behavior
92(3)
Exercise 5.1 Playing with Nonverbal Cues
93(1)
A Cross-Cultural Perspective on Nonverbal Behavior
94(1)
Exercise 5.2 Assessing Nonverbal Behavior
94(1)
Silence and Pause Time
95(1)
Exercise 5.3 Silence
95(1)
Exercise 5.4 Pause Time
96(1)
DVD Box: Listening, Paraphrasing, and Empathy
96(1)
Listening
96(4)
Exercise 5.5 Listening Quiz
96(2)
Exercise 5.6 Components of Listening
98(1)
Hindrances to Effective Listening
98(1)
Exercise 5.7 Hindrances to Listening
99(1)
Preparing Yourself for Listening
99(1)
Paraphrasing
100(1)
Exercise 5.8 Practicing Paraphrasing
101(1)
Empathic Understanding
101(13)
Making Empathic Responses: A Step-by-Step Approach
103(2)
Exercise 5.9 Making Basic Empathic Formula Responses
105(1)
Exercise 5.10 Making Basic Empathic Formula Responses: Multiple Feelings
106(2)
Exercise 5.11 Making Conversational Responses
108(2)
Exercise 5.12 Making Advanced Empathic Responses
110(2)
Practicing Empathic Responses
112(1)
Exercise 5.13 Empathic Bombardment
112(1)
Exercise 5.14 Practicing Empathic Responding
112(1)
Exercise 5.15 More Practice with Empathy
113(1)
Exercise 5.16 Practicing Advanced Empathic Responses
114(1)
Final Thoughts
114(1)
Learning to Be a Counselor: An Ongoing Process
114(1)
Chapter Summary
115(2)
Information Gathering: Questions, Structured Interviews, Assessment Procedures, and Writing a Case Report
117(23)
DVD Box: Information Gathering
118(1)
Questions
118(7)
Direct Questions
118(1)
Exercise 6.1 Asking Direct Questions
119(1)
Closed Questions: Delimiting Content and Affect
119(1)
Exercise 6.2 Contrasting Closed Questions with Empathic Responses
119(1)
Open Questions
120(1)
Exercise 6.3 Practicing Open Questioning
120(1)
Tentative Questions
120(1)
Exercise 6.4 Developing Tentative Questions
121(1)
Why Questions
122(1)
Professional Perspectives 6.1 Summarizing Direct, Closed, Open, Tentative, and Why Questions
122(1)
When to Use Questions
123(1)
Exercise 6.5 Identifying Types of Questions
124(1)
Conducting a Structured Interview
125(7)
Professional Disclosure Statements and Informed Consent
126(1)
Exercise 6.6 Developing a Professional Disclosure Statement
126(1)
Professional Perspectives 6.2: Informed Consent
127(1)
Exercise 6.7 Informed Consent Form
127(1)
The Use of Questions in Conducting the Interview
127(1)
How to Gather Information
128(1)
What to Assess
129(2)
Exercise 6.8 Writing a Mental Status Report
131(1)
Professional Perspectives 6.3 Outline for Structured Interview and Subsequent Case Report
131(1)
Exercise 6.9 Practicing Structured Interviews
132(1)
Administering Assessment Procedures
132(4)
Formal Assessment Techniques
133(1)
Informal Assessment Techniques
133(1)
Exercise 6.10 Completing a Genogram
134(1)
Timing of Assessment Techniques
134(2)
Writing a Case Report
136(1)
Pulling It All Together
136(1)
Exercise 6.11 Pulling It All Together
137(1)
Learning to Be a Counselor: An Ongoing Process
137(1)
Chapter Summary
137(3)
Commonly Used Skills: Affirmation Giving, Encouragement, Modeling, Self-Disclosure, Confrontation, Offering Alternatives, Information Giving, Advice Giving, and Collaboration
140(25)
DVD Box: Affirmation Giving and Encouragement
141(1)
Affirmation Giving
141(1)
Exercise 7.1 Giving Affirmations
141(1)
Encouragement
142(1)
Exercise 7.2 Encouraging One Another
142(1)
DVD Box: Modeling and Self-Disclosure
142(1)
Modeling
142(4)
Professional Perspectives 7.1 Too Much of a Good Thing?
143(1)
Inadvertent Modeling
143(1)
Exercise 7.3 Inadvertent Modeling
143(1)
Intentional Modeling
144(1)
Exercise 7.4 Intentional Modeling
145(1)
Self-Disclosure
146(3)
Professional Perspectives 7.2 Inappropriate Self-Disclosure
147(1)
Content Self-Disclosure
147(1)
Professional Perspectives 7.3 Content Self-Disclosure with a Client
148(1)
Process Self-Disclosure
148(1)
When to Use Self-Disclosure
148(1)
Exercise 7.5 Practicing Self-Disclosure
149(1)
DVD Box: Offering Alternatives, Information Gathering, Advice Giving
149(1)
Problem-Focused Skills
149(4)
Offering Alternatives
150(1)
Exercise 7.6 Practicing Offering Alternatives
150(1)
Information Giving
150(1)
Exercise 7.7 Information Giving
151(1)
Offering Advice
151(1)
Exercise 7.8 Advice Giving
152(1)
Final Thoughts on Problem-Focused Responses
152(1)
DVD Box: Confrontation
152(1)
Confrontation
153(3)
Support, Then Challenge
153(1)
Identifying Client Incongruencies
153(2)
Professional Perspectives 7.4 Confronting Sally
155(1)
Exercise 7.9 Responding to Discrepancies
156(1)
DVD Box: Collaboration
156(1)
Collaboration
156(3)
Collaboration after Rapport and Trust Building and Prior to Problem Identification
157(1)
Collaboration after Problem Identification and Prior to the Development of Treatment Goals
157(1)
Professional Perspectives 7.5 A Woman with a Bridge Phobia
158(1)
Collaboration after the Development of Treatment Goals and Prior to Treatment Planning
158(1)
Transition Out of the Closure Stage
159(1)
Exercise 7.10 Practicing Collaboration Skills
159(1)
Pulling It All Together
159(2)
Exercise 7.11 Practicing Attitudes and Skills
160(1)
Learning to Be a Counselor: An Ongoing Process
161(1)
Chapter Summary
162(3)
PART THREE Clinical Tools: Managing the Change Process
165(134)
DVD Box: Clinical Tools and Intake Interview Introduction, Intake Interview, Working Stage Interview, Termination Interview
166(1)
Diagnosis: Developing DSM-IV-TR Skills
167(27)
The DSM-IV-TR Diagnostic System
167(5)
The Primary Purpose of a DSM-IV-TR Diagnosis
168(1)
What Is a DSM-IV-TR Mental Disorder?
169(1)
What Is Not a Diagnosable Mental Disorder?
169(1)
Age, Gender, SES, and Cultural Differences in Making Diagnoses
170(1)
Diagnosis, Professional Advances, and Social Change
171(1)
Understanding the Multi-Axial Diagnostic System of DSM-IV-TR
172(14)
Axis I and Axis II: The Disorders
173(2)
Exercise 8.1 Practice Making Mood and Anxiety Disorder Diagnoses
175(1)
Exercise 8.2 Practice Understanding Axis I Disorders
176(1)
Exercise 8.3 Practice Making ``Other Conditions'' Diagnoses
176(3)
Exercise 8.4 Learning about Specifiers
179(2)
Exercise 8.5 Practice Making Axis I and Axis II Diagnoses
181(1)
Axis III: General Medical Conditions
181(1)
Axis IV: Psychosocial and Environmental Problems
182(1)
Axis V: Global Assessment of Functioning
183(2)
Exercise 8.6 Practice Using the GAF Scale
185(1)
DSM-IV-TR Diagnosis: Two Case Illustrations
186(1)
Case Illustration 8.1 DSM-IV-TR Diagnosis: Sienna
186(1)
Case Illustration 8.2 DSM-IV-TR Diagnosis: Janine
187(1)
Practicing Making a Diagnosis
187(2)
Exercise 8.7 Practice Making Diagnoses Using All Five Axes
188(1)
Learning to Be a Diagnostician: An Ongoing Process
189(1)
DVD Box: Intake Interview
189(1)
Chapter Summary
189(2)
Answers to Chapter 8 Exercises
191(3)
Case Conceptualization: Understanding the Client's Concerns
194(30)
Understanding Case Conceptualization
194(27)
Defining Case Conceptualization
195(1)
Case Conceptualization: Some Examples
196(1)
Case Illustration 9.1 Introduction to Case Conceptualization: Sienna
196(2)
Exercise 9.1 What Theoretical Approach Is Best?
198(1)
Case Illustration 9.2 Introduction to Case Conceptualization: Janine
198(2)
Exercise 9.2 How Comfortable Are You with Clinical Thinking?
200(1)
Feeling Overwhelmed by Case Conceptualization
200(1)
Inverted Pyramid Method of Case Conceptualization
200(1)
Step 1. Problem Identification: Identify and List Client Concerns
201(2)
Box 9.1 Summary of Step 1. Problem Identification: Identify and List Client Concerns
203(1)
Step 2. Thematic Groupings: Organize Concerns into Intuitive-Logical Constellations
204(1)
Box 9.2 Summary of Step 2. Thematic Groupings: Organizing Concerns into Intuitive-Logical Constellations
205(1)
Box 9.3 Summary of Step 3. Theoretical Inferences: Attach Thematic Groupings to Inferred Areas of Difficulty
206(1)
Step 3. Theoretical Inferences: Attach Thematic Groupings to Inferred Areas of Difficulty
206(1)
Step 4. Narrowed Inferences: Deeper Client Difficulties
206(1)
Box 9.4 Summary of Step 4. Narrowed Inferences: Deeper Client Difficulties
207(1)
Box 9.5 The Use of Theory to Infer Areas of Client Difficulty and Deeper Difficulties
207(2)
Applying the Inverted Pyramid Method: Another Look at Sienna and Janine
209(1)
Case Illustration 9.3 Applying the Inverted Pyramid Method to Sienna
210(2)
Case Illustration 9.4 Applying the Inverted Pyramid Method to Janine
212(1)
Using Popular Characters to Increase Familiarity with Case Conceptualization
213(1)
Practice Client 9.1 Scarlett O'Hara
214(1)
Practice Client 9.2 Maya Angelou's Maguerite Johnson
215(2)
Practice Client 9.3 Hansel
217(1)
Practice Client 9.4 Wicked Queen
218(2)
Additional Questions and Exercises Using Popular Characters
220(1)
Exercise 9.3 Afterthoughts about Chapter 9 Practice Cases
220(1)
Exercise 9.4 Additional Practice Using Popular Character Clients
220(1)
Learning Case Conceptualization: An Ongoing Process
221(1)
DVD Box: Intake Interview
221(1)
Chapter Summary
222(2)
Treatment Planning: Building a Plan for Change
224(32)
Understanding Treatment Planning
224(29)
Defining Treatment Planning
224(2)
Case Illustrations: Sienna and Janine
226(1)
Case Illustration 10.1 Introduction to Treatment Planning: Sienna
227(1)
Exercise 10.1 Developing Your Treatment Plan for Sienna
228(1)
Case Illustration 10.2 Introduction to Treatment Planning: Janine
229(1)
Exercise 10.2 Developing Your Treatment Plan for Janine
230(1)
Exercise 10.3 How Comfortable Are You with Professional Decision Making?
231(1)
Building a Treatment Plan
231(3)
Box 10.1 Summary of Step 1. Selecting Achievable Goals for Change
234(3)
Box 10.2 Evidence-Based Treatment
237(1)
Box 10.3 Summary of Step 2: Determining the Treatment
238(2)
Another Look at Our Case Examples
240(1)
Box 10.4 Summary of Step 3: Establishing How Change Will Be Measured
241(1)
Case Illustration 10.3: Revisiting Sienna's Treatment Plan
241(2)
Case Illustration 10.4: Revisiting Janine's Treatment Plan
243(1)
Using Popular Characters to Explore Treatment Planning
244(1)
Our Four Practice Clients
245(1)
Exercise 10.4 Practicing Treatment Planning
245(1)
Practice Client 10.1: Scarlett O'Hara
245(2)
Practice Client 10.2: Maya Angelou's Maguerite Johnson
247(1)
Practice Client 10.3 Hansel
248(2)
Practice Client 10.4: Wicked Queen
250(1)
Afterthoughts about Our Practice Cases and Additional Exercises
251(1)
Exercise 10.5 Afterthoughts about Our Practice Cases and Treatment Planning
251(1)
Exercise 10.6 Additional Treatment Planning Practice Using Popular Character Clients
252(1)
Learning to Build Treatment Plans: An Ongoing Process
253(1)
DVD Box: Working Stage Interview
254(1)
Chapter Summary
254(2)
Case Management: Monitoring and Documenting the Professional Relationship
256(43)
Defining Case Management
256(30)
Documentation
257(3)
Case Illustration 11.1 Intake Summary: Sienna
260(2)
Case Illustration 11.2 Intake Summary: Janine
262(2)
Case Illustration 11.3 Case Note: Sienna
264(1)
Case Illustration 11.4 Case Note: Janine
265(2)
Case Illustration 11.5 Termination Summary: Sienna
267(1)
Case Illustration 11.6 Termination Summary: Janine
268(1)
Box 11.1 Summary of Documentation
269(1)
Consultation, Supervision, and Collaboration
269(2)
Exercise 11.1 Using Clinical Supervision
271(2)
Exercise 11.2 Functioning in Professional Relationships
273(1)
Communication with Stakeholders
273(1)
Box 11.2 Summary of Consultation, Supervision, and Collaboration
274(4)
Case Illustration 11.7 Communicating with a Background Investigator: Sienna
278(1)
Exercise 11.3 Communicating with Stakeholders
279(2)
Box 11.3 Summary of Communication with Stakeholders
281(1)
Business-Related Activities
281(1)
Exercise 11.4 What Does a Clinical Practice Cost?
282(2)
Box 11.4 Summary of Business-Related Matters
284(1)
Time and Caseload Management
285(1)
Box 11.5 Summary of Time and Caseload Management
286(1)
Now Some Practice
286(6)
Practice Client 11.1 Scarlett O'Hara
287(1)
Practice Client 11.2 Maya Angelou's Marguerite
288(1)
Practice Client 11.3 Hansel
289(2)
Practice Client 11.4 Wicked Queen
291(1)
Learning to Manage Cases: An Ongoing Process
292(1)
DVD Box: Termination Interview
293(1)
Chapter Summary
293(4)
Epilogue
297(2)
PART FOUR Professional Toolboxes
299(34)
A. Websites of Codes of Ethics of Select Mental Health Professional Associations
301(2)
B. Counseling Diverse Clients
303(12)
Counseling Individuals from Different Ethnic and Racial Groups
304(1)
Counseling Individuals from Diverse Religious Backgrounds
305(1)
Counseling Women
306(1)
Professional Perspectives B.1 Guidelines for Working with Women
307(1)
Counseling Men
308(1)
Counseling Gay Men and Lesbian Women
309(1)
Counseling Individuals Who Are HIV Positive
310(1)
Counseling the Homeless and the Poor
311(1)
Counseling Older Persons
312(1)
Counseling the Mentally Ill
313(1)
Counseling Individuals with Disabilities
314(1)
C. Clinical Report
315(4)
D. Overview of Axis I and Axis II of DSM-IV-TR
319(4)
Brief Overview of Axis I Disorders
319(2)
Brief Overview of Axis II Disorders
321(2)
E. In Association with the DVD, Applying Clinical Tools with Alice: Case Conceptualization, Diagnosis, Case Notes, Treatment Planning
323(10)
Case Conceptualization
323(3)
Diagnostic Impressions
326(1)
Case Notes
326(2)
Treatment Planning
328(2)
Termination Summary
330(1)
Diagnosis at Termination
331(2)
References 333(14)
Index 347


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