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

, by Neukrug, Edward S.; Schwitzer, Alan M.

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

ISBN: 9780534644901 | 0534644902
Cover: Paperback w/DVD
Copyright: 8/26/2005

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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.

Preface

xix

DVD Box

xix

Core Areas of Knowledge and Skills

Part I: Understanding the Nature of the Helping Relationship

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

(66)

From Natural Helper to Professional Counselor

(11)

Do Counseling and Psychotherapy Work?

(1)

Natural Helping versus Professional Counseling

(4)

Highlight 1.1 Counseling Does Work and Provides a Deliberate Mechanism to Help Clients

(2)

Professional Perspectives 1.1 Pushing a Client Too Far

(1)

Exercise 1.1 Natural Styles of Helping

(1)

Core Areas of Knowledge and Skills

(4)

Ethical, Professional, and Cross-Cultural Issues

(1)

Helper Attitudes

(1)

Techniques

(1)

Diagnosis

(1)

Case Conceptualization

(1)

Treatment Planning

(1)

Case Management

(1)

Theory

(1)

Learning to Be a Counselor: An Ongoing Process

(1)

DVD Box: Introduction

(1)

Chapter Summary

(2)

The Stages of the Counseling Relationship

(31)

DVD Box: Introduction

(1)

Understanding the Stages of the Counseling Relationship

(22)

The Preinterview (Preparatory) Stage

(1)

Case Illustration 2.1 Preinterview (Preparatory) Stage

(1)

Exercise 2.1 Reflections on the Preinterview

(1)

Stage 1: Rapport and Trust Building

(3)

Case Illustration 2.2 Stage 1: Rapport and Trust Building

(1)

Exercise 2.2 Reflections on Rapport and Trust Building

(1)

Stage 2: Problem Identification

(2)

Case Illustration 2.3 Stage 2: Problem Identification

(1)

Exercise 2.3 Reflections on Problem Identification

(1)

Stage 3: Goal Setting and Treatment Planning

(1)

Case Illustration 2.4 Stage 3: Goal Setting

(1)

Exercise 2.4 Reflections on Goal Setting and Treatment Planning

(1)

Stage 4: Work

(2)

Case Illustration 2.5 Stage 4: Work

(1)

Exercise 2.5 Reflections on Work

(1)

Stage 5: Closure

(2)

Case Illustration 2.6 Stage 5: Closure

(1)

Exercise 2.6 Reflections on Closure

(1)

Stage 6: Postinterview

(1)

Case Illustration 2.7 Stage 6: The Postinterview

(1)

Exercise 2.7 Reflections on the Postinterview

(1)

Learning to Be a Counselor: An Ongoing Process

(1)

DVD Box: Clinical Tools and Intake Interview Introduction, Intake Interview, Working Stage Interview, Termination Interview

(1)

Chapter Summary

(1)

Summarizing the Stages

(1)

Chapter 2 Appendix: Stages and Associated Core Areas of Knowledge and Skills

(7)

Ethical, Professional, and Cross-Cultural Issues

(22)

Ethical Issues

(15)

Defining Ethics

(1)

Exercise 3.1 Ethical versus Moral Beliefs

(1)

The Development of and Need for Ethical Codes

(1)

Exercise 3.2 Developing Ethical Guidelines

(1)

Codes of Ethics and Ethical ``Hot Spots''

(1)

Critical Ethical and Legal Issues

(5)

Professional Perspectives 3.1 Jaffe v. Redmond

(3)

Exercise 3.3 Ethical Dilemmas

(1)

Resolving Ethical Dilemmas

(4)

Exercise 3.4 Resolving Ethical Dilemmas

(1)

Professional Issues

(3)

Managed Care

(3)

Exercise 3.5 Discussing Issues

(1)

Cross-Cultural Issues

(2)

Counseling Does Not Work for Many People of Color

(1)

Professional Perspecitves 3.2 Lack of Awareness of Own Biases and Prejudices

(1)

Clinical Work with People of Color

(1)

Learning to Be a Counselor: An Ongoing Process

(1)

DVD Box: Introduction

(1)

Chapter Summary

(1)

PART TWO Clinical Skills: Attitudes and Techniques for Effective Counseling

(98)

Attitudes and Characteristics of the Effective Clinician

(22)

DVD Box: Clinical Skills, Eight Attitudes and Characteristics

(1)

Helper Attitudes

(12)

Destructive Attitudes

(1)

Attitudes That Effect Change

(1)

Eight Attitudes to Embrace

(1)

Exercise 4.1 Are You Empathic?

(2)

Exercise 4.2 Genuineness

(1)

Exercise 4.3 Being Accepting

(1)

Professional Perspectives 4.1 Being Open to a Client's Perspective

(1)

Exercise 4.4 Open-Mindedness

(1)

Exercise 4.5 Cognitive Complexity

(3)

Exercise 4.6 Psychological Adjustment

(1)

Exercise 4.7 The Therapeutic Alliance

(1)

Exercise 4.8 Competence

(1)

Common Concerns for Beginning Clinicians

(4)

Countertransference

(1)

Dealing with Difficult or Resistant Clients

(1)

Imposter Syndrome

(1)

White Knight Syndrome

(1)

Professional Perspectives 4.2 A Failed Rescue

(1)

Exercise 4.9 Possible Effects of Common Beginning Concerns on Critical Attitudes

(1)

Attitudes Toward Clients of Color

(3)

DVD Box: Cross-Cultural Issues and Attitudes

(1)

Exercise 4.10 Attitudes Toward Multicultural Counseling

(1)

Learning to Be a Counselor: An Ongoing Process

(1)

Chapter Summary

(2)

Foundational Skills: Nonverbal Behavior, Silence and Pause Time, Listening, Paraphrasing, and Empathy

(26)

DVD Box: Nonverbals, Silence and Pause Time

(1)

Nonverbal Behavior

(3)

Exercise 5.1 Playing with Nonverbal Cues

(1)

A Cross-Cultural Perspective on Nonverbal Behavior

(1)

Exercise 5.2 Assessing Nonverbal Behavior

(1)

Silence and Pause Time

(1)

Exercise 5.3 Silence

(1)

Exercise 5.4 Pause Time

(1)

DVD Box: Listening, Paraphrasing, and Empathy

(1)

Listening

(4)

Exercise 5.5 Listening Quiz

(2)

Exercise 5.6 Components of Listening

(1)

Hindrances to Effective Listening

(1)

Exercise 5.7 Hindrances to Listening

(1)

Preparing Yourself for Listening

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

Summary

Table of Contents

Supplemental Materials