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Telephone Counselling

Telephone Counselling

Maxine Rosenfield

(2013)

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Book Details

Abstract

The use of the telephone as a tool for counselling is increasingly appealing, providing clients with a service that combines accessibility and convenience. But how can practitioners ensure the same quality of support as in their face-to-face counselling? And how can they adapt to the different demands and restrictions of counselling by telephone?
This comprehensive guide:
• Supports the reader step by step in setting up their own practice, including vital tools such as confidentiality and payment agreements.
• Considers different approaches that can be used over the telephone, such as humanistic and cognitive behavioural techniques.
• Provides engaging case studies to illustrate the distinctive character of telephone counselling and offer practical guidance.
This book is the perfect introduction to counselling by telephone for students and trainees on counselling and psychotherapy courses, and is an essential guide for practitioners looking to develop skills in the area.
Maxine Rosenfield has over twenty years experience working as a counsellor, supervisor and coach. She is a past President of Helplines Australia and of the Counsellors and Psychotherapists Association of NSW. She is currently a counsellor, trainer and consultant in private practice and is the Vice President of the Australasian Association for Supervision.
MAXINE ROSENFIELD has over twenty years experience working as a counsellor, supervisor and coach. Having worked extensively with helplines, she is a Past President of Helplines Australia and THA UK. Her previous published work includes Counselling by Telephone, and contributions to Technology in Counselling and Psychotherapy.
The telephone continues to be a key tool in therapy. This skills-based handbook illustrates and discusses practical aspects and developments in telephone counselling, from ethics and payment to coaching and Skype. Relevant across therapeutic approaches, this book is essential for all those conducting telephone counselling.

In the field of telephone counselling, which is much more extensive, complex and sophisticated than many realise, Maxine Rosenfield is the supreme authority and this is the essential guide.'- Colin Feltham, Emeritus Professor of Critical Counselling Studies, Sheffield Hallam University

'Going beyond theories and a generous sharing of her own extensive experience, Telephone Counselling by Maxine Rosenfield is a valuable resource not only for those wanting to provide telephone counselling, but also for Helpline workers. this book will challenge many counsellors' thinking and improve access to counselling for people who are geographically isolated.'- Brenda Clasquin, President of Cancer Counselling Professionals, Australia

'Maxine Rosenfield's writing is informal, accessible yet highly informative. This helpful text takes a personal approach with clear links to the author's experiences in this expanding area.'- Kirsten Amis, Lecturer in Counselling and Manager of Counselling Service, Anniesland College, Glasgow

'I have known Maxine as a colleague and a friend for almost 10 years. Maxine is a competent, insightful and more importantly, caring professional who has a great understanding of how to connect with her clients in a productive, meaningful way. Maxine has sound knowledge and understanding of how the telephone and media can assist with the process of connection with her clients in a therapeutic context'.- Bill Campos, President of Helplines Australia, Australia

'This book is much more than understanding how counselling can be incorporated to the telephone and internet media. Maxine also highlights the differences in therapeutic relationships between client and professional and how the telephone and media can be utilised in a number of different ways. Furthermore she highlights how there are differences in how the telephone and media are used in a counselling context depending on the client's needs'.- Bill Campos, President of Helplines Australia, Australia 

'a very useful book that fills gaps and will be welcomed by a wide range of practitioners in the talking therapies. Moreover this book is truly international and provides practical expertise with more than the usual US or Eurocentric perspective.'- Jeannie Wright, Director of Counselling and Psychotherapy, University of Warwick, UK


Table of Contents

Section Title Page Action Price
Cover Cover
Half-Title i
Title iii
Copyright iv
Dedication v
Contents vii
Resources xi
Preface xii
Acknowledgements xv
1 Essential Telephone Skills 1
Common skills 1
Six stage framework of a helpline call 5
Key differences between helpline work and phone counselling 6
Training 7
Helpline research 8
Ethical helpline practice 10
Conclusion 11
Chapter refl ections 12
2 Overview of Telephone Counselling 13
Phone usage 13
Therapeutic models for counselling 15
Telephone counselling research 18
Telephone counselling as part of therapist training 21
Specifi c postgraduate training 21
Six stage framework of a fi rst counselling contact 23
Keeping control of a phone counselling session 26
Ethical practice and regulation 28
Internet counselling 29
Conclusion 30
Chapter refl ections 31
3 Establishing a Telephone Counselling Practice 32
Handset/headset 33
Location 33
Risk management 34
Confi dentiality 37
Insurance 39
Dual contracts 39
Technology problems 41
Sample contracts 41
Conclusion 46
Chapter refl ections 46
4 Contracting: The Finer Details 47
Phone calls 47
Short message service (SMS), texts and reminder messages 48
Frequency and duration of sessions 49
Note taking 50
Recording sessions 51
Internet research during a session 51
Drinking, eating and smoking during sessions 52
Exchanging photos 54
Ending a session 54
Terminating a session 55
‘Leaving the room’ 56
Technology problems 56
Work between sessions 57
Counsellor availability between sessions 58
Complaints 58
Counsellor terminating the relationship 59
Counsellor boundaries 60
Client not available at the time of a planned session 61
Opting out of sessions 62
Payment for sessions 63
Conclusion 65
Chapter refl ections 65
5 Starting the First Session and the Task of Assessment 66
Dual contracts assessment process 67
Assessment research 67
What if the potential client doesn’t want to only talk practicalities during the assessment? 68
Vignettes 68
Holding phone sessions 70
The start of the fi rst session 71
Voice tone and characteristics 75
Accents and colloquial speech 77
Cultural awareness 79
Working with interpreters 80
Conclusion 80
Chapter refl ections 81
6 The Dynamics of Counselling by Phone:The First Session Continued 82
Interrupting a client 92
Dependency 92
Immediacy 93
Intuition on the phone 94
‘Flirting’ 94
Work between sessions 95
Conclusion 96
Chapter refl ections 96
Power and the phone relationship 90
7 On-going Sessions with Clients 97
Depth of middle sessions 97
Conclusion 118
Chapter refl ections 118
8 Counselling across Media and in Groups 119
Moving between face to face and phone sessions 119
Moving between phone and Skype virtual sessions 120
Moving between face to face and Skype virtual sessions 120
Group work by telephone and Skype 122
Conclusion 132
Chapter refl ections 133
9 Telephone Groups: An Extended Case Study 134
First session 136
Ending the session 139
After a session 139
Future sessions 140
Bringing in a new member 142
Ending groups 143
Reactions to each other 143
Something unforeseen 143
Observations about endings 146
Voice refl ections in a group 146
Some things that could go wrong in groups 147
Conclusion 148
Chapter refl ections 148
10 Counselling Supervision and Coaching: Using Phone or Skype 149
Counselling supervision 149
Advantages of phone supervision 150
Disadvantages of voice-only supervision 151
Length of sessions 152
Face to face comparison 152
Theoretical orientations 153
Back-up material 153
Note taking 153
Starting sessions 153
Refl ecting on the medium 156
Payment and fees 156
Training supervisors to work by phone 157
Coaching by telephone 157
Coaching supervision 159
Conclusion 160
Chapter refl ections 160
Concluding Thoughts 161
Finally 162
Appendix 1: Arriving at Open Questions 165
References 167
Further Resources 171
Index 175