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The Counselling Interview

The Counselling Interview

Helen Cameron

(2008)

Additional Information

Book Details

Abstract

Effective interviewing skills are crucial for those working within the human service industries. This book outlines essential advice and strategies, and offers helpful learning aids, thus providing developing professionals throughout counselling, social work and psychotherapy with a valuable resource for conducting a successful interview.
HELEN CAMERON is Senior Lecturer in the School of Social Work and Social Policy at the University of South Australia, Australia. She is an experienced teacher of practice skills and has published many articles on professional practice.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents v
Introduction 1
The purpose of this book 1
Who is the interviewer? 1
The helping model in this book 2
Qualities of the effective professional helper 3
Using this book 3
1 Overview of Processes, Stages and Contexts of Helping 5
Processes and stages within the single interview 5
Beginning the interview effectively 6
Responding with a range of reflective and empathic responses 6
Managing direction and movement throughout the interview 7
Achieving the work of the interview 7
Managing the conclusion of the interview 8
Stages in the helping process over several interviews 8
Stage one – making a connection, exploring issues and gathering relevant information 9
Stage two – locating client strengths, directions and goals 10
Stage three – action strategies for change 10
The contexts of modern interviewing practice in the human services 11
Personal and social contexts for modern life 11
Values contexts in professional practice in the human services 14
Organizational contexts of human service work 16
Gendered contexts of interviewing 19
CHAPTER OVERVIEW 22
2 Making the Initial Connection with Nonverbal and Verbal Skills 23
Nonverbal skills: key processes in connecting 24
The unspoken realm of communication 24
Gender and culture in nonverbal communication 25
Effective nonverbal behaviour in the interview 26
The classic nonverbal attending position 28
Furniture and physical surrounding for interviewing 28
Avoiding physical barriers 29
Forward body lean 29
Space considerations in body positioning 30
Use of eye contact and qualities of eye gaze 31
Relaxed use of attending functions 31
Facial expression 32
Hand gestures and other body movements 32
Head nodding 33
Psychological attending 33
Following skills in the counselling interview 35
Verbal 'door openers' 35
Occasional sub-verbal sounds 35
Minimal reflections 36
Appropriate attentive silence 37
Verbal foundations of empathic responding 38
Maintaining the reflective approach 38
The concept of active empathy 40
Reaching for shared meaning in the interpreted interview 41
Background issues to consider in using an interpreter 42
Roadblocks to empathic interview management 45
CHAPTER OVERVIEW 50
3 Paraphrasing as the Foundation of Effective Responding 51
Reflective components of the paraphrase 51
Reflection of feeling 52
Immediacy as a quality of feeling reflections 53
The nature of feelings 54
Expanding vocabularies to accurately acknowledge clients' feelings 54
Feeling word lists 56
Reflection of situation 58
Reflection of behaviour 59
Linking components to make a paraphrase 61
Examples of paraphrases 62
Order of components in a paraphrase 64
Ways to help clients to identify and link feelings, situations and behaviours 66
Self-talk and internal behaviours 66
Separating feelings from situations/behaviours 67
Strengths perspective in paraphrasing 69
Purposes of summaries 71
CHAPTER OVERVIEW 73
4 Prompting the Client and Recording the Interview 75
Causes of inappropriate probing 76
The difference between questions and probes 77
Open and closed forms of probes 78
Directed and restricted probes 79
Probes to avoid 79
Why questions 80
Leading or suggestive probes 80
Advice disguized as questions 80
Double and garbled questions 80
Accidental questions 81
Probes in different stages of interviewing 81
Purposes of questions or probes in different stages 82
Using probes to help clients to be more specific and detailed in exploring issues 82
Using probes to focus on clients' strengths, needs, wants and goals 83
But avoid probes asking the client about final solutions 83
Recording processes in the interview 84
Pressure of notetaking 85
Taping or video recording interviews 86
General consideration of all types of recording in interviewing 86
CHAPTER OVERVIEW 87
5 Managing the Focus of the Interview 89
The importance of a preliminary mapping of the issues 89
Defining focus points in the interview 91
Initiating the interaction effectively 91
Getting started 91
Defining purpose and scope 92
Planning the interpreted interview 93
Tensions between empathy and direction 94
Interviewing clients who seem unresponsive 96
The issue of client 'resistance' 97
Focusing the over-talkative client 98
Managing transitions between points in the interview 99
The nature of transitions 100
Types of transitions 101
Steps and processes in the well-managed transition 102
Selecting the issue for focus 103
Summarizing the main points from an issue or aspect of the client's story 103
Signalling the worker's intention to shift the focus 104
Using an open probe to make the shift 105
Empathic responding to the client's follow-on material 105
Concluding the interview 106
CHAPTER OVERVIEW 109
6 Goal and Action Work with Clients 111
Importance of the behaviour element in preparing for goal-focused work 112
Forms of client behaviour 112
Visible, external behaviours or actions 113
Internalized behaviours 113
Reframing clients' negative thinking 114
Recognizing patterns in clients' thinking 115
Helping clients with blind spots 118
Focusing on goals and managing client change processes 119
Goal directed thinking – or not! 120
Internal thought processes and goal-focused work 121
The positive impact of well-formed goals 122
Well-formed goals 123
Keep goal talk simple 124
Goal bridges and the miracle question 125
Brainstorming strategies 125
Best-fit approach to selecting strategies 127
Turning goals into solution-focused action – the path to change 128
The importance of small 'baby' steps towards change 128
Case study – Jo's plan of baby steps toward change 128
Motivational interviewing approaches 131
Phases of motivational work 131
A framework for assessing motivational states 132
Phase 1 – Building motivation for change 132
Phase 2 – Strengthening clients' commitment to change 134
Cognitive-behavioural strategies 135
Background issues in the development of CBT 135
Continuing importance of inner language and self-talk in behaviour change 136
Conditioning and cognitive learning theory 137
Cognitive information processing 137
Self-attribution and constructive narrative 137
Resilience in goal and action work 138
CHAPTER OVERVIEW 140
7 Managing Crises: Violence, Self-Harm and Anger 141
Crisis management in interviewing 141
Sources of crises 142
Interviewing emphases with clients in crisis 143
Clients who threaten violence and self-harm 146
Self-protective plans and clients with violent backgrounds 148
Clients who discuss suicide 148
Professional obligations to warn and report 150
Managing anger in interviews 152
Practitioner and client anger 152
Issues about expressed and repressed anger 153
Anger, stress and hostility 154
The uses of anger 155
CHAPTER OVERVIEW 156
8 Self-care in Counselling 157
Defining stress 157
Three phases of the general adaptation system (GAS) 158
Alarm or reaction 158
Resistance or adaptation 158
Exhaustion 159
A case study of stress 159
Susceptibility and resistance to stress 161
Control issues and stress 161
Professional burnout 163
Symptoms of professional burnout 164
Learning to survive – strategies to manage stress and burnout 165
Organizationally located strategies 165
Maintaining physical health and well-being 166
Defending oneself with communication skills 166
Building internal control 166
Growing resilience in self and others 167
Support and supervision as stress management 167
The value of reflexive learning in practice 169
Layers of learning in reflexive practice 169
Challenges to the reflexive mode of practice 171
Transformative learning practices 172
CHAPTER OVERVIEW AND CONCLUSION 174
Epilogue 175
References 177
Index 183
A 183
B 183
C 183
D 183
E 183
F 183
G 183
H 183
I 183
L 183
M 183
N 183
O 183
P 184
Q 184
R 184
S 184
T 184
U 184
V 184
W 184