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Counselling and psychotherapy

The target of the final analysis was to video a brief counselling session, and then to create a reflective article critiquing the treatment in light of the particular counselling method selected. The logistics of the interview were made difficult by a recently available move to a country area, where I did not have access to saving equipment, a Dvd movie burner, or classmates willing to volunteer to act as the client. After having a few technical difficulties, I was able to record a session utilizing a webcam. It had been then that I came across that I was struggling to burn the file to a disk, and after looking through the entire town for an enterprise that would melt away it to disc, finally transferred the record to a storage adhere to be submitted.

Approach

The chosen way was person-centred counselling, where in fact the client reaches the centre of the method, unlike various other varieties of counselling where approach is more pronounced. The procedure, founded by Carl Rogers in the 1940's, has also been called 'non-directive' which also emphasises that the counsellor is not offering advice and guidelines, but rather a format where in fact the client can look at and consider their own emotions and options. Rogers also centered on the present as opposed to the past, instead of the Freudian procedure, as well as a closer give attention to feelings. Furthermore, Rogers used the term client somewhat that patient, to highlight the actual fact that the person being treated was taking responsibility for their own selves, rather than being reliant on the counsellor. Within the person-centred approach, it's the client who in the end makes all decisions, talks about alternatives, and requires responsibility and ownership of their own lives and options.

Dryden & Mytton (1999) identify three important areas in person-centred counselling. The foremost is creating a host where the client can easily express their thoughts. Endorsement and understanding from the counsellor towards your client is pressured. The view of the counsellor is also important, and the counsellor must trust the client to be able to deal with their problems, and undertake change and development. The counsellor will there be to provide support and empathy, and unconditional positive regard. The counsellor's own thoughts and world-view must be taken into account - there has to be congruence between your counsellor and customer - there have to be a genuineness of feelings, with the counsellor being really there in as soon as of the time.

The theory behind the person-centred approach puts ahead that as long as there may be unconditional positive respect, empathic understanding and congruence, all the central conditions for theraputic improvement or problem handling are achieved, and positive change will take place.

As I counsellor utilizing a person-centred approach, I'd be trying to determine the central conditions, and become non-directive. Using this approach I really do not make an effort to cause anything to happen, or prevent any thing from happening, it's the client who does the true work.

One of the better analogies I've listened to to describe this approach could it be is the counsellors' job to hold up a mirror for the client - we have to comb our scalp, and can do an alright job minus the reflection, but unusually there are places we cannot see without the help of the mirror, and maybe can do a better job if we can view our locks from another type of angle. It may take some extra time, and we might have to carry the reflection just in like manner catch that uncomfortable viewpoint, but we can easily see so much more, hopefully in a more sympathetic and kinder light.

Evaluation

Trini decided to not only track record the session on her behalf webcam, but to be the client as well. This is liked, especially as the sole from of counselling that Trini is familiar with is either around the kitchen stand with family, or with an ordained minister. When asked as to what subject she'd like to discuss, that would not to significant or in-depth, Trini wanted that we discuss baby labels, as it is merely a few weeks until the labor and birth of her next child, and a decision was still to be produced about labels.

The setting up was chosen to more due to the location of the webcam, the maximum amount of as for level of privacy and fewer interruptions from noise outdoors or children. There was very little choice in seats, but it was comfortable for Trini, who has reached quite an uncomfortable level in her pregnancy struggles to sit for too long in any one position. As well as the physical environment, I tried noticeably tune in to improve communication as identified by Egan (2007; 71). The acronym SOLER can be used by Egan last but not least these key skills:

I tried to determine and keep vision contact as much as possible, although I found this harder when taking records of brands for Trini. I believe I'll need a little of practice to access the main point where taking records is not a distraction for both myself and the client. Throughout the session I attempted to always facing Trini, maintain eyeball contact as much as possible, stay calm and relaxed, lean forwards without having to be too overt; more of an incline of the top rather than the whole body.

Throughout the treatment I tried out to encourage Trini to do almost all of the communicating, ask as much open questions as possible, and focus on what your client way saying and exactly how it was said, and hear without expressing criticism or view. The treatment was also very quick, partly scheduled to it being an assessment rather than normal time of fifty to ninety minutes, besides Trini being unable to sit comfortable for just about any amount of time. After becoming used to longer practice lessons in category, if noticed very strange to use such a short while.

Because of the time constraints, information about privateness and confidentiality was provided prior to the session. No delicate matters were discussed, but it was still very important to Trini to learn how the noted information would be cared for and stored.

I began the session with thanks a lot and "what do you want to discuss", which I prefer due to its simplicity and directness.

Improvement for future

The physical location of the treatment could definitely been upgraded, but there is little that might be changed credited to technological restraints. Counsellor Challenges

The lines between speaking too much and discussing too little.

Fight the necessity to leap in, to speak, to complete the spaces - sometimes silence is just fine.

Burnout - looking to do much, insufficient guidance and support

Taking breaks, rather than doing too much.

Personal and professional development.

Develop far better techniques - find out about different problems. Find out about specific problems effecting people residing in remote or rural communities.

In such a small community, being extremely vigilant related to privacy and confidentiality, offering alternatives where needed.

Personal and professional implications

I need to have sufficient and specific training to handle different varieties of issues that present in rural areas - I don't want to attempt to treat problems outside my range of experience.

I have to be able to listen to the client, and hear the changes that they want to make and their goals for therapy - it isn't about me. I need to have the ability to clearly connect how I can help your client solve for themselves whatever problem or matter they have. I cannot make any claims or promises, but I could walk with your client as each goes through the situation handling or decision making process.

I need to continue to be non-judgmental of any clients' life selections, behaviour, or the issues that they face. I have to have the ability to keep up-to-date with any changes in legislation and insurance plan to have the ability to provide exact information about customer protection under the law, confidentiality and educated consent, and appropriate work of treatment towards my clients.

I need to find a balance in my own work life, including adequate supervision and extended education. If I am not able to deal with my own emotional issues, feelings and what's happening in my life, I'll not have the ability to efficiently help others to cope with their own problems and emotional issues.

References

  • Bolton, R. (1986) People Skills: How to Assert Yourself, Listen to Others and Handle Conflict. New York: Prentice-Hall.
  • Brammer, L. M. and MacDonald, G. (1996) The Helping Romance, Process and Skills 6th ed. Boston: Allyn and Bacon.
  • Burnard, P. (1999) Counselling Skills for Health Professionals 3rd ed. Cheltenham: Stanley Thorne.
  • Dryden, W. and Mytton, J. (1999) Four Methods to Counselling and Psychotherapy. London: Routledge.
  • Egan, E. (2007) The Skilled Helper: ISSUES Management and Opportunity Development Approach to Being able to help 8th ed. Pacific Grove: Brooks/Cole Publishing Company.
  • Heaton, J. A. (1988) Building Basic Healing Skills. SAN FRANCISCO BAY AREA: Jossey-Bass.
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