Key Terms
What is the difference between transference and countertransference? Provide an example of both
Transference: client projects feelings onto social worker (romantic, maternal etc)
Countertransference: social worker projects feelings onto the client (frustrated with lack of progress so the end session early, romantic)
Your clients states “He’s such a jerk and I wish he would go to the bad place forever”
What is a CLARIFYING QUESTION you could ask?
“Can you help me understand what you mean by the bad place?”
“When you say ‘he’ - can you tell me more about who you are referring to?
What are three ways you would build trust with your client?
Highlighting confidentiality
Verbal folleys
Validations
Identifying strengths
Reflecting/Summarizing
Eye contact/SOLER
What are the nine topics you cover with your client during informed consent?
Informed Consent
Type & structure of therapy
What will happen in therapy
What is expected of the client
Length & Cost
Time & Date
Missed appointments
After hours support
Termination
Client rights
What does SMART goals stand for?
SPECIFIC
What will be accomplished? What actions will you take?
MEASURABLE
What data will measure the goal? (How much? How well?)
ACHIEVABLE
Is the goal doable? Do you have the necessary skills and resources?
RELEVANT
How does the goal align with broader goals? Why is the result important?
TIME BOUND
How does the goal align with broader goals? Why is the result important?
What is a metaphor and why do we use them in an individual session?
Metaphor is a figure of speech that makes an implicit comparison between two unlike entities.
Metaphor creates a new frame or altered frame on an old story or situation.
Metaphor helps the client entertain a new experience, reduces resistance to considering new ideas, stimulates thinking, meets the client at their model of the world, respects the communication of the client, and develops new resources from within.
Metaphor involves signs, symbols, rituals and everyday customs and objects.
Metaphors involve a word or idea which is used in place of another word or idea. It allows for transportation from one sensory modality to another (e.g. the tie was loud; it tasted like silk).
Metaphors are word pictures.
“I don’t think I’ll ever get to first base…”
“My radar has been out all day…”
“I feel crucified…”
“Life is a puzzle…”
“I’m trapped like a rat…”
Role play REFRAMING with a client who states “I got a B on my test - I am a failure and will never amount to anything
“It sounds like this B has been a hard score to have - but I remember you telling me that you are able to drop one grade each quarter. So what if we reframed this to focus on the fact that you will still be getting an A in the class”
Your client wants to know how you celebrate Christmas and what your plans are for the holiday season; what are two things to consider before self disclosing any information? How might you respond?
Consider if answering the questions would cause harm to the therapeutic relationship, how much do you want your client to know
“I am actually interested in knowing what you are planning for the holiday - why don’t you tell me what you do”
“Can you help me understand why this is important for you to know?”
What are 8 different limitations to confidentiality?
Limits of Confidentiality
Harm to self
Harm to others
Someone harming them
Videotaping & recording
Case consult & supervision
Insurance
Legal
Legal procedures
What are five rules for BRAINSTORMING?
RULES OF BRAINSTORMING:
Encourage quantity. Deal with the quality of suggestions later
Do not criticize any suggestions; merely record it
Combine suggestions to make new ones
Encourage wild possibilities - “One way to keep my diet and lose weight is to have my mouth sewn up”
When you feel you have said you can say, put aside list and come back to it later to try once more
What is the difference between a theme and pattern? Give an example of both
Themes are repeated sets of ideas, beliefs, and notions
Clinicians commonly encounter client themes of loss, betrayal, oppression, injustice, hopelessness, and despair, as well as companion themes of courage, persistence, survival, and resistance to oppression.
Patterns are repeated behavioral or affective sequences
Some common patterns observed in client stories include avoidance of intimacy, frequent angry outbursts, crying when anxious, addiction to substances or people, and picking inappropriate partners. We also note patterns such as choosing loyal friends, asserting oneself in adversity, protecting vulnerable others, and using spiritual resources.
Role play a SCALING QUESTION for someone who is trying to ask a hot girl out on a date (make sure to cover the 4 parts of a scaling question)
“(1) On a scale from one to ten, one being not confident at all and ten being super confident, how would you evaluate your confidence in Jennifer saying yes? (2) Can you tell me what a ___ looks like? (3) What would need to change to make your number higher? (4) What made you pick a __ versus a ___?”
Role play IDENTIFYING YOUR CLIENT’S STRENGTHS (your client is a 2 time divorcee who does not have custody of their children and rarely sees them. Coming to session for depression)
Came to session
Able to engage in relationships
Identified that the children would be safe with their mom
How would you explain to a client why “Videotaping and Recording” is a limit of confidentiality?
“Often times a social worker needs to record/videotape a session for supervision pieces. This just helps me be able to provide the most effective services for you and helps make sure I am doing my job. However, I will never videotape or record without your knowledge or permission, because it is important that you feel safe and comfortable.
What is the difference between a GOAL and an OBJECTIVE?
Goals: What you want to achieve
Objectives: How you will achieve them
What does is mean to partialize with a client?
partializing skill is used to help clients break down several aspects and dimensions of the person-issue-situation
EXAMPLE: “You’ve addressed a number of topics here. You’ve talked about _________, ______, and _________. There are so many aspects of what you said that we could lose track if we try to consider them all at once. Could we explore them one at a time? (yes) Which one would you like to consider first? (or) Would it make sense to start with ________? That seems to be very important to you right now?
Role play a MIRACLE QUESTION for someone who is trying to leave an abusive relationship
“I have a strange, perhaps unusual question, a question that takes some imagination…”
“Suppose…”
“After we finish here, you go home tonight, watch TV, do your usual chores, etc., and then go to bed and to sleep . . .”
And, while you are sleeping, a miracle happens . . . [Pause. The context for this miracle is the client's normal, everyday life. This construction allows for any kind of fantastic wishing.]
“And, the problems that brought you here are solved, just like that! . . .”
But, this happens while you are sleeping, so you cannot know that it has happened."
"Once you wake up in the morning, a) how will you go about discovering that this miracle has happened to you?" OR, b) "how will your best friend know that this miracle happened to you?"
What are the three stages of planning?
Prioritizing the Problem
Setting Goals
Contracting with the Client
What are the 11 points you cover when explaining “What counseling is”?
“What is Counseling”
Explore insights
Problem solve
Go to a deep level
Discover solutions
Do homework
Assessments
Come prepared
Hard work
Strengths/client is expert
Access to file
Can say no
What would a good goal be for someone who is in danger of losing their job due to being late multiple times a week?
GOAL:
"I will be on time for work four out of five days per week"
NOT
"Don't show up late for work"
What does SOLER stand for?
S - Sit Squarely
O - Open Posture
L - Lean Forward
E - Eye Contact
R - Relax
Role play PARTIALIZING with a client who identified they are having concerns with weight gain, stress over a messy house and anger towards their boss
“You’ve addressed a number of topics here. You’ve talked about weight gain, stress over your messy house and your anger at your boss. There are so many aspects of what you said that we could lose track if we try to consider them all at once. Could we explore them one at a time? (yes) Which one would you like to consider first? (or) Would it make sense to start with ________? That seems to be very important to you right now?
What do the following symbols on a genogram stand for?
Circle
Triangle
Double line
Female
Miscarriage
Close relationship
What are the different types of non verbal communication?
Chronemics
Artifactual
Smell
Touch
Paralinguistics
Proxemics
What are two objectives for the goal:
"I will go to the gym 3x/week"
examples:
"I will make my friend Steve be my accountability partner, where he will meet me there"
"I will go to bed at 9pm every night so I am rested in the morning"
"I buy protein bars to eat before I go so I have energy and motivation"