Professional Documents
Culture Documents
Lindsay Birchall
University of Calgary
Transcript
Statement of Confidentiality
Helper: Okay, so before we get started, I just wanted to go over confidentiality if thats okay?
Client: Yup
Helper: So your privacy is really important and this session will be most effective if you feel comfortable and you are able to speak
openly. So, everything that we discuss during our session is kept completely private and in strict confidentiality and only with your
written consent would I disclose information to other people, like maybe a teacher r pediatrician..
Client: good
Helper: However, there are some exceptions where I cannot legally keep information confidential.So, if you pose a threat to harm
yourself or another person then I will have to take steps to prevent that potential harm from happening.that could include contacting
your family or the police or the medical communityAlso, if I receive a court order issued by a judge that wants me to release
information, then I will have to do that as well.So, do you have any questions about the confidentiality piece?
Client: no, I understand, thank you
Dialogue Segment
Skill
Demonstrated
(Nelson-Jones,
2012; Ivey &
Glenn, 1993)
Permissions to
Talk
Purpose of Skill
Making an opening
statement-Brief
statement to invite
Met Desired
Effect
Yes- the
statement
resulted in
Open ended
question
Reflect Feelings
Open ended
question
Accurately identify
and reflect back the
clients main feelings
in a brief and succinct
way-Communicate to
client I understand
how they feel by
paraphrasing what
they have said
(Nelson-Jones, 2012,
p.56, 57)
Yes she
agreed
Help client to
elaborate share more
of their experience,
(Nelson-Jones, 2012,
p.61)
Confirm client
feelings
Yes-she
elaborated
Yes she
elaborated
and provided
more detail
by describing details
of a recent eventobtain more
information about
how they manage
Rileys behaviours
about a
specific
situation
(Nelson-Jones, 2012,
p.56, 57, 61)
Paraphrase
Reflect Feelings
Probe: asking
questions that
focus on feelings
Paraphrase-clarify
what client has said
and communicate my
understanding of what
they have said-help
focus on whats
relevant
Reflect Feelingsclarify that she was
embarrassed
Probe: prompt mom to
identify other things
she is feeling
Yes she
identified
additional
feelings of
anger and
frustration
said it was
mortifying
(Nelson-Jones, 2012,
p.56, 57, 61, 70)
Paraphrase
Open ended
question
Yes-she
elaborated on
dads
interactions
with Riley
Yes-she
explained
that her and
-Succinct paraphrase
Question-Elaborate on
how dad engages with
Riley
Paraphrase-accurately
identify previous
information about
dads interactions
(Nelson-Jones, 2012,
p.56, 57, 61)
Paraphrase
Confirm accuracy of
information
communicate my
understanding of what
mom has said
(Nelson-Jones, 2012,
p.56)
Paraphrase
Paraphrase-confirm
accuracy of statement
in a more succinct
manner
Reflect Feelings
Reflect feelingsperceiving the
emotional state of the
client
(Nelson-Jones, 2012,
p.56, 57)
her husband
use different
discipline
methodsmom
explained
more detailed
examples
Yes-mom
confirms she
is the
disciplinarian
and provides
more info
about her
husbands
approach and
her feelings
about how
Riley feels
about her
Reflect Feelings
-Confirm accuracy of
feelings
Summarize
Clarify accuracy
Yes-summary
was accurate
according to
mom
Open ended
question
Facilitate
Problem Solving
Purpose was to
prompt the client to
think specifically
about what her goals
are
(Nelson-Jones, 2012,
p. 61, 98-103)
Paraphrase
Less-Open Ended
question
Facilitate
Problem solving
No-Mom
continues to
focus on
Rileys
behaviours
rather then
hers and her
husbands
Yesconfirmed
moms belief
that the goal
should be
about Riley.
But, mom
said she
would try
anything,
which
reflects her
willingness
to participate
Yes-mom
identified
that her and
her husband
need to be
more
(Nelson-Jones, 2012,
p. 61, 98-103)
Paraphrase
Open Ended
question
Facilitate
Problem solving
Paraphrase
Open Ended
question
Facilitate
Problem solving
Confirm accuracy of
moms statementprompt to have mom
begin problem solving
to address the issue
consistent in
their
approaches
Yes-mom
identifies an
example why
Riley may be
protesting
and generates
(Nelson-Jones, 2012,
a possible
p. 56, 61, 98-103)
problem
solving
approach
-Paraphrase to
Yes-mom
confirm relevant issue generates a
of inconsistency and
viable option
moms idea of one
(taking with
rule
her husband)
to approach
-Have mom think of
solving the
how to problem
problemsolve/approach the
mom also
issue of inconsistency brings up
obstacles to
-Open ended question- solving the
10
identify moms
perspective on
problem solving
problem
(dads beliefs
and values)
Yes-mom
identifies an
obstacle ad
generates a
different
approach-she
asks for help
Yes-mom
further
generates a
(Nelson-Jones, 2012,
p. 56, 61, 98-103)
Paraphrase
Open Ended
question
Facilitate
Problem solving
-Paraphrase to
confirm I have heard
the new information
that her husband
doesnt want to
change his behaviours
(wants to be friends,
doesnt like when he
gets upset)
Problem Solving-help
mom continue to
problem solve and try
to generate a way to
approach dad
(Nelson-Jones, 2012,
p. 56, 61, 98-103)
Client: Yeah, yeah, I mean like mostly
mostly in the past Ive brought it up to
my husband when Im upset or when Im
Paraphrase
Clarify accuracy
Paraphrase-confirm
my understanding of
moms new insight in
11
means to
approach
problem
solving
(Nelson-Jones, 2012,
p. 56, 59)
Client: Um-hum
Helper: And you would like some help
with that.
Client: Yeah, I think, like Ive been
talking with my husband about this
situation at a set time, like when we are
both home and everything is calm and
settledI think that would be a good
thing
Helper: Okay, so setting a specific time
when you are both kind of in a calm
place and ready to discuss some of those
Paraphrase
Facilitate
Problem Solving
-Paraphrase-clarify
that I understand
moms idea for
problem solving
Facilitate problem
solving specifically
identify with mom
how she would
accomplish this goal
Yes-mom
chooses a
specific way
to approach
the problem
(choosing a
set time)
when they
can have a
calm
12
conversation
(Nelson-Jones, 2012,
p. 56, 61, 98-103)
13
Paraphrase
Encourage
-Paraphrase and
encourage that mom
has presented good
ideas
Clarify Goal
Facilitate
Problem solving
Small verbal
rewards
Clarify accuracy of
previous statement
that mom still wants
help with the
conversation
(Nelson-Jones, 2012,
p. 56, 60-61, 98-103;
Ivey & Glenn, 1993)
Yes-mom
accepts my
idea to help
her have the
conversation
at our next
visit
14
Helper: Okay
-I could have explained my rationale
for inviting them both back
15
Encourage
Helper: Exactly
Encourage moms
ideas of working on
rules or one rule
that her and dad can
agree to
(Ivey & Glenn, 1993)
Paraphrase
-Confirm my
understanding of the
homework and the
approach to problem
solving
Yes-mom
elaborates
further
saying its a
good thing
for them to
discuss thing
together
because
maybe he
will follow it
too
Yes-mom
confirms it is
a good idea
to have extra
support
(Nelson-Jones, 2012,
p. 56)
Structure and
Summarize
session
Summarize
information presented
in the session,
including facts,
perceptions and
feelings. Summarize
problem solving
Yes-mom
confirms my
summary is
accurate
16
approach. Confirm
goal of next session.
Ensure appropriate
session structure and
end of session.
Client: Yep
Helper: And, your husband and you dont
really approach discipline in the same
way because your husband doesnt really
like to see Riley get upset
Client: Yeah, thats right
Helper: And its been difficult for you to
discuss this with your husband in a
productive way because typically you
bring it up when you are feeling really
angry, when Riley is misbehaving
Client: Yeah, definitely
Helper: So you would like some help
with that part, just how to get on the same
page with your husband about Rileys
discipline. So, in the next session you
can bring your husband in and I will do
my best to support the two of you
through that and coming to a bit of a
(Nelson-Jones, 2012,
p. 63-68)
17
Structure and
Summarize
Session
Confirm accuracy of
my session summary
clarify and reflect
back a series of client
statements at the end
of the session
Yes-mom
confirms my
summary is
accurate
(Nelson-Jones, 2012,
p. 63-68)
Client: No, you really summarized
everything really well, thats exactly how
Im feeling. Yeah, thats it. Thank you
Helper: Okay, great, thank so much
Overall Summary of Performance
Throughout my helper session I began my dialogue with so or okay. I will have to be cognisant of this and work on
starting my sentences in a more succinct manner. Also, I have to be more aware that I say ummmm, much too often. When I
interject with ummm, my dialogue comes across as much less confident that I would like. Also, when paraphrasing and asking
open ended questions, I added in multiple unnecessary words throughout my session. This made my statements and questions more
convoluted and made me sound less professional. In general, I need to become more succinct and fluent in my ability to utilize
specific counselling skills accurately. I need more practice; analyzing my skill demonstration on an ongoing basis will be important.
18
I found my paraphrasing to be accurate; mom often confirmed my accuracy and there were many examples where my
paraphrasing resulted in mom providing me with more relevant information. I believe I used open-ended questions effectively in the
dialogue (e.g. How would you approach making that change or achieving that?, Can you tell me more about that?, Can you tell me
what that experience was like?, Could you think of a different way to approach discussing this with him?). I found that taking notes
did help me summarize at the end of the session, so that is an approach I will use in the future. At times I was suggestive in my
comments. I had taken the clients statement and re-worded it to reflect back implied feelings. I am unsure if I used that counselling
skill appropriately or not. I did attempt to respond at a slower pace than my client, in hopes to slow her pace of speech. However, this
strategy did not prove effective. I believe a demonstrated an attitude of acceptance and respect throughout our dialogue and that I was
able to show an accurate understanding of the clients perspective.
I have explained my rationale for the assigned homework (i.e. mom coming back for another session with her husband). After I
concluded my session, I thought of an alternative approach to problem solving. I could have brought the client back for the next
session without her husband and we could role play the problem solving conversation. That way, mom could still initiate the
conversation on her own, but I can help her prepare and problem solve (e.g. identifying further obstacles and) before she had the
conversation with her husband.
19
References
Nelson-Jones, R. (2012). Basic counselling skills: A helpers manual (3rd edition). Sage. ISBN-13: 978-0 85702-417-6
Ivey, A., E. & Glenn, H. (1993). Basic Listening Sequence & Issues of Trauma. Alexandria, VA: Microtraining Associates. Alexander
Street Press, LLC