SlideShare une entreprise Scribd logo
1  sur  65
GUIDANCE AND
COUNSELLING
By Japheth Makuna
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
1
Definition
• Counseling
• A supportive and empathic
professional relationship that
provides a framework for the
exploration of
emotions, behaviors, and thinking
patterns, and the facilitation of
healthy changes.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
2
Counselling
• Counseling is directed towards
people experiencing difficulties as
they live through the normal stages
of life-span development.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
3
Counselling
• Counseling Functions
• Remedial
• Functional Impairment
• Preventive
• Anticipate and Accommodate
• Enhancement
• Human Potential
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
4
What is Guidance?
• ―Guidance is a process of helping
people make important choices that
affect their lives, such as choosing a
preferred lifestyle‖ (Gladding, 2000, pg. 4).
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
5
What is Psychotherapy?
• Traditionally focuses on serious
problems associated with intra-
psychic, internal, and personal
issues and conflicts. It deals with
the ―recovery of adequacy‖
(Casey, 1996, p. 175 ).
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
6
Counseling and Theory
• Negligible differences in effects
produced by different therapy
types
• Common elements between
theories
• Responding to feelings, thoughts
and actions of the client
• Acceptance of client’s perceptions
and feelings
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
7
Counseling and Theory
• Confidentiality and privacy
• Awareness of and sensitivity to
messages communicated in
counseling
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
8
Counseling and Theory
No single model can explain all
the facets of human experience
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
9
Counselling
• Components Of The Counseling
Process
• Relationship Building
• Assessment
• Goal Setting
• Intervention
• Termination and
• Follow-Up
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
10
Factors that Influence
Change
• Structure
• Setting
• Client Qualities
• Counselor Qualities
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
11
Factors that Influence
Change
• Structure.
• The ―joint understanding between
the counselor & client regarding
the
characteristics, conditions, proced
ures, and parameters of
counseling‖ (Day & Sparacio, 1980, p.246).
• This give form to what the formal
process will look like.
• Many clients come to counseling with
no idea what to expect.Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
12
Factors that Influence
Change
• Counseling moves forward when client and
counselor know the boundaries of the
relationship and what is expected.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
13
Factors that Influence
Change
• Physical Setting.
• Counseling can happen anywhere,
but the professional generally
works in a place that provides -
• Privacy,
• Confidentiality,
• Quiet and
• Certain comfort
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
14
S.O.L.E.R.
• When working with a client, you want to
send a message that you are listening.
• This can be done by being attentive both
verbally (responding to the client) and
nonverbally.
• SOLER is an acronym which serves to
remind us how to listen.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
15
S . O . L . E . R
• S: Face the client squarely; that is, adopt a posture that
indicates involvement.
• O: Adopt an open posture. Sit with both feet on the
ground to begin with and with your hands folded, one
over the other.
• L: As you face your client, lean toward him or her. Be
aware of their space needs.
• E: Maintain eye contact. Looking away or down
suggests that you are bored or ashamed of what the
client is saying.
• Looking at the person suggests that you are interested and
concerned.
• R: As you incorporate these skills into your attending
listening skills, relax.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
16
Factors that Influence
Change
• Client
• Readiness or Reluctance or
Resistance.
• Readiness can be thought of as
the motivation that the client
brings into the session.
• How motivated are they to work?
• Their interest?
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
17
Factors that Influence
Change
• Reluctance is generally seen in
those clients who are referred for
help by a third party and are
unmotivated.
• Resistance is generally seen in
those clients who are forced into
counseling.
• They bring a motivation to cling to
their issues through various sorts
of actions.Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
18
Factors that Influence
Change
• Client & Counselor Qualities.
• Counselors generally like to work
with clients who are most like
them. We are influenced by the
physical characteristics of the
client.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
19
Factors that Influence
Change
• It is important to be aware of how
you work with all clients and offer
your best work to all clients.
• Clients, depending on
culture, initially like to work with
counselors who are perceived as
experts, attractive, trustworthy.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
20
The Therapeutic
Relationship
The therapeutic relationship is an
important component of effective
counseling
The therapist as a person is a key
part of the effectiveness of
therapeutic treatments
Research shows that both the therapy
relationship and the therapy used
contribute to treatment outcome
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
21
The Effective Counselor
 The most important instrument you have is YOU
Your living example of who you are
and how you struggle to live up to
your potential is powerful.
 Be authentic
The stereotyped, professional role
can be shed
If you hide behind your role the client
will also hide.
 Be a therapeutic person and be clear about who you are
Be willing to grow, to risk, to
care, and to be involved
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
22
Counseling for the
Counselor
 In your experience of being a client you can:
 Consider your motivation for wanting to be a counselor
 Find support as you struggle to be a professional
 Have help in dealing with personal issues that are opened through
your interactions with clients
 Be assisted in managing your countertransferences
 Corey believes that―...therapists cannot hope to open doors for
clients that they have not opened for themselves.‖
 Research shows that many therapists who seek personal
counseling find it:
 Personally beneficial
 Important for their professional development
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
23
The Counselor’s Values
 Be aware of value imposition
How your values influence your
interventions
 How your values may influence your
client’s experiences in therapy
 Recognize that you are not value-neutral
 Your job is to assist clients in finding answers that are most
congruent with their own values
 Find ways to manage value conflicts between you and your clients
 Begin therapy by exploring the client’s goals
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
24
Multicultural Counseling
 Become aware of your biases and values
 Become aware of your own cultural
norms and expectations
 Attempt to understand the world from
your client’s vantage point
 Gain a knowledge of the dynamics of
oppression, racism, discrimination, and
stereotyping
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
25
Cont…’
 Study the historical
background, traditions, and values of your
client
 Be open to learning from your client
 Challenge yourself to expand your vantage
point to explore your client’s ways of life that
are different from your own
 Develop an awareness of acculturation
strategies
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
26
Issues Faced by
Beginning Therapists
 Achieving a sense of balance and well-being
 Questioning competency as you learn new techniques or
begin to practice on your own without supervision
 Accepting your limitations while simultaneously
acknowledging your strengths
 Managing difficult and unsatisfying relationships with
clients
 Struggling with commitment and personal growth
 Developing healthy helping relationships with clients
 Developing healthy personal boundaries in your
professional life
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
27
Staying Alive – It’s a
Prerequisite
 Take care of your single most important instrument –
YOU
Develop self-care strategies and a
plan for renewal
 Know what causes burnout
 Know how to recognize and remedy burnout
 Know how to prevent burnout through self-care
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
28
Counseling Theories
• The theories below may be used
in Counselling
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
29
1. Psychoanalysis
• The Structure of Personality
 THE ID—The Demanding Child
Ruled by the pleasure principle
 THE EGO—The Traffic Cop
Ruled by the reality principle
 THE SUPEREGO—The Judge
Ruled by the moral principle
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
30
Conscious and
Unconscious
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
31
Conscious:
What’s on the surface
i.e. logic, reality
Unconscious:
What lies deep,
below the surface
i.e. drives, instincts
The Unconscious
 Clinical evidence for postulating the unconscious:
 Dreams
 Slips of the tongue
 Posthypnotic suggestions
 Material derived from free-association
 Material derived from projective techniques
 Symbolic content of psychotic symptoms
NOTE: consciousness is only a thin
slice of the total mind
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
32
Anxiety
 Feeling of dread resulting from repressed feelings,
memories and desires
Develops out of conflict among the
id, ego and superego to control
psychic energy
 Reality Anxiety
 Neurotic Anxiety
 Moral Anxiety
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
33
Ego-Defense
Mechanisms
 Ego-defense mechanisms:
Are normal behaviors which
operate on an unconscious level
and tend to deny or distort reality
Help the individual cope with
anxiety and prevent the ego from
being overwhelmed
Have adaptive value if they do not
become a style of life to avoid
facing realityMonday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
34
The Development of
Personality
 ORAL STAGE First year
 Related to later mistrust and rejection issues
 ANAL STAGE Ages 1-3
 Related to later personal power issues
 PHALLIC STAGE Ages 3-6
 Related to later sexual attitudes
 LATENCY STAGE Ages 6-12
 A time of socialization
 GENITAL STAGE Ages 12-60
 Sexual energies are invested in life
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
35
Transference and
Counter-transference
 Transference
 The client reacts to the therapist as he did to an
earlier significant other
 This allows the client to experience feelings that
would otherwise be inaccessible
 ANALYSIS OF TRANSFERENCE — allows the client to
achieve insight into the influence of the past
 Counter-transference
 The reaction of the therapist toward the client
that may interfere with objectivity
 Not always detrimental to therapeutic goals; can
provide important means of understanding your
client’s world
 Counter-transference reactions must be monitored so
that they are used to promote understanding of the
client and the therapeutic process
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
36
Psychoanalytic
Techniques
 Free Association
Client reports immediately without
censuring any feelings or thoughts
 Interpretation
Therapist points out, explains, and teaches
the meanings of whatever is revealed
 Dream Analysis
Therapist uses the ―royal road to the
unconscious‖ to bring unconscious material
to light
Latent content
Manifest content
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
37
Resistance
 Resistance
Anything that works against the
progress of therapy and prevents the
production of unconscious material
 Analysis of Resistance
Helps the client to see that canceling
appointments, fleeing from therapy
prematurely, etc., are ways of
defending against anxiety
These acts interfere with the ability to
accept changes which could lead to a
more satisfying life
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
38
Application to Group
Counseling
• Group work provides a rich framework for working
through transference feelings
• Feelings resembling those that
members have experienced toward
significant people in their past
may emerge
• Group members may come to
represent symbolic figures from a
client’s past
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
39
Application to Group
Counseling
• Competition for attention of the
leader provides opportunities to
explore how members dealt
with feelings of competition in
the past and how this effects
their current interactions with
others.
• Projections experienced in
group provide valuable clues to
a client’s unresolved conflictsMonday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
40
Goal of Psychoanalysis
• To uncover materials hidden in
the Unconscious mind.
• When the individual becomes
aware of the material hidden in the
Unconscious mind, the individual
recovers
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
41
2. Person-Centered View
of Human Nature
• At their core, humans are trustworthy and positive
• Humans are capable of making changes and living
productive, effective lives
• Humans innately gravitate toward self-actualization
• Actualizing tendency
• Given the right growth-fostering conditions, individuals
strive to move forward and fulfill their creative nature
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
42
Cont…’
• Challenges:
• The assumption that ―the
counselor knows best‖
• The validity of
advice, suggestion, persuasion, te
aching, diagnosis,
and interpretation
• The belief that clients cannot
understand and resolve their own
problems without direct help
• The focus on problems over
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
43
Cont…’
• Emphasizes:
• Therapy as a journey shared by
two fallible people
• The person’s innate striving for
self-actualization
• The personal characteristics of the
therapist and the quality of the
therapeutic relationship
• The counselor’s creation of a
permissive, ―growth-promoting‖
climate
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
44
Therapy is a Growth-
Promoting Climate
• Congruence
• Genuineness or realness in the therapy session
• Therapist’s behaviors match his or her words
• Unconditional positive regard
• Acceptance and genuine caring about the client as a valuable person
• Accepting clients as they presently are
• Therapist need not approve of all client behavior
• Accurate empathic understanding
• The ability to deeply grasp the client’s subjective world
• Helper attitudes are more important than knowledge
• The therapist need not experience the situation to develop an
understanding of it from the client’s perspective
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
45
Six Conditions
• Necessary and sufficient for personality
changes to occur
• Two persons are in psychological contact
• The first, the client, is experiencing
incongruence
• The second person, the therapist, is congruent
or integrated in the relationship
• The therapist experiences unconditional positive
regard or real caring for the client
• The therapist experiences empathy for the
client’s internal frame of reference and
endeavors to communicate this to the client
• The communication to the client is, to a minimal
degree, achieved
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
46
The Therapist
• Focuses on the quality of the therapeutic relationship
• Provides a supportive therapeutic environment in which the client is
the agent of change and healing
• Serves as a model of a human being struggling toward greater
realness
• Is genuine, integrated, and authentic, without a false front
• Can openly express feelings and attitudes that are present in the
relationship with the client
• Is invested in developing his or her own life experiences to deepen
self- knowledge and move toward self-actualization
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
47
Application to Group
Counseling
• Therapist takes on the role of facilitator
• Creates therapeutic environment
• Techniques are not stressed
• Exhibits deep trust of the group
members
• Provides support for members
• Group members set the goals for the
group
• Group setting fosters an open and accepting community where
members can work on self-acceptance
• Individuals learn that they do not have to experience the process of
change alone and grow from the support of group members
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
48
Person-Centered
Expressive Arts Therapy
• Various creative art forms
• promote healing and self-discovery
• are inherently healing and promote self-awareness and insight
• Creative expression connects us to our feelings which are a
source of life energy.
• Feelings must be experienced to achieve self-awareness.
• Individuals explore new facets of the self and uncover insights
that transform them, creating wholeness
• Discovery of wholeness leads to understanding of how we relate to
the outer world.
• The client’s inner world and outer world become unified.
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
49
Conditions for Creativity
• Acceptance of the individual
• A non-judgmental setting
• Empathy
• Psychological freedom
• Stimulating and challenging experiences
• Individuals who have experienced unsafe creative
environments feel ―held back‖ and may disengage
from creative processes
• Safe, creative environments give clients permission
to be authentic and to delve deeply into their
experiences
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
50
Limitations of the Person-
Centered Approach
• Cultural considerations
• Some clients may prefer a more directive, structured treatment
• Individuals accustomed to indirect communication may not be
comfortable with direct expression of empathy or creativity
• Individuals from collectivistic cultures may disagree with the
emphasis on internal locus of control
• Does not focus on the use of specific techniques, making this
treatment difficult to standardize
• Beginning therapists may find it difficult to provide both support
and challenges to clients
• Limits of the therapist as a person may interfere with developing
a genuine therapeutic relationship
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
51
3. Gestalt Therapy
• Existential & Phenomenological – it is grounded in the
client’s ― here and now‖
• Initial goal is for clients to gain awareness of what they
are experiencing and doing now
• Promotes direct experiencing
rather than the abstractness of
talking about situations
• Rather than talk about a childhood
trauma the client is encouraged to
become the hurt child
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
52
Principles of Gestalt
Theory
• Holism:
• The full range of human functioning includes
thoughts, feelings, behaviors, body, language and dreams
• Field theory:
• The field is the client’s environment which consists of therapist and
client and all that goes on between them
• Client is a participant in a constantly changing field
• Figure Formation Process:
• How an individual organizes experiences from moment to moment
• Foreground: figure
• Background: ground
• Organismic self-regulation:
• Emergence of need sensations and interest disturb an individual’s
equilibrium
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
53
The Now
• Our ―power is in the present‖
• Nothing exists except the ―now‖
• The past is gone and the future
has not yet arrived
• For many people the power of the present is lost
• They may focus on their past
mistakes or engage in endless
resolutions and plans for the future
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
54
Unfinished Business
• Feelings about the past are unexpressed
• These feelings are associated with
distinct memories and fantasies
• Feelings not fully experienced
linger in the background and
interfere with effective contact
• Result:
• Preoccupation, compulsive
behavior, wariness oppressive
energy and self-defeating behaviorMonday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
55
Contact and
Resistances to Contact
• Contact
• Interacting with nature and with
other people without losing one’s
individuality
• Boundary Disturbances/ resistance to contact
• The defenses we develop to
prevent us from experiencing the
present fully
• Five major channels of resistance:
• Introjection • Deflection
• Projection • Confluence
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
56
Therapeutic Techniques
• The experiment in Gestalt Therapy
• Internal dialogue exercise/Games of Dialogue eg
the Empty chair technique
• Rehearsal exercise
• Reversal technique
• Exaggeration exercise
• Staying with the feeling
• Making the rounds
• Dream work
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
57
Application to Group
Counseling
• Encourages direct experience and action
• Here-and-now focus allows members to bring
unfinished business to the present
• Members try out experiments within the group
setting
• Leaders can use linking to include members in the
exploration of a particular individual’s problem
• Leaders actively design experiments for the group
while focusing on awareness and contact
• Group leaders actively engage with the members to
form a sense of mutuality in the group
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
58
Limitations of Gestalt
Therapy
• The approach has the potential for the
therapist to abuse power by using powerful
techniques without proper training
• This approach may not be useful for clients
who have difficulty abstracting and imagining
• The emphasis on therapist authenticity and
self-disclosure may be overpowering for some
clients
• The high focus on emotion may pose
limitations for clients who have been culturally
conditioned to be emotionally reserved
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
59
Rational Emotive
Behavioral Therapy (REBT)
• Stresses
thinking, judging, deciding, analyzing, and
doing
• Assumes that cognitions, emotions, and
behaviors interact and have a reciprocal
cause-and-effect relationship
• Is highly didactic, very directive, and
concerned as much with thinking as with
feeling
• Teaches that our emotions stem mainly from
our beliefs, evaluations, interpretations, and
reactions to life situations
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
60
The Therapeutic
Process
• Therapy is seen as an educational process
• Clients learn
• To identify the interplay of their
thoughts, feelings and behaviors
• To identify and dispute irrational beliefs
that are maintained by self-
indoctrination
• To replace ineffective ways of thinking
with effective and rational cognitions
• To stop absolutistic
thinking, blaming, and repeating false
beliefs
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
61
View of Human Nature
• We are born with a potential for both rational
and irrational thinking
• We have the biological and cultural tendency
to think crookedly and to needlessly disturb
ourselves
• We learn and invent disturbing beliefs and
keep ourselves disturbed through our self-talk
• We have the capacity to change our
cognitive, emotive, and behavioral processes
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
62
Irrational Ideas
• Irrational ideas lead to self-defeating behavior
• Some examples:
• ―I must have love or approval from all
the significant people in my life.‖
• ―I must perform important tasks
competently and perfectly.‖
• ―If I don’t get what I want, it’s
terrible, and I can’t stand it.‖
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
63
Application of CBT to
Group Counseling
• Tailored for specific diagnoses such as
anxiety, panic, eating disorders and phobias
• Treatments are standardized and based on empirical
evidence
• Use of homework allows lessons learned in group to
generalize to the client’s daily environment
• Help members gain awareness of how their self-defeating
thoughts influence what they feel and how they behave
• Heavy emphasis on psychoeducation and prevention of
symptoms
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
64
End
• The Real Meaning of Happiness
is giving it out to someone else
– Thanks
Monday, March
24, 2014
j.makuna@pwaniuniversity.
ac.ke
65

Contenu connexe

Tendances

Counselling process and skills
Counselling process and skillsCounselling process and skills
Counselling process and skillsANCYBS
 
Counselling outcome, issues, trends and professional ethics dr geoffrey wango
Counselling outcome, issues, trends and professional ethics dr geoffrey wangoCounselling outcome, issues, trends and professional ethics dr geoffrey wango
Counselling outcome, issues, trends and professional ethics dr geoffrey wangoDr Wango Geoffrey
 
Client-centered therapy
Client-centered therapyClient-centered therapy
Client-centered therapyFaseela Jaleel
 
Multicultural counseling
Multicultural counselingMulticultural counseling
Multicultural counselingwvk5054
 
Client-centered therapy
Client-centered therapyClient-centered therapy
Client-centered therapyDarya Karelina
 
The Counseling Process
The Counseling ProcessThe Counseling Process
The Counseling ProcessRic Dagdagan
 
Basic counselling skills
Basic counselling skillsBasic counselling skills
Basic counselling skillsMedhavi Gugnani
 
THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.
THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.
THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.ANCYBS
 
Counseling and psychotherapy
Counseling and psychotherapyCounseling and psychotherapy
Counseling and psychotherapyChester Relleve
 
Guidance and Counseling ( Counseling services )
Guidance and Counseling ( Counseling services )Guidance and Counseling ( Counseling services )
Guidance and Counseling ( Counseling services )Jhon Michael Rino
 
Types of Psychological Counselling
Types of Psychological CounsellingTypes of Psychological Counselling
Types of Psychological Counsellingvikas kumar
 
Basic Counseling Skills
Basic Counseling SkillsBasic Counseling Skills
Basic Counseling SkillsCik Izzati
 

Tendances (20)

Counselling process and skills
Counselling process and skillsCounselling process and skills
Counselling process and skills
 
Counselling outcome, issues, trends and professional ethics dr geoffrey wango
Counselling outcome, issues, trends and professional ethics dr geoffrey wangoCounselling outcome, issues, trends and professional ethics dr geoffrey wango
Counselling outcome, issues, trends and professional ethics dr geoffrey wango
 
Ethics in Counseling
Ethics in CounselingEthics in Counseling
Ethics in Counseling
 
Client-centered therapy
Client-centered therapyClient-centered therapy
Client-centered therapy
 
Multicultural counseling..
Multicultural counseling..Multicultural counseling..
Multicultural counseling..
 
Multicultural counseling
Multicultural counselingMulticultural counseling
Multicultural counseling
 
Goals of counselling
Goals of counselling Goals of counselling
Goals of counselling
 
Client-centered therapy
Client-centered therapyClient-centered therapy
Client-centered therapy
 
The Counseling Process
The Counseling ProcessThe Counseling Process
The Counseling Process
 
Client centered therapy
Client  centered therapyClient  centered therapy
Client centered therapy
 
Basic counselling skills
Basic counselling skillsBasic counselling skills
Basic counselling skills
 
THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.
THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.
THE RIGHT OF INFORMED CONSENT AND DIMENSIONS OF CONFIDENTIALITY.
 
Counseling and psychotherapy
Counseling and psychotherapyCounseling and psychotherapy
Counseling and psychotherapy
 
Guidance and Counseling ( Counseling services )
Guidance and Counseling ( Counseling services )Guidance and Counseling ( Counseling services )
Guidance and Counseling ( Counseling services )
 
Types of Psychological Counselling
Types of Psychological CounsellingTypes of Psychological Counselling
Types of Psychological Counselling
 
Counselor: Person and Professional
Counselor: Person and ProfessionalCounselor: Person and Professional
Counselor: Person and Professional
 
Ethics in counselling
Ethics in counsellingEthics in counselling
Ethics in counselling
 
Ethics Issues in Counseling Practices
Ethics Issues in Counseling PracticesEthics Issues in Counseling Practices
Ethics Issues in Counseling Practices
 
Counseling
CounselingCounseling
Counseling
 
Basic Counseling Skills
Basic Counseling SkillsBasic Counseling Skills
Basic Counseling Skills
 

En vedette

Assessment Remedial Counseling the Helikx way ARC
Assessment Remedial Counseling the Helikx way ARCAssessment Remedial Counseling the Helikx way ARC
Assessment Remedial Counseling the Helikx way ARCpbji
 
Counseling Special Populations
Counseling Special PopulationsCounseling Special Populations
Counseling Special PopulationsSarah Moran
 
Coun 915 krumsboltz' learning theory of career counseling final
Coun 915 krumsboltz' learning theory of career counseling finalCoun 915 krumsboltz' learning theory of career counseling final
Coun 915 krumsboltz' learning theory of career counseling finaldrlola
 
Bowen Family Systems Therapy
Bowen Family Systems TherapyBowen Family Systems Therapy
Bowen Family Systems Therapyleahtherese
 
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling perso...
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling   perso...PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling   perso...
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling perso...Amin Upsi
 
Counselling in educational settings
Counselling in educational settingsCounselling in educational settings
Counselling in educational settingsrevathyms
 
Choice theory reality therapy
Choice theory reality therapyChoice theory reality therapy
Choice theory reality therapykdotsonblake
 
Body Language by N.G.Palit. Body Language is the language which our body sp...
Body Language  by  N.G.Palit. Body Language is the language which our body sp...Body Language  by  N.G.Palit. Body Language is the language which our body sp...
Body Language by N.G.Palit. Body Language is the language which our body sp...Nanda Palit
 
Employee Counselling
Employee CounsellingEmployee Counselling
Employee CounsellingArsalan Ahmad
 

En vedette (15)

Assessment Remedial Counseling the Helikx way ARC
Assessment Remedial Counseling the Helikx way ARCAssessment Remedial Counseling the Helikx way ARC
Assessment Remedial Counseling the Helikx way ARC
 
Inclusive Language
Inclusive LanguageInclusive Language
Inclusive Language
 
Counseling Special Populations
Counseling Special PopulationsCounseling Special Populations
Counseling Special Populations
 
Multicultural Counseling
Multicultural CounselingMulticultural Counseling
Multicultural Counseling
 
Coun 915 krumsboltz' learning theory of career counseling final
Coun 915 krumsboltz' learning theory of career counseling finalCoun 915 krumsboltz' learning theory of career counseling final
Coun 915 krumsboltz' learning theory of career counseling final
 
Family system
Family systemFamily system
Family system
 
Bowen Family Systems Therapy
Bowen Family Systems TherapyBowen Family Systems Therapy
Bowen Family Systems Therapy
 
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling perso...
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling   perso...PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling   perso...
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling perso...
 
Counselling in educational settings
Counselling in educational settingsCounselling in educational settings
Counselling in educational settings
 
Choice theory reality therapy
Choice theory reality therapyChoice theory reality therapy
Choice theory reality therapy
 
Body Language by N.G.Palit. Body Language is the language which our body sp...
Body Language  by  N.G.Palit. Body Language is the language which our body sp...Body Language  by  N.G.Palit. Body Language is the language which our body sp...
Body Language by N.G.Palit. Body Language is the language which our body sp...
 
Employee Counselling
Employee CounsellingEmployee Counselling
Employee Counselling
 
Counseling Theories
Counseling TheoriesCounseling Theories
Counseling Theories
 
Counselling Technique
Counselling TechniqueCounselling Technique
Counselling Technique
 
Types of counselling
Types of counsellingTypes of counselling
Types of counselling
 

Similaire à Theories & methods of counseling by Japheth Makuna, Pwani University

counseling ppt gnm 1st.pptx
counseling ppt gnm 1st.pptxcounseling ppt gnm 1st.pptx
counseling ppt gnm 1st.pptxPriyankaGawai6
 
counselingpptgnm1st-220902074649-bf0d5c31 (1).pdf
counselingpptgnm1st-220902074649-bf0d5c31 (1).pdfcounselingpptgnm1st-220902074649-bf0d5c31 (1).pdf
counselingpptgnm1st-220902074649-bf0d5c31 (1).pdfjakin948johnson698
 
Unit IX counsell.pptx
Unit IX counsell.pptxUnit IX counsell.pptx
Unit IX counsell.pptxTUTH
 
07 counsling group 6.pptx
07 counsling group 6.pptx07 counsling group 6.pptx
07 counsling group 6.pptxAlaaShosha3
 
Presentation on COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSING
Presentation on  COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSINGPresentation on  COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSING
Presentation on COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSINGKREDASONBANGALORE
 
----COUNSELING----- , 1st Year GNM Nursing
----COUNSELING----- , 1st Year GNM Nursing----COUNSELING----- , 1st Year GNM Nursing
----COUNSELING----- , 1st Year GNM NursingMohan Kgowda
 
Guidance and counseling
Guidance  and  counseling Guidance  and  counseling
Guidance and counseling CHETAN RSANGATI
 
Guidance and counseling
Guidance and counselingGuidance and counseling
Guidance and counselinganeez103
 
Guidance and counselling
Guidance and counsellingGuidance and counselling
Guidance and counsellingDikshaRai24
 
Counselling in Human Resource Management
Counselling in Human Resource ManagementCounselling in Human Resource Management
Counselling in Human Resource ManagementHimanshuVaishnaw1
 
GUIDANCE AND COUNSELLING SERVICES.PPT GUPT.pptx
GUIDANCE  AND COUNSELLING SERVICES.PPT GUPT.pptxGUIDANCE  AND COUNSELLING SERVICES.PPT GUPT.pptx
GUIDANCE AND COUNSELLING SERVICES.PPT GUPT.pptxvirengeeta
 
Guidance and counselling
Guidance and counsellingGuidance and counselling
Guidance and counsellingL Ngahneilam
 
Phases of Counseling
Phases of CounselingPhases of Counseling
Phases of Counselingjlverola
 

Similaire à Theories & methods of counseling by Japheth Makuna, Pwani University (20)

counseling ppt gnm 1st.pptx
counseling ppt gnm 1st.pptxcounseling ppt gnm 1st.pptx
counseling ppt gnm 1st.pptx
 
counselingpptgnm1st-220902074649-bf0d5c31 (1).pdf
counselingpptgnm1st-220902074649-bf0d5c31 (1).pdfcounselingpptgnm1st-220902074649-bf0d5c31 (1).pdf
counselingpptgnm1st-220902074649-bf0d5c31 (1).pdf
 
Unit IX counsell.pptx
Unit IX counsell.pptxUnit IX counsell.pptx
Unit IX counsell.pptx
 
07 counsling group 6.pptx
07 counsling group 6.pptx07 counsling group 6.pptx
07 counsling group 6.pptx
 
Presentation on COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSING
Presentation on  COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSINGPresentation on  COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSING
Presentation on COUNSELING. 1ST YEAR GNM ,COMMUNITY HEALTH NURSING
 
----COUNSELING----- , 1st Year GNM Nursing
----COUNSELING----- , 1st Year GNM Nursing----COUNSELING----- , 1st Year GNM Nursing
----COUNSELING----- , 1st Year GNM Nursing
 
Guidance &counselling
Guidance &counsellingGuidance &counselling
Guidance &counselling
 
Guidance and counseling
Guidance  and  counseling Guidance  and  counseling
Guidance and counseling
 
Guidance and counseling
Guidance and counselingGuidance and counseling
Guidance and counseling
 
Guidance and counseling
Guidance and counselingGuidance and counseling
Guidance and counseling
 
Counselling
CounsellingCounselling
Counselling
 
Counseling
CounselingCounseling
Counseling
 
Guidance and counselling
Guidance and counsellingGuidance and counselling
Guidance and counselling
 
Counselling
CounsellingCounselling
Counselling
 
Counselling
CounsellingCounselling
Counselling
 
Counselling in Human Resource Management
Counselling in Human Resource ManagementCounselling in Human Resource Management
Counselling in Human Resource Management
 
Advising Mission & Roles
Advising Mission & RolesAdvising Mission & Roles
Advising Mission & Roles
 
GUIDANCE AND COUNSELLING SERVICES.PPT GUPT.pptx
GUIDANCE  AND COUNSELLING SERVICES.PPT GUPT.pptxGUIDANCE  AND COUNSELLING SERVICES.PPT GUPT.pptx
GUIDANCE AND COUNSELLING SERVICES.PPT GUPT.pptx
 
Guidance and counselling
Guidance and counsellingGuidance and counselling
Guidance and counselling
 
Phases of Counseling
Phases of CounselingPhases of Counseling
Phases of Counseling
 

Theories & methods of counseling by Japheth Makuna, Pwani University

  • 1. GUIDANCE AND COUNSELLING By Japheth Makuna Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 1
  • 2. Definition • Counseling • A supportive and empathic professional relationship that provides a framework for the exploration of emotions, behaviors, and thinking patterns, and the facilitation of healthy changes. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 2
  • 3. Counselling • Counseling is directed towards people experiencing difficulties as they live through the normal stages of life-span development. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 3
  • 4. Counselling • Counseling Functions • Remedial • Functional Impairment • Preventive • Anticipate and Accommodate • Enhancement • Human Potential Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 4
  • 5. What is Guidance? • ―Guidance is a process of helping people make important choices that affect their lives, such as choosing a preferred lifestyle‖ (Gladding, 2000, pg. 4). Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 5
  • 6. What is Psychotherapy? • Traditionally focuses on serious problems associated with intra- psychic, internal, and personal issues and conflicts. It deals with the ―recovery of adequacy‖ (Casey, 1996, p. 175 ). Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 6
  • 7. Counseling and Theory • Negligible differences in effects produced by different therapy types • Common elements between theories • Responding to feelings, thoughts and actions of the client • Acceptance of client’s perceptions and feelings Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 7
  • 8. Counseling and Theory • Confidentiality and privacy • Awareness of and sensitivity to messages communicated in counseling Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 8
  • 9. Counseling and Theory No single model can explain all the facets of human experience Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 9
  • 10. Counselling • Components Of The Counseling Process • Relationship Building • Assessment • Goal Setting • Intervention • Termination and • Follow-Up Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 10
  • 11. Factors that Influence Change • Structure • Setting • Client Qualities • Counselor Qualities Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 11
  • 12. Factors that Influence Change • Structure. • The ―joint understanding between the counselor & client regarding the characteristics, conditions, proced ures, and parameters of counseling‖ (Day & Sparacio, 1980, p.246). • This give form to what the formal process will look like. • Many clients come to counseling with no idea what to expect.Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 12
  • 13. Factors that Influence Change • Counseling moves forward when client and counselor know the boundaries of the relationship and what is expected. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 13
  • 14. Factors that Influence Change • Physical Setting. • Counseling can happen anywhere, but the professional generally works in a place that provides - • Privacy, • Confidentiality, • Quiet and • Certain comfort Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 14
  • 15. S.O.L.E.R. • When working with a client, you want to send a message that you are listening. • This can be done by being attentive both verbally (responding to the client) and nonverbally. • SOLER is an acronym which serves to remind us how to listen. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 15
  • 16. S . O . L . E . R • S: Face the client squarely; that is, adopt a posture that indicates involvement. • O: Adopt an open posture. Sit with both feet on the ground to begin with and with your hands folded, one over the other. • L: As you face your client, lean toward him or her. Be aware of their space needs. • E: Maintain eye contact. Looking away or down suggests that you are bored or ashamed of what the client is saying. • Looking at the person suggests that you are interested and concerned. • R: As you incorporate these skills into your attending listening skills, relax. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 16
  • 17. Factors that Influence Change • Client • Readiness or Reluctance or Resistance. • Readiness can be thought of as the motivation that the client brings into the session. • How motivated are they to work? • Their interest? Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 17
  • 18. Factors that Influence Change • Reluctance is generally seen in those clients who are referred for help by a third party and are unmotivated. • Resistance is generally seen in those clients who are forced into counseling. • They bring a motivation to cling to their issues through various sorts of actions.Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 18
  • 19. Factors that Influence Change • Client & Counselor Qualities. • Counselors generally like to work with clients who are most like them. We are influenced by the physical characteristics of the client. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 19
  • 20. Factors that Influence Change • It is important to be aware of how you work with all clients and offer your best work to all clients. • Clients, depending on culture, initially like to work with counselors who are perceived as experts, attractive, trustworthy. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 20
  • 21. The Therapeutic Relationship The therapeutic relationship is an important component of effective counseling The therapist as a person is a key part of the effectiveness of therapeutic treatments Research shows that both the therapy relationship and the therapy used contribute to treatment outcome Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 21
  • 22. The Effective Counselor  The most important instrument you have is YOU Your living example of who you are and how you struggle to live up to your potential is powerful.  Be authentic The stereotyped, professional role can be shed If you hide behind your role the client will also hide.  Be a therapeutic person and be clear about who you are Be willing to grow, to risk, to care, and to be involved Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 22
  • 23. Counseling for the Counselor  In your experience of being a client you can:  Consider your motivation for wanting to be a counselor  Find support as you struggle to be a professional  Have help in dealing with personal issues that are opened through your interactions with clients  Be assisted in managing your countertransferences  Corey believes that―...therapists cannot hope to open doors for clients that they have not opened for themselves.‖  Research shows that many therapists who seek personal counseling find it:  Personally beneficial  Important for their professional development Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 23
  • 24. The Counselor’s Values  Be aware of value imposition How your values influence your interventions  How your values may influence your client’s experiences in therapy  Recognize that you are not value-neutral  Your job is to assist clients in finding answers that are most congruent with their own values  Find ways to manage value conflicts between you and your clients  Begin therapy by exploring the client’s goals Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 24
  • 25. Multicultural Counseling  Become aware of your biases and values  Become aware of your own cultural norms and expectations  Attempt to understand the world from your client’s vantage point  Gain a knowledge of the dynamics of oppression, racism, discrimination, and stereotyping Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 25
  • 26. Cont…’  Study the historical background, traditions, and values of your client  Be open to learning from your client  Challenge yourself to expand your vantage point to explore your client’s ways of life that are different from your own  Develop an awareness of acculturation strategies Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 26
  • 27. Issues Faced by Beginning Therapists  Achieving a sense of balance and well-being  Questioning competency as you learn new techniques or begin to practice on your own without supervision  Accepting your limitations while simultaneously acknowledging your strengths  Managing difficult and unsatisfying relationships with clients  Struggling with commitment and personal growth  Developing healthy helping relationships with clients  Developing healthy personal boundaries in your professional life Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 27
  • 28. Staying Alive – It’s a Prerequisite  Take care of your single most important instrument – YOU Develop self-care strategies and a plan for renewal  Know what causes burnout  Know how to recognize and remedy burnout  Know how to prevent burnout through self-care Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 28
  • 29. Counseling Theories • The theories below may be used in Counselling Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 29
  • 30. 1. Psychoanalysis • The Structure of Personality  THE ID—The Demanding Child Ruled by the pleasure principle  THE EGO—The Traffic Cop Ruled by the reality principle  THE SUPEREGO—The Judge Ruled by the moral principle Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 30
  • 31. Conscious and Unconscious Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 31 Conscious: What’s on the surface i.e. logic, reality Unconscious: What lies deep, below the surface i.e. drives, instincts
  • 32. The Unconscious  Clinical evidence for postulating the unconscious:  Dreams  Slips of the tongue  Posthypnotic suggestions  Material derived from free-association  Material derived from projective techniques  Symbolic content of psychotic symptoms NOTE: consciousness is only a thin slice of the total mind Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 32
  • 33. Anxiety  Feeling of dread resulting from repressed feelings, memories and desires Develops out of conflict among the id, ego and superego to control psychic energy  Reality Anxiety  Neurotic Anxiety  Moral Anxiety Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 33
  • 34. Ego-Defense Mechanisms  Ego-defense mechanisms: Are normal behaviors which operate on an unconscious level and tend to deny or distort reality Help the individual cope with anxiety and prevent the ego from being overwhelmed Have adaptive value if they do not become a style of life to avoid facing realityMonday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 34
  • 35. The Development of Personality  ORAL STAGE First year  Related to later mistrust and rejection issues  ANAL STAGE Ages 1-3  Related to later personal power issues  PHALLIC STAGE Ages 3-6  Related to later sexual attitudes  LATENCY STAGE Ages 6-12  A time of socialization  GENITAL STAGE Ages 12-60  Sexual energies are invested in life Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 35
  • 36. Transference and Counter-transference  Transference  The client reacts to the therapist as he did to an earlier significant other  This allows the client to experience feelings that would otherwise be inaccessible  ANALYSIS OF TRANSFERENCE — allows the client to achieve insight into the influence of the past  Counter-transference  The reaction of the therapist toward the client that may interfere with objectivity  Not always detrimental to therapeutic goals; can provide important means of understanding your client’s world  Counter-transference reactions must be monitored so that they are used to promote understanding of the client and the therapeutic process Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 36
  • 37. Psychoanalytic Techniques  Free Association Client reports immediately without censuring any feelings or thoughts  Interpretation Therapist points out, explains, and teaches the meanings of whatever is revealed  Dream Analysis Therapist uses the ―royal road to the unconscious‖ to bring unconscious material to light Latent content Manifest content Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 37
  • 38. Resistance  Resistance Anything that works against the progress of therapy and prevents the production of unconscious material  Analysis of Resistance Helps the client to see that canceling appointments, fleeing from therapy prematurely, etc., are ways of defending against anxiety These acts interfere with the ability to accept changes which could lead to a more satisfying life Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 38
  • 39. Application to Group Counseling • Group work provides a rich framework for working through transference feelings • Feelings resembling those that members have experienced toward significant people in their past may emerge • Group members may come to represent symbolic figures from a client’s past Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 39
  • 40. Application to Group Counseling • Competition for attention of the leader provides opportunities to explore how members dealt with feelings of competition in the past and how this effects their current interactions with others. • Projections experienced in group provide valuable clues to a client’s unresolved conflictsMonday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 40
  • 41. Goal of Psychoanalysis • To uncover materials hidden in the Unconscious mind. • When the individual becomes aware of the material hidden in the Unconscious mind, the individual recovers Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 41
  • 42. 2. Person-Centered View of Human Nature • At their core, humans are trustworthy and positive • Humans are capable of making changes and living productive, effective lives • Humans innately gravitate toward self-actualization • Actualizing tendency • Given the right growth-fostering conditions, individuals strive to move forward and fulfill their creative nature Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 42
  • 43. Cont…’ • Challenges: • The assumption that ―the counselor knows best‖ • The validity of advice, suggestion, persuasion, te aching, diagnosis, and interpretation • The belief that clients cannot understand and resolve their own problems without direct help • The focus on problems over Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 43
  • 44. Cont…’ • Emphasizes: • Therapy as a journey shared by two fallible people • The person’s innate striving for self-actualization • The personal characteristics of the therapist and the quality of the therapeutic relationship • The counselor’s creation of a permissive, ―growth-promoting‖ climate Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 44
  • 45. Therapy is a Growth- Promoting Climate • Congruence • Genuineness or realness in the therapy session • Therapist’s behaviors match his or her words • Unconditional positive regard • Acceptance and genuine caring about the client as a valuable person • Accepting clients as they presently are • Therapist need not approve of all client behavior • Accurate empathic understanding • The ability to deeply grasp the client’s subjective world • Helper attitudes are more important than knowledge • The therapist need not experience the situation to develop an understanding of it from the client’s perspective Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 45
  • 46. Six Conditions • Necessary and sufficient for personality changes to occur • Two persons are in psychological contact • The first, the client, is experiencing incongruence • The second person, the therapist, is congruent or integrated in the relationship • The therapist experiences unconditional positive regard or real caring for the client • The therapist experiences empathy for the client’s internal frame of reference and endeavors to communicate this to the client • The communication to the client is, to a minimal degree, achieved Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 46
  • 47. The Therapist • Focuses on the quality of the therapeutic relationship • Provides a supportive therapeutic environment in which the client is the agent of change and healing • Serves as a model of a human being struggling toward greater realness • Is genuine, integrated, and authentic, without a false front • Can openly express feelings and attitudes that are present in the relationship with the client • Is invested in developing his or her own life experiences to deepen self- knowledge and move toward self-actualization Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 47
  • 48. Application to Group Counseling • Therapist takes on the role of facilitator • Creates therapeutic environment • Techniques are not stressed • Exhibits deep trust of the group members • Provides support for members • Group members set the goals for the group • Group setting fosters an open and accepting community where members can work on self-acceptance • Individuals learn that they do not have to experience the process of change alone and grow from the support of group members Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 48
  • 49. Person-Centered Expressive Arts Therapy • Various creative art forms • promote healing and self-discovery • are inherently healing and promote self-awareness and insight • Creative expression connects us to our feelings which are a source of life energy. • Feelings must be experienced to achieve self-awareness. • Individuals explore new facets of the self and uncover insights that transform them, creating wholeness • Discovery of wholeness leads to understanding of how we relate to the outer world. • The client’s inner world and outer world become unified. Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 49
  • 50. Conditions for Creativity • Acceptance of the individual • A non-judgmental setting • Empathy • Psychological freedom • Stimulating and challenging experiences • Individuals who have experienced unsafe creative environments feel ―held back‖ and may disengage from creative processes • Safe, creative environments give clients permission to be authentic and to delve deeply into their experiences Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 50
  • 51. Limitations of the Person- Centered Approach • Cultural considerations • Some clients may prefer a more directive, structured treatment • Individuals accustomed to indirect communication may not be comfortable with direct expression of empathy or creativity • Individuals from collectivistic cultures may disagree with the emphasis on internal locus of control • Does not focus on the use of specific techniques, making this treatment difficult to standardize • Beginning therapists may find it difficult to provide both support and challenges to clients • Limits of the therapist as a person may interfere with developing a genuine therapeutic relationship Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 51
  • 52. 3. Gestalt Therapy • Existential & Phenomenological – it is grounded in the client’s ― here and now‖ • Initial goal is for clients to gain awareness of what they are experiencing and doing now • Promotes direct experiencing rather than the abstractness of talking about situations • Rather than talk about a childhood trauma the client is encouraged to become the hurt child Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 52
  • 53. Principles of Gestalt Theory • Holism: • The full range of human functioning includes thoughts, feelings, behaviors, body, language and dreams • Field theory: • The field is the client’s environment which consists of therapist and client and all that goes on between them • Client is a participant in a constantly changing field • Figure Formation Process: • How an individual organizes experiences from moment to moment • Foreground: figure • Background: ground • Organismic self-regulation: • Emergence of need sensations and interest disturb an individual’s equilibrium Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 53
  • 54. The Now • Our ―power is in the present‖ • Nothing exists except the ―now‖ • The past is gone and the future has not yet arrived • For many people the power of the present is lost • They may focus on their past mistakes or engage in endless resolutions and plans for the future Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 54
  • 55. Unfinished Business • Feelings about the past are unexpressed • These feelings are associated with distinct memories and fantasies • Feelings not fully experienced linger in the background and interfere with effective contact • Result: • Preoccupation, compulsive behavior, wariness oppressive energy and self-defeating behaviorMonday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 55
  • 56. Contact and Resistances to Contact • Contact • Interacting with nature and with other people without losing one’s individuality • Boundary Disturbances/ resistance to contact • The defenses we develop to prevent us from experiencing the present fully • Five major channels of resistance: • Introjection • Deflection • Projection • Confluence Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 56
  • 57. Therapeutic Techniques • The experiment in Gestalt Therapy • Internal dialogue exercise/Games of Dialogue eg the Empty chair technique • Rehearsal exercise • Reversal technique • Exaggeration exercise • Staying with the feeling • Making the rounds • Dream work Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 57
  • 58. Application to Group Counseling • Encourages direct experience and action • Here-and-now focus allows members to bring unfinished business to the present • Members try out experiments within the group setting • Leaders can use linking to include members in the exploration of a particular individual’s problem • Leaders actively design experiments for the group while focusing on awareness and contact • Group leaders actively engage with the members to form a sense of mutuality in the group Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 58
  • 59. Limitations of Gestalt Therapy • The approach has the potential for the therapist to abuse power by using powerful techniques without proper training • This approach may not be useful for clients who have difficulty abstracting and imagining • The emphasis on therapist authenticity and self-disclosure may be overpowering for some clients • The high focus on emotion may pose limitations for clients who have been culturally conditioned to be emotionally reserved Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 59
  • 60. Rational Emotive Behavioral Therapy (REBT) • Stresses thinking, judging, deciding, analyzing, and doing • Assumes that cognitions, emotions, and behaviors interact and have a reciprocal cause-and-effect relationship • Is highly didactic, very directive, and concerned as much with thinking as with feeling • Teaches that our emotions stem mainly from our beliefs, evaluations, interpretations, and reactions to life situations Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 60
  • 61. The Therapeutic Process • Therapy is seen as an educational process • Clients learn • To identify the interplay of their thoughts, feelings and behaviors • To identify and dispute irrational beliefs that are maintained by self- indoctrination • To replace ineffective ways of thinking with effective and rational cognitions • To stop absolutistic thinking, blaming, and repeating false beliefs Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 61
  • 62. View of Human Nature • We are born with a potential for both rational and irrational thinking • We have the biological and cultural tendency to think crookedly and to needlessly disturb ourselves • We learn and invent disturbing beliefs and keep ourselves disturbed through our self-talk • We have the capacity to change our cognitive, emotive, and behavioral processes Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 62
  • 63. Irrational Ideas • Irrational ideas lead to self-defeating behavior • Some examples: • ―I must have love or approval from all the significant people in my life.‖ • ―I must perform important tasks competently and perfectly.‖ • ―If I don’t get what I want, it’s terrible, and I can’t stand it.‖ Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 63
  • 64. Application of CBT to Group Counseling • Tailored for specific diagnoses such as anxiety, panic, eating disorders and phobias • Treatments are standardized and based on empirical evidence • Use of homework allows lessons learned in group to generalize to the client’s daily environment • Help members gain awareness of how their self-defeating thoughts influence what they feel and how they behave • Heavy emphasis on psychoeducation and prevention of symptoms Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 64
  • 65. End • The Real Meaning of Happiness is giving it out to someone else – Thanks Monday, March 24, 2014 j.makuna@pwaniuniversity. ac.ke 65