Scroll to the bottom of this page and walk through the House Of Learning Outcomes
BACK GARAGE (Feedback, Reflection, Supervision)
Feedback Sandwich:
Balanced
Observed
Objective = growth & development / reflective practitioner
Specific
Timely
Not too nice or overly critical / Describe with adverb (“spoke quickly”) rather than Judge with adjective (“you were hasty”)
Reflection: Kagan Interpersonal Process Recall (feel, think, sense things unaware of in the actual session) & Johari (Known to Self & Others: OBHU > Open, Blind, Hidden, Unknown) All negative = affects confidence
Supervision (purpose of, see Hawkins & Shohet)
- Perspective
- Validated / Supported
- Clear picture re: transference (conflicts from childhood>now)
- Objectivity, Appraise Skills, Avoid loss of confidence / burnout
NB: Able to mention ALL learning outcomes in supervision
GARDEN (Counselling Relatonship / Boundaries)
Stages (Beginning, Middle, End) / Egan ‘Skilled Helper’ Model
RUN DMC – P.S. RIA
– [Developing] Present Situation / establish Relationship
– [Maintaining] Preferred Scenario / work with Issues
– [Concluding] Finding Strategies / moving into Action
KITCHEN (Ethical Framework / Difference & Diversity)
HEEED the ethics
* Health & Safety Executive (to prevent Death, Injury and Ill health in Great Britain’s workplaces) >>> DII
* Equality Act 2010 (duty to eliminate Discriminaton, harassment and Bullying/victimisation (DaB); advance equality of opportunity; foster good relations between different parts of the community)
* Ethical Framework / Good Practice (BACP glossary: SAFEGUARD…protect people’s Health, Safety, Wellbeing (HSW) and human rights in order to enable them to live free from harm, abuse & neglect [GP10]) Principles, Values, Moral Qual’
* Empathy FM (Understand client’s Feelings and reflect client’s Mood)…UHAS: As I Understand it, What I am Hearing, You Appear, It Seems & Emotions Intensity (Ashamed / Cleverer than me / Not too worried…ACN)
* Difference & Diversity (VEIP: aware of Values, Emotion, Identity, Physical)
UTILITY ROOM (Theories of Counselling & Mental Health)
First psychology force to the fourth (schools):
* PSYCHODYNAMIC (unconscious urges / in-born instincts / dreams=motives)
* BEHAVIOURAL (irrational beliefs / blank slates / unlearn behaviour / goals / technique & method theory)
* HUMANISTIC (capacity to grow / heal psychological hurt under right conditions / self-actualisation / philosophical theory)
* INTEGRATIVE (utilise free will / remove mask / transcend (spiritual) / destructive social system)
BACK LIVING ROOM (Self-Awareness)
Eric Berne’s Transactional Analysis (T/A) = helping “clients gain intellectual insight through analysis of the way they relate to other people”
Four main areas:
- Structural analysis – the analysis of individual personality or ego states (Parent/critical, Adult/rational, Child/natural… complementary or crossed transactions)
- Transactional analysis – the analysis of communication styles or social behaviour / ‘strokes‘ (aim: client exercises adult option)
- Game analysis (S/F) – analysis of the psychological games people play: What is Said is not what is Felt
- Script analysis – analysis of a complex set of transactions people act out uncontrollably i.e. parental conditioning – OK positions: I’m not OK, You’re OK (inferiority); I’m OK, You’re not OK (contemptuous); I’m OK, You’re OK (comfortable); I’m not OK, You’re not OK (bad projection)
Similar to:
* Bowen’s Family Systems Theory: “Individuals cannot be understood in isolation…as the family is an emotional unit” which has values & standards; life plan or family ‘script’ / unconscious motivations which determine behaviour and life choices
* Erikson’s Early Childhood (Autonomy vs. Shame) ‘Approval of Significant Others‘ (Parent/Child, Teacher/Student, Abuser/Victim)
* Jung’s ‘Archetypes‘ (patterns of thought inherited from one’s ancestors)
* Learning Style
(Activists, Reflectors, Theorists, Pragmatists) ARTP
* Reframing / Experiential Learning…
Think too much = Thinking deeply
Fussing = Eye for detail
Messy = Creative
Nosey = Interested
FRONT LIVING ROOM (Theories of Counselling & Mental Health)
CPCAB model – a special kind of conversation
3 Service Levels of Change:
A – Mild (Cope with Life Problems)
B – Moderate (CMHP: Common Mental Health Problems);
B1 explicit (goal-directed/linear), B2 implicit (trust/incremental)
C – Severe (Change in Foundation of Client)
* CMHP (neurotic) = Anxiety, Depression, Eating disorder, OCD, Phobia (ADEOP)
* Severe/Complex (psychotic) = Bipolar disorder, Schizophrenia (Hebephrenic = impairment in thought processes / word salad / detached from reality, Catatonic = rigid posture / repetitive rocking / lack of communication / personal appearance)
3 Dimensions of Change
1 – Self (Internal) – conflict
2 – Relationships (Relational) – perceiving
3 – Personal History (Developmental) – trauma
1 > Freud model of ID, Ego & Superego / Transactional Analysis uncovering conflict between Angry Internal ‘Parent’ and Anxious Internal ‘Child’ (develop more resilient sense of self)
2 > Habitual patterns of perceiving (health and well-being aided if changed)
3 > Emotional response to past traumatic events / let go / less overwhelmed
STAIRCASE (Theories of Counselling & Mental Health)
MEEFJERCK: IPC >>> Ideas and Principles underpinning counsellling / Coherent framework = good therapeutic outcomes (see Dimensions of Change & Schools)
Maslow triangle/Hierarchy of Needs / Theory of Human Motivation (Physiological/Food, Safety, Love, Esteem, Self-Actualisation)
Erikson 8 stages (TAIGI: Trust, Autonomy, Initiative, Industry, Identity, Intimacy, Generativity, Integrity vs. Mistrust, Shame, Guilt, Inferiority, Role confusion, Isolation, Stagnation, Despair) Infant > Childhood x 3, Adolescence > Adulthood x 3
Ellis (ABCD – Activating event, Belief system, Consequences/emotional reaction, Dispute belief system…IT’S IN DISPUTE!)
Freud (ID (instinctual), Ego (mediator), Superego (moralistic))
Johari window (OBHU: Open, Blind, Hidden, Unknown) > Top: Known to Self / Not Known, Side: Known to Others / Not Kn’
Egan skilled helper model (emphasis on empowerment through: What is going on? What do I want instead? How might I get to what I want?)
Rogers core conditions/attitudes (CUE: Congruence, Unconditional positive regard, Empathy) CCT 1951 > PCT 1974: further emphasise human values
Carkhuff core conditions (Genuineness, Respect, Empathy, Non-Possessive Warmth, Self-Disclosure, Immediacy (RDD > notice/aware of: Repetition, Defensiveness, Difference), Concreteness, Confrontation)
Karpman drama triangle (Persecutor, Rescuer, Victim or Choy Winner’s Triangle: Assertive, Caring, Vulnerable)
HALLWAY (User-Centred Approach)
SHARED AGREEMENT / Contract (negotiated): Client needs @ heart of work > Questions? Worries? Feelings?
Status (of counsellor, L3 > L7)
Harm (Limits of Confidentiality)
Agency (policies, complaints proced’, payment methods)
Requirements (supervision, insurance, membership)
Ethical framework (ethics, good practice, working safely)
DNA (did not attend / absenteeism)
—
Agreement (client part of contract/preferences)
Genuineness (one of Carkhuff’s core conditions: GRENSICC)
Record keeping (comply with Data Protection Act)
Exceptional Work (limits of ability – possibly referral)
Endings (making clients aware – summarising & boundaries)
Models used (depends on presenting problems)
Emergency numbers (GP, home, next of kin)
Number of sessions (length typically 45-60 mins, no.6+when to meet)
Terrorism (legally required to report knowledge of M/L, treason etc)
PORCH (Counselling Relationship / Boundaries)
Skills (from level 2): Not MAB > Mentoring, Advice, Befriending = empower client to make decisions / come to terms with life
[BEARTS – Boundaries, Empathy, Active Listening, Reflecting, Timekeeping, Silence]
Boundaries – FANBJ (Corey 5 therapeutic / ethical principles) Fidelity (Progress), Autonomy (Deter dependence, Remain ethical), Non-Maleficence (Conflict of Interest), Beneficence (Doing good), Justice (Irrespective of status) + PET (Physical, Emotional, Time)
Barriers – PRETAL – Prejudice/Preoccupation, Rehearsal, Evaluation (premature), Taboos/Too many Qs, Anxiety, Language (Culture)
Self-Awareness – VINAC – Values (Scripts), Intimacy (Emotionally detached), Needs, Alienation (Trust), Caring
And then enter the porch’s SHOP for some KP Nuts & CDs:
SOLERB – Sitting squarely, Open posture, Leaning forward, Eye contact, Relax, Breathe)
Hands off – SLRC – Sit, Listen, Reflect, Clarify
Open Qs – 5xW on a bench – Who, When, Where, What, Why, How
Physically Attending / Minimal Encouragers…
KPN – Kinesics (body language), Proxemics (spatial distance), Non-Verbal (Mmm, nod, smile)
Dependence – CIDI – Co-Dependence (both trapped), Inter-Dependence (healthy), Dependence (one dependent), Independence (autonomous)
Summarising – CCEC – Condensing or Crystallising the Essence of what the Client says
DRIVEWAY (User-Centred Approach)
Limits of Ability (LOA) / Proficiency
STUWA SKA (Skills, Knowledge, Attitude of counsellor):
Stay with feelings (Open & Honest / check blocks to empathy & prejudice)
Trust the process (What is going on? RSP: Relationship, Stage, Progress)
Use core conditions (GRENSICC & CUE)
Work in a safe way (Protect from harm / HSW: Health, Safety, Wellbeing)
Agenda (Client frame of reference / needs / user-centred therapy)
Scroll up to walk through the House Of Learning Outcomes on our revision trip