Micro Skills Counseling

Topics: Psychotherapy, Feeling, Therapy Pages: 20 (6211 words) Published: May 1, 2013



Skills to be trained

Counselling Microskills I The Four Corners Reflection of Feeling and Content Opening and Closing Questions 5-minute exercise I-Wish brainstorming Mind Maps

Counselling Microskills II Self-disclosure Advanced Accurate Empathy Immediacy Confrontation

Counselling Microskills III

Summarization Goal Setting Therapeutic Alliance Suicidality and its Assessment Counselling Checklist

THE FOUR CORNERS The Four Corners Of Counselling First Corner – Clarify & accessing Information Intention 1- To clarify and to gather information for your own benefit. Use: Reflection of content/paraphrasing to clarify. Use opening and closing questions and summarizations to gather more information. Use minimal prompts, encouragers and reflection of feeling.

Second Corner- Rapport & Understanding Intention 2 - To offer empathy and understanding to the client and build rapport, relationship and trust. To encourage emotional release when appropriate. Use: Reflection of feeling, meaning, warmth, respect, genuiness and congruence.

Third Corner- Deepen Understanding & take action Intention 3- to encourage deeper connections in the client’s view of themselves and their world. To see themselves as part of the bigger picture. To encourage them in taking responsibility and finally action Use: Advanced empathy, empathic summarizations, meaning and values clarification, immediacy, self-disclosure and goal setting. (Also known as challenging skills.)

Fourth Corner- The doorway! Using specific therapies Intention 4- to encourage opening of defenses and use of other therapeutic regimes and skills. To encourage deeper healing, understanding and emotional release and resolution, especially past psychological defenses. Use: “First 3 corner skills” with specific therapies in mind to target specific thoughts, emotions, body experiences and unconscious parts (IMT’s).

RESPONDING Skills: Reflection of Feeling and Content/ Responding To reflect or respond means to relay to the client in your words an understanding of their world. Ideally it elicits the meaning between their literal words. It should be more specific and concrete than the clients’ language, serving to grasp the essential meaning in one or two coherent phrases. To say “I understand” does nothing to add to reality of them feeling understood you need to convey this back to them. A practice concept is the “you feel because” format. You may not say it that way but reflection of feeling and content is effectively empathy in words. The feeling statement picks up the emotional experience they are struggling to express or have and the content part is the reason or meaning behind the feeling and this covers the intellectual component. You need to convey both where possible. It is possible of course to just relay the feeling (reflection of feeling). “You feel exhausted”. This is appropriate at times. Similarly it is natural at times to relay the content. “Your week has been very full”. Hence we now have in effect 3 microskills: Reflection of content, Reflection of feeling and Reflection of feeling and content Attitude of skills: Empathy, respect, genuineness, warmth, and positive regard. Offer a “climate of regard” to create good rapport. The best single word to convey rapport is empathy: Offering understanding for the others experience as if you could picture yourself climbing into their world and experiencing their life. That is the precise way to do it. 1. Imagine or picture yourself in their life situation 2. Try to imagine how you would feel or an approximation to the circumstance 3. Compare that with what they are saying 4. Convey that; respond back with your best understanding of what they experience Carl Rogers (1961), virtually the father of modern day counselling and one of the best exponents of the approach said: If I can create a relationship characterized on my part: By a genuiness and...
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