Psychodynamic STT
When someone isn’t making eye contact, is tapping, etc: “I get the feeling that you’re uncomfortable being here talking to me/talking about it”
*You actively address activity/affect you observe RIGHT AWAY “I notice you’re tapping/playing with your hair, etc, is there something about being here that makes you anxious?" “what’s going on right now that makes you want to shut me out?”
Don’t psychoeducate or norm the bx (IE: DON’T SAY “most ppl would be nervous, often people feel anxious in counseling” etc)
*Norming will make them feel comfortable: we want to amplify the anxiety
*The increased anxiety and your targeting the affect and defenses forces underlying issues out faster: you are …show more content…
4 of 9.20.12 handout
C.I cont’d
The work we do in C.I differs with the population: with college students the work is around transitions and developmental issues. Work with older adults will depend on the context
With adults commonly: long-term relationships, life trajectory
We need to explore:
What brings someone to counseling NOW
This is usually something that is symbolic to them: something occurs that has meaning to them
Partner Abuse:
Interventions:
1. set out a safety plan 2. psychoeducation about what’s normal and what constitutes abuse 3. Ask them what they need and establish your legal obligations 4. Ask what’s safest/most helpful for their kids 5. You want to help sell your help to the client 6. When they talk about their partner and their partner’s hx, you must empathize with their partner’s stress &/or abuse hx: the client will see that you understand their partner’s plight & WE MUST SEE that their sense of self is connected to their partner- people will not move unless they feel understood! 7. Get the victim resources for their partner
We must consider that the abusive partner is insecurely attached: we can see this is when they abuse: it generally occurs when they feel insecure about