Rehab Counseling Timed Growing Hope

Growing Hope

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Counselors create working partnerships

to help clients grow their dreams into tangible realities.

Anne Barnwell March 30, 2011 2

An ideal therapeutic relationship includes:

Congruence and genuineness

Unconditional positive regard and acceptance

Accurate empathic understanding

Corey, G., (2009). Theory and Practice of Counseling and Psychotherapy. Cengage Learning

Anne Barnwell March 30, 2011 3

Validation is important in forming a working alliance as well as:

Teaching new skills

Attentive body language and non-verbal behavior

Guidance and challenging

Bedi, R.P., (2006). Concept mapping: the client’s perspective on counseling alliance formation Journal of Counseling Psychology, 53:1 pp. 26-35

Anne Barnwell March 30, 2011 4

Validation

Education

Nonverbal gestures

Presentation and body language

Guidance and challenging

Referrals and recommended materials

Honesty

Emotional Support and Care

Session Administration

Clients personal responsibility

Setting

Bedi, R.P., (2006). Concept mapping: the client’s perspective on counseling alliance formation

Journal of Counseling Psychology, 53:1 pp. 26-35

Anne Barnwell March 30, 2011 5

I plan to:

Observe carefully and listen actively

Avoid assumptions

Value personal choice and self determination no matter what level of disability

Learn what clients have to teach about their life journeys

Anne Barnwell March 30, 2011 6

Skilled helping starts by asking clients to tell their story -

What does the big picture look like to them?

Gerard Egan

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When do they feel alive and growing?

When do they feel stuck?

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Use a mix of tuning in, listening, empathy, probing, and summarizing.

Respect their perspective on their own story.

Help clients talk about their past as it relates to the present.

Look for experiences, thoughts, feelings and behavior.

Egan, G., (2010). The Skilled Helper: A problem-Management and Opportunity-development approach to helping

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Skilled helpers encourage clients to reframe problems –

Look for opportunities

Challenge unused strengths

How has the experience of disability affected their lives?

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What does it mean to them to have a disability?

What experiences, thoughts, and feelings have they had as a consequence of having a disability?

How is this style of thinking working for them?

Would they consider thinking of it in a new way?

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The new vision for people with disabilities:

Independence, productivity, self-determination, integration, and inclusion

Anne Barnwell March 30, 2011 12

SELF -DETERMINATION PRODUCTIVITY

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Self-determination – the practice of individuals with intellectual disabilities making important decisions in their lives

Productivity – the value of work or study in peoples lives and receiving appropriate wages for that work

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INTEGRATION INCLUSION

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Integration – contrasts with segregation. It can focus on bringing the behavior and appearance of people with disabilities more in line with community norms

Inclusion – the inclusion of all people into the community; society creates supports that allow people to be themselves

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Skilled helpers assist people to think about their preferred future -

and then nurture that vision.

Gerard Egan

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Help clients set goals they can visualize as pieces of a larger picture.

Anne Barnwell March 30, 2011 18

Each step in the job seeking and skill building process may seem scary -

So skilled helpers need to create opportunities for clients to move from “I can’t” to “I can”.

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Self-mastery - performance accomplishments

Learning by observation - vicarious experiences

Encouragement – verbal persuasion

Emotional experiences - emotional arousal

O’Sullivan, D., & Strauser, D.R., (2007), Operationalizing Self-Efficacy, Related Social Cognitive Variables, and Moderating Effects , Rehabilitation Counseling Bulletin, vol.52, no.4.

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Ensure clients have the skills they need –

decision making and goal setting, as well as vocational skills

Provide encouragement

Use success as a reinforcer

Use interventions that fit client learning styles

Egan, G., (2010). The Skilled Helper: A problem-Management and Opportunity-development approach to helping

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Ideally as clients accomplish each step, they grow in pride and self-worth,

self-efficacy, and self-determination.

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Maintaining progress comes from watering the garden

Help clients plan adequate support to reach their goals

Financial

Emotional

Physical

Educational

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“The existential view of human nature is captured, in part, by the notion that the significance of our existence is never fixed once and for all; rather we continually re-create ourselves through our projects.”

GerardCorey

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Anne Barnwell March 30, 2011 25

As counselors we have the privilege of helping people

grow

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