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Therapy process
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Focuses on needs/goals of client, collaborative, clients opportunity to explore, involves choice and change, information giving by the therapist, support, assessment and treatment plan.
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Aims of therapy
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Empowerment, build on strengths of client, enhance relationships, increase insight/awareness and acceptance. promote change, psychoeducation and skills building
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Qualities in a good therapist
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Warm, open, friendly, supportive, tolerant, energetic and enthusiastic, personal togetherness, flexibility, self awareness, (biases, values/feelings and ability to recognise how and what factors affect them. empathetic skillfullness, consistently working on own mental health.
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Ethics in therapy
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Aus psychological society code of ethics- helps promote stability within profession, protect against malpractice suits.
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Unethical behaviours in therapy
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Uninformed consent, violation of confidentiality, exceeding level of expertise, imposing values onto client, erotic/sexual contact, dual relationship, creating dependence in client
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Boundary Issues in therapy
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Governing principles- clients needs are priority, therapist are exluded. client should feel safe, diclose info, trust therapist, assured that confidentiality is maintainted, wont be expose to therapists opinion, empowered & assisted to increase independence and autonomy
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Respectful model
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Religion, economic status, financial social background, personal style/education, ethnic identity, life span challenges-age. trauma- war assualt, physical characteristics-disability. location and residence.
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Competencies to be mastered
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Awareness/acceptance of differences, cultural self awareness, dynamics of difference, knowledge of clients culture, adaption of skills, generic counsellng practices, shown through attitudes, beliefs, knowledge and skills.
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Microskills heirachy
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Reflection of feeling, encouraging, paraphrasing, summarizing, client observation skills, open/close questions, attending behaviour, ethics/multicultural competence
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Basic listening sequence
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Open questions- close questions. paraphrases, reflection of feeling, summarisation
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Empathetic skillfullness
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Empathetic concern, perspective taking, absence of overidentification, acceptance, interpersonal warmth, respect, congruence, genuineness, rapport building skills, cognitive flexibility, communication facilitating skills, ability to communicate understanding to client, and non-verbals, immerse in clients story but not get caught up in it. recognise good therapeutic timing
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RISSSC
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Repeat key words. Images- pick up an images they put down. Simple- wording, soft- speaking- slow-speaking- client- attend and listen carefully.
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Empathy
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Reflection of feeling, experience in a supporitve validating way. reflecting incongruence between what the client is saying and their non verbals.
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Psychodynamic model
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Persons behaviour determined by underlying psychological forces, not aware of
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Psychoanalysis
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Bring unconscious conflicts into conscious, probes past, doesnt take immediate problem, goal is INSIGHT.. takes a long time, explore unconscious, Methods- free association, interpretaion of dreams and transference.
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