Social Work and
Counseling
THE HELPING RELATIONSHIP
THE HELPING RELATIONSHIP
     Thecounselor-client helping relationship is unique in that is
     established as a one-way relationship with the purpose of
     resolving a concern and/ or fostering the personal
     growth of one person- the client.
     Thecounselor is designated as the helper and assumed to
     have the knowledge and training to assist the client in
     an intentional and systematic way.
     Helpingrelationship (as defined by Rogers (1961)) as one
     “in which at least one of the parties has the intent of
     promoting the growth, development, maturity, improved
     functioning and improved coping with life of the other.”
 
The goals of helping relationship:
1.Increased  awareness or insight and
  understanding
2.Relief from suffering
3.Changes of behavior and lifestyle
4.Changes in thoughts and self-
  perceptions
 
 
          Three Phases of the Helping
                 Relationship:
   Relationship building – the goal is to build a
    
   foundation of mutual trust that promotes the client’s
   exploration of the presenting issues.
  Challenging the client to find ways to change – the
   client has a deeper level of awareness and
   understanding regarding the issues and the helper
   then challenges the client to “try on” new ways of
   thinking, feeling and behaving.
  Facilitating positive client action – the helper facilitates
   client actions that lead toward change and growth in
   the client’s life outside the counseling relationship. 
Characteristic of positive helping relationship:   (Seligman 2004)
1. It provides a safe and protective environment for clients
2. It encourages collaboration, with both clients and the helpers
   playing an active role in the counseling process
3. It has mutually or a feeling of shared warmth, caring,
   affirmation and the respect.
4. Clients can identify with their helpers and perhaps use them
   as role models.
5. Client and counselor have an agreement on goals and
   procedures; sessions are structured in such a way as to
   clearly move toward accomplishment of these goals.
6. Client and counselor view themselves as engaged in a
   shared endeavor that seems likely to succeed.
 Essential Components of a Helping Relationship: (Carl Rogers, 1957
– is the instrumental in determining the core conditions necessary for a beneficial
relationship in counseling.)
1. Congruence      – emphasized the importance of being genuine and
   real in the relationship. When the counselor is congruent,
   interactions with the client are characterized by honesty,
   transparency, and openness.
2. Unconditional positive regard for the individual – stressed the
   importance of accepting the client without evaluation and judgment.
3. Emphatic understanding needed to be present for the
   relationship to be therapeutic –assuring clients that they are
   understood; it also can provide a sense of safety and encourage
   client exploration. ( Empathy-defined as the understanding of the
   client’s experiences and feelings as if they were your own but
   without losing as “as if” quality(Roger, 1957)
Necessary Elements for a Therapeutic Relationship:
1. Respect – describes the helping attitude that communicates acceptance of the
  client as a person of worth and dignity (Rogers, 1957)
2.Trust – expression of respect and positive regard for the client’s individual worth.
3.Confidentiality – assures clients that whatever they tell will remain private (within
  certain limits). This promise allows the client to feel safe and promotes telling
  information that would otherwise remain hidden.
4.The use of benevolent power – refers to using the interpersonal influence one
  has as a counselor in a careful manner. (According to Strong and Claiborn, 1992),
  counselors are influential because of their perceived levels of expertness,
  attractiveness and trustworthiness and must use this power responsively in
  facilitating change for the clients.
5.Commitment – is carrying out respective responsibilities in the helping relationship
  is important for both counselors and clients.
    Counselor responsibilities include delivering specified services and following
     ethical guidelines and client responsibilities include a commitment toward working
     on his or her problems and investing energy in the counseling process. 
Checklist of Desirable Counselor Characteristics:
 Intelligent
   Energetic
      Caring
         Trustworthy
             Genuine
                Emotionally stable
 Resourceful
    Unselfish
       Curious
          Good listener
              Realistic
                  Dependable
                       Hopeful
   Respectful of individual differences
        Maintain balance in own life
            Emphatic
                Optimistic
                   Self-confident
                        Self-aware
                            Creative
                                 Flexible
   Hardworking
      Insightful
          Hardworking
            Nonjudgmental
                  Knowledgeable
                       Ethical
                          Friendly
                             Sense of Humor
       Comfortable with intimacy able to express self clearly
     
Reference:
Introduction to the Counseling Profession, David
Capuzzi,       Douglas R. Gross, 2009
     
 
 
 
Counseling
     A planned interaction between the client
     and the worker to assist client in altering
     his/her present behavior.
     Helps the client through guidance and
     support to find a solution to a problem and
     make a decision.
     To enhance the client’s ability to understand
     his/her situation and adequately cope with
     the demands and challenges of life.
Aims of Counseling
   Depending on the needs of the client and the different practice
    orientation ,the following are the aims of counseling:
   1. Insight – the acquisition of an understanding of the origins and
    development of emotional difficulties leading to an increased
    capacity to take rational control over feelings and actions
   2. Self-awareness – becoming more aware of thoughts and
    feelings which had been blocked off or denied, or developing a
    more accurate sense of how self is perceived by others.
   3. Self-acceptance – the development of a positive attitude
    towards self, marked by an ability to acknowledge areas of
    experience which had been the subject of self-criticism and
    rejection.
   4. Self- actualization or individuation - Moving in the direction
    of fulfilling potential or achieving an integration of previously
    conflicting parts of self
   5. Enlightenment – assisting the client to arrive at a
    higher state of spiritual awakening.
   6. Problem solving – finding a solution to a specific
    problem which the client had not been able to resolve
    alone.
   7. Psychological education – enabling the client to
    acquire ideas and techniques with which to
    understand and control behavior
   8. Acquisition of social skills- learning and mastering
    social and interpersonal skills such as maintenance of
    eye contact, turn-taking in conversations, assertiveness
    or anger control.
   9. Cognitive change – the modification or replacement
    of irrational beliefs or maladaptive thought patterns
    associated with self-destructive behavior.
 10. Behavior change – the modification or
  replacement of maladaptive or self-destructive
  patterns of behavior
 11. Systemic change – introducing change into
  the way in which social systems (families)
  operate
 12. Empowerment – working on skills,
  awareness, and knowledge which will enable
  the client to confront social inequalities.
 13. Restitution – helping the client to make
  amends for previous destructive behavior.
 
Phases of Counseling
Preparation Phase:
  Prepare  the place
  Prepare needed things like water, tissue
   paper
  Review the available relevant documents
  Review the theories, concepts, techniques,
   frameworks
  Formulate your hypothesis
  State clearly the objectives for the session
  Prepare self for the session
  Think of a ritual that can be used
Interview/ Session Proper
Welcoming
Introduction of the Worker
Attend to the body language of the client
Make the client feel at ease and
comfortable
Present objectives of the session
Set expectations and rules
Contracting
Know the information about the client
Middle Phase
Ask the client about her feelings
Acknowledge the attributes of the client
Be sensitive to client’s expression, non-verbal cues
Provide the client an opportunity to express him/her
feelings
Clarify gray areas
Utilize techniques in questioning or drawing information
from the client
Guide or provide client with direction
Show acceptance of the client
Summarize identified problems
Facilitate identification of plans and solutions (who,
when, how, where)
Draw out internal and external resources of the family
Ending Phase
 Summarize the whole session and
 highlight action points
 Demonstrate gratitude
 Evaluate the session
 Draw out feeling from the members
 Schedule next session
 Ending the session (can use ritual)
Post Interview
 Preparation of report
 Evaluation/assessment
 Recommendation
 Coordination with other service providers that
  can provide needed resources by the client
 Conferencing with colleagues, case manager
  and or other professionals
 Monitoring agreed upon plans
Basic Skills in Counseling:
1) Active Listening/responding skill
        – paying acute attention to the client’s verbal disclosure,
non-verbal cues and feelings. Maintaining and communicating
active involvement with the client while listening through non-
verbal communication such as eye-to-eye contact and nodding of
the head. Involvement of the worker is measured not by the
number of words spoken or the issue covered, but by the time s/he
spends actively listening.
2) Paraphrasing
           – is restating the client’s message. Making sure that
   the client has understood what the worker just said vise versa.
   This will encourage the client continue speaking.
 Examples: I heard you say that you are concerned about the . . .,
           Repeating client’s statement and ask “Is that correct?
3) Clarifying
           - is making an educated guess about the client’s
   message for the client to confirm or deny. To clear up
   confusion if a client’s responses are vague or not
   understandable.
       Examples: Let me see if I understand you . . . , I do not
   think I understand what you are trying to say . . .
4) Asking Appropriate Questions
       – To obtain specific information:
            facts, feelings and opinion, to encourage the client to
communicate, elaborate on his/her thoughts, knowledge or feelings
and to make the client feel that the worker is interested in what
he/she has to say. Asking the right question at the right time and
right way.
 Open-ended questions
             – requires the client to express his/her feelings,
 beliefs, knowledge and gives more than a yes or no answer.
 (Use question statement starting with what and how)
 Probing questions
            - helps the worker clarify the client’s responses
 to open-ended questions. Normally, probing questions
 follow open-ended questions.
 Closed questions
             – have a limited number of responses;
  usually yes or no, a number or a few words. Close
 questions may discourage discussion or exploration.
5) Identifying and reflecting feelings
           – help client identify and clarify their ideas, feelings and
   reactions by listening to how the feelings are described.
6) Problem Clarification
        – allowing the client to state the problem and, helping the
client clarify and define it. The worker should not make
assumptions on what is problematic to the particular client, nor
should they attempt to solve the problem for him/her.
7) Confronting
       – may be an effective response when an issue is being
denied or has not come into the open.
8) Focusing
       – help the client focus on the most important issues at
    hand and not get sidetracked.
9) Appropriate use of silence
           – Silence in counseling session is important at times. It
   gives the client an opportunity to reflect, integrate feelings,
   think through an idea or absorb new information.
10.) Providing information
    – presenting information in a clear, concise and
understandable manner at a point in the session in which it is
appropriate and helpful.
11.) Refreshing statements for accuracy of feelings expressed by
the counselee. Giving honest feedbacks on messages.
   12. NON-CRITICAL ACCEPTANCE- The
    tendency to believe generally positive or flattering
    descriptions of oneself. 
   An accepting attitude involves respecting clients
    as separate human beings with right to their own
    thoughts and feelings. Though an accepting
    attitude involves respecting others as separate and
    unique human beings, this does not mean that
    you agree with everything they say. However,
    you respect they say their version of reality. 
 REFLECTING BACK - Reflecting is showing the
  client that you have not only ‘heard’ what is being
  said but what feelings and emotions the client is
  experiencing when sharing their story with you.
 This is sometimes known in counseling ‘speak’ as
  the music behind the words. It is like holding up a
  mirror to the client, repeating what they have
  said, shows the client they have your full attention
  , it also allows the client to make sure you fully
  understood them and if not they can correct you.
 SUMMARIZING AND CHECKING - In a
  summarization, the counselor combines two or more
  of the client's thoughts, feelings or behaviors into a
  general theme.
 Summarization is usually used as a skill during
  choice points of a counseling interview in which the
  counselor wants to draw connections between two or
  more topics. Otherwise, when the client appears to
  be jumping from one topic to another without any
  particular focus or direction, a summarization can
  help the client to decide which topic is most
  important. Summarization is also used as a way to
  close a session.
 CONFRONTATION-        Generally
 speaking the term confrontation means
 challenging another person over a
 discrepancy or disagreement. However,
 confrontation as a counselling skill is an
 attempt by the counsellor to gently
 bring about awareness in the client of
 something that may they may have
 overlooked or avoided.
 
   Challenging is about bringing into focus
    discrepancies in the other person’s feelings,
    thinking or behaviour that they are tending to
    overlook or ignore. Fritz Perls, founder of Gestalt
    Therapy, used to say “the neurotic is the person
    who is unable to see the obvious”, and where our
    own blind spots and distortions differ from the
    client’s, we are in a position to feed back to them
    discrepancies that we notice from our different
    perspective. Challenging discrepancies is best
    done sensitively and respectfully.
   Immediacy - is the ability of the counselor/helper
    to use the immediate situation to invite the client
    to look at what is going on between them in the
    relationship. It often feels risky and unfamiliar. It
    implies the use of the present tense Being
    immediate, being able to respond in the moment,
    is an essential part of the skills needed by
    counselors, and is valuable in helping to identify
    feelings, both in ourselves and in others. It focuses
    on using the here and now and on the therapeutic
    relationship to explore what the client may be
    communicating about his or her world.
Goal Setting
A very powerful tool for all areas of life. Hill (1975)
emphasizes that establishing goals is crucial in
providing direction. Rule (1982) states that goals are the
energizing fabric of daily living but are often elusive
 Avoidance of Judging and Moralistic Responses
The common mistakes of any person who are dealing
with people through counseling is judging and
moralizing. Too often, a counselor have the tendency to
think that he or she knows better and can think many
possible ways to help people with their problematic
situations.
  
 The  Ability to Offer Feedback
Feedback is a useful tool for indicating
when things are going in the right direction
or for redirecting problem performance.
Your objective in giving feedback is to
provide guidance by supplying information
in a useful manner, either to support
effective behavior, or to guide someone
back on track toward successful
performance.
   Boundary Awareness 
 In a profession such as counseling there must be lines drawn
  between personal and professional life, just as there must be
  lines drawn between oneself and the client. The trick to
  maintaining such a delicate boundary without overstepping
  the line, or over-compensating for the need to separate one's
  personal and professional life, is to set up realistic guidelines
  for personal and professional relationships.
 Boundaries denote the limits of acceptability in the
  therapeutic relationship. They outline the expectations in the
  therapeutic space and mark the point beyond which neither
  party is expected to go. Boundaries also allow the counsellor
  to get close to the client, developing trust and respect,
  without the social costs associated with friendship. 
   Structuring Technique
Structure is a significant, but often neglected,
component of the therapeutic relationship.
Structure is establishment of a joint understanding
and agreement between the counselor and client
regarding the characteristics, conditions,
procedures, and parameters of counselors. It should
be used to help accomplish counseling goals.
   Working with Defenses
Manners in which we behave or think in certain
ways to better protect or “defend” ourselves,
defenses and resistance are seen as “natural” ways
of avoiding discomfort, anxiety and threat in
practice, using some counseling skills can lower
resistance and build a more cooperative
relationship.
Qualities of a Good Counselor
1) Empathy
             – understanding a person with an intent to understand his unique
   situation and feeling; sensing accurately the client’s world, seeing the way
   the client does and verbally sharing his understanding.
2) Respect and positive regard
       – appreciate the client as unique individuals regardless of who they are.
3) Genuineness
           – honesty; shedding one’s expected role or image; does not use
   disguises or mechanical responses to fool or manipulate client. Is
   appropriately spontaneous, non-defensive, open and congruent in thoughts,
   feelings and actions.
4) Concreteness
          – accurate, clear and specific.
5) Training/intellectual completeness/good communicator
         – professionally trained: produce a counselee who will be
   autonomous not dependent.
6) Strength to do counseling
          – counseling is “emotionally demanding”, saps up the energy,
    adds up to your problem so that it is important for the counselor to be
    emotionally stable.
7) Supportive of another person
           – gives the client the opportunity to talk-encouraging opinions,
    describing anxieties and fears without concern for verbal retaliation or
    rejection.
8) Sense of humor
          – helps client to become relaxed and enjoy the incongruities in his
    environment and the foolish aspects of his behavior.
Techniques in Counseling
 Establishing rapport and eye contact
 Having clear objectives
 Conditioning one’s self by coming prepared and not
bringing personal problem to the situation
 Asking questions in an appropriate and time fashion
 Considering the physical (privacy) and the
psychological (readiness) of the client
 Being comfortable with silence
 Using verbal and non-verbal communication as well as
active listening
 Giving the person affirmation
 Imposing emotional distance when needed
 Considering the frequency, duration and intensity of
the problem before making an assessment
 Always end the session by indicating a desire to see the
client again at a time convenient for him/her
Thank you!