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Theory
and Practice of Counseling -
PSY632
VU
Lesson
01
INTRODUCTION
Counseling
is a distinct profession that has
developed in a variety of ways in 20th century. It is
a
very
useful area; on one end it
will equip the students with
basic theoretical and practical knowledge
about
the
subject, on the other end it
will teach how to understand
and improve oneself, and
also how to maintain
good
interpersonal relationships. Also it
teaches how to develop good communication
and relationship
skills.
Course
Content
The
main sections of the course
are as under:
Part
I: Introduction to foundation and
historical background
Part
II: Counseling process and
methods
Part
III: Theories of counseling and
interventions
Part
IV: Assessment in counseling
Part
V: Counseling situations
Course
Objectives
The
goal of this course is to present a
comprehensive overview of counseling
profession. This course
has
been
developed carefully to provide students
with a thorough overview to the
discipline of counseling. A
few
objectives of this course are
described below:
·
To understand theoretical foundations of
counseling psychology: Each
theory is addressed from
the
perspective
of background, human nature, major
constructs, applications, the process of
change, and
intervention
strategies, evaluation.
·
To critically examine the major theories of therapy in
the framework of one's own background,
values
and
professional goals.
·
To indulge in self-assessment one's
own needs and motivations,
and personal characteristics
that will
either
help or hinder one in
becoming a professional in human
services.
·
To understand basic counseling
skills as practiced by an effective
counselor.
·
To discuss special settings
and populations where
counseling could be effectively
used.
·
To explore ethical and legal
issues for the practice of
counseling profession.
Reference
List
·
Gladding,
S.T. (2003). Counseling:
A Comprehensive Profession (5th
ed..). Prentice-Hall Career
&
Technology.
·
Corey, G.
(2004). Theory
and Practice of Counseling
and Psychotherapy (7th
ed.). Wadsworth Publishing.
·
George,
R.L. (1986). Counseling
Theory and Practice. New
Jersey: Prentice-Hall.
Counseling
Journals
·
Counseling
(by British Association for
Counseling)
·
British
Journal of Guidance &
Counseling
·
The
Counseling Psychologist (by American
Psychological Associaton)
·
Psychodynamic
Counseling
·
International
Journal of Psychotherapy
·
European
Journal of Psychotherapy, Counseling
and Health
1
Theory
and Practice of Counseling -
PSY632
VU
Main
Features of this Course
·
Classroom
Activities: The
counseling will provide
actual demonstrations of different
counseling skills
and
other practical aspects of the
course will relate theory to
practice of counseling. At the same time,
it
will
also clear up students'
misconceptions about how a therapy
actually works.
·
Case
Approach: Case
study consistent with the theoretical
model under discussion will be presented
to
further
clarify the theoretical concepts. The
case approach to counseling
emphasizes the use of
demonstrations
and attempts to bridge the gap
between the theory and
practice of counseling.
·
Counseling
Journal: Students
will be expected to write
their experiences regarding
practice of different
counseling
skills.
Students'
Learning
At
the end of this course, the students
shall be able to:
·
Demonstrate
foundational knowledge in counseling
psychology (concepts, theories,
ethical issues,
basic
skills, etc.).
·
Apply
this knowledge in improving one's own
life as well as to understand
others in a better way.
·
Use
basic counseling skills (attending
and listening skill) in improving
their relationships.
Definitions
of Counseling
As
a profession counseling is relatively new. It grew
out of guidance movement, in
opposition to traditional
psychotherapy.
A few definitions described below
will illustrate the meaning and
process of counseling
profession:
·
"An
effort to help the client
engage in those types of
behavior which will lead to
a resolution of
the
client's problems" (Krumboltz,
1965).
·
"Counseling
denotes a professional relationship
between a trained counselor and a
client.
Relationship
is usually person-to-person, and is
designed to help clients to
understand and
clarify
their
views of their lifespace,
and to learn to reach their
self-determined goals through
meaningful,
well-informed
choices and through
resolution of problem" (Burks &
Stefflre, 1979, p. 14)
·
"An
interaction in which the counselor offers
another person the time, attention, and
respect
necessary
to explore, discover and clarify
ways of living more resourcefully,
and to his or her
greater
well-being" (The BAC,
1999)
These
definitions indicate that counseling as
defined by different people have few
common components, as
described
below:
·
"Counseling is aimed at helping people
make choices and act on
them"
·
Counselors are the people who listen to
others and help resolve
difficulties
·
A
relationship: Counselor
develops a relationship which is based on
unconditional positive regard
and
trust.
·
A
process: Counseling
is a process in which the counselor
and the clients involve
themselves in a
psychological
process to solve
problems.
·
The counseling is designed to
help people make choices and
solve problems.
·
The counseling helps in
recognizing one's potential
and to use this potential in an effective
way.
Counseling
as a Helping Relationship
Counseling
shares many characteristics of
other helping professions.
People working in these
professions
are
expected to help others,
e.g., medical doctors,
psychotherapists, nurses, paramedics,
school counselors,
etc.
According to Rogers (1961, p.
40), helping relationship is defined
as:
2
Theory
and Practice of Counseling -
PSY632
VU
·
"Helping
relationship is the one in which at least
one of the parties has the
intent of promoting the
growth,
development, maturity, improved
functioning, improved coping with
life of the other".
This
definition describes various
interpersonal relationships in social settings,
e.g., mother-child,
teacher-
student
and many other relationships
where people interact with each
other and their interactions
affect
behaviors
and attitudes of others.
However, counselor-client relationship affects in a
unique way, different
from
other interactions.
In
the following, certain characteristics of
helping professions are
described. All of these are
also found in
client-counselor
relationship.
Characteristics:
Affectiveness:
Helping relationships is more affective
(with feelings, and emotions)
than cognitive.
Intensity:
Counselor
and client are expected to
share openly their
perceptions and reactions to
each other
and
to the process.
Growth:
The
relationship is dynamic. As the client
grows and changes, so does
the relationship. Counseling
is
a unique and dynamic process in which,
from counselor and client,
one assists the other. The
counselor
helps
the client to grow in a positive
direction and actualizing
his own resources to
grow.
Privacy:
During
or after the counseling session all
client disclosures are
confidential.
Support:
Counselors,
through counseling relationship, offer
the client a system of support
that often
provides
the necessary stability for
taking risks and changing
behavior.
Honesty:
The
helping relationships is based on honesty
and open and direct communication between
the
counselor
and the client.
The
above characteristics indicate that the
counselor will provide support to the
client. However, counseling
relationship
is not befriending, as in friendship
both people share with each
other but in counseling
sharing
is
one-sided. However the supporting
elements are strong in both
friendship and counseling
relationships.
Is
Counselor Simply a
Helper?
The
helping relationship is the cornerstone on
which counseling profession rests. This
topic has been
studied
at length by various authors.
The word helper is used as a short-hand
term to describe both;
both
counselors
and informal helpers use
helping skills, e.g.,
plumber, electrician, guide,
student counselors,
etc.
However,
counseling is a help provided in a
professional and ethical
way. Egan (1994) mentions the
term
skilled
helper to define a
professional counselor.
Nelson-Jones
(1997) differentiates both in
the following way:
·
Anyone
who provides a service could be regarded
as a helper but not
counselor.
·
The
word helper has connotations of placing
recipients of help in dependent
position and the
helper
does things for the person rather
than with him or her (which
counselor is supposed to
do.
·
The
word help obscures the idea
of self-help. The purpose of counseling
to help people is to
become
their own helpers, so both
helpers and recipient of help
ultimately become helpers.
The
point
is that when both are
ultimately able to provide help,
how the term of helper can be
employed
for just one (counselor) of
the two persons.
3
Theory
and Practice of Counseling -
PSY632
VU
Characteristics
of Counseling
Counseling
as a Relationship
Counseling
is sufficient for constructive changes to
occur in clients (Rogers,
1957). The counseling
relationship
is characterized by core conditions
namely empathy, unconditioned positive
regard, and
genuineness.
Counseling
as a Repertoire of
Interventions
In
counseling several questions
(like which, when, and with
what client) are answered and
while
interventions
are decided an attempt is made to
have a match between the
client and the
counselor.
Counseling
as a Psychological Process
·
Goals
of counseling have a mind
component
·
Process
is psychological
·
Underlying
theories
are
psychological: Some psychologists
like Rogers, Albert Ellis
and psychiatrists
like
Berne and Beck have
contributed enormously to counseling
theories. For
example,
information
about human nature has
been derived from psychological
theories. Some people
argue
that
counseling is not a profession as it is
used in so many disciplines in so
many sphere of life,
e.g.,
loan
counselors, business counselor,
etc., but the difference is that
professional counselors
work
according
to some theoretical model.
·
Psychological
research contributes both to creating
counseling theories and to
evaluate counseling
process
Guidance
& Counseling
·
Guidance
has been flip-flopped with
counseling for over 50
years. The word guidance
has historical
significance
in the history of counseling, although
not much in use
now.
·
Guidance is
an umbrella term that includes such a
constellation of services aimed at
personal and
career
development and school adjustment.
Guidance also describes the overall
school/ college
program
and implies personal
assistance to students, teachers,
parents and
administrators.
·
Guidance is a
relationship between the unequal. While
counseling has been
perceived as a process
in
which someone who has a
problem receives personal
assistance, usually through
private
discussion.
·
Guidance
focuses on helping individuals
choose what they value most;
counseling focuses on
helping
them make changes. Counseling
has been perceived as a
process in which someone
who
has
a problem receives personal
assistance, usually through
private discussion. The
term
"counseling"
not used exclusively by
school counselors or other
professional counselors, is used
by
people
in the counseling profession to describe a
special type of helping
process.
Distinctions
between Counseling &
Psychotherapy
Hahn
(1953) writes, "I know few
counselors or psychotherapists who
are completely satisfied that
clear
distinctions
have been made". Hahn goes
on to point out that the
most complete agreements are
that
counseling
and psychotherapy cannot be clearly
distinguished; counselors practice what
psychotherapists
consider
psychotherapy, and psychotherapists
practice what counselors consider to be
counseling, and
despite
the above they are
different.
Blocher
(1966) distinguishes between
counseling and psychotherapy by
pointing out that the goals
of
counseling
are ordinarily developmental-educative-preventive,
and the goals of psychotherapy
are generally
remediative-adjustive-therapeutic.
He describes that five basic
assumptions about client and
counselor
differentiate
both:
4
Theory
and Practice of Counseling -
PSY632
VU
·
Counseling
clients are not considered
to be "mentally ill", but they
are viewed as being capable
of
choosing
goals, making decisions, and
generally assuming responsibility for
their own behavior
and
future
development.
·
Counseling
focuses on present and
future.
·
The
client is a client, not a patient. The
counselor is not an authority
figure but is essentially
a
teacher
and partner of the client as they move
towards mutually defined
goals.
·
The
counselor is not morally neutral or
amoral but has values,
feelings, and standards of
his/her
own.
Although the counselor does
not necessarily impose these
on clients, he or she does
not
attempt
to hide them.
·
Counselor
focuses on changing behavior,
not just creating
insight.
Brammer
& Shostrom (1982) indicate that
while the two activities may overlap,
counseling in general can
be
characterized
by such terms as "educational, vocational, supportive,
situational, problem-solving, conscious
awareness,
normal, present time, and short-term";
psychotherapy can be characterized by
such terms as
"supportive
(in a crisis setting),
reconstructive, depth emphasis,
analytical, focus on the past,
emphasis on
`neurotic'
or other severe emotional, and
long-term problems.
Counseling
& Psychotherapy: Differences
·
Differences
in origins
·
Differences
in goals
·
Differences
in process
·
Differences
in issues/ settings
·
Differences
in clients
·
Differences
in training & orientation
Differences
in Origins
Counseling
evolved from the human
potential movements of late
1950s and 1960s; many of
the
psychotherapies
have their roots in psychoanalysis
although many schools
evolved and have broken
away.
The
goals of psychotherapy are
more likely to involve a
quite complete change of
basic character
structure,
and
reconstructive. In contrast, counseling
is directed toward aiding
growth.
Differences
in Goals
In
psychotherapy the goal is to change the
personality while counseling deals
with the goal of
helping
people
to utilize existing resources for coping
with life better.
The
goal of counseling is to help
individuals deal with the developmental
tasks appropriate to their age.
The
adolescent
who is being helped with problems of
sexual definition, emotional
independence from
parents,
career
decision making and preparation , and the
other tasks typical of that
age in different cultures
would
be
receiving counseling. Similarly, a middle-aged
person grappling with stresses of
his age would seek
the
help
of a counselor. However, more
emotional and severe
problems will be under the domain of
a
psychotherapist.
The
goals of psychotherapy are
more likely to involve a
quite complete change of
basic character
structure;
the
goal of counseling are apt to be
more limited, more directed
towards aiding growth, more
concerned
with
the immediate situations, and
aimed at helping the individual
function adequately in appropriate
roles.
Differences
in Process
In
the process of psychotherapy emphasis is
on the past while the process of
counseling emphasize on
the
present.
5
Theory
and Practice of Counseling -
PSY632
VU
The
purpose of the process of psychotherapy
is treatment of the patient but
counseling proceeds with
the
purpose
of the growth of the client.
Psychotherapy
and counseling also differ
in frequency and depth of
work. In psychotherapy usually
there
will
be 20-40 sessions over the
period of 6 months to 2 years, while in
counseling sessions will be
limited,
i.e.,
6-12 sessions and the
duration shall be usually
less than 6 months
Differences
in issues/ setting
Psychotherapists
are more apt to work in hospital
settings or in private practice;
counselors are more apt
to
work
in educational settings. A wide range of
settings/ issues for
counselors are self
awareness, relationship
difficulties,
abuse, anxiety, self-harming, vocational
problems, lack of assertiveness,
career transitions, etc.
Suitable
clients: Similarities &
Differences
The
counselor deals with normal
persons and the psychotherapist
deals with neurotic or psychotic
persons.
Such
a distinction, of course, has
many of the same built-in
problems in the definition of "normal" as
are
involved
in the distinction between counseling
and psychotherapy.
Both
counseling and psychotherapy
utilize a common base of knowledge
and a common set of
techniques.
Both
involve a psychotherapeutic process
but they differ in terms of the
severity of the client's situation,
in
terms
of the client's level of problem and/or
functioning. Since the process
does not change-only
the
situation
or the client's concern may-we
use the term interchangeably.
There
are also few similarities in
clients and patients of
counseling and psychotherapy,
for example both
are:
·
Articulate
·
Motivated
·
Committed
Apart
from similarities, both
disciplines share many
differences as well, for example,
psychotherapy patients
could
have personality disorders, at risk of breakdown or
mental illness, and thus
might require an access to
a
consultant psychiatrist. As compared to that,
counseling clients require more
insight so that they could be
able
to take responsibility for their emotions
and decisions.
Differences
in Training & Orientation
Some
practitioners of counseling may be trained at the
doctoral level with a supervised
internship, as
psychotherapists
are. But many counselors
have less training, with
relatively little psychology and
little or no
formal
supervised internship. More objective
observers distinguish between counseling
and psychotherapy
on
the basis of the extent of training in personality
theory, research methods,
and formal
internship.
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