Saturday, September 27, 2014

Confidentiality in Counselling

CONFIDENTIALITY IN COUNSELLING

-          1. Client self-disclosure should not be expressed outside a counselling session
-          2. The more the trust of the client toward the counselor is, the easier it would be for the client to discuss his or her problem

A.      Principles of Confidentiality
-          The burden of maintain the confidentiality is not definitive as there are some situations that allow the counselor to repeat/reveal/share the secrets
-          Confidentiality is maintained if it does not threaten other individual’s right or the public
-          The counselor needs to think about the safety of the client and avoid misusing the problems confided to him

B.      The situations in which confidentiality may be violated are as follows:
1.       The client is harming himself, herself or others
2.       The client demands that his or her particulars revealed
3.       The court demands that the client’s particulars be repeated / revealed
4.       The counselor suspects that there has been a child abuse case involved

Group assignment
Give an example of ‘B’, where the confidentiality may be violated.




Saturday, September 20, 2014

The Differences Between Counselling and Psychotherapy

The Differences Between Counselling and Psychotherapy
Definitions of Counseling and Psychotherapy
What is psychotherapy?
What is counseling?
What are the differences between counseling and psychotherapy?
"Psychotherapy" and "counseling" are terms that are often used interchangeably. Although they are very similar, there are some subtle differences as well.
What Is Psychotherapy?
Anna O., Breuer’s patient, called to the treatment she received as the ‘’talking cure’’. Talking, expressing, verbalizing or sharing one’s pain is potentially healing.
How should psychotherapy be practiced? This question is relevant to how psychotherapy is defined.
Psychotherapy
Helps people with psychological problems that have built up over the course of a long period of time.
It will help you understand your feelings, thoughts and actions more clearly.
Psychotherapy is a longer-term process of treatment that identifies emotional issues and the background to problems and difficulties
‘’A conversation with a therapeutic purpose’’ (Korchin, 1976)
‘’The purchase of friendship’’ (Schofield, 1964)
‘’When one person with an emotional disorder gets help from another person who has a little less of an emotional disorder’’ (J.Watkins, personal communication, October 13, 1983)
"Psychotherapy" on the other hand is generally a longer term treatment which focuses more on gaining insight into chronic physical and emotional problems. It's focus is on the patient's thought processes and way of being in the world rather than specific problems.
Psychotherapist: Less directive, go a little deeper, work a little longer, charge a higher fee.
Psychotherapy is often treatment based in response to a diagnosable mental health issue such as depression, bi-polar disorder, attention deficit hyperactivity disorder, adjustment disorder, etc. It is often in-depth and used in conjunction with psychotropic medication, but not necessarily


What Is Counseling?
Adler might claim that counseling has an inferiority complex with respect to its older sibling, psychotherapy.
Or psychotherapy has a superiority complex with respect to its younger rival, counseling.
‘’Counseling is the artful application of scientifically derived psychological knowledge and techniques for the purpose of changing human behavior. (Burke, 1989)
Counselling
Helps people identify problems and crises and encourages them to take positive steps to resolve these issues.
It is the best course of therapeutic treatment for anyone who already has an understanding of wellbeing, and who is also able to resolve problems.
Counselling is a short-term process that encourages the change of behaviour
Counselor: Slightly more directive, work more on developmentally normal issues, work more briefly, charge a bit less fee.
"counseling" is generally used to denote a relatively brief treatment that is focused most upon behavior. It often targets a particular symptom or problematic situation and offers suggestions and advice for dealing with it.
Counselling tends to be wellness oriented, providing increased insight and learning how to effectively overcome problems and challenges.
What are the differences between counseling and psychotherapy?
Patterson (1973): ‘’There are no essential differences between counseling and psychotherapy’’
“Counseling and psychotherapy are the same qualitatively; they differ only quantitatively; there is nothing that a psychotherapist does that a counselor does not do (Corsini & Wedding, 2000, p. 2).”
Counseling versus Psychotherapy
What are the differences between psychotherapy and counseling?
Goals?
Shorter versus longer?
Problem versus person?
Guidance versus advice?
A little more on the surface versus a little deeper?
Cheaper versus more expensive?
The Histories
Psychotherapy: Freud + Recovery from serious personal problems
Counseling: Out of guidance movement, which was/is about helping people with choosing or decision making
Counselor vs. client
Therapist vs. patient/client
Homework
List down TWO examples of cases to differentiate between Counseling and Psychotherapy.


Wednesday, September 17, 2014

Can I be a Counselor?

Can I be a COUNSELOR?
Counselor’s Personal Qualities
Sincere interest in the welfare of others
Ability & willingness to be present in client’s joy or pain
Recognition & acceptance of one’s strength & vitality; no need to diminish others
Found one’s own counseling style.
Willingness to be vulnerable & take risks
Self- respect, self-appreciation, strong sense of self-worth
Serve as models for clients
Risk mistakes & admit making them
Growth orientation
Sense of humor

Counselor’s Interpersonal Skills
Pragmatism
Competence
Respect
Genuineness
Promotion of client empowerment & self-responsibility

10 components of Effective Counselor:
1. Self-awareness
2. Psychological health
3. Sensitivity to racial, ethnic, & cultural factors
4. Open-mindedness
5. Objectivity
6. Competence
7. Trustworthiness
8. Interpersonal attractiveness
9. Good listener
10. Good appearance

Self-Awareness
Need to
Give or nurture
Be liked, respected, loved; receive approval
Control, be critical, be right
Motivation for helping
Feelings
Happiness, satisfaction
Hurt, disappointment
Anger, sadness
Fear, confusion
Personal strengths, limitations, & coping skills

Psychological Health
Psychologically intact
Free from over-whelming problems
Recognize and manage personal issues
Refer clients with problems like your own to other counselors
Seek services of a counselor for yourself, if necessary.

Cultural Sensitivity
Focused
Culture-Specific
All cultures must be understood for their uniqueness.
Universal
Broadens the definition of minority and argues for a subjective, more inclusive understanding of cultural impacts.

Cultural Sensitivity
Focused culture-specific:  too many variables confuse multiculturalism; render it meaningless.
Universal: culture must be defined by more than just racial or ethnic factors.
Gender, age, and physical disabilities
Race, ethnicity
Sexual orientation
Socioeconomic level
Religion and spiritual affiliation
Integrative: 
Focused culture-specific and the universal approach are both important
Both approaches are blended in “multicultural counseling and therapy” (Ivey, et al., 1997).
Cultural Competence:
Be aware of your own cultural heritage.
Expand your range of experience.
Seek interaction opportunities with others different from yourself.
Be open to continuous learning about differing groups.
Be honest about your range of experience.
Power
Privilege
Poverty
Oppression
Consider referring a client you cannot help from your own range of experience.

Open-Mindedness
Freedom from fixed or preconceived ideas
Enlightenment
Internal knowledge
Perceptions, myths
Standards, values, judgments
Assumptions, biases
Knowledge of the world outside your own world

Objectivity
Balance involvement with objective assessment.
Provide a new perspective to “reframe” the client’s issues(s).
Avoid dysfunctional communication patterns.
Recognize manipulation attempts by the client.
Safeguards against countertransference:
Counterproductive emotional reaction;
Entanglement of the counselor’s needs in the client relationship;
The need to please one’s client;
Over-identification with client’s problem(s);
Romantic or sexual feelings toward a client;
Need to give constant advice;
Need to form friendships.

Competence
Required to transmit and build confidence and hope with clients.
Needed to develop positive client expectations from the counseling experience.
Assures ability to work with wide variety of clients and client problems.
Includes multicultural competence as previously discussed.
Egan (1998): The counselor is determined, by outcome of client results, to possess the necessary information, knowledge, and skills.
Kleinke (1994):  Includes knowledge of psychological processes, assessment,
clinical skills, technical skills, judgment, ethics and personal effectiveness.
(Strong, 1968; Strong & Schmidt, 1970; Strong & Claiborn, 1982):  Includes knowledge of psychological processes, assessment, clinical skills, technical skills, judgment, ethics and personal effectiveness.

Trustworthiness
Do not promise more than you can do, and be sure you do exactly as you have promised.
Hard to establish; easy to destroy
Includes
predictability,
reliability,
responsibility,
ethical standards.
Safeguard clients’ communications.
Respond with energy to client concerns.
Essential to
Establish a base of influence,
Encourage clients’ self-disclosure.
The counselor cannot act trustworthy. The counselor must be trustworthy

Interpersonal Attractiveness
Counselors appear “attractive” when they are seen as similar to or compatible with the client.
May be determined by instinct or selected dimensions:
Gender or age,
Demeanor or attitude, likeability and friendliness,
Worldview, theory, or approach.

Good Listener
Active listening:
Paying attention: Eye contact, nodding, etc.
Hearing before evaluating.
Listening for the whole message.
Paraphrasing what was heard.
Probe for causes and feelings.


Wednesday, September 10, 2014

WEEKLY SCHEDULE

Next week class is on Sunday (14 Sept at 4pm) and Thursday 18 Sept at 8.30 am at Umar 02, no class on Wednesday,thank you.

BPE 2043 (WEEKLY SCHEDULE)

WEEK
TOPICS
REMARKS

1
LECTURE 1: INTRODUCTION
COURSE OUTLINE
INTRODUCTION TO COUNSELLING
2
LECTURE 2:
COUNSELLING VS. PSYCHOTERAPY

3
LECTURE 3:
CONFIDENTIALITY AND ETHICS
THEORY 1
4
STAGES IN COUNSELLING
STAGE 1 & ACTIVITIES
THEORY 2
5
STAGE 1 & ACTIVITIES

THEORY 3
6
STAGE 2 & ACTIVITIES

THEORY 4
7
STAGE 2 & ACTIVITIES

THEORY 5
8
STAGE 3 & ACTIVITIES

THEORY 6
9
STAGE 3 & ACTIVITIES

THEORY 7
10
STAGE 4 & ACTIVITIES

THEORY 8
11
STAGE 4 & ACTIVITIES

THEORY 9
12
STAGE 5 & ACTIVITIES

THEORY 10
13
GROUP PRESENTATION ON CASE STUDY


14
CLOSURE


1st. lecture

What is Counseling?

A relationship building process
A teaching tool to aid the client with situational
Problem solving
Decision making
Strategic approach/technique
Stress on ethics and stages

WHY COUNSEL?
Counseling helps build relationships between treatment providers (counselor) and the client.
Counseling helps solve day-to-day problems.
Produce a meaningful life

Who involve in counselling session?
1.Counselor
2.Client/s
3.Third party (if necessary)

When not to counsel
When teaching a new skill
When dealing with a skill deficiency
When client exhibits avoidance behavior
Rule violation
During an intensive situation
When client complains about "unfair"
When ‘in dilemma’ situation
When a problem requires specific decision making

How to counsel?
Applying various suitable techniques based on certain factors such as:
-Case / situation
-Race / religion/ belief
-Gender
-Time
-Degree of confidentiality
-Purpose / objective
-Readiness

How?
1.Group (same case / background)
2.Individual
3.Technique / therapy 






Course outline

Dear Students,
Please read the course outline and take / plan for your further action. Thank you.

COURSE BACKGROUND
NAME OF COURSE     : SCHOOL BASED COUNSELLING (BPE2043)
NAME OF LECTURER  : ASSOC. PROF. DR. MOHD NAZRI LATIFF AZMI
ROOM                     : DEAN’S OFFICE
TEL.NO                   : 0199157186
E-LEARNING            : BLOG
TIMETABLE              : SUNDAY 4-6PM (GC18) AND WEDNESDAY 9-11AM (FC22)
Synopsis:
This course emphasizes the need for and roles of counsellors in the school setting.  The focus will be on applying the basic skills in counselling and becoming aware of the process and relevant approaches in doing counselling in the school environment.  This will enable future teachers to play an active role in student counselling.  Students will be exposed to the basic skills in counselling, characteristics of an effective counselor, and strategies utilized in students counseling.  Students are expected to conduct group counseling process as well.  Some of the assessment methods used are presentation, individual and group assignments
*Main References supporting the course:
Amla Salleh, Zuria Mahmud dan Salleh Amat. 2006. Bimbingan dan Kaunseling Sekolah. Bangi UKM
*Additional references supporting the course:
·         Arthur P Llyod & Aminah Hj. Hashim. 1987. Bimbingan Kaunseling Di Malaysia. Kuala Lumpur. DBP
·         Shetzer & Stone. 1992. Asas-Asas Bimbingan (diterjemah oleh Amla H.M. Saleh & Puteh Mohamed). Kuala Lumpur: DBP
·         Mizan Adiliah Ahmad Ibrahim & Halimatun Halalioah Mokhtar. 1995. Kaunseling Individu: Apa dan Bagaimana. Shah Alam: Penerbit Fajar Bakti.
Mohd Mansur Abdullah, Siti Nordinar Mohd Tamin. 1989. Bimbingan & Kaunseling Di Malaysia. Kuala Lumpur: Penerbit Fajar bakti Sdn Bhd.
* Not compulsory (can use any basic/introduction of counselling references)
Assessment
CONTINUOUS ASSESSMENT (60%)
FINAL EXAM (40%)
Note & Group Presentation
10%
30 MCQs
2 structured questions
1 essay

Written assignment
10%
Case Study
15%
Quiz
10% (5+5)
Video (Role play)
15%
Total
60%

40%

Details of the Assessments

Notes & Group Presentation
10%
1.    In a group of 6 to 8, provide a three to five – page information (notes) pertaining to the topic assignment on the theories of counselling
2.    Present and provide the notes to the class
3.    The notes are going to be compiled and will be a part of final question examination (MCQ)
4.    Oral presentation will take about 20-30 minutes, starting from Week 3 until Week 12
5.    Each group will prepare different topic

Written assignment
10%
1.    Students will be given a list of topics and asked to choose one of them and write an essay on it.
2.    The length is no longer than 5 pages
3.    No oral presentation. Deadline it a week after mid-semester break
4.    Individual / pair-work

Case Study
15%
1.    In a group of 8 to 10, students are asked to pay a visit to any government school and interview a school counsellor.
2.    Find a unique case
3.    Discuss and present the case study
4.    No written assignment
5.    Presentation would be in Week 13

Quiz
10% (5+5)
1.    2 short written quizzes
2.    Questions are related to the current lecture

Video (Role play)
15%
1.    In a group of 6 to 10, students are asked to prepare a role play video on the counselling process
2.    Deadline – final day of study week
3.    Only English language is permitted to be used throughout the role play


Content of the course
1.    Basic theories of counselling (10-12 major theories)

2.    Stages / techniques in counselling pertaining to school/educational counselling 


BPE2043 (SCHOOL BASED COUNSELING)
Details of the Assessments



Notes & Group Presentation
(Starting from Week 3)
Topics / Groups:
1.    Psychoanalytic Therapy
2.    Adlerian Therapy
3.    Existential Therapy
4.    Person-centered Therapy
5.    Gestalt Therapy
6.    Transactional Analysis
7.    Behaviour Therapy
8.    Rational-emotive Therapy
9.    Reality Therapy
10. Other therapy/analysis/approach in counselling

The content of the notes/presentation:
-      Introduction & short history
-      Examples
-      Class activity (to ensure that all students will be involved in the presentation)



Written assignment
Choose one of the topics:
1.    The issues of ineffectiveness of school counsellors in Malaysia.
2.    The perceptions of Islamic counselling among Malaysians.
3.    How can a counsellor balance a friendship with a therapeutic relationship?
4.    Counselling vs. disciplinary action: which is more effective in schools?

Your essay
-      must have references
-      should use your own words (rephrase / summarize)
-      must consist of facts and figures
-      produce a ‘genius’ concluding paragraph


Video (Role play)
1.    A 20 minute-video (more or less)
2.    Should be in English
3.    Use your creativity
4.    Not compulsory to have all students (players) appear in the video
5.    Must have a specific title