Solutions
3 Step Process for Empathic Confrontation correct answers 1.
Listen & observe - note client conflict in thoughts and feelings.
2. Paraphrase and reflect feelings. Clarify internal/external
conflict. Summarize, bringing in both thoughts and feelings.
o Client knows you are listening
3. Evaluate client response - any movement or change? If not,
try a different approach/direction.
Acknowledgement of Feelings correct answers - Not
surprisingly, this is an area to which the Federal Bureau of
Investigation has given special attention in its search for clues to
deception and subtle behaviors that may be revealing.
- Micro expressions are fleeting expressions of concealed
emotion, sometimes so fast that they happen in the blink of an
eye—as fast as one-fifteenth of a second. . . . This results from
the individual's attempt to hide them. . . . [They are] a powerful
tool for investigators because facial expressions of emotion are
the closest thing humans have to a universal language
- With practice, we can learn to observe these as they can be as
reliable indicators of underlying feelings as macro nonverbals—
and they can be even more valuable than more overt, easily
observable client behavior
,- While observing micro nonverbals is valuable, reflecting them
needs to be done carefully, as often the client will not be aware
of these underlying feelings. Generally, it is best simply to note
them and then watch for a time that these observations may be
shared in the session.
- Micro nonverbals may be examples of the major underlying
issues, or they may be minor parts of a larger story.
Action Plan - Homework: 7 Parts correct answers - CBT always
has an action plan or homework
- Example - Thought Worksheet for Monitoring Mood Shifts:
1. The situation - Record what was happening as your mood
shifted. What was going on? Was anyone else involved? Where
were you?
2. Emotions - What were you feeling? What emotion words
would you use to describe what you felt?
3. Thoughts - What was going on in your mind just then? What
were you saying to yourself?
- Expand to consider thought distortions: 4. Evidence - What are
the known facts? Some facts that support "hot thought"/ Some
facts that don't? What's the big picture? What advice would I
give someone else about this?
5. Distortions - Is my thought a distortion? If so, what is the
distortion?
,- Introduce new thoughts:
6. Alternative or Balanced Thought - Write a new thought that
takes into account the Evidence you found and the Distortions
you made.
7. New Emotions - What emotions do you now have about the
situation? Do you notice that you feel different? Write out how
your emotions have changed.
Albert Ellis "homework" correct answers - The vital necessity
of taking new thoughts, feelings, and behaviour
home
§ Action plan may be more acceptable to your clients, but use
the
term you prefer
§ Ellis encouraged to engage in jointly decided homework plans
for 30 days
□ This will encourage change in not only the behaviour but
also in the neural networks
Alternative Stories correct answers - Not enough to simply find
a new story
o Story comes from the client
- Find ways to RICHLY DESCRIBE the alternative story
o Understand....
o Filling out details
- This THICKENS the detail and INTERWEAVES it with the
lives of others.
, Ambivalence correct answers - Alternatives are equally
appealing
- No option is appealing (Rock and a Hard Place)
- Appealing and Unappealing aspects to both options
- Conflicted feelings (Head and Heart)
- Desire to move but Fearing Loss
- Simply not knowing what is right
Anticipated Result of Focusing correct answers - Counsellor
brings in various areas of focus
o Story is enriched by multiple perspectives
o Avoid missing role of broader influences: What truly stops
them from doing what they want to do
- Improve likelihood of effective/helpful intervention:
o Client increases understanding of current situation
o Client considers multiple options for change
Basic Listening Sequence: 3 Parts correct answers 1. Facts and
Thoughts
2. Central Emotions and Feelings
3. Summarize the Issue