CSD 605 Counseling Therapy/Practice

In the context of narrative counseling, what does it mean to “thicken the preferred story”?

Identify and expand on moments that reflect strength, resilience, or value

In the stuttering case illustration in your text (Chp 10 excerpt uploaded in Blackboard), the therapeutic alliance was built primarily by which of the following?

Listening actively and validating the client’s narrative

A student clinician asks, “What will your life look like if stuttering no longer has power over you?” This question is designed to promote which of the following?

Future-oriented empowerment

In the case of George, the client with aphasia, which of the following best demonstrates an adaptive counseling approach as used?

Prioritizing George’s emotional experience and self-identity in goal setting

A client who stutters expresses deep shame and self-blame about their communication. According to the StAAR framework, which strategy would be most appropriate to help shift this narrative?

Use externalizing language to separate the problem from the self

A clinician develops a comprehensive plan for a child’s hearing loss that includes hearing aids and speech habilitation. However, the parents appear unengaged and skip appointments. What likely needs to be addressed first?

The adaptive challenge of adjusting to a new vision of their child’s future

Which of the following best reflects an adaptive response to a client expressing loss of identity due to a communication disorder?

“Tell me what it’s been like for you since the stroke—what’s changed most?”

In the constructivist listening framework, which of the following responses would best demonstrate reflecting emotion?

“It sounds like you’re feeling overwhelmed by this change.”

Which of the following best describes the concept of "Listening as Co-Construction"?

The clinician listens actively to help the client reshape their own narrative

During a session, a speech-language pathologist reflects back a client’s story highlighting times they communicated effectively. This approach best aligns with which narrative strategy in the case study?

Reconstructing the narrative with a strengths-based focus

Which of the following best describes the primary role DiLollo and Neimeyer's, strategic use of silence in counseling? 

Encourage the client to elaborate or reflect more deeply

Which of the following is a core characteristic of narrative re-authoring in counseling?

Co-constructing alternative, more empowering versions of the client’s story

Which of the following best reflects an adaptive approach to aphasia intervention?

Prioritizing the client’s emotional experience and personal narrative over strict task mastery

Which scenario best illustrates the “start where they are, not where you are” principle in client interaction?

The clinician listens carefully to the family's emotional experience and adapts the session accordingly

In the case with George, the client with aphasia, what role did his wife, Amy, play in his therapeutic progress?

She actively participated in reconstructing and re-telling George’s emerging narrative

In the context of narrative counseling, what does it mean to “thicken the preferred story”?

Identify and expand on moments that reflect strength, resilience, or value

A parent seems resistant to using hearing aids for their child with newly diagnosed hearing loss and avoids discussing the diagnosis. From an adaptive counseling perspective, what is the most appropriate clinical response?

Gently explore the parent’s expectations and feelings about their child’s future

In the Precontemplation Stage, the individual:

Is generally unaware of the problem and resists education

Understanding a client’s personal narrative can help clinicians support their unique process of change. True or False

True

Which philosophical foundations underpin the StAAR framework?

Constructivist psychology and Narrative Therapy

Dominant narratives are usually formed around neutral or objective facts rather than meaningful, emotional, or past experiences.
True or False

False

Which of the following best describes the Action Stage?

Individuals begin to use new skills and make specific behavior modifications

Which of the following best describes the primary aims of counseling for SLPs and AuDs?

Facilitate personal growth and empower clients and families to manage communication and swallowing disorders

What is the primary focus of the StAAR framework in clinical counseling?

Understanding and working with the client’s full personal story

What does the “Client as Expert” attitude encourage clinicians to do?

Take the client’s personal knowledge of their experience seriously

What is a key goal of counseling in relation to relapse?

Prevent relapse by promoting meaningful, integrated change

Which of the following best illustrates the “Manage Self” competency in adaptive leadership?

Recognizing your dual role and remaining aware of your emotional triggers

Therapy is only successful if the clinician takes full control and minimizes client collaboration.
True or False

False

Carl Rogers identified which three key conditions for therapeutic change?

Genuineness, Empathy, and Unconditional Positive Regard

The clinician’s goal is to focus only on the part of the client’s story that pertains to their speech or swallowing disorder.
True or False

False

Some clinicians are reluctant to engage in counseling due to myths and misperceptions about its role in clinical practice.
True or False

True

Adaptive leadership involves guiding clients through discomfort and helping them experiment with new ways of thinking, not just new behaviors.
True or False

True

What does relational leadership emphasize?

Trust, empathy, collaboration, and presence

The ASHA Preferred Practice Patterns list counseling as an optional and non-essential component of intervention.
True or False

False

Relational leadership helps build trust, foster empathy, and create emotional safety in therapy.
True or False

True

Which of the following demonstrates ethical and emotional leadership by an SLP?

Centering the client’s voice and maintaining boundaries