ch 8 The Five-Stage Interview: Empathically Integrating Skills for Creative Change

This set of flashcards covers the five-stage interview model, the basic listening sequence (BLS), decision counseling, and the integration of neuroscience and social justice in counseling practice.

What are the five stages of a well-formed counseling session?

1. Empathic relationship, 2. Story and strengths, 3. Goals, 4. Restory, 5. Action

What foundational elements form the base of the Microskills Hierarchy pyramid?

Multicultural Competence, Ethics, Neuroscience, and Positive Psychology/Resilience.

Which specific microskills constitute the Basic Listening Sequence (BLS)?

Using open and closed questions, encouraging, paraphrasing, reflecting feelings, and summarizing.

What is the anticipated client response when a counselor effectively uses the Basic Listening Sequence (BLS)?

Clients will discuss their stories, issues, or concerns, including key facts, thoughts, feelings, and behaviors, and feel their stories have been heard.

How does paraphrasing facilitate client processing according to the BLS framework?

It captures the cognitive essence of stories and facilitates executive functioning.

In the Basic Listening Sequence, what is the role of 'reflection of feelings'?

It provides a foundation for emotional regulation and enables the examination of the complexity of emotions.

What objective does 'summarizing' serve during a session?

It brings order and makes sense of client conversation, facilitating executive functioning and emotional regulation.

Is it required to use the Basic Listening Sequence (BLS) skills in a specific, rigid order?

No, BLS skills need not be used in a specific order; they should be adapted to meet client needs.

What occurs during the 'Restory' stage of the Five-Stage Interview Structure?

Working: exploring alternatives, confronting incongruities and conflict, and restorying.

What is the goal of the 'Action' stage in the five-stage model?

Terminating: generalizing and acting on new stories.

Who is credited as the creator of the systematic decision-making model that influenced decision counseling?

Benjamin Franklin.

What are the three stages of the systematic decision-making model developed by Benjamin Franklin?

1. Identify the issue clearly, 2. Generate alternative answers, 3. Decide what action to take.

According to Hanson et al. ($2015$), what are the biological consequences of toxic and long-term stress?

It can shrink the brain, enlarge the amygdala, and shrink the hippocampus.

What does a social justice approach in counseling entail?

Helping clients find outlets to prevent oppression and working with schools, community action groups, and others for change.

What is a primary ethical requirement before beginning note-taking or recording in a session?

Obtain permission from the client.

What is the risk of providing too much attention to note-taking during an interview?

It detracts from rapport building and active listening.

What federal regulation is specifically mentioned regarding performance accountability in counseling notes?

HIPAA.