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helping skills

Discussion Leadership and Participation

  • Nora is unavailable for discussion leadership.

  • Ellery has been selected twice for leadership, thus removed from rotation.

  • Encouragement of redirection in discussions to aid understanding and productivity.

Importance of Recognizing Client Behavior

  • Highlighted a case of a client whose nitpicking behavior affects therapist-client dynamics.

  • The client's scorekeeping can diminish the therapist's willingness to accommodate them, causing feelings of loneliness and straining relationships.

  • Understanding negative behaviors (e.g., constant scorekeeping) can lead to awareness and change in the client's approach to relationships.

Genuine Growth in Therapy

  • Questioned the authenticity of growth in therapy when the therapist is not present.

  • Suggested that if growth disappears once therapy ends, it was not genuine.

  • Comparison of authentic growth to superficial change, akin to makeup fading.

Role of Emotions in Motivation

  • Emotions drive action but can also lead to hesitation and inhibition.

  • Emphasized that thoughts and feelings often overlap but are qualitatively different.

  • Brief discussion on how heightened emotions can cloud judgment (e.g., during arguments).

Distinction Between Affect, Mood, and Emotion

  • Affect: Broad expression and experience of feelings.

  • Mood: Longer-lasting, less intense emotional states.

  • Emotion: Short-term, acute feelings that impact judgment and behavior.

  • The interplay of mood and emotion is significant; a bad mood may lead to heightened feelings of sadness.

Hesitation to Explore Feelings

  • Clients often seek logical frameworks for feelings, leading to avoidance of deeper emotional exploration.

  • Encouraged recognizing the complexity of emotions rather than reducing them to simplistic interpretations.

  • Used a Harry Potter reference to illustrate the confusing and multifaceted nature of feelings.

Importance of Exploring Emotions in Therapy

  • Exploration of feelings helps prevent them from building up and becoming overwhelming.

  • Emotions contain physiological components and can symbolize significant personal experiences.

  • The goal of therapy is to access both emotional and rational aspects of the mind to achieve a wise perspective.

Emotional Regulation vs. Avoidance

  • Discomfort with heightened emotions can lead to negative coping mechanisms, such as avoidance or substance abuse.

  • Acknowledgment of under-arousal in conditions like depression, leading to emotional numbness.

Key Patterns in Emotional Responses

  1. Primary Adaptive Responses

    • Emotion leads to an appropriate adaptive action (e.g., expressing sadness receiving support).

  2. Trauma Responses

    • Current situations trigger fear due to past trauma (e.g., fear of dogs after a childhood bite).

  3. Secondary Emotional Responses

    • Vulnerable feelings are masked by more powerful emotions like anger.

  4. Instrumental Emotional Responses

    • Using manipulative emotions to achieve social goals.

Importance of Emotional Vocabulary

  • Encouraged the expansion of vocabulary within emotional contexts to better communicate client feelings.

  • Suggested reflective practices to help clients articulate emotions, enhancing therapeutic efficacy.

Skills for Exploring Emotions

  • Open Question Probes for Feelings: Essential in gauging client emotions directly.

  • Reflections: Focus on naming emotions to help clients articulate feelings. No overlap with thoughts; keep it simple.

  • Self Disclosure of Feelings: Validate experiences and normalize the feelings (if appropriately timed).

Challenges in Emotional Therapy Work

  • Addressed instances where reflections are not well-received, ensuring the therapeutic relationship remains safe.

  • Cautioned against overloading clients who may be in crisis with additional emotional exploration just before the end of sessions.

  • Homework and exams will measure understanding of these concepts and their application in practical settings.

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