W P EssEntial IntervIewIng a r tracy a. Prout o d u k CounselIng skIlls i t and n Melanie J. Wadkins s an Integrated approaCh to praCtICe E s s E tracy a. Prout, Phd n EssEntial Melanie J. Wadkins, Phd t i a this is the only comprehensive text to focus on the development of l practical interviewing and counseling skills for master’s-level mental health counseling students. it is structured around the goals established by in IntervIewIng the Council for accreditation of Counseling & related Educational Programs t and (CaCrEP)’s 2009 document on standards for MHC programs, and uniquely E encompasses both theory and practice from the perspectives of a diverse r array of theoretical schools and practice strategies. the benefits of integrating v CounselIng skIlls complementary therapy approaches according to the needs of the client and iE the importance of multicultural considerations in interviewing and counseling w are consistent themes throughout. i n the book’s hands-on guidance regarding interviewing and counseling skills, along with its embrace g of different therapeutic modalities, will enable students to learn how to provide care to clients that an Integrated approaCh to praCtICe is tailored to their specific needs. Each chapter includes a highlighted section that draws students’ a n attention to topics related to diversity, and strategies for working with clients from a variety of d populations. issues related to race, ethnicity, immigration, and country of origin are highlighted along C with age, gender, sexual orientation, religion, language, and physical and cognitive abilities. the use o of case examples from multiple theoretical orientations offers a realistic view of what actually occurs u in a consulting room. the book also addresses working with clients who have serious emotional or n psychological difficulties and covers evidence-based practice, assessment, and diagnosis, and when and how to terminate treatment. an instructor’s guide and PowerPoint slides are also included. s E l kEy FEaturEs: i n • Provides a balanced, integrated theoretical and practical approach to interviewing and g counseling with a focus on skills development s • Teaches the fundamental skills of empathy, active listening, treatment planning, and developing a k strong therapeutic alliance i l • Includes “Spotlight on Culture” sections with case studies to emphasize how diversity informs l sensitive and effective psychotherapy s • Provides exercises to help students discover their own blind spots in regard to diversity • Offers a realistic window into the profession through numerous case examples ISBN 978-0-8261-9915-7 11 W. 42nd Street New York, NY 10036-8002 www.springerpub.com 9 780826 199157 Essential Interviewing and Counseling Skills Tracy A. Prout, PhD, is assistant professor of psychology at the Ferkauf Graduate School of Psychology. She is a licensed psychologist and has a clinical practice in New York City, where she sees children, adolescents, and adults and provides psychological testing. Dr. Prout also has a master’s degree in mental health coun- seling. She has provided training on psychodynamic psychotherapy techniques and integrating spirituality into clinical practice for clinical professionals from many disciplines, including psychiatry residents, psychology interns, and prac- ticing psychiatrists, psychologists, and social workers. Her research focuses on psychotherapy process within psychodynamic treatment models and the role of religion and spirituality in mental health and recovery. Dr. Prout has published peer-reviewed articles on the role of religion and spirituality in the lives of those with mental illness and the role of spirituality in pedagogy. She is a former fel- low of the American Psychoanalytic Association and has completed advanced research training with the International Psychoanalytic Association at the Anna Freud Centre in London, England and at the Yale University Child Study Center. Dr. Prout is the recipient of the Dennis J. Enright Award for Excellence in Teaching and grant funding from the Psychoanalysis and the Academy Committee of the American Psychoanalytic Association. Melanie J. Wadkins, PhD, is a clinical psychologist and assistant professor of psychology at the Ferkauf Graduate School of Psychology. She is on the faculty of the combined School-Clinical Child Psychology program and provides train- ing to doctoral students in evidence-based interventions for youth and cognitive assessment. In addition, Dr. Wadkins is senior psychologist at the Institute for Cognitive Behavior Therapy and Research in White Plains, New York. She has expertise in psychoeducational assessment and consultation, as well as in treat- ing individuals with anxiety and mood disorders. Dr. Wadkins’s research focuses primarily on anxiety and related disorders. Specifi cally, she is interested in the basic emotion of disgust and its relationship to the maintenance and develop- ment of anxiety disorders, as well as the treatment of anxiety. Dr. Wadkins has presented her research at national and international conferences, and her work has been published in a range of books and peer-reviewed journals. Dr. Wadkins is a faculty delegate of the National Council of Schools of Professional Psychology (NCSPP) on behalf of Ferkauf Graduate School. She is also an active member of the Association for Behavioral and Cognitive Therapies (ABCT) where she serves on the Academic Training Committee. Essential Interviewing and Counseling Skills An Integrated Approach to Practice Tracy A. Prout, PhD Melanie J. Wadkins, PhD Copyright © 2014 Springer Publishing Company, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, [email protected] or on the Web at www.copyright.com. Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Sheri W. Sussman Composition: Exeter Premedia Services Private Ltd. ISBN: 978-0-8261-9915-7 e-book ISBN: 978-0-8261-9916-4 Instructor’s Manual ISBN: 978-0-8261-9912-6 Instructor’s PowerPoint Slides ISBN: 978-0-8261-9911-9 Instructor’s Materials: Instructors may request supplements by emailing textbook@ springerpub.com 14 15 16 17 / 5 4 3 2 1 The author and the publisher of this Work have made every effort to use sources believed to be reli- able to provide information that is accurate and compatible with the standards generally accepted at the time of publication. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no responsibility for the persistence or accu- racy of URLs for external or third-party Internet websites referred to in this publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Library of Congress Cataloging-in-Publication Data Prout, Tracy A. Essential interviewing and counseling skills : an integrated approach to practice / Tracy A. Prout, PhD, Melanie J. Wadkins, PhD, Springer Publishing Company, LLC. p. ; cm. ISBN 978-0-8261-9915-7 1. Interviewing. 2. Counseling. I. Title. BF637.I5.P76 2014 158.3–dc23 2013047755 Special discounts on bulk quantities of our books are available to corporations, professional associations, pharmaceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom book, including chapters from more than one of our titles, we can provide that service as well. For details, please contact: Special Sales Department, Springer Publishing Company, LLC 11 West 42nd Street, 15th Floor, New York, NY 10036-8002 Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842 E-mail: [email protected] Printed in the United States of America by Bradford & Bigelow. To my husband, Bernard F. Bunye, for his unfl agging support and encouragement and incredible ability to provide comic relief. —T.A.P. To my wife, Evelyn Farny Wadkins, without whom this book would have been completed more quickly, but far less joyfully and with many more typographical errors. —M.J.W. Contents Foreword Dean McKay, PhD, ABPP xv Preface xix Acknowledgments xxi PART I: BUILDING THE FOUNDATION 1. Introduction to Counseling and Interviewing 1 What Is Counseling? 1 Evolution and Professionalization of Counseling 4 The Clinical Interview 8 Why Do We Interview? 9 How Do We Interview? 12 Becoming a Counseling Professional 15 Mistakes 15 Integrating Theory and Research Into Practice 18 Know Thyself 19 Chapter Review 20 Personal Refl ection Essay Questions 21 Keywords 21 Further Reading 22 2. Doing Our Best—Ethics and Professional Responsibility 23 Understanding Ethics 24 Guiding Principles 24 The Ethics Code and Professional Standards 26 The APA Ethics Code 27 The American Counseling Association (ACA) Ethics Code 27 Confi dentiality and Its Limits 28 Safety of Patient and Others 31 Court Requests 33 The Health Insurance Portability and Accountability Act of 1996 (HIPAA) 33 Special Cases 35 vii viii CONTENTS Dual Relationships 36 Defi nition and Examples 36 Avoiding Exploitative Multiple Relationships 37 Making Ethical Decisions 39 The Philosophical Approach to Decision Making 40 Practice-Based Decision Making 40 Virtue Ethics 40 Considering Specifi c Ethical Dilemmas 41 Chapter Review 42 Personal Refl ection Essay Questions 43 Keywords 44 Further Reading 44 3. Understanding Your Clients: Case Conceptualization and Selection of Counseling Interventions 47 Psychodynamic Theory 49 A Brief Overview of Historical Infl uences 49 Basic Tenets of Psychodynamic Psychotherapy 53 Case Formulation From a Psychodynamic Perspective 55 Selection of Counseling Interventions 57 Summary 58 Cognitive Behavioral Theory 59 Overview of CBT 59 Historical Infl uences 60 Cognitive Behavioral Case Formulation 64 Selection of Counseling Interventions 65 Integrating Other Perspectives 67 Humanistic and Existential Psychology 67 Family Systems 68 Biological Approaches 68 Integration of Perspectives 69 An Integrated Case Formulation Example 70 Alyssa 70 Psychodynamic Case Formulation 71 Cognitive Behavioral Formulation 71 Other Components 71 An Integrated Treatment Approach 72 Conclusion 72 Chapter Review 72 Personal Refl ection Essay Questions 73 Keywords 74 Further Reading 74 4. Introduction to Issues of Diversity 77 Interviewing and Counseling From a Multicultural Perspective 78 Types of Diversity 80 Race, Ethnicity, Country of Origin, and Language 81 Acculturation 84 Immigration 87 Sexual Orientation 87 CONTENTS ix Issues of Gender and Gender Identity 88 Religion and Spirituality in Context 90 Physical and Cognitive Abilities 91 Social Class and Socioeconomic Status—Crossing the Divide 93 Knowing Yourself 94 Working With Clients Who Share Your Cultural Background 95 Potential Challenges to Helping 95 The Client as Expert 96 Developing Cross-Cultural Competence 96 Experiences in Community 96 Continuing Education 97 Chapter Review 98 Personal Refl ection Essay Questions 99 Keywords 99 Further Reading 100 Appendix: Miville-Guzman Universality-Diversity Scale—Short Form (MGUDS-S) 101 PART II: GETTING STARTED—INTERVIEWING AND DEVELOPING A RELATIONSHIP 5. Beginnings: The Initial Interview 105 The Offi ce 106 Safety 109 Personal Appearance and Presentation 111 How to Prepare Mentally 112 Opening Communication 113 How to Begin 114 Greetings and Initial Contact 115 Confi dentiality 119 Warmth 120 Genuineness 120 Empathy 121 Types of Interviews 122 Documentation 124 Chapter Review 126 Personal Refl ection Essay Questions 127 Keywords 128 Further Reading 128 Appendix 129 6. Interviewing and Counseling Skills: Modes of Listening 131 A Different Type of Listening 132 A Different Type of Relationship 133 Active Listening 133 Paying Attention 136 Refl ective Listening 139 Mirroring Affect 140 Following the Client’s Words 141
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