• UNIT 11 COMMUNICATION AND COUNSELING

    Key Unit Competence
    Provide an appropriate counseling for individual, groups, and family

    Introductory activity 11


    1. What do you see on pictures above?
    2. What are differences between pictures A, B and picture C?
    3. On your point of view, how do you interpret the picture C?
    11.1. Definition and Communication process

    Learning activity 11.1


    Observe the picture aside and answer
    following questions:
    1. What do you see on pictures
    above?
    2. What are doing persons on the
    picture?
    3. On your point of view, what could

    be the topic of conversation?

    11.1.1 Definition of communication
    Communication can broadly be defined as exchange of ideas, messages and
    information between two or more persons, through a medium, in a manner
    that the sender and the receiver understand the message in the common
    sense, that is, they develop common understanding of the message.
    Berelson and Steiner define communication as the transmission of information,
    ideas, and emotions, skills through the use of symbols, words, pictures, figures,
    and graph
    11.1.2 Communication process
    The communication process has several components that enable the transmission
    of a message. Here are the various parts
    a. Sender: This is the person that is delivering a message to a recipient.
    b. Message: This refers to the information that the sender is relaying to the
    receiver.
    c. Channel of communication: This is the transmission or method of delivering
    the message.
    d. Decoding: This is the interpretation of the message. Decoding is performed
    by the receiver.
    e. Receiver: The receiver is the person who is getting or receiving the message.
    f. Feedback: In some instances, the receiver might have feedback or a

    response for the sender. This starts an interaction.

    The Communication Process:

    DIAGRAM

    Counselling
    How does the communication process work?

    In order to successfully communicate, it’s important to understand how the process
    works.
    Here are the seven steps in the communication process:
    1. The sender develops an idea to be sent.
    2. The sender encodes the message.
    3. The sender selects the channel of communication that will be used.
    4. The message travels over the channel of communication.
    5. The message is received by the receiver.
    6. The receiver decodes the message.

    7. The receiver provides feedback, if applicable.

    Self-assessment 11.1

    1. Explain what communication meant?
    2. What is the importance of communication?

    3. Give seven steps in the communication process.

    11.2. Types and techniques of communication

    Learning activity 11.2


    Observe the pictures above and answer following questions:
    1. How can you interpret pictures A, B, C and D?
    2. On your point of view, what is a difference between picture C and D
    Type: a type means people, places or things that share traits which allow them to
    belong to the same group
    Technique: a way of carrying out a particular task, especially the execution or
    performance of an artistic work or a scientific procedure
    11.2.1. Types of Communications:
    11.2.1.1. Verbal Communication

    The most common form of communication is the spoken word. It can be used
    to convey information, ask questions or request a response from others. Verbal
    communication includes all forms of speech, such as talking, shouting, whispering,
    and singing, chanting, and reading aloud.
    11.2.1. 2. Non-verbal Communication
    There are many other ways that people communicate with each other without using
    words. Non-verbal communication includes nodding, shaking hands, pointing, eye
    contact, smiling, frowning, touching, leaning forward, standing up straight, sitting
    down, crossing arms, etc. These gestures help us understand what another person
    means when they speak.
    We also use non-verbal cues to express ourselves to others. For example, if
    someone smiles at me while I’m speaking to him, he might be expressing interest
    in what I have to say. Or if he leans back in his chair, it tells me that he doesn’t want
    to hear what I am saying.
    11.2.1.3. Written Communication
    The written word has been an important means of communication since ancient
    times. Written communication includes letters, e-mails, faxes, memos, reports, and
    other written messages. Written messages include text on paper and computer
    screens. Writing allows us to store large amounts of information quickly and easily.
    11.2.1.4. Visual Communication
    Another way that we communicate with each other is through pictures or images.
    Visual communication includes photographs, paintings, diagrams, charts, maps,
    graphs, drawings, sketches, animations, and videos.
    11.2.2. Techniques of communication
    Communicating effectively will benefit you in every aspect of your life. Good
    communication skills impact your relationship with every person you interact with.
    Following 5 techniques are used in communication
    • Pay attention: Give the speaker your undivided attention.
    • Show that you’re listening: It is important that you are ‘seen’ to be
    • Give feedback: Our life experiences and beliefs can distort
    • Keep an open mind: a willingness to listen to or accept different ideas or
    opinions.

    • Respond appropriately: Active listening encourages respect

    Self-assessment 11.2

    1. Differentiate type and technique of communication
    2. Explain different types of communication

    3. Give five techniques used in communication

    11.3 Factors and characteristics of communication

    Learning activity 11.3


    After observing the pictures above, answer the following questions
    1) What do you see on picture A?
    2) What does every one from picture A means to you ?
    3) Is the person sitting in picture B safe ? if no what do you think could be

    the cause?

    11.3.1. Factors, Barriers and Benefits of effective
    communication
    a. Factors that enhance effective communication

    • Active listening
    • Simplicity
    • Straight forwardness
    • Feedback
    • Speaking clearly/articulation
    • Knowledge of the receiver / audience
    • Speed and sequence of speech
    • Relationship between the sender and the receiver
    • Command of subject (mastery of subjects matter)

    • Commanding attention

    b. Barriers to effective communication
    • Poor listening habits
    • Inadequate knowledge of the subject
    • Biases and stereotypes
    • Lack of interest on the subject
    • Personal opinions
    • Interruptions
    • Religious and cultural difference
    • Language barrier
    • Poor timing
    • Guilt
    • Status
    c. Benefits of effective communication
    • Right information is shared
    • Minimizes conflicts
    • Resources such as time and money are saved
    • Helps in establishing rapport
    • Intended results are achieved
    • Sender is able to provide intended feedback
    • Enhances harmonious co-existence and conflicts are resolved amicably
    11.3.2.Collaborative professional communication

    Learning activity 11.3.2


    Observe the illustration aside and
    answer the following questions :
    1. In which domain can you classify
    the people on the picture ?
    2. Are they from the same area of
    work ?
    3. In which department would you
    classify each of them ?
    4. Advise them in one sentence
    what they can do to achieve their
    goals .
    Collaboration
    Collaboration is defined as a joint effort of multiple individuals or work groups to
    accomplish a task or project
    Collaborative Practice in health
    The collaborative practice in health care can be defined as the provision of
    services based on comprehensiveness, developed by health professionals
    from different areas. It aims to achieve the highest quality of care in the service
    network, involving patients, families, caregivers, and communities. Such practice
    can be included in clinical and non-clinical work, such as diagnosis, treatment,
    surveillance or communication in health, administration, and sanitary engineering.
    Inter-professional collaboration, on the other hand, is characterized by the sharing
    of health information, that is, communication between professionals in order to
    favor the care of the singularities for those who are inserted in a service in search
    for health care
    Types of collaboration
    • creative – where two or more people create something to achieve a specific
    goal,
    • connective – bringing together information from disparate sources, and
    • compounding – where a team builds on previous achievements to reach
    further.
    Six Elements of Successful Collaboration
    • Motivation. After the thrilling netball final at the recent Commonwealth
    Games, the captain of the losing Australian team questioned whether the
    lower-ranked English were hungrier for the win. They chased down every ball
    relentlessly, making every goal matter. Their effort paid off. Motivating a team
    to be first to market, or to create the best possible customer experience, is a
    key element.
    • Communication. It is important to recognise the difference between
    communication – a one-way process where a single person is responsible
    – and collaboration – where a group takes responsibility and agrees on how
    to achieve the same thing. I like to say that you can communicate without
    collaboration, but you can’t collaborate without communication. From setting
    out specific objectives and roles, to keeping a team informed of progress and
    challenges, strong communication is vital to team achievement.
    • Diversity. Just as a soccer team would fail if it consisted of eleven centreforwards,
    a business team will flounder if it consists of identical personality
    types or roles. A variety of personalities and demographics brings a far

    broader range of perspectives.

    • Sharing. Making sure that everyone is recognised, and that findings are
    shared across the team, leads to stronger bonding and deeper understanding.
    Other shared information, such as calendars and scheduling, can also lead
    to team efficiency. Apps like Calendar.help, based on Cortana Analytics,
    can recognise the nature of an appointment by language from the initiating
    email, check everyone’s availability, and suggest suitable times. When a
    team member no longer spends time chasing dates, they can devote more
    attention to the core objectives of a project.
    • Support. When everybody supports each other, without finger-pointing, the
    team dynamic is infinitely more powerful. Those able to express ideas in a
    supportive environment are more likely to make breakthroughs, whereas
    teams with a blame culture repress innovation. Mistakes can be some of the
    most powerful learning opportunities in a supportive group.
    • Problem-Solving. Any collaboration is about solving problems, so a group
    that can’t solve problems can’t work. This often links back to team diversity –
    including some problem-solving personalities in the group is essential. This
    can mean looking beyond the obvious – sometimes it may be an engineer
    who solves a marketing problem, and a customer service clerk who identifies
    the flaw in a new app design. Diversity and problem-solving often go handin-
    hand.
    11.3.3. Caracteristics of goood communicator
    Excellent communication skills can benefit most professionals. Being an effective
    communicator can improve your work relationships, productivity and mutual
    understanding. If you would like to strengthen your communication skills, it may
    be helpful to consider the common characteristics of great communicators. In
    this article, we list good communication traits to adopt and explain how these
    characteristics improve communication.
    a. Good listener: Communication usually requires two or more parties to be
    active in the conversation. Listening to others can help build relationships
    and ensure understanding. Actively listening when others are speaking or
    otherwise communicating with you can show that you respect them and allow
    you to learn more about the speaker or the subject of the conversation.
    b. Concise: Being direct and clear with your communication can ensure that you
    properly convey your intentions. For example, if you’re explaining a process
    to a new employee, offering clear, straightforward steps can help them learn
    quickly. It’s also important to consider your team member’s and client’s time
    when conversing with them. If they appear busy, being concise shows you
    respect their schedule.
    c. Empathetic: Empathizing with others can help you build trust and relationships
    in the workplace. Try to be understanding when a coworker or employee is

    having trouble and express your sympathy.

    d. Confident: Being confident in your communication can grow your credibility
    as a professional. It also can help you properly communicate your needs.
    Consider expanding your vocabulary and pausing whenever you are unsure
    of what to say. This can help you remember your thoughts and speak clearly.
    e. Friendly: Speaking and writing in a friendly tone can encourage others to
    communicate with you more often. Consider greeting people when you speak
    to them both in verbal conversation and in messages such as emails. Use the
    person’s name if you know it, and be positive and friendly when interacting
    with others in person or on the phone.
    f. Observant: Observing nonverbal communication, such as body language,
    is a very important aspect of communication. Recognizing your coworkers’
    and customers’ body language can give you insight into how they are feeling.
    It can also help you determine how they feel about your own demeanor. For
    example, if you’re having a casual conversation with someone who seems
    relaxed, your demeanor is probably also relaxed. Being purposeful in your
    own body language can help others understand your needs and intentions
    as well.
    g. Appreciative: Letting others know when you are thankful for their actions can
    help motivate your team and improve their skills. Providing verbal positive
    reinforcement also can help ensure that the person you are praising or
    thanking continues their good practices.
    h. Polite: Being polite in your written, verbal and nonverbal communication can
    ensure that your intentions are clear. Consider kindly greeting others when
    starting conversations, actively listen and use good manners when interacting
    with others.
    i. Organized: Try to organize your speaking points, emails and other forms of
    communication so others understand your intended purpose of the interaction.
    j. Sincere: Being genuine when you communicate with others can build a sense
    of trust and respect. Speaking with sincerity involves sharing your feelings
    and opinions, which can encourage clear and meaningful interactions with
    others.
    k. Good judgment: Being able to decide the appropriate method and time to
    communicate with others can ensure peaceful and effective interactions..
    l. Respectful: Showing respect during your communications involves being
    polite and attentive. In order to convey your respect for someone you are
    speaking with, allow them to finish speaking before replying.
    m. Consistent: Consistent communicators interact with others on a regular basis.
    Establishing a predictable and reliable channel of communication can help
    keep others well informed and maintain work relationships. Consider creating
    a time frame and method in which you respond to others or are available for
    conversation.
    n. Retentive: Being retentive means you can remember details of previous
    conversations and interactions with others very well.
    o. Inquisitive: Asking detailed and thoughtful questions can lead you to learn
    new things and help clarify instructions. Skilled communicators often ask
    questions to strengthen their understanding of other’s expectations, intentions
    and feelings.
    p. Honest: Great communicators are often dedicated to being honest. This
    practice can earn you a positive reputation and ensure that all workplace
    communication is accurate.
    I. Reliable: Being a reliable communicator means that your coworkers and
    employees can trust you to start a conversation when needed and respond
    effectively to others. Try to craft timely responses when others contact you.
    Consider reaching out to others quickly when you need help or clarification.
    s. Proactive: Skill communicator address conflicts in a timely manner and starts
    a conversation when needed.
    t. Reflective: Self-reflection is an important aspect of communication. It allows
    you to think thoroughly before speaking, which ensures that you are clearly
    and intentionally communicating. Being reflective can also encourage you to

    consider how your words and body language might make others feel

    Self-assessment 11.3

    1. Enumerate five factors that can enhance effective
    2. Give seven barriers of effective communication.
    3. What are 5 benefits of effective communication?
    4. Give six elements of successful collaboration.
    5. Define Collaborative professional communication

    6. What are 5 caracteristics of good communicator?

    11.4. Principles and guidance of counselling

    Learning activity 11.4


    Picture A: Mr x and health care provider in medical specialized
    conversation

    Mr. x consulted hospital seeking for health care for alleviates distress related
    to the death of his wife. Arriving at the hospital the customer care agent orients
    him to one health care provider who uses a broad range of culturally –sensitive
    practices to help people improve their well-being, prevent and alleviate distress
    and maladjustment, resolve crises and increase their ability to function better in
    their lives.
    Picture B: Miss M and health care provider
    Miss M was reading newspapers and found out an announcement about job
    application of becoming a head of internal medicine in a hospital. Miss M passed
    an exam and was selected for a job position. Now she is having a conversation
    with the head of hospital.
    Based on the scenario above, answer the following questions:
    1) What is the relationship between Mr. X and health care provider?
    2) Why Mr. X has been specifically oriented to that health care provider?
    3) Can this medical process happen out of health care facility?
    4) Based on the picture B and its interpretation what is the conversation
    about?
    5) Is it really necessary to have this type of conversation on picture B? If yes
    why?
    11.4.1 Definition of words:
    a. Counseling
    Counseling is the psychotherapeutic relationship in which an individual receives
    direct help from an adviser or finds an opportunity to release negative feelings and
    thus clear the way for positive growth in personality.”
    b. Guidance
    Guidance is a piece of active advice offered to individuals from a superior in the
    respective field or a professional. It is the procedure of guiding, managing or leading
    a person for a particular course of action.
    11.4.2 Counseling process:
    Counselors and clients attempt to define, address, and resolve problems of the

    client in face-to-face interview


    Role of a counselor
    Counseling psychologists help people with physical, emotional and mental health
    issues improve their sense by helping them see their situation and feelings from a
    different viewpoint. A helping approach that highlights the emotional and intellectual
    experience of a client is one of the ways that counseling works with clients from
    childhood through to old age.
    4 types of counseling
    • Individual counseling. Individual counseling is a way to help people work
    through difficulties in their lives.
    • Couples counseling.
    • Group counseling.
    • Family counseling
    Principles of Counseling:
    a. Principle of acceptance
    Accept the patient with his physical, psychological,
    social, economic and cultural
    conditions.
    b. Principle of communication
    Communication should be verbal as well as non-verbal and should be skillful.
    c. Principle of empathy
    Instead of showing sympathy put yourself in patient’s shoes and then give reflections
    accordingly (Empathy is ability to identify with a person.)
    d. Principle of non-judge
    Mental attitude-do not criticizes or comments negatively regarding patient’s
    complaints.
    e. Principle of confidentiality
    Always keep the patient’s name, and the problems strictly secrete and assure the
    patient about the same.
    f. Principle of individuality
    Treat each and every patient as unique and respect his problem as well.
    g. Principles of non-emotional involvement
    Not getting emotionally involved
    with the patient and avoid getting carried away

    with his feelings.

    Self-assessment 11.4

    1. Differentiate Counseling and guidance
    2. State 5 types of counseling

    3. Explain at least 4 principles of counselling

    11.5. Counseling skills and qualities of good counselor

    Learning activity 11.5


    Observe the pictures above and answer to the following questions:
    1. What do you see on both picture A and picture B?
    2. Why one of each picture is writing?
    3. If they are in a health care facility, they are in which unit?
    4. Discuss the behaviors of the people on the pictures above?
    Qualities of a Good Counselor
    There are six personal characteristics that are critical for good counselors and
    should be improved upon continually.
    These include having good interpersonal skills and being trustworthy, flexible,
    hopeful/optimistic, culturally sensitive, and self-aware.
    a. Interpersonal skills
    Counselors must be able to express themselves clearly and effectively. It is important
    not only to be able to educate clients about therapeutic topics, but also to gauge the
    client’s understanding at any given time.
    Being able to sense what clients are thinking and feeling and relate to them by
    showing warmth, acceptance, and empathy are cornerstones of effective therapy.
    You can learn about and improve interpersonal skills and empathy by downloading
    our Emotional Intelligence Exercises.
    b. Trust
    According to Hill and Knox (2001), most people determine whether they can trust
    someone within 50 milliseconds of meeting them. Counselors must be able to
    communicate verbally and nonverbally that they are trustworthy.
    Clients need to feel comfortable sharing private, confidential information and parts
    of themselves that are often entirely unknown by others. Having faith in the quality
    of the relationship and the confidentiality of what is disclosed leads to a deeper
    connection with the therapist.
    c. Flexibility
    A good counselor will create a meaningful treatment plan that is individualized for
    each client. This means the counselor shouldn’t follow a rigid schedule of treatment
    or have a “one size fits all” approach.
    Prochaska and Norcross (2001) found that some treatments are better than
    others for specific types of disorders. Matching the treatment to the client’s stage
    of readiness is the most effective way to implement therapeutic techniques.
    Additionally, counselors need to be able to adapt and change course if treatment is
    not working for the client.
    d. Hope and optimism
    Hope is a wonderful motivator. Effective counselors can find a balance between
    realism and hope.
    A good counselor will set realistic goals that engage the client and inspire a more
    optimistic outlook.
    As attainable goals are reached, clients will develop a sense of resilience and
    confidence that can help in all areas of life. These traits are why positive psychology
    is such an effective method of improving emotional health.
    e. Multicultural sensitivity
    The American Psychological Association recommends that therapists adapt
    treatment to a client’s cultural values and show respect for differences, beliefs, and
    attitudes.
    When working with clients, it is important to be educated and sensitive to issues of
    race, gender, ethnicity, sexual orientation, religion, and cultural background.
    f. Self-awareness
    An effective counselor can separate personal issues from those of the client.
    Countertransference is a phenomenon described by Freud where issues expressed
    by a client lead to an emotional reaction of the therapist
    g. Counseling skills
    Counseling skills are soft (interpersonal) and hard (technical) attributes that a
    counselor puts to use in order to best help their clients work through personal
    issues and overcome obstacles that are currently preventing them from living a full
    and happy life.
    h. Examples of counseling skills
    There are a variety of skills that are beneficial to a counselor’s understanding of
    their client, and to the client’s overall comfort and willingness to be vulnerable about
    their personal hardships. Here is a list of useful skills that counselors should have:
    i. Active listening
    Active listening is an important skill for a counselor to have. It can be defined as the
    use of eye contact, facial expressions and gestures to imply that you are engaged
    and focused on the information the other person is saying. It can help a client feel
    like they’ve been heard and validated in the information they chose to share.
    j. Questioning
    There are two types of questioning styles that a counselor should be able to utilize—
    open questioning and closed questioning. Being skilled in questioning techniques
    can help a counselor to better interpret what a client is saying and it can help them
    think more deeply into their personal situation as well.
    Open questioning includes all questioning that is directed toward gathering more
    detailed and complex information. Closed questioning is directed toward more
    short-ended questions with specific answers.
    k. Note-taking
    Counselors should be skilled in organized note-taking techniques in order to record
    important points that were discussed during the session and information the client
    provided. This can be used for further analysis later on.
    l. Interpretation
    Counselors should be able to interpret vague information that a client shares and
    place it within the context of what they are going through. Phrases like “I’m just so
    tired,” or “I’m on edge all the time,” constitute further information, and it is up to the
    counselor to interpret this information.
    m. Nonverbal communication competency
    Similar to information interpretation, counselors should be able to identify current
    attitudes or feelings based upon the body language that a client uses during the
    session.
    n. Self-awareness
    Counselors need to be aware of how their body language, gestures and tone of
    voice can affect their client and their willingness to talk about the situation. Having
    good self-awareness can keep a counselor from accidentally exhibiting signs of
    boredom, frustration or judgment.
    o. Trustworthiness
    An important skill for a counselor is to be able to build and maintain trust with their
    clients. This can affect a client’s willingness to share information.
    p. Empathy
    A counselor needs to be able to see a client’s situation from their perspective in
    order to best help them overcome their obstacles.
    r. Emotional compartmentalization
    Another skill that can be specific to counselors is the ability to emotionally
    compartmentalize themselves from their clients and maintain professional
    boundaries in order to continue healthy client relationships.
    s. Information recall
    Counselors should be able to remember information that was shared with them
    earlier in the session or from a previous session in order to help guide their
    questioning toward a particular client.
    t. Confidentiality
    Confidentiality can be seen as a valued skill for a counselor to have as they must
    respect their clients and the information, they share with them.
    u. Record keeping
    Counselors should be able to keep detailed records of their clients, relevant
    paperwork and session notes to make sure everything stays up-to-date.
    Description of counseling process
    The process begins with exploring the challenges a client faces. Helping clients with
    physical, emotional, and mental health issues, the counselor helps them resolve
    crises, reduce feelings of distress, and improve their sense of wellbeing. Treatment
    can change how a client thinks, feels, and behaves in an upsetting situation.
    Positive psychology includes strengths, values, and self-compassion, and these
    science-based exercises will give you the tools to enhance the wellbeing of your
    clients, students, or employees. We informally give advice to family, friends, and
    colleagues.
    A professional counselor is a highly trained individual who is able to use a different
    range of counseling approaches.

    Self-assessment 11.5

    1. State different qualities of a good councilor?
    2. Enumerate different counseling skills?
    3. Describe the process of counseling?
    11.6. Counseling process and barriers to effective
    counselling

    Learning activity 11.6


    Based on the picture beside:
    1) Are the two people in good mood?
    2) Can they communicate well?
    3) If they cannot communicate well, what
    is the main reason?
    4) What does the man need?
    5) Which factor can help the two people to

    effective counseling?

    5 stages of the counseling process
    • Relationship building is stage one of the process.
    • Stage two is problem assessment.
    • Goal setting is the third stage.
    • Stage four includes counseling intervention.
    • Stage five includes evaluation, firing or referral.
    • The client has some key steps.
    Therapeutic communication skills during client-nurse relationship
    Roger’s theory and practice supported the patient’s ability to foster self-knowledge
    and control his impulses by empowering him to actively contribute to his own
    healing.
    Therapeutic Communication Skills are:
    • Empathy
    • Authenticity
    • Unconditional Positive Regard
    • Accepting others for who they are is the basis of therapeutic communication
    and the foundation on which humanistic psychology lies.
    a. Empathy
    Sensing a client’s emotions and reacting to them as if they were your own
    describes empathy within therapy. This concept of compassion reflects your
    profound understanding of the client’s emotions and circumstances that exceeds
    any calculated analysis of the client by the therapist. In his article on clientcentered
    therapy, Rogers emphasizes the characteristics of successful therapeutic
    communication by saying: “If the counselor can create a relationship permeated
    by warmth, understanding, safety from any type of attack, no matter how trivial,
    and basic acceptance of the person as he is, then the client will drop his natural
    defensiveness and use the situation.
    Sensing a client’s emotions and reacting to them as if they were your own
    describes empathy within therapy. Feeling emotion with a patient can generate a
    compassionate and therapeutic environment in which the patient can feel secure
    and recognize that you’re listening to him rather than evaluating him.
    b. Authenticity
    Exhibiting genuine thoughts and emotions in the therapeutic approach and gaining
    insight into your patient requires you to also be in touch with your own feelings.
    Rogers called for the clinician to be “a real human being with real thoughts, real
    feelings, and real problems.” In order for an effective therapeutic client-centered
    relationship to form, you must be sensitive and honest in your communication.
    Exhibiting genuine thoughts and emotions in the therapeutic approach and gaining
    insight into your patient requires you to also be in touch with your own feelings.
    Therapists must also posses an intuitive sense of self because it cultivates trust and
    confirms that you aren’t projecting yourself as a superior force over your patient.
    c. Unconditional Positive Regard
    Displaying unconditional positive regard means that you show your patient that no
    matter what he does, your respect for him remains the same. Yet, you continue
    to reveal the desire for him to move towards healing. Rogers emphasized the
    importance for the therapist to remove any concern for diagnostic tendencies
    and be available to provide the patient with acceptance and consideration of the
    emotions he’s exploring in the present.
    English psychotherapist Greg Mulhauser of Mulhauser Consulting, Ltd., explains
    that unconditional positive regard implies that you accept your client categorically
    and without prejudice. This notion of therapy assures the client that he may examine
    and express any of his thoughts or feelings without the threat of being criticized or
    disregarded.
    Displaying unconditional positive regard means that you show your patient that no
    matter what he does, your respect for him remains the same.
    This notion of therapy assures the client that he may examine and express any of
    his thoughts or feelings without the threat of being criticized or disregarded.
    Barriers to effective counseling
    a. Counseling is too expensive.
    Anyone who is considering counseling is making a choice about how to manage
    the difficult circumstances in their life. By the time this choice is being made there’s
    a good chance they’ve already tried any number of other alternatives that aren’t
    working.
    b. Counseling is too embarrassing.
    It can be very difficult to find someone to trust. Almost everybody in your life has
    a set of expectations for you, and your relationship with them usually depends on
    how well you meet those expectations.
    I’ve been to counseling and it didn’t work.
    Counseling, like any other relationship, requires clear expectations, healthy
    boundaries, and honesty. It is important that both the counselor and client are
    able to admit when their personalities or perspectives don’t match. In some cases
    a smooth ending to a counseling relationship, for whatever reason, may not be
    possible.
    I’m not the one who needs counseling.
    All of us know somebody who needs therapy. After reading that you’re probably
    thinking about them right now. To be honest, if you start asking around you’ll
    probably find a few people who think that about you.
    I don’t have time for counseling.
    Anxiety is all around us. Technology has made everything easier to do, so instead
    of relaxing we end up trying to do more than ever. The need to achieve can quickly

    use up our time, our energy, and our attention.

    Self-assessment 11.6

    1. What is counseling process?
    2. What are the 5 types of counseling?

    3. Critically Differentiate Guidance and Counseling?

    End unit 11 assessment

    1. Referring on the communication process diagram, complete the chart

    below

    2. Define the following words :
    a. Communication
    b. Collaboration
    c. Counselling
    d. Guidance
    e. Empathy
    3. What is the difference between verbal and non-verbal communication?
    4. What are the Benefits of effective communication
    5. Explain the role of a counsellor during a psychotherapy session
    6. Give 5 stages of the counseling process?

    7. Enumerate barriers of counseling?

    UNIT 10 SOCIETY AND HEALTHUNIT 12 GENDER BASED VIOLANCE (GBV)