International interviewing and counseling 9th ivey chapter 11

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Intentional Interviewing and Counseling:

Facilitating Client Development in a

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Chapter 11

Reflection of Meaning and Interpretation/Reframe: Helping Clients Restory Their Lives

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Chapter Goals and Competency Objectives (slide 1 of 2)

Awareness and Knowledge

▲Understand the skills of reflection of meaning and interpretation/reframing

▲Recognize their similarities and differences

▲Explore the rationale and some philosophical background of the centrality of these two skills

▲Become aware of the critical work of Viktor Frankl, philosopher and practical psychiatrist, who developed logotherapy to change the direction of clients’ lives

▲Explore discernment, a practical system to aid clients in deciding life direction

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Skills and Action

▲ Assist clients, through reflection of meaning, to explore their deeper meanings and values and to discern their goals and life purpose or mission.

▲ Help clients, through interpretation/reframing, to find alternative ways of thinking that

facilitate personal development.

▲ Evaluate clients’ progress and change as you use these skills.

▲ Employ the action philosophy and practice of logotherapy.

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Introduction: The Skills of Reflecting Meaning and Interpretation/Reframing (slide 1 of 2)

Reflection of Meaning : Meanings are close to core

experiencing Encourage clients to explore their own

meanings and values in more depth, from their own

perspective, and also the perspectives of others

Questions eliciting meaning are often a vital first step

A reflection of meaning looks very much like a

paraphrase, but focuses beyond what the client says

Appearing often are the words meaning, values, vision,

and goals.

Anticipated Result: The client discusses stories, issues,

and concerns in more depth with a special emphasis

on deeper meanings, values, and understandings Clients may be enabled to discern their life goals and vision for the future.

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Introduction: The Skills of Reflecting Meaning and Interpretation/Reframing (slide 2 of 2)

Interpretation/Reframing : Provide the client with a new

meaning or perspective, frame of reference, or way of

thinking about issues Interpretations/reframes may

come from your observations; they may be based on

varying theoretical orientations to the helping field; or

they may link critical ideas together.

Anticipated Result: The client may find another

perspective or meaning of a story, issue, or problem The new perspective could have been generated by a theory used by the interviewer, from linking ideas or information, or by simply looking at the situation afresh

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Eliciting and Reflection of Meaning

▲ The eliciting and reflection of meaning is both a skill and a strategy

 As a skill , elicit meaning:

 “What does mean to you, your past, or future life?”

 As strategy , you bring out client stories from the past, in the present, or in anticipation of the future.

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Reflection of Meaning and Charlis

Charlis, a workaholic 45-year-old middle manager, has a heart attack After several days of intensive care, she is moved to the floor where you, as the hospital social worker, work with the heart attack aftercare team Charlis is motivated; she is following physician directives and progressing as rapidly

as possible She listens carefully to diet and exercise suggestions and seems the ideal patient with an excellent prognosis However, she wants to return to her high-pressure job and continue moving up through the company; you observe some fear and puzzlement about what’s happened to her and where she might want to go next

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Reflection of Meaning

▲ Eliciting meaning often precedes reflection.

▲ The key words meaning, sense, deeper understanding, purpose, vision, etc will be explicitly or implicitly present.

▲ Provides an opening for the client to explore issues in a way that leads to

a deeper awareness of the possibilities of life.

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Comparing Reflection of Meaning and Interpretation/Reframing

▲ Both are designed to help clients look deeper and examine themselves from a new perspective.

▲ Reflection of meaning involves client direction The client provides the new perspective

▲ Interpretation/reframe implies interviewer direction, and it offers a new way of being as suggested by the counselor

▲ Both end up in the same place.

 We need to give clients power and control of sessions whenever possible.

 If the client does not respond to reflective strategies, move to active reframing or a theoretical interpretation

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Eliciting Client Meaning

▲ Questions that may orient toward meaning:

 “When in your life did you have existential or meaning questions? How have you resolved these issues thus far?”

 “What significant life events have shaped your beliefs about life?”

 “What are your earliest childhood memories as you first identified your ethnic/cultural background? Your spirituality?”

 “What are your earliest memories of church, synagogue, mosque, a higher power, or discovering your parents’ vital life values?”

 “Where are you now in your life journey? Your spiritual journey?”

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Reflecting Client Meanings

Reflect Meaning

▲Say back to clients their exact key meaning and value words

▲Reflect their own unique meaning, not yours

▲Occasionally you may supply the needed meaning word yourself (e.g., “You value …”)

 Keywords: meaning, value, reasons, intent, cause, etc.

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Observe: The Skills of Reflection of Meaning and Interpretation/Reframing (slide 1

of 2)

Microskill of interpretation/reframing

▲Listen to the client story, issue, or problem

▲Learn how the client makes sense, thinks about, or interprets the story or issue

▲Provide an alternative meaning or interpretation of the narrative

▲Interpretation/reframes may…

 Come from therapist’s observations

 Be based on theoretical orientations



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Observe: The Skills of Reflection of Meaning and Interpretation/Reframing (slide 2

of 2)

Anticipated Result

▲Client may find another perspective

▲Client may find a new meaning attached to her or his story, issue, or problem

▲Intervention can be evaluated using Client Change Scale (CCS)

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Client Change Scale (CCS)

The Creation of the New

Denial

Partial Examination

Full Examination But

Incongruity

Develops new ways

of thinking and behaving.

Ignores interpretation Explores

interpretation/reframe.

Interchangeable response and acceptance of the interpretation.

Decides to Change From Incongruity

Creation of something new.

5 4

3 2

1

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Example Interview: Travis Explores the Meaning of a Recent Divorce

▲Travis is reflecting on his recent divorce When relationships end, the thoughts, feelings, and underlying meaning of the other person and their time together often remain an unsolved mystery

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Theories of Counseling and Interpretation/Reframing (slide 1 of 2)

Interpretation From Different Counseling Theories

▲Decisional Theory: helps clients find new ways of thinking about their decisions

▲Person-Centered: helps clients build on their strengths and find deeper purpose

▲Brief Counseling: helps clients find quick ways to reach central goals

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Theories of Counseling and Interpretation/Reframing (slide 2 of 2)

Interpretation From Different Counseling Theories

▲Cognitive-Behavioral Theory: helps clients link thinking and behavior

▲Psychodynamic Theory: helps the client link ideas about how the past influences the present

▲Multicultural Counseling and Therapy (MCT): helps clients reframe their concerns in relation to their multicultural background

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Frankl’s Logotherapy: Making Meaning Under Extreme Stress

▲Frankl, a survivor of the German concentration camp, Auschwitz, could not change his life

situation, but he was able draw on important strengths of his Jewish tradition to change the

meaning he made of it

▲The Jewish tradition of serving others facilitated his survival Frankl counseled his entire barracks, helping them reframe their terrors and difficulties, pointing out that they were developing strengths for the future

▲If your clients can find a meaningful vision and life direction, they often will bear many difficult things as they seek ways to resolve their issues and continue life

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DiscernmentIdentifying Life Mission and Goals

▲Determining the origin of our interior and exterior experiences (Farnham, Gill, McLean, & Ward, 1991)

▲Describes therapists’ work with clients at deeper levels of meaning

▲Process where clients focus on future vision

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SUMMARY: Facilitating Clients in Finding Their Meaning Core and Developing (slide 1 of 3)

▲Eliciting and reflecting meaning is a complex skill that requires you to enter the sense-making system of the client

▲Full exploration of life meaning requires a self-directed, verbal client who is willing to talk

▲The skill complex is most often associated with an abstract, formal-operational interviewing style

▲With clients who are more concrete, you will still find that eliciting and reflecting meaning is useful

 The approach to meaning taken by the cognitive-behavioral therapists is more useful with these clients.

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▲Highly verbal or resistant clients may intellectualize and take no action

▲Meanings are organizing constructs that are at the core of our being Mastering the art of

understanding meaning will take more time than other skills, but you will find that completing exercises with reflection of meaning results in a better understanding of your client

▲Before interpretation/reframing, be sure you have heard the client’s story or concerns Then draw from personal experience or a theoretical perspective to provide the client a new way of thinking and talking about issues

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▲Focusing on multicultural counseling and therapy is the most certain way of bringing multicultural issues into the interview

▲The effectiveness of an interpretation/reframe can be measured on the Client Change Scale

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Action: Key Points and Practice of Applying Reflection of Meaning and

Interpretation/Reframing Skills in the Real World

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