Leader Guide Carlos P. Zalaquett, Ph.D. and Allen E. Ivey Counseling and Neuroscience Implications for Microskills and Practice Allen E. Ivey, EdD, ABPP MICROTRAINING ASSOCIATES, INC c/o KINETICVIDEO.COM E-mail: info@kineticvideo.com Website: www.kineticvideo.com This guide is in two sections 1. Guide for Classroom Use 2. PowerPoint® Slides PDF’s Neuroscience and Counseling Implications for Microskills and Practice This DVD was prompted by discussions with Allen Ivey. The central questions were “What does modern neuroscience have to say about interviewing and counseling in general?” and “How, specifically, does the microcounseling framework relate to this field?” After considerable back and forth, I invited Allen to my class in counseling to present his thinking. What came forth was more than I expected and it is lucky that I was able to videotape his presentation. What you have here is an actual live lecture to students, supplemented with many PowerPoint® illustrations. I think you will find it a useful and stimulating introduction to the new cutting edge of our field. While designed for the skills or counseling and psychotherapy theories course, this video should have implications for us in many other settings as well, ranging from nursing to human services, from social work to physical therapy, and for all helping professionals. Carlos P. Zalaquett, Ph.D., University of South Florida, Tampa Before You Start the DVD First of all, I email all the PDF Handouts of the presentation to my students and ask them to download and print them out. This is “heavy” material for beginners and these handouts will make a real difference in their understanding and retention. As I use this lecture with my students, I usually begin with some preparatory discussion questions so that they can see the presentation in context. What do you already know about neuroscience? (I then list their present knowledge on the white board or on a Powerpoint slide as I keyboard.) How might your existing knowledge relate to the interviewing, counseling, and therapy process? We have been studying Microskills this term. How might you imagine microskills Would relate to neuroscience? On a ten-point scale, please rate your present thoughts and feelings about neuroscience and how you might use it in the interview? Chapter 1 Introduction (see PDF’s for full content of presentation slides. 1. 2. 3. 4. 5. Where are we going? Disclaimer Why Neuroscience? Brain Plasticity and Neurogenesis Neural Change/Growth in Both Client and Counselor Discussion Questions 1. What do you think of the idea that your work as a counselor actually can permanently change the client’s brain? 2. What are the implications of neurogenesis for older clients? 3. How is the brain holistic? 4. Let’s discuss the implications of short-term memory and long-term memory in the interview. Is our goal to help clients develop new long-term memories, change existing memories? How are we changed by our interaction with clients? Chapter 2 Neurons and Synapses 1. 2. 3. 4. Neuron, Our Main Brain Cell Neural Networks The Synapse Active Synapses Discussion Questions 1. What is the importance of long-term enhancement (LTE) to learning? (Also know as LTP, long-term potentiation. 2. What is the role of attention and attending behavior in LTE? 3. What is the role of neural networks and how do they relate to a single neuron and the synapse? Chapter 3 Neurotransmitters 1. Example neurotransmitters 2. Example neurotransmitters 2 3. Synaptic transmission in neural networks 4. Baseball analogy 5. Baseball analogy 2 6. Medications that increase serotonin Discussion Questions 1. Why might this material be important to counselors/therapists? 2. What is the role of glutamate, dopamine, serotonin, norepinephrine/adrenaline? 3. Why is cortisol important? 4. What is the role of GABA, anandamide, acetylcoline? 5. Discuss the baseball analogy and its relation to neurotransmitters. 6. Let’s talk about medications that increase serotonin. Chapter 4. Brain and Limbic System 1. The Cerebral Cortex 2. Frontal Cortex 3. Parietal, Temporal, Occipital 4. Mirror Neurons and Empathy 5. The Limbic System—The Social Brain 6. Limbic System 2 7. Limbic System 3 Discussion Questions 1. Why might it be important for counselors to understand the structure of the brain? 2. How do mirror neurons relate to and explain empathy? 3. What role does the limbic system play in emotion Chapter 5. Microskills and Neuroscience 1. Attending Behavior 2. Questions 3. Observation Skills 4. Observation Skills 2 5. Encouraging, Paraphrasing, and Summarization 6. Reflection of Feeling 7. Confrontation 8. Focusing 9. Reflection of Meaning 10. Influencing Skills Discussion Questions 1. Do you agree that varying microskills likely have impact on differing parts of the brain and neurotransmitters? 2. Let’s take the skills one-by-one and examine whether or not we agree with Allen on his portrayal of the skill and its relationship to the brain and its functions. Chapter 6. Social Justice 1. Social Justice and Stress Management 2. Social Justice and Stress Management 2 Discussion Questions 1. Why is stress necessary for learning? 2. How does stress and neurotransmitters relate to pleasure? 3. What are the implications of stress and cortisol for those in poverty? 4. What is our role in social justice as we consider brain development? Chapter 7. Wellness and Neuroscience 1. Factor Analysis of Wellness Dimensions 2. The Brain and Wellness 3. Accentuate the Positive Discussion Questions 1. Which parts of the brain are associated with positive emotions? Negative emotions? 2. Why do want to emphasize wellness as part of treatment and counseling? 3. Where do you stand on wellness dimensions? 4. How might you conduct a wellness assessment with a client. 5. What implications does wellness have for social justice? Concluding Discussion Questions 1. How do you put all this together? 2. What stands out for you? What single point struck you as most important? 3. Where would you like to go next with the study of the brain? 4. What do you imagine the future of counseling and brain science will be?