More on Foundation skills:
Therapist’s behaviors that encourage a client to talk about his problems, needs, and concerns.
1. Accurate empathy
-Sense client’s world as if it is your own, yet not losing “as if” quality.
-Sense client’s anger, depression, fear, or confusion as your own, yet without your own anger, depression, fear, or
confusion.
2. UPR
-Acceptance, non-possessive caring, prizing.
-Non-judgmental and conditional.
3. Genuineness (congruence):
-Therapists become themselves in the relationship
-Expressing feeling and attitudes that are flowing at the moment as they are.
4. Listening
-Not passive but active listening.
Try to understand what the client is telling.
Try to focus on nonverbal communication that is often more important that what is said.
Be responsive in such a way that the client experiences being attended and understood.
Listens to the client in such a way that the client is not judged and condemned for what was said.
Listening to the client in a way that can encourage the client to congruently, genuinely, and nonJudgmentally listen to oneself and others (i.e., modeling).
(a) Minimal Encouragement: Be a minimal encourager.
-Too much encouragement can be too directive, disruptive, and controlling the conversation (i.e., an inviting smile
or nod, “go on,” “yes,” “right,” “uh-huh,” “with whom.”).
-The client is more likely to disclose oneself.
(b) Paraphrasing:
-Putting the client’s ideas or what the client said into the therapist’s own words, reflecting what the client verbally
and nonverbally said and meant (“So you are telling me…, Sounds like you are feeling, thinking…, I hear you are
saying…,).
-It summarizes the client’s thoughts, feelings, behaviors, and problems.
-Not too much paraphrasing (minimal encouragement).
-Get permission (“let me share what I understood with you..)
-Be willing to be fallible (good for rapport). The client does not expect the perfect accuracy. The clients are very
forgiving.
-Although it is at times very effective, repeating/reflecting exactly what the client said can be frustrating to the
client.
-This allows the client to feel that the therapist is really listening.
-It gives a chance to correct therapist’s any misperception/misunderstanding (“Am I hearing you right?”).
-It helps the client rehear and clarify what the client is thinking, feeling, and struggling about.
-It invites further exploration.
(c). Perception Checks
-Clarify and underscore what the client just said.
-More than paraphrasing. That is, it includes therapist’s inferences and interpretations.
-Make sure to ask the client that your perception checks are correct.
-Effective if it is given in the form of a fantasy or a metaphor (i.e., “you sound like you are inside a pressure cooker.
One more problem will blow the top off. How it feels to you?”)
(d). Summaries
-Longer than paraphrasing and perception checks.
-Clarify what the client has been saying and help them sort things out.
-Covey your understanding of the client.
-Encourage the client to further explore important issues.
-Usually in the end of session.
(i.e., let see if I follow you….”)
(e). I-Statements (i.e., I feel uncomfortable telling what you need to do.”)
-To encourage the client to own his or her feelings and thoughts.
-It relieves the pressure on the client.
-Help the client understand what they are experiencing is not unusual.
-Encourage the client to explore his or her issues more deeply.
-Not uninvolved observer but a real person.
-Not too much I statement.
5. Problem-solving
(a) Goal Setting: Identify problems and set up mutually agreed therapeutic goals.
-Realistic, possible, practical, short or long term?
-Encourage them the problems can be solved, but do not mislead them to believe that you will do the work
for them (“we will work together and it may take time.”)
(b) Using Questions:
-Asking questions to sort out problems, collect data, and clarify their problems.
-But not in a way controlling, directing, or interrupting the flow of interview.
(i.e., “What was it like?” than “What was it?)
-Open-ended question (“what brings you here?), asking for clarification (i.e., not because they did not say
right), avoid yes or no questions, not pushing, ask questions in a way of constructing new alternatives, not
in a way of changing subject abruptly (“That makes me wonder about your relationship with other
people.”)
(c) Feedback:
-Be patient in giving your feedback.
-When the client solicits
-Be concrete and specific
-Non-judgmental
-Check how the client receives that.
(d) Advice
-Can make the client dependent.
-Be cautious
-Lead your client to say what you want to say.
6. Dealing with Feelings: Help them identify, verbalize, recognize, and differentiate various feelings.
(a) Timing: Timing for “hot cognitions and feelings.”
(b) Therapist Feelings:
-Be sensitive to your own feelings (i.e., disgusted, boring, unpleasant) and do not let your feelings interfere with
therapy or interview (Your client can know your feelings based on nonverbal cues).
(c) Sharing your feelings
-Disclosing your feelings at times therapeutic.