問題一覧
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a goal oriented relationship between a professionally trained, competent counselor and an individual seeking help for the purpose of bringing about a meaningful awareness and understanding of the self and environment, improving planning and decision making, and formulating new ways of behaving, feeling, and thinking for problem resolution and/or development growth.
Counseling
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immediate and short- and long-term counseling interventions that result from natural, person-made, technological, and/or biological catastrophic events where such critical events impact the medical, physical, psychological, social, emotional, cognitive, cultural, spiritual, occupational, and psychosocial well-being of individuals, groups, and world cultures.
Disaster Mental Health Counselling
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used to describe a type of counseling approach ● aimed at reducing the emotional and psychological effects of trauma and the prevention of PTSD.
Trauma Counselling
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allostasis helps us adapt and survive in the face of stress, crisis, and trauma. ● we can experience allostatic load if we put too much pressure on this system (allostasis) to calm us down from ongoing stress. Allostatic load leads to significant health consequences.
Allostatic load
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a serious physical and/or psychological injury sustained as a result of a life-threatening or horrific experience. ● experience that causes a person to feel afraid, overwhelmed, out of control, and broken. ● affects how people view themselves, others, and the world around them.
Trauma
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individual is confronted by an enormous life-changing event (divorce, loss of a loved one) ● situation that disrupts the status quo, leaves the person feeling powerless.
Crisis
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to decide
krinein
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something that happens in a person’s environment that is overwhelming and that the person believes will stretch their ability to cope in a healthy way.
Stress
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events that are disruptive and stressful, with the origin being in multiple life environments and areas.
Critical Incidents
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well-coordinated and planned effort that has a defined organizational structure of roles, tasks, and responsibilities, typically performed in teams of specialists.
Critical Incidents Response
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structured protocol originally developed by Mitchell as a direct, action-oriented crisis intervention process designed to prevent traumatic stress symptoms for both primary and secondary survivors.
Critical incident stress debriefing
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group of well-trained and certified individuals who provide trauma mitigation and psychoeducation after a CI.
Crisis Response Team (CRT)
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an approach that involves forming small and large groups of primary and secondary survivors to educate and discuss one specific CI.
Debriefing
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designed to either eliminate the need for a formal debriefing or enhance the CISD.
Defusing
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shortened version of the CISD model.
Defusing
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a sense of having a connection with the person.
rapport/building rapport
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ability to be physically present for the client. Giving them your undivided attention and making appropriate eye contact, mirroring body language, and nodding.
listening
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● gives the client control of the content, pace ● listening to silences as well as words, sitting with them and recognizing that the silences may facilitate the counselling process.
Silence
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showing the client that you have ‘heard’ not only what is being said, but also what feelings and emotions the client is experiencing when sharing their story with you.
Paraphrasing
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like holding up a mirror: repeating the client’s words back to them exactly as they said them.
Reflection
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● The counsellor uses open questions to clarify his or her understanding of what the client is feeling. ● Leading questions are to be avoided as they can impair the counselling relationship.
Question
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● what issues the client wants to deal with.
Focusing
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condense or crystallize the essence of what the client is saying and feeling.
Summarising
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ability to deal with the here-and-now factors that operate within the helping relationship
Immediacy
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specific type of counseling practice that acknowledges how various aspects of a patient’s cultural identity might influence their mental health.
Multicultural counselling
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Ensure that one’s personal biases, values, or problems will not interfere with one’s ability to work with clients who are culturally different from them. ● Respect clients’ religious and spiritual beliefs and values. Be comfortable with differences between themselves and others in terms of race, ethnicity, culture, and beliefs. ● Culturally skilled counselors monitor their functioning through consultation, supervision, and further training or education.
beliefs and attitudes
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● Know specifically about their own racial and cultural heritage and how it affects them personally and professionally ● Possess knowledge about the historical background, traditions, and values of the client populations with whom they work. ● The greater their depth and breadth of knowledge of culturally diverse groups, the more likely they are to be effective practitioners.
Knowledge
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● Multicultural counseling is enhanced when practitioners use methods and strategies and define goals consistent with the life experiences and cultural values of their clients. ● They do not force their clients to fit within one counseling approach, and they recognize that counseling techniques may be culture-bound.
Skills and Intervention Strategies
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The ________ and _________ is the foundation of connection and rapport with persons traumatized by disasters.
therapeutic alliance , person-centered relationship
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_____ in the therapeutic relationship is a ______
Diversity, two-way street.
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The client may have mentioned a range of issues and problems and _______ allows the counsellor and client together to clear away some of the less important surrounding material and concentrate on the central issues of concern.
focusing