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Chapter 9 . Skills of Confrontation: Supporting while Challenging. Hierarchy of Skills. Confrontation The Five Stages of Interview Structure Reflection of Feeling Encouraging, Paraphrasing, and Summarizing Client Observation Skills Open and Closed Questions Attending Behavior

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Chapter 9

  • Skills of Confrontation:

    • Supporting while Challenging


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Hierarchy of Skills

  • Confrontation

  • The Five Stages of Interview Structure

  • Reflection of Feeling

  • Encouraging, Paraphrasing, and Summarizing

  • Client Observation Skills

  • Open and Closed Questions

  • Attending Behavior

  • Ethics & Multicultural Competence


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Knowledge & Skill in Confrontation

  • Identify incongruity, discrepancies, or mixed messages in behavior, thought, feelings, or meanings.

  • Increase client talk with a view toward resolution of conflict and discrepancies.

  • Identify client change processes occurring during the interview.


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Helping Clients Move from Inaction to Action

  • Assume Clients are “Stuck” (Perls)

  • Immobility

  • Repeating thoughts or behavior that are not “working” (Glasser/Reality therapy)

  • Lack of understanding (Cognitive therapy)

  • Limited behavioral repertoire (Behavioral)

  • Limited life script (Narrative therapy)


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Challenging Client in a Supportive Fashion

  • Involves listening to the client carefully and respectfully,

  • Then seeking to help the client examine self or situation more fully.

  • Seeking clarification as a supportive challenge, which seeks the resolution of difficulties.

  • Seeking a change which comes from the client.


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Process of confrontation

  • Step 1: Identify the conflict; note mixed messages, and incongruity.

  • Step 2: Point out issues of incongruity and work to resolve them.

  • Step 3: Evaluate the change.


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Identifying Discrepancies

  • Discrepancies to the self

    • Saying one thing and doing another.

    • Using two concepts that are not logical together.

  • Discrepancies between client and the external world.

  • Discrepancies between you and the client.

  • Specific strengths.

    • Identify strengths that can help you resolve internal and external differences.


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Discrepancies

  • Generalities like “always” and “never” and “everybody”

  • Cognitive Distortions:

    • Always needing to be “right,” or that everyone must agree with you.

    • “Black” or “white” thinking, all or nothing….

    • The myth of “Heaven’s Reward”


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Step 2: Point out issues of incongruity and work to resolve them.

  • I’m confused…(eliciting client’s help with your confusion)

  • On one hand, I hear you saying….

  • And on the other hand, I hear you saying….

  • Could you help me understand how those two thoughts go together?


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Evaluating the Change them.(The Confrontation Impact Scale)

  • 1. Denial

  • 2. Partial examination

  • 3. Acceptance and recognition

  • 4. Generation of a new solution

  • 5. Development of new, larger, and more inclusive constructs, patterns, behavior – transcendence.



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