TOP NINE (9) BASIC COUNSELLING SKILLS

Research is increasingly finding that the type of therapy used is not a important to

outcomes as are specific counselor behaviors such as (1) Enthusiasm, (2) Confidence,

(3) Belief in the patient’s ability to change.

Although there is nothing which will ensure change, it would appear that clients are

more likely to achieve their goals when a good and positive relationship exists between them

and their therapist. In essence the counselor’s interactions with the client are a powerful tool

in the helping relationship.

1. LISTENING

a. Attending - orienting oneself physically to the patient (pt) to indicate one is aware of

the patient, and, in fact, that the client has your full, undivided attention and that you

care. Methods include eye contact; nods; not moving around, being distracted, eye

contact, encouraging verbalizations; mirroring body postures and language; leaning

forward, etc. Researchers estimate that about 80 percent of communication takes

place non-verbally.

b. Listening/observing - capturing and understanding the verbal and nonverbal

information communicated by that pt.

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TWO PRIMARY SOURCES OF INFORMATION:

● CONTENT - what is specifically said. Listen carefully for, not only what a person

says, but also the words, expressions and patterns the person is using, which may

give you a deeper insight. Counselors should develop their ability to remember

what was said, as well as to clarify what was said or finding out what was not said.

● PROCESS - all nonverbal phenomena, including how content is conveyed,

themes, body language, interactions, etc. Smiling

2. EMPATHY

The ability to perceive another's experience and then to communicate that perception

back to the individual to clarify and amplify their own experiencing and meaning. It is not

identifying with the pt or sharing similar experiences-- not "I know how you feel"!

PRIMARY SKILLS ASSOCIATED WITH THE COMMUNICATION OF EMPATHY INCLUDE:

a. nonverbal and verbal attending

b. paraphrasing content of client communications

c. reflecting patient feelings and implicit messages

a. ATTENDING – involves our behaviors which reflect our paying full attention,

in an accepting and supportive way, to the client.

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b. PARAPHRASING - Selective focusing on the cognitive part of the message –

with the client’s key words and ideas being communicated back to the patient in a

rephrased, and shortened form. There are four steps in effective paraphrasing:

I. Listen and recall The entire client message to ensure you recalled it in its

entirety and do not omit any significant parts.

II. Identify the content part of the message by deciding what event, situation,

idea, or person the client is talking about.

III. Rephrase, in as concise a manner as possible, the key words and ideas

the client has used to communicate their concerns in a fresh or different

perspective.

IV. Perception check is usually in the form of a brief question, e., “It sounds

like...,” “Let me see if I understand this,” which allows the client to agree or

disagree with the accuracy of your paraphrasing.

c. REFLECTING PT'S FEELINGS- Affective reflection in an open-ended,

respectful

manner of what the client is communicating verbally and nonverbally, both directly

through words and nonverbal behaviors as well as reasonable inferences about

what the client might be experiencing emotionally It is important for the helper to

think carefully about which words he/she chooses to communicate these feelings

back to the client. The skill lies in choosing words which use different words that

convey the same or similar. For example, if a poorly skilled helper reflected to the

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 client that he/she was “very angry and depressed,” when the client had only said

they were irritated by a certain event, and had felt very sad over the death of a

family pet, the result could be counterproductive to the process of change.

3. GENUINESS

Ability of counsellor to be freely themselves. Includes congruence between outer

words/behaviors and inner feelings; no defensiveness; non-role-playing; and being

unpretentious. For example, if the helper claims that they are comfortable helping a client

explore a drug or sexual issue, but their behavior (verbally and nonverbally) shows signs of

discomfort with the topic this will become an obstacle to progress and often lead to client

confusion about and mistrust of the helper.

4. UNCONDITIONAL POSITIVE REGARD

An expression of caring and nurturance as well as acceptance.

● Includes conveying warmth through:

● Also conveying acceptance by responding to the pt's messages (verbal and

● Respect - ability to communicate to the counselor's sincere belief that every person
possesses the inherent strength and capacity to make it in life, and that each person
has the right to choose his own alternatives and make his own decisions.

5. CONCRETENESS

Keeping communications specific -- focused on facts and feelings of relevant

concerns, while avoiding tangents, generalizations, abstract discussions, or talking about

counselor rather than the client.

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Includes the following functions:

a. Assisting client to identify and work on a specific problem from the various ones

presented.

b. Reminding the client of the task and re-describing intent and structure of the session.

c. Using questions and suggestions to help the client clarify facts, terms, feelings, and

goals.

d. Use a here-and-now focus to emphasize process and content occurring in current

session, which may of help to elucidate the problem being worked on or improving the

problem-solving process.

6. OPEN QUESTIONS:

A questioning process to assist the client in clarifying or exploring

thoughts or feelings. Counselor id not requesting specific information and not

purposively limiting the nature of the response to only a yes or no or very brief

answer.

a. Goal is to facilitate exploration – not needed if the client is already doing this.

b. Have an intention or therapeutic purpose for every question you ask.

c. Avoid asking too many questions, or assuming an interrogatory role.

d. Best approach is to follow a response to an open-ended question with a paraphrase

or reflection which encourages the client to share more and avoids repetitive

patterns of question/answer/question/answer, etc.

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7. COUNSELLOR SELF-DISCLOSURE

The counselor shares personal feelings, experiences, or reactions to the client.

Should include relevant content intended to help them. As a rule, it is better to not

self-disclose unless there is a pressing clinical need which cannot be met in any other way.

Remember empathy is not sharing similar experiences but conveying in a caring and

understanding manner what the client is feeling and thinking.

8. INTERPRETATION

Any statement to the clients which goes beyond what they have said or are aware of.

In interpretation the counselor is providing new meaning, reason, or explanation for

behaviors, thoughts, or feelings so that pt can see problems in a new way. Interpretations can

help the client make connections between seemingly isolated statements of events, can point

out themes or patterns, or can offer a new framework for understanding. An interpretation

may be used to help a pt focus on a specific aspect of their problem, or provide a goal.

a. Keep interpretations short, concrete (see concreteness), and deliver them tentatively

and with empathy.

b. Use interpretations sparingly and do not assume a pt's rejection of your insight

means they are resistant or that you are right.

9. INFORMATION GIVING AND REMOVING OBSTACLES TO CHANGE

Supplying data, opinions, facts, resources or answers to questions. Explore with

client possible problems which may delay or prevent their change process. In collaboration

with the client identify possible solutions and alternatives.

Thanks to the Author : Kevin J. Drab

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