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Bridggette Hambrick: Egan’s Model
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Bridggette Hambrick: Egan’s Model
Egan’s Model of Three Stages
Bridggette Hambrick
HR5633-103
March 24, 2017
OU Advanced Programs
Abstract
Gerard Egan’s The Skilled Helper is an informative book for a person going into the field of counseling. The scenarios show strengthens in using the three stage model in which the therapist can use to help clients move from negative lifestyles; or problems to a more positive approach for making changes in the client’s life. During stage one the helper is assisting the client in discovering their existing situations or issues. Similarly, the counselor is helping the client explore new perspectives of his or her life in stage two. In the last stage, the helper is assisting the client in developing a strategy with skills to cope with current issues and learn new skills to enable the client to have a more productive life.
Introduction
The book The Skilled Helper, by Gerard Egan has a three stage model that is very descriptive for a new helper to follow during therapy. In stage one, the counselor helps the client explore their areas
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The following are questions that counselors use for clients to elaborate answers in which can help the client take notice of their concerns: What’s going on in my life? What new perspective will help me deal with my concerns? Which issues will make a real difference in my life? Additionally, while a client is telling his or her story that alone is therapeutic for the client. By unveiling their secrets to the therapist the anxiety becomes a relief to the client. The client’s physical and emotional tension begins to disappear, because speaking about it helps the client to take notice of the issues, and he/she can start to look for a new perspective in stage two of the Egan
As a result, I am learning how to assist clients without labeling the client and developing a proper diagnosis. Assessing client problems should happen throughout the counseling process. In the beginning, counselors get background information on their clients to help the counselor develop a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders. Correct diagnosis of clients is vital to receive reimbursement from insurance companies for counseling services. Assessments help the counselor determine an appropriate treatment for the client. Assessments can help clients realize their strengths and weaknesses (Whiston, 2017). Helping the client understand their strengths can assist the client in building confidence, reach the clients counseling goal, and implement healthy choices in the client’s
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
These techniques include showing concern for clients through active listening and empathy, showing respect for and confidence in clients, focusing on client’s strong points and positive traits, resources, replacing discouraging thoughts with encouraging ones, and helping clients to develop a sense of humor about life. (Watts & Pietrzak,2000,p 443) Another method, as mentioned earlier is building a strong rapport with the client. Therapists use a variety of techniques to facilitate change in the client’s behavior. Therapists help clients to choose alternative behaviors to the behaviors that are maladaptive. The next method is getting the client to change how he or she views a situation. This is done inside and outside of counseling. Through this technique a client comes to realize their abilities and strengths. Last but not least, therapists help clients draw on their resources and strengths when faced with a situation that seems troublesome. (Watts & Pietrzak,2000,p
One theme of the book that stands out is the counselor as a person and a professional. It is impossible to completely separate one’s personal and professional lives. Each person brings to the table certain characteristics of themselves and this could include such things as values, personality traits and experiences. A great point that Corey, Corey, and Callahan (2010) make is to seek personal therapy. Talking with colleagues or a therapist will keep counselors on their toes and allow them to work out any issues that may arise. This could also prevent counselors from getting into a bad situation. Another good point made in this book was counter transference. Therapists are going to have an opinion and some reactions are going to show through. It is not easy to hide one’s emotions, but a good therapist will keep the objective in sight and keep moving forward. After all, the help counselors are providing is for the client.
The counseling session should be centered on the client and their understanding of their world and/or problems not heavily weighted on the counselor interpretation of the client’s situation. The role of the counselor is to examine a problem needs changing and discover options in overcoming their problem. Bringing about change can help change the client’s narrative on their problem in the future and/or on life in the process.
...ives from the implementation of an empathic, hopeful continuous treatment relationship, which provides integrated treatment and coordination of care through the course of multiple treatment episodes” (Watkins, 2015). Whether, confronted with a substance use disorder, gambling or sex addiction the way in which a counselor work with the client in an open helpful manner is the key to motivating the client to change their behaviors. “A man convinced against his will, Is of the same opinion still” (Carnegie, 1981). The most piece of the helping relationship is that the client is the lead in their care, as they are the ones that will be making the decisions for their care. A counselor is essentially a trained skillful teacher that guides an individual toward their best recovery options and it is up to the individual to make the needed changes in their life and behaviors.
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
Nelson, P. (2007) an Easy Introduction to Egan’s skilled Helper Solution Focussed Counselling Approach. Available at: http://mystrongfamily.co.uk/downloads/PDFs/SFP-EasyIntroToEgan.pdf [Accessed 13th February 2014]
Counseling skills has provided me with a valuable insight into the helping relationship and how it is both created and maintained in order to encourage growth and development in the client. The factors involved within the helping relationship include considering Roger’s core conditions, congruence, unconditional positive regard and empathy as the three main characteristics necessary in a helping relationship. In order to fully incorporate all three of Roger’s core conditions, I as the counselor must be self-aware, as a lack of self-awareness may inhibit truly listening and understanding the client; self-awareness can be enhanced through exercises such as Johari’s window. Counseling skills such as body language and active listening also plays a role within encouraging the client to open up and can help me as the counselor convey empathy.
The counselling process is one that may last for as little as one session or for years, it is within the middles stages of the helping relationship that particular counselling skills such as a focusing, challenging and immediacy can be implemented, as well as use of advanced empathy that can be applied due to increased familiarity with a speaker. Many actions may occur within middles stage of the helping relationship such as transitions that occur for a multitude of reasons and the outcome of which can vary based on the attitude of the speaker. Self-awareness remains vital throughout the entire counselling relationship due to the continual influence of empathy in the helping relationship and remaining aware my own motives and values when using advanced empathy and specific counselling skills. Ethics and boundaries are also involved within the counselling process as within a counselling relationship, I as the counsellor, must be careful with the balance or expenditure of power when challenging.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.
There are few circumstances counselors have to oblige when dealing issues from clients. Counselors have to be trustworthy; this is a fundamental to understanding and solving issues. Counselors have to keep information gathered confidential and restrict any disclosure of information to anybody. Clients voluntarily seek help to counselors for therapy or any kind of help they need. Hence as a counselor it is important to respect their clients’ self-government and ensure precision in information given. Commitment of a counselor plays a big role in a therapy. It is not ethical for a counselor to neglect a client such that the client’s well being is not taken care of. It is also important for counselors to have a fair treatment with all their clients. No matter how each client will be, there must not be any form of judgment, which will cause any form of unfair