Counseling And Interviewing In Speech-Language Pathology And Audiology

Description

Counseling and Interviewing in Speech-Language Pathology and Audiology includes an overview of the role of counseling and the skills and techniques specific to counseling and interviewing. It provides a solutions-focused approach, integrating counseling and treatment using advanced communication skills to better understand and coach the patient. This unique guide uses original models and inventive techniques to impart the most helpful approaches to counseling as part of the therapy process in speech-language pathology and audiology. Filled with strategically positioned real life scenarios, each chapter delves into a key aspect of counseling, simplifying and clarifying the concepts and methods clinicians will find practical and comprehensive.

Key Features

• Videos with commentary illustrate fundamental counseling techniques as well as errors that can be made in counseling
• Solutions-focused framework assures that clinicians and their clients remain committed to achieving well crafted, disorder-specific goals while they engage in sound and varied counseling methodologies
• Embedded scenarios and case studies derived from real-life clinical settings exemplify a wide variety of speech, communication, swallowing, and hearing disorders along with relevant counseling techniques
• Key concepts are reinforced through Practical Exercises, Journal Assignments, and Class Activities

Table of Contents

1. Contents
2. Introduction
3. Section I: Groundwork for Interviewing and Counseling in Communication Science and Disorders
   1. Chapter 1: The Role of Counseling in Communication Science and Disorders
      1. The Speech-Language Pathologist and Audiologist as Counseling Professionals
      2. The Counseling Mandate
      3. Overview of Skills and Techniques Specific to Counseling
      4. The Speech-Language Pathologist and Audiologist in a World Without Counseling
      5. Limits of the Clinician’s Role in Counseling
      6. Who Gets Counseled?
      7. The Client
      8. The Client Advocates
      9. The Client’s Social and Professional Networks
      10. Integrating Counseling and Treatment
      11. Internal Barriers: Obstacle Dominance and Ego Impedance
      12. A Brief Overview of Historical Counseling Theories
      13. Counseling as Central to the Therapy Process
      14. Counseling for Speech-Language Pathologists and Audiologists
      15. The Interviewing and Counseling Environment
      16. Interviewing Process and Goals
      17. Individual and Group Counseling
      18. Counseling Culturally and Linguistically Diverse Clients
      19. Counseling across the Life Span
      20. Review of Key Points
      21. Practical Exercises
      22. Journal Assignment 1: Hard Habit to Break
      23. References
   2. Chapter 2: A Framework for Effective Counseling in Communication Science and Disorders
      1. Solution-Focused Approach to Counseling
      2. Scope of Practice
      3. Central Philosophy
      4. Assumptions of a Solution-Focused Approach
      5. Illustration of the Approach: Miracle Question
      6. Solution-Focused Counseling as a Process
      7. Overview of the Solution Cycle
      8. Phase One: Learning: “Telling the Story”
      9. Phase Two: Choosing Allies: “Developing the Circle of Power”
      10. Phase Three: Envisioning the Preferred Future: “Setting Goals”
      11. Phase Four: Creating the Preferred Future: “Making It Happen”
      12. Counseling as Intentional Communication
      13. Small Talk: Climate, Attitudes, and Motivations
      14. Information: Knowledge Transfer
      15. Affirmation: Self and Stigma, Confidence and Doubt
      16. Persuasion/Direction: Behavior and Practices
      17. Feeling: Thoughts and Emotions, Willingness and Resistance
      18. Review of Key Points
      19. Practical Exercises
      20. Journal Assignment 2: Miracle Question
      21. References
4. Section II: The Solution Cycle Phase One: Learning: “Telling the Story”
   1. Chapter 3: Responsive Listening
      1. Attending Behaviors
      2. Verbals
      3. Paraverbals and Nonverbals
      4. The Communication Environment
      5. The Responsive Listening Process
      6. Achieving Understanding
      7. Assessing Messages
      8. Responding in the Counseling Setting
      9. Responding to Emotion
      10. Discerning Emotional States
      11. Possible Responses to Emotion
      12. Responding with Empathy
      13. Advanced Counseling Skills
      14. Summarizing and Probing
      15. Challenging
      16. Extracting the Hidden Message
      17. Listening to Clients with Specific Communication Needs
      18. Overcoming Reluctance and Resistance
      19. Review of Key Points
      20. Practical Exercises
      21. References
   2. Chapter 4: Small Talk: Climate, Attitudes, and Motivations
      1. The Clinician–Client Relationship
      2. Professional Standing
      3. Consistency and Reliability
      4. Friendliness and Accessibility
      5. Unequivocal Boundaries
      6. Individual Clinician Style and Personality
      7. Rapport
      8. Creating the First Impression
      9. Building the Stable Relationship
      10. Mutuality of Rapport
      11. Disruptors of Positive Rapport
      12. Client Responsiveness
      13. Achieving Incremental Ownership
      14. Achieving Purpose, Short and Long Term
      15. Achieving Growth, Enthusiasm, and Fun
      16. Avoiding Obsession and Dread, Apathy and Boredom
      17. The Limits of the Best Relationship
      18. The Primacy of Professional Competence
      19. The Willingness to Be Helped
      20. Some Ethical Guidelines
      21. Some Cultural Guidelines
      22. Review of Key Points
      23. Practical Exercises
      24. Journal Activity 3: Make a Good First Impression
      25. References
   3. Chapter 5: Information: Knowledge Transfer in the Counseling Process
      1. The Fundamentals of an Informed Clinician
      2. Guidelines for an Informed Clinician
      3. Basic Facts About Your Clients and Clients’ Peer Relationships and Social Connections
      4. Basic Knowledge of Clients’ Specific Communication Issues
      5. Continuous Listening and Observing
      6. Basic Knowledge of the Treatment Options
      7. The Interview Process
      8. First Contact
      9. Initial Meeting
      10. Question and Answer
      11. Summary and Transition
      12. Closeout
      13. The Fundamentals of an Informed Client
      14. Basic Knowledge for All Clients
      15. Basic Knowledge for Specific Clients
      16. Basic Knowledge of the Treatment Process
      17. The Dangers of Insufficient Information
      18. Transferring Information Throughout the Counseling Process
      19. Knowledge Progression for All Clients
      20. Knowledge Progression for Specific Speech-Language, Swallowing, and Hearing Issues
      21. Knowledge Stages of the Therapy Process
      22. Informing Advocates and Allies
      23. Knowledge Progression as the Process Advances: Why Keep Them Informed?
      24. Knowledge Required by Advocates and Allies for Specific Issues
      25. Knowledge Required by Advocates and Allies throughout Therapy
      26. Review of Key Points
      27. Practical Exercises
      28. Preparing and Helping Clients Tell Their Story
      29. In-Class Activity 1: Developing Interviewing Skills
      30. References
5. Section III: The Solution Cycle Phase Two: Choosing Allies: “Developing the Circle of Power”
   1. Chapter 6: Affirmation: Self and Stigma, Doubt and Confidence
      1. Client Self-Concept
      2. What Self-Image Is
      3. The Role of Self-Concept in Success and Failure of the Clinical Process
      4. The Variety of Roles Clients Play
      5. Stigma and Shame
      6. When Communication Disorders Stigmatize
      7. Self Stigma and Public Stigma
      8. Facing Doubt, Erasing Doubt
      9. Inability and Frustration
      10. The Quit Option
      11. Power and Perseverance
      12. Conviction and Commitment
      13. Review of Key Points
      14. Practical Exercises
      15. References
   2. Chapter 7: Alliances: Getting Support
      1. Identifying Allies
      2. Allies versus Adversaries
      3. Constructing the Circle of Power
      4. Counseling Allies Along with Clients
      5. Understanding the Nature and History of this Client–Ally Relationship
      6. Making the Ally Instrumental in Goal Attainment
      7. Recognizing the Limits of the Clinician–Client–Ally Triangle
      8. Counseling in Groups
      9. Group Therapy
      10. Counseling Families
      11. Support Groups
      12. The Power of the Circle of Power
      13. Review of Key Points
      14. Practice Exercises
      15. References
6. Section IV: The Solution Cycle Phase Three: Envisioning the Preferred Future: “Setting Goals”
   1. Chapter 8: Persuasion/Direction: Changing Client Behavior
      1. Setting Goals
      2. Defining a Goal: Therapy Goals and Counseling Goals
      3. Long-Term Goals and MUSTDO Goals
      4. Appealing to Logic
      5. Presenting a Logical Argument That Is Heard
      6. Distinguishing Logical from Illogical
      7. Creating Agreement
      8. Behavior and Patterns of Behavior
      9. Repatterning Behavior: A New Way of Doing It
      10. Common Roadblocks
      11. Determining Roadblocks
      12. Brainstorming Strategies
      13. Action Planning for Removing Roadblocks
      14. Review of Key Points
      15. Practical Exercises
      16. References
   2. Chapter 9: Readiness as Openness
      1. Discontent with the Old Way
      2. Dysfunctions of the Current State
      3. Assessing Clients’ Quality of Life
      4. The Counseling Integration Matrix
      5. Clients in the CI Matrix
      6. Circle of Power in the CI Matrix
      7. Review of Key Points
      8. Practical Exercises
      9. References
7. Section V: The Solution Cycle Phase Four: Creating the Preferred Future: “Making It Happen”
   1. Chapter 10: Feeling: Thoughts and Emotions, Willingness and Resistance
      1. Stages of Grief
      2. Denial
      3. Anger
      4. Bargaining
      5. Depression
      6. Acceptance
      7. Motivation to Succeed
      8. Achieving Purpose
      9. Achieving Growth
      10. Achieving Ownership
      11. Steps to Determine Emotions
      12. Emotions That Hinder Progress
      13. Addressing Apathy and Boredom
      14. Addressing Resistance
      15. Addressing Discouragement
      16. Addressing Denial
      17. Other Factors That Hinder Progress
      18. Bullying
      19. Facing Crisis
      20. Catastrophic Loss
      21. End of Life
      22. Review of Key Points
      23. Practical Exercises
      24. References
   2. Chapter 11: Goal Attainment: Tools and Strategies
      1. Action and the Preferred Future: The Planning Process
      2. Identifying the Challenge: Frame the Problem
      3. Brainstorming Possibilities: Decide How to Decide
      4. Creating Goals: Determine Acceptability and Choose
      5. Review Goals with MUSTDO Criteria
      6. Strategies within MUSTDO
      7. Making a Decision
      8. Committing to the Process
      9. Deciding to Act
      10. Utilizing Advanced Communication Skills
      11. Themes within the Message
      12. Trusting Your Intuition
      13. Challenging Clients
      14. Finding Leverage
      15. Review of Key Points
      16. Practical Exercises
   3. Chapter 12: Becoming One’s Own Clinician
      1. Finding Solutions
      2. Clients Are Not All the Same
      3. The Core Process
      4. The Reasons Communication Happens
      5. The Confidence Zone
      6. The Birth of Confidence: The Land of Yes, I Can
      7. Maintenance and Generalization: Reducing the Clinician’s Role in Counseling
      8. Lifelong Confidence: The Land of Yes, I Will
      9. Flying Solo
      10. Incremental Independence
      11. Relapse or Regression
      12. The Limits of Progress
      13. Review of Key Points
      14. Practical Exercises
      15. References
      16. Glossary
      17. Index

Author Biography

Cari Tellis, Ph.D., CCC/SLP is an Associate tenured Professor in the Speech-Language Pathology Department at Misericordia University. Her areas of specialization include, voice, laryngeal physiology, laryngeal muscle anatomy and biochemistry, voice and speech science, and counseling in speech-language pathology. A singer herself, Dr. Tellis has devoted her life to the care, rehabilitation, and training of the voice. Dr. Tellis has authored and co-authored over 50 presentations at national, state, and international conferences. She has published her research in prestigious laryngology and voice journals, specifically, Annals of Otolaryngology, Journal of voice, and The Laryngoscope. Dr. Tellis is a licensed and certified speech-language pathologist and has over 13 years of clinical experience. She has taught a master’s level counseling class in speech-language pathology for the past 7 years. Dr. Tellis oversees all vocal rehabilitation services at the Misericordia University Speech-Language Hearing Center.

Orlando R. Barone is currently an Executive Coach and Instructor at The Wharton School of the University of Pennsylvania, and Lecturer in the Emerging Leaders Program, Harvard School of Public Health, Boston, Massachusetts. Lonnie is a frequent op-ed contributor at the Philadelphia Inquirer. He is past instructor in Training and Development at the Graduate School of St. Joseph’s University, and has served on the adjunct faculty at Villanova University. He has instructed at the university level in sociology, education, communication skills, philosophy, and logic. Lonnie received his bachelor’s degree, magna cum laude, from Villanova University and graduate degree from the University of Delaware, where he was awarded the prestigious Unidel Fellowship for two consecutive years. Lonnie is president of Barone Associates, a Pennsylvania-based management consulting firm. He is a state certified counselor who has counseled at the high school and collegiate levels. He has over 25 years’ experience as a coach, counselor, negotiation trainer, change consultant, author, and presenter specializing in interpersonal effectiveness, negotiation, leadership and management development, performance management, team building, and training design.