TPCP UNIT 1 pdf
TPCP UNIT 1 pdf
1 Definition of counselling
Behaviour change can be observable in the ways client act, their coping skills decision
making skills and relationship skills
Change in beliefs may include thinking about oneself, others and the world or emotional
concerns relating to all these
The desire for change can come from identified problems such as loneliness,
uncontrollable anxiety, or poor social skills or from a desire for a good life. Sometimes the desire
for change can occur even in the absence of clear problems. For example: a couple may seek
counselling for more intimate relationship though there is no serious problem
Counselling process
Counselling is developmental:
Remedial counselling:
Carl Rogers (1942) explained that the solutions imposed by others are likely to fail
because others do not know the uniqueness of the individual or the person’s power to change.
Therefore, Counsellor needs to help clients to understand themselves their problems better. The
clients also need to understand their personal resources for change. Counsellor do not impose
goals from outside the individual
Guidance focuses on helping individuals to choose what they value most. Guidance help
individuals to make important choices that affect their lives, such as deciding a course of study at
college, career for future. It is used in helping the less experimental person. For example students
have received guidance from teachers, parents and coaches. Religious leaders also help in
guiding individuals to make choices. For example, guidance from religious leaders are obtained
to perform rituals for child and marriage
So, guidance means helping individuals to choose what they like most whereas
counselling means helping them when they need to make changes
The word “counselling” is used in many areas like college admissions, course selection,
and employment / job selection and in hospitals for pregnant woman, new mothers, and those
aspiring parents.
1. counselling deals with wellness, personal growth, career, education, and empowerment
concerns
2. counselling can be conducted individually or in groups and in families
3. counselling deals with variety of individual and different cultures also
4. counselling is a dynamic process. Counselling focuses on clients goals, and helps them to
achieve it
However, in modern times, professionals who provide clinical services, decide whether
the client should receive counselling or psychotherapy. Counselling and psychotherapy process
overlaps most of the time.
Goals of counselling
Outcome goals are the intended results of counselling. They are what the client desires to
achieve as a result of his or her interactions with the counsellor.
Outcome goals are described in terms of change in the client that will be observed after
the counselling and outside the counsellor’s office
Change in the client can take place in several forms the first one is behaviour change.
This type of change is the easiest type to recognise, because it is external and observable.
Behaviour change may be solution to a problem – for example a child learns to request and get
things, instead of using physical aggression to get whatever he wants
A behaviour change might also lead to interest for personal growth. For example: a
middle-aged individual who shows interest in higher education or learning computer skills for a
new career.
Counselling may also improve an individual ability to cope with life situations. Certain
environmental conditions are difficult to manage if we learn to manage such situation it may lead
to satisfaction in life. For example: adolescent who fails in the school final exams has to face the
shame and disappointment and also the Parents reaction to his failure. If He learns to manage the
situation he will be able to move forward in life. If he as poor coping skills he would decide for
poor decision such as suicide
For example
As mentioned before, the adolescent who fails in his final exam, can identify the problem
of failing in exams; more specifically low marks in any particular subject or subjects. The
solution is to reappear for the subject in the next exam.
The alternatives that are available may be reappearing for the failed subjects, or joining a
coaching class, learning from the concerned teacher, friends or a neighbour who is helpful
The adolescent can also think about the possible consequences, in which parent
appreciate preparing for the next exam, or approaching somebody coaching for the subjects.
A counsellor can help the client to think about the possible solutions, alternatives and
consequences of decisions
Counselling may also contribute to make important life decisions. Counsellors helps the
client to make self-assessment to use the information available and to identify relevant sources
for information, this will help the client to arrive at a personally satisfying answers.
This type of change in beliefs and values are not directly observable. A change in beliefs
may occur due to the counselling. This may be seen from their talk or conversation changes in
beliefs often lead to behaviour change, but they can also make present behaviour more satisfying.
For example: a parent who changes his/her view point about an adolescent daughter’s
behaviour, will see her disobedient behaviour as normal for the adolescent age; will he less upset
by it and does not react with anger.
An additional result of counselling is the relief of emotional distress. Many times, the
relief from emotional distress is the only one expected necessary change. When individuals have
been troubled by a loss or tragedy in their lives, they would benefit largely from the emotional
release. For example, when somebody’s house has been destroyed in the cyclone or tsunami or
earthquake may need counselling to vent the fear during the event and the sad and angry feelings
about the losses. (The affected individuals enter professional counselling because they need a
place to safely vent out those feelings and feel sure they will be accepted and understood)
This emotional stress may be interfering with their activities and they need relief from
this psychic pain. Counsellors need to attend to the irrational thoughts, inadequate coping skills
that Continues the emotional distress which will release their distress and bring about a change.
Change that occurs in counselling can influence feelings, values and attitudes, thoughts
and actions. If change occurs in one dimension, counselling is said to be a success
Another goal of counselling is to make the client understand the true margins of their
freedom to behave
Freedom is the power to determine one’s own actions, to make one’s own choices and
decisions. Freedom is limited by the responsibility it is not a license to do whatever one likes to
do. An individual’s behaviour should not be threatening to the family, friends, teachers,
employees or the society at large. So the freedom is limited by the responsibility towards others
and society
It also means that the individual should not make decisions which affect their own lives
for the future. Counsellor works with the client to make him understand personal freedom. Free
and responsible behaviour means individuals are in the change of their own lives and also
recognizes that they are part of the society. The freedom to behave may be limited by social rules
and laws
We need to realise that negative feelings are present even in people who are leadings
satisfactory lines. Therefore, counsellors should not be tempted to help the client for eliminating
anxiety, sadness or anger. The goal of counselling is to leave clients with situation appropriate
levels of negative feelings. It is normal to feel anxious about an important decision or event. It is
normal to feel very angry at someone who has stolen things at home. Grief is also normal after
experience of death of a friend or a member of a family
Therefore, the goal of counselling is to help individuals understand these feelings, and to
reduce debilitating anxiety, over whelming sadness or extreme anger
1.4.2. Process goals of counselling
We shall refer to the definition of counselling once again. We have so far understood one
part of the definition – counselling leads to a change
Now we shall look into the other part of the definition – counselling is an interactive
process – characterized by a unique relationship between counsellor and client
Now we shall understand the goals of counselling process. Process goals are different
from outcome goals.
(In contrast) but the process goals are those that the counsellor consider helpful in
bringing about the outcome goals.
Process goals are plans for events that take place during the counselling sessions and in
the counsellor’s office
Process goals are described in terms of the counsellor’s actions or behaviour. It includes
active listening by the counsellor to understand the importance of his feelings regarding his
present and future well being counsellors should understand how clients attitudes influence the
way he behaves towards important people. The counsellor should actively listen to understand
the surrounding circumstances, cultural background that relate to clients concerns / problems.
Another kind of process goal relates to how the counsellor acts as a model or an example.
By modelling appropriate responses to frustration, disappointment or negative feelings, the client
learns the ways of responding. For example, when a client is late for the session repeatedly and if
the counsellor deals with him in an appropriate manner without shouting or being aggressive, the
counsellor is demonstrating to the client, an alternate way to react when frustrated.
Stages of the Counselling Process: A process is an identifiable sequence of events taking
place over time. It implies progressive stages in the process. Counseling also has a predictable
set of stages that occur in any complete sequence.
Stage-I Initial Disclosure: At the beginning of counselling the counsellor and the client
typically donot now one another.Perhaps the counsellor has some basic information about the
client from an intake form. And the client is probably anxious about disclosing concerns because
he or she is not sure how the counsellor will receive the disclosures. One important task of the
counsellor in the first stage of counselling is to remove the client’s fears and encourage self-
disclosure. Without honest self-disclosure by the client counselling is an empty enterprise.
Attending is an important counsellor behaviour at the onset of counselling. Attending is simply
paying careful attention to the client’s words and actions. Attending behaviour is apart of the
initial disclosure stage because it begins when the first contact between client and counsellor
occurs. But it remains important throughout all stages of the counselling process. This first stage
is also described as the “definition of the problem”. To encourage client disclosure counsellor
must offer a climate that promotes trust in the client. Carl Rogers described these trust-promoting
conditions as the characteristics of the helping relationship. It includes Empathy; Congruence or
genuineness; and unconditional positive regard. Another condition that has relevance throughout
the counselling process is Concreteness. Concreteness promotes clearer insight by the clients into
his or her life. If these conditions are present in the initial disclosure stage of counselling .clients
will be encouraged to talk freely and to elaborate on their concerns. If clients are not positively
disposed toward the counsellor in the first few sessions they are at risk for dropping out of
counselling.
Stage-II In-Depth Exploration: In the second stage of counselling the client should reach
clearer understanding of his or her life concerns and formulate astronger sense of hope and
direction. At this stage the goals are not precisely defined and the means to reach them are still
not clear. This self-exploration is possible only if the trust and the client engagement that were
built in the first stage are maintained. As the relationship becomes more secure the counsellor
alsobegins to share with the client the observations about the client’s goals and current
behaviour. This is called confrontation. Immediacy is another quality of the counselor’s
behaviour that becomes important in the second stage of counselling. It can refer to general
discussions about the progress of the counselling relationship;counselor’s immediate reactions to
the client’s statements and a self-involving response.Immediacy responses can be openly
supportive or confrontative.
The second stage of counselling frequently becomes emotionally stressful because the client
must face the inadequacy of the habitual behaviours and must give up those inorder to obtain the
desired goals. In the second stage the client and the counsellor come to a mutually acceptable
assessment and diagnosis of the problem.
Stage-III Commitment to Action:In the final stage of counselling the client must decide how to
accomplish any goals that have emerged during the previous two stages. If no action has been
taken to accomplish the goals identified through the counselling process;then the third stage of
counselling can focus on increasing the client’s commitment. The third stage includes identifying
possible alternative courses of action the client might choose and assess each of these in terms of
the likelihood of outcomes. Various courses of action are developed by the client with
encouragement from the counsellor. Once an action plan is chosen the client usually tries some
new behaviours while remaining in touch with the counselor. The counsellor gives support for
trying new behaviours and helps the client to evaluate the effectiveness of new behaviours or
new conceptions of reality which may relate to reduction of stress. When the client is satisfied
that the new behaviours are woring satisfactorily counselling is complete.
Nonlinearity of stages: The process explained depicts each succeeding stage as dependent
on the preceding one. That is unless problems have been defined it is not possible to establish
goals and unless one has established goals it is not possible to effectively evaluate possible
courses of action. The counselling process also needs to be modified somewhat in certain
situations . the special needs of clients from diverse backgrounds .clients in crisis minor clients;
and those not competent to manage their own affairs require that counsellors be flexible in their
counselling. This implies that the stages are fluid as new insights open up; depending on the type
of client or the problem.and will lead to further exploration of previous stages as counselling
progresses. The linear conception of stages is an oversimplification and it is important to
recognise the limitations of such a stage mode It means that the stages may not follow the
sequence and can be nonlinear also.The third stage is a decision maing and action time.
1.5 Summary :
They focussed on teaching children, young adults about themselves, others and the world of
work. Their counselling was based on moral education about being good and doing right and to
deal with relationship problems.
Let us look into the important events and significant contributions by some of the authors.
1900 – 1909: During this period, three persons made important contributions to the area of
counselling.
Frank Parsons, called the founder of guidance, focused his work on the growth and prevention.
He started Boston’s Vocational Bureau in 1908, which is a major step in institutionalising
vocational guidance. He was working with youth as a lawyer, engineer, a college teacher and a
social worker. At the bureau, parsons was working with young people who were in the process of
making career decisions. His book on “Choosing a Vocation” (1909) lead to the recognition of
vocational planning.
Jesse B. Davis was the first person to set up a systematised guidance program in the public
schools. He suggested that classroom teachers of English composition to teach their children, a
lesson in guidance once a week. Goal of this program was to school guidance program.
Clifford Beas, wrote a book titled, “A Mind that found itself” in which he described poor
conditions in mental institutions. He suggested better mental health facilities and reforms in the
treatment of people. His look was a “Forerunner of Mental Health Counselling “.
1910s – In this period, three events had a profound impact on the development of counselling.
The first was in 1913 in which “The National Vocational Guidance Association”(NVGA) was
founded. This lead to the legislation which provided funding for public schools to support
vocational guidance.
The next event was World War 1. During the war, counselling became more widely recognised
for testing and placement for military personnel. Psychological instruments were developed for
use with army personnel. Significant among them were Army Alpha and Army Beta Intelligence
Tests. After the war, psychometrics became a popular movement and became an early
foundation for counselling.
1920s – During this period, education courses for counsellors had began at Harvard University in
1911. This course exclusively emphasized vocational guidance during the 1920s.
A notable event was the certification of counsellors in Boston and New York in Mid 1920s.
Another turning point was the development of standards for the preparation and evaluation of
occupational materials. As a results, Edward Strong’s Strong Vocational Interest Inventory
(SVII) was published in 1927. This gave future direction for assessment in counselling.
Another interesting event was the establishment of the first marriage and family counselling
center in 1929 by Abraham &Haunah Stone in New York city.
1930s – Important event of this decade was the development of the first theory of counselling,
proposed by E G Williamson and his colleagues at the university of Minnesota. He modified
Parsons theory and used it for counselling students and the unemployed. He emphasised on a
direct, counsellor – centred approach known as trait factor counselling.
Another major occurrence was the broadening of counselling beyond occupational needs. John
Brewer brought this change as he proposed that every teacher should be a counsellor and the
guidance should be part of the school curriculum. Brewer published a book titled education as
guidance in 1932.
US Government became more involved in guidance and counselling. Government passed the
George – Dean Act in 1938, which created The Vocational Education Division. US Employment
Service published the first edition of the Dictionary of Occupational Titles in 1939. This became
a major source of career information for guidance specialists.
1940s – During this period, three major events shaped the practice of counselling:
The second event was world war 2. War resulted in a new way of looking at vocations for men
and women. US Government needed counsellors and psychologists to help select and train
specialists for the military and industry.
After the war, US Government further promoted counselling through the George Barden Act of
1946, which provided vocational education funds for counsellor training institutes. In addition,
veterans administration ------------------------- specifications for vocational counsellors and coined
the term “Counselling Psychologist”. Counselling psychology growing further as a profession.
1950s – This is the period which produced atleast five major events that contributed most to the
history of counselling.
Beginning of the American School Counsellor Association (ASCA). In 1953 ASCA was
chartered. It joined APGA as its fifth member or division, and increased its membership.
Establishment of Division 17: In 1952, the society of counselling psychology of APA was
formally established. It is known as the Division of Counselling Psychology. APA influenced
this division, to work with a more normal population than those seen by clinical psychologists.
This division had a major impact on the growth and development of counselling as a profession.
National Education Act: This act was passed in 1958 with a purpose to identify scientifically and
academically talented students and promote their development. In 1964, NDEA was extended to
include elementary counselling and the results were impressive. The number of school
counsellors increased to a bigger member.
New Theories: The last major event during this decade was the emergence of new guidance and
counselling theories. During the 1950s, the new theories emerged: Applied Behavioural
Theories, such as Joseph Wolpe’s Systematic Desensitization began to gain influence. Cognitive
theories such as Albert Ellis’s Rational Emotive Therapy, Eric Berne’s Transactional Analysis
and Aron Beck’s Cognitive Therapy. Learning theory, self-concept theory, Donald Super’s work
in career development and advances in developmental psychology made an impact.
1960s, GilbertWrenn released the book titled “The Counsellor in a changing world” in 1962. The
focus was on counselling as a developmental profession. Gilbert Wrenn’s approach was
supported by Leona Tyler and Donald Blocher, and used counselling to resolve developmental
needs.
Another important event was the passage of the 1963 Community Mental Health Centers Act,
which authorised the establishment of community mental health centers. These centers lead to
drug abuse counselling in 1960 in the mental health centers.
In 1961, APGA published a “sound code of ethics for counsellors”. Also during 1960., AGPA
report summarized role definitions and training standards for school counsellors. The division
published a professional journal “The Counselling Psychologist” with Gilbert Wrenn as its first
editor.
Another noteworthy development was the establishment of Eric Clearing House on Counselling
and Personnel Services (CAPS) at the University of Michigan in 1966. It also sponsored
conferences on leading topics in counselling.
1970s – This period is noted as special with the formation of helping skills program, also it was
the beginning of licensure. Counselling related to diversity such as working with women,
minorities and people with disabilities were initiated.
The rapid growth of counselling for diverse groups emerged as a result of title IX of The
Education Amendments, along with affirmative action laws and antidiscrimination against
people with disabilities.
In 1976, American Mental Health Counselling Association (AMHCA) within APGA, was
formed, which become the largest professional organization.
Helping skills programs: This program was begun by Truax and Carkhuff (1967) and Ivey
(1971). These programs concentrated on relationship and communication skills. They taught
basic counselling skills to the professionals and non-professionals equally. The emphasis was
humanistic and eclectic.
State Licensure: Board of examiners for psychologists had restricted graduates of education
department counselling programs from taking the psychology licensure exam, which caused
tension. The result was APGA’s decision toward state and national licensure for counsellors.
A strong APGA: The association had built its own headquarters in Alexandria, Virginia. In 1973,
The Association of Counsellors Educators and Supervisors (ACES), a division of APGA,
outlined the standards for a masters degree in counselling, ACES also approved guidelines for a
Doctoral preparation in counselling.
Chi Sigma Iota, an International academic and professional honoursociety was formed in 1985
by Thomas. J. Sweeney, to promote excellence in the counselling profession.
Followed by this in 1986, American Association of State Counselling Boards (AASCB) was
established by Ted Remley. AASCB was legally responsible for the registration, certification or
licensing of counsellors within USA.
Increased emphasis as human growth and development: This emphasis took several forms.
Developmental counselling across the life span was focussed. As a result of increased emphasis
on the development of adults and the elderly resulted in the formation of Association for Adult
Aging and Development (AAAD).
The resulting developments were attention to gender issues, sexual preferences, and feminist
theory based on the development of moral values of females by Carol Gilligan. An emphasis on
moral development and models of moral reasoning referring to Lawrence Kohlberg’s theory
(1969). In focussing on multicultural issues, The Association for Multicultural Counselling and
Development took the lead.
1990s – This period had a significant change in 1992, during which AACD modified its name
and become American Counselling Association (ACA)
A second event was, counselling was included as a primary mental health profession in the
health care human resource statistics compiled by the centre for mental health services and The
National Institute of Mental Health in 1992.
A third event was the writing of the multicultural counselling competencies and standards by
Sue, Arredondo and McDavis in 1992.
A fourth issue was a focus on health care and an increase in managed health care organizations.
Many counsellors became provider under these organized ways of providing services. Emphasis
on legislation forced counsellors to become increasingly informed.
In addition, there was a renewed focus on counselling issues related to whole person, and
importance of Organism-Context interaction.(Contextualism). These factors include spirituality,
family environment, socio-economic considerations, impact of groups and group work and
prevention.
Some of the topics demanding counsellor’s attention in the new century, are violence, trauma, and crises,
managed care, wellness, social justice, technology, leadership and identity.
In 2002, counselling, finally celebrated its 50th anniversary, as a profession under ACA
Another emphasis was to help the individuals with acute stress disaster(ASD) and post traumatic stress
and disorder (PTSD). Crisis counselling gained importance for dealing with stress resulting from trauma.
2.3.3 Promoting wellness A model for developing wellness has been developed by Myers Et al
(2000) Myers, Sweeney, and Witmer (2000) defined wellness as a way of life oriented toward optimal
health and well being: the model consisted of five life tasks:
The purpose of advocacy is to increase a clients sense of personal power and to help socio-political
changes that can take care of clients personal needs.
Counsellor for social justice (CSJ) and ACES are the leading groups, in the American counselling
association, for advocacy and social justice
2.3.5 Greater emphasis on technology
Technology use has grown rapidly in counselling. The no of network based computer applications in
counselling has been increasing
Listservs and bulletin board system (BBSs) have become popular for posting messages and encouraging
dialogue between counsellors. For example CES net. Email and websites are maintained by individuall
counsellor and counselling organisations.There are even online professional Counselling Journals, the
first being the Journal of technology in counselling and the recent being – The Professional Counsellor
Research and Practice
Wellness – a positive state of well being through developmental, preservative and wellness enhancing
interventions
Social justice – it refers to valuing of fairness in sharing the resources, rights and treatment for those
individuals who do not share the power in society because of immigration, community, age, socio-
economic status physical disabilities or due sexual orientation.
Cyber counselling – It refers to the practice of professional counselling and information delivery
through electronic means usually the internet .Both the counsellor and client interact on the internet for
counselling purposes. When the client is geographically far away, when the client is shy to meet in person
or during emergencies, interacting on the Net is found to be very helpful.
2.5 Summary
Counselling is a profession concerned with wellness, prevention, development and
situational difficulties. It also gives importance to wellness of the helping persons with
psychological disorder.
Counselling is based on principles and theories that has evolved over the years.
Important developments and events in the history of counselling are as given below;
It began with the simultaneous activities of Frank Parsons, Jesse. B. Davis and
Clifford Beers
Frank Parson started Boston vocational bureau in 1908. His book on “choosing a
vocation” lead to vocational planning
Clifford Beers wrote a book on poor conditions in mental health institutions. Title of
the books was “A mind that found itself”. This book lead to the mental health
counselling
Jennie B. Davis was the first person to set up a systematic guidance program in the public
schools
In the period between 1910 and 1920 the national guidance association (NVGA) was founded.
Psychology instruments were developed for use with army personnel psychometrics became
popular
In 1920’s
education courses for counsellor had begun at Harvard university certification of counsellor
began in boston and New York
Importance for assessment in counselling was created
First marriage and counselling centre was started in New York city
In 1930’s
In 1940’s
In 1950’s
In 1960’s
The focus was a developmental needs and counselling. Gilbert Whemer released the book
titled – the counsellor in a changing world
Focus was a attending to special needs created by war, civil rights movement and the
movement’s movement
Humanistic counselling theories were proposed by Douglas Arbrickle, Abraham Maslow and
Sidney Jerard
Behavioural counselling also gained importance
Community mental health centre were started drug abuse counselling gained importance
In 1970
Formation of helping skills and counselling relating to diverse population was developed
1980’s: Counselling continued to grow as a profession with events such as
1990s – This period had a significant change in 1992, during which AACD modified its name
and become American Counselling Association (ACA)
A second event was, counselling was included as a primary mental health profession
in the health care human resource statistics compiled by the centre for mental health
services and The National Institute of Mental Health in 1992.
21st century Some of the topics demanding counsellor’s attention in the new century, are
violence, trauma, and crises, managed care, wellness, social justice, technology, leadership and
identity.
In 2002, counselling, finally celebrated its 50th anniversary, as a profession under ACA
APG and published code of ethics for counsellors
Professional journal of ‘the counselling psychologist’ was published
Authors Books
Frank Parsons 1909 Choosing a Vocation
Clifford Beers 1908 A mind that found himself
John brewer 1932 Education as Guidance
John Krumboltz 1966 Revolution in counselling
Carl Rogers 1942 Counselling and Psychotherapy
Gilbert Wrenn 1962 The counsellor in a changing world
John Kimboltz 1966 Revolution in counselling
They should follow the ethical standards and legal limits. The ethical behaviour in counselling
can cause serious problems to the profession and the clients
The effectiveness of a counsellor and counselling depends on many aspects. There are three
important factors we shall discuss, in their lesson.
Everyone who qualifies for a counsellor profession should not enter the field. Before taking up
the education or counselling career, each individual should analyse themselves, motivation for
becoming a counsellor
Because, the individual personality has to match the demands of counselling. They should
understand their own personal qualities and ability to understand clients in difficult situations
But sometimes it is seen that individuals choose counselling profession, for personal reasons.
Personal reasons may include unresolved personal problems, unable to lead a meaningful life,
not having friends, desire for power, need for love, and the unresolved anger. Individuals with
these problems and satisfy their need for love and friends. If these personal reasons have
motivated the individuals to take up counsellor profession, they are called dysfunctional
motivators
They also pointed out that the counsellor should have the ability to set aside personal needs to
take care of others needs first. The individuals need to have tolerance for the emotional
closeness due to sharing of personal problems of the client. The counsellor should be capable
of accepting power with a certain degree of detachment. An important additional quality is the
sense of humour
1) The ability to learn and thin creativity; which is called intellectual competence
2) Active in sessions even if the sessions are long or when many clients are met
3) Capacity to encourage clients in making their own decisions while helping to instill hope in
the
clients is characteristics of an effective counsellor
5) Knowledge of self, his own attitudes, values and feelings and his own limitations
6) Multiple life experience to realise and understand what their clients are going through
7) Successfully integrated scientific knowledge and skills into their lives
Both happy and traumatic experiences are problematic because of the stress they create. Counsellors
have to carefully monitor, so that it does not affect their effectiveness with clients.
A counsellor who is in need of help and unable to focus on the client interests is referred as an impaired
counsellor or a wounded healer. Effective counsellors maintain their health and health by taking
preventive measures to avoid burn out. Burn out is the state of becoming emotionally or physically
drained to a point that one cannot perform functions meaningfully.
To avoid burn out, counsellors need to develop interests outside counselling. They must avoid taking
their work home, either mentally or physically. They can change the interior for the office setting and
create new files for rejuvenating themselves.
There are three levels of helping relationship: non professional, paraprofessional and professional.
The first level of helping involves non- professional helpers. They may be
Level 3 Professional
Level 2 Paraprofessional
Level 1 Non- professional Friends colleagues untrained
volunteers
Level-2 A second and higher level of helping is known as generalised human services workers.
These individuals have received some formal training in human relations skills but work as part
of a team. They usually work as mental health workers, child care workers, and youth
counsellors.
Level-3 Finally, there are professional helpers these persons are educated to provide assistance
on both preventive and remedial level. This group of helpers include counsellors, psychologist,
psychiatrist, social workers, Psychiatric nurses, and marriage and family therapist. This level
people have undergone supervised internship. They are well prepared to deal with variety of
situations.
Psychiatristhas a medical degree and complete their training in psychiatry. They are trained to
focus on the physical process underlying mental and emotional disorder. They are not engaged
in counselling activities.
The accrediting body for counsellor education program is the council for accreditation of
counselling and related educational programs (CACREP). This CACREP is to establish standards
and guidelines for counselling. For accreditation the standards are
a) Masters level program must be a minimum of 2 full academic years, with a minimum of
48 semester hours
The skill competence along with curricular experiences are required in eight core areas of
Counselling :
For clinical experience, student must complete 100 hours of a supervised practicum which
include individual supervision and group supervision
CACREP accredits programs on the doctoral level too in education and supervision (EdD and
phD)
Credentialing of counselling: With the recognition of counselling as a separation profession,
obtaining proper credentials to practice has become important credentialed counsellor possess
enhanced visibility and credibility.
Two types of professional credentials have considerable prestige. They are certification and
licensure. The other two types of professional credentials are inspection and registration.
Credentialing procedures have four levels, they are given in the table given below
1) Inspection
2) Registration
3) Certification
4) Licensure
Attribution is what the counsellor attributes the cause of a clients problem. It may be an
external circumstance or an internal personality problem.
A system is a unified organised set of ideas, principles and behaviours System associated with
counselling are interrelated to attributes and theories. System is concerned with how the
counsellor approaches clients.
3.8.1 Attributes
Both counsellor and clients enter a relationship with some assumption about what may have
caused the problem. However, diagnostic decisions, symptom recognition and prediction
regarding response to treatment and treatment outcome are often influenced by counsellor’s
explanation about the cause of the problem.
For example: If client’s problem is due bad decision making, then the client may be blamed. If
the cause of a problem is viewed as beyond their control such as trauma of an expected death,
the client may be treated sympathetically.
There are four attribution models that counsellors use either consciously or unconsciously they
are
1) Medical model
2) Moral model
3) Compensatory model
4) Enlightenment model
1 Medical model – according to this, clients are not held responsible for either the cause of
their problem or its solution counsellor who adopt this model act as experts and provide the
necessary services for change. Clients may become dependent.
2 Moral model – according to this, clients are seen as responsible for both causing and solving
their problems. Therefore counsellors provide coaching or motivation to the client. In this, the
client who is a victim of circumstances may be held responsible for their own victimization.
3 Compensatory model - according to this model, clients are held responsible only for solving
their problems but not for causing them. Clients are viewed as suffering from the failure of their
social environment to meet their needs.Therefore, clients and counsellors form a partnership to
overcome problems. In this, counsellor takes the role of a teacher, provides education, skills
and opportunities for clients.
4 Enlightened model – this model holds clients responsible for causing their problems but not
for solving them. Clients are seen as guilty individuals whose lives are out of control. They need
enlightenment into their problem, which the counsellor can provide. Clients may become
dependent on the counsellor.
a)Developmental/wellness approach:
This approach to counselling is based on stages that people go through as a normal part of
human growth. Counselling from this perspective is to understand whether the clients problem
is part of a developmental task of life or not. Behaviours that are appropriate at one stage of
life are not as healthy at another stage of life.
Allen Ivey (1990) integrated developmental growth with counselling strategies. It is the first and
unique approach. He also suggested that piagetian concepts of cognitive levels can be applied
to clinical interviews with adults and children. For example: if clients do not initially recognise
their feelings, counsellor will work from a sensor – motor level to bring out emotions. In
another situation, clients can be helped using a formal pattern of thought, to plan strategies for
change.
Developmental counselling and therapy (DCT) developed by Ivey and Ivey (1990) specifically
deals with sequence and process of development as it occurs.
In the wellness perspective, individuals are seen as having the resources to solve their own
problem in a practical and immediate way. Rak and Patterson (1996) point out that at risk
children show resilience and become coping adults. An example of a counselling approach
based on the wellness model is solution – focussed theory. In this approach, the emphasis is on
health and strength. In this clients are helped to look into their inner resources and find
solutions which exist already in their lives, some of them are common to others.
Another example of a present and future wellness approach, is stress inoculation training (SIT)
(Meichenbaum 1993) a psycho- educational intervention. It can be used in schools and with
adults. In this model, individuals are helped to understand their problematic situations, acquire
skills for coping with them. They are trained to apply this knowledge to present and future
events.
b)The medical/pathological model: The professional who use this model have their treatment
plans in accordance with the diagnostic and statistical manual mental disorder. This DSM is
comparable with the international classification of diseases manual (ICD) which is published by
the world health organisation, in codifying psychiatric disorders.
The chapter in the fifth edition of the DSM are organised in a developmental life spam. DSM
deals with individual diagnoses, many of which is severe. Therefore the classification system is
of limited value to group workers, marriage and family counsellor, and counselling
professionals. These counsellors do not work with highly disturbed populations DSM is logically
and developmentally organised and is useful for neurobiological research.
The DSM system helps counsellor to recognise patterns of mental distress in clients; so that
such clients can be referred to other mental health professionals.
Becoming a counsellor is a life – long process. It continues beyond academic qualification and
training. It is necessary to participate in professional activities relating to counselling.
One of the activities is participating in continuing education units ( CEUs ) to stay upto – date on
theories and practice, and also to get needed supervision.
Continuing education:
New ideas in the treatment and practice of clients are always evolving and must be mastered.
Therefore there is a need for continuing education for all counsellors. CEUs are offered by
approved professional counselling organisations.
Supervision:
This is another way to improving professional counselling sills. Supervision is an interactive and
evaluative process in which someone with more proficiency overseas the work of someone
with less knowledge and skill. This helps to enhance the professional functioning of the junior
member.
Supervisory techniques in counselling are reflective team model, triadic supervision and peer
supervision.In the reflective team model, graduate students are asked to collaborate, brain
storm and tae their clients’ perspectives. It is an innovative way of providing group supervision,
especially working with couples and families.
In triadic supervision, as described by CACREF as two supervision working with one supervision
in a process that involves all the three members simultaneously. It is also a good method of
supervision in which growing counsellor can gain insight from both their supervisor and a peer.
Peer supervisioninvolves supervision among equals. They can both gain and give information
about themselves and their clinical abilities.
Advocacy and social justice:In addition to other characteristics and related qualities,
counsellors engage in advocacy and social justice work. Advocacy is defined as promoting an
idea or a cause through public relations. It involves networking and education.
Social justice refers to the idea of creating a society or institution that is based on the principles
of equality that values human values and also recognises the dignity of every human being.
Counsellors need to keep portfolios for the purpose of licensure, managed care organisations,
employer evaluations, and also for new jobs.
Counsellor portfolios
A presentation portfolio usually consists of materials needed for a particular project, such as an
expert witness in a court of law.
Counselling is an active profession based on values which directs about what is good and how
that is good should be achieved.
`Because counselling is a complex and multi - faceted profession, Counsellors who are not clean
about their values , ethics and legal responsibilities they can cause harm to their clients, though
they have good intensions to help.
It is vital for counsellor to be knowledgeable about themselves, ethics and laws pertaining to
the profession of counselling.
Ethics, Mortality and law:Ethics involves making decision of a moral value about people and
their interaction in society. Ethics is defined as a philosophical discipline that is concerned with
human conduct and moral decision making. Ethics are normative and focus on principles and
standards that govern relationship between individuals.
Professional ethicsare beliefs about behaviour and conduct that guide professional practices,
such as those between counsellor and clients.
Law is the precise codification of governing standards that are established to ensure legal and
moral justice. Law is created by legislation, court decision and tradition. Law explains what is
legal.
As a group, professional counsellors are concerned with ethics and values. Counsellor’s
professional identity is related to their knowledge and practice of ethics (Pattern 1971). And
effectiveness of counsellor is connected to their ethical knowledge and behaviour.
Unethical behaviour in counselling can take many forms.The temptation common to people
everywhere exist for counsellor also. Some forms of unethical behaviour are obvious and wilful,
whereas other forms are more subtle and unintentional. The following are some of the most
forms of unethical behaviour in counselling.
Violation of confidentiality
Exceeding one’s level of professional competence negligent practice
Claiming expertise one does not possess. Example (case)
Imposing one’s values on clients
Creating dependency in a client
Sexual activity with a client
Dual or multiple relationships
Charging excessive fees
Improper advertising
Plagiarism
The association for spiritual, ethical and religious values in counselling (ASERVIC) is concerned
with the values and ethics of counselling professionals. ASERVIC is a division within the
American counselling association (ACA)
Professional codes are designed to provide some guidelines for the professional behaviour of
members on a personal level.According to Van Hoose and Kotler (1985) there are three reason
for existence of the ethical codes.
1) Ethical codes allows the profession to regulate itself and function autonomously
2) It promotes stability within the profession. It controls internal disagreements
3) Ethical codes protect practitioners from the public, especially in regard to malpractice
suit/ case
Like counsellors, client also can use codes of ethics and standards as a guide to evaluate
treatment.
The first code of ethics was developed by the American counselling association (ASD) based on
the original American psychological association code of ethics. The initial ASA code was
proposed by Donald super and approved in 1961. It has been revised periodically.
The ASA code of ethics contains eight topical sectional headings. They include material similar
to other codes, yet they are unique to the profession of counselling
Section 1
This section deals with a counselling relationship, including roles and responsibilities to clients
and the use of the technology. The section also discusses ways to handle troublesome subjects
such as fees, bartering, referrals and termination. ACA clearly states that sexual or romantic
intiuecies between counsellor and former clients must be examined carefully. Such counsellors
should prohibited for a period of 5 yrs after the last professional contact.
Section 2
This section refers to ethical codes relating to confidentiality, privileged communication and
privacy in counselling. The right to privacy, records, minor or incompetent clients, consultation,
research and training are exception to privacy in counselling. These exceptions are not guided
by the ethical codes.
Section 3
Section 4
Covers relationship with other professionals, including colleagues employers and employees.
Section 5
Deals with evaluation, assessment and interpretation. It includes material competence to use
the interpret tests, informed consent, release of information to competent professionals,
proper diagnosis of mental disorders, conditions of assessment administration. It also refers to
multicultural issues in assessment, forensic evaluation, and test scoring and interpretation.
Section 6
This section focuses on issues related to teaching, training, and supervision, including
expectations and responsibilities of counsellor education and student and counsellor education
programs.
Section 7
This section deals with research and publications. It delimeates research responsibilities, rights
of research participants and reporting of research results.
Section 8
This section explains ways to resolve ethical issues, including how to handle conflicts between
ethics and the law. It also refers to ethical codes related to suspected violations and co-
operation with ethics committees.
Ethical codes are useful in many way but they do have their limitations. It may not include all
situations, and guidance for all conditions.
Professionals are expected to exercise prudent judgement in interpreting and applying ethical
principles to specific situations. While making ethical decisions, professionals can need to the
aware of resources such as books, articles on ethics and more experienced colleagues.
Professional should be aware of the consequences of practicing in a different way which is not
given in the code of ethics. Ethical dilemma occurs when dealing with potentially controversial
behaviours such as collecting fees, conducting multiple relationship or working with individuals
who have values and styles not agreeable to the counsellor.
The decisions depend upon the ethical reasoning. Ethical reasoning refers to the process of
determining which ethical principles are involved and prioritising them based on the
professional requirements and beliefs.
Six ethical principles relate to the activities and ethical choices of counsellor:
All these principles involve conscious decision making by counsellor throughout the counselling
process.
Of these principles, some experts identify non malificence as the primary ethical responsibility.
Non malificence not only involves the removal o present harm, but the prevention of future
harm and passive avoidance of harm.
1. hospitals
2. schools
3. use of computers and couple
4. marriage couple and family counselling
5. older adults
6. multi cultural counselling
7. managed care
8. diagnosis of clients
Counsellors employed in hospital settings, should agree with principles, policies of an situation.
The potential for major ethical dilemmas can arise in many school settings. Therefore, school
counsellor should become familiar with the ethical standards of the American school
counselling association.
The use of computers and technology in counselling is another area for ethical dilemmas. The
possibility exists for breach of client information when computer are used in professional
counselling.
Another counselling situation in which ethical dilemma arises are in marriage couple and family
counselling. The reason is that counsellors are treating a number of individuals together as a
system may not have the same goal.
Other counselling settings include counselling older adults, multi cultural counselling, working
in managed care, diagnosis of clients and counselling research.
In working with older adults, counsellors must assess the unique needs of the aging, who have
cognitive impairments, terminal illness or victims of abuse. For this counsellor may apply
principle ethics, based on a set of obligations that focus on socially and historically appropriate.
They may employ virtue ethics which focus on the question – whether the counsellor is doing
the best for clients.
With reference to research ethics, emphasis is on the protection of human subjects in research.
There are four main ethical issues that must be taken care:
11 informal consent – informing the client about the purpose of research and getting clients
acceptance for participation
12 coercion and deception – the clients should not be formed or given any wrong information
for participation in research
When counsellors blend their professional relationship another kind of relationship with the
client, Ethical concerns must be considered. Some example of multiple relationships involve
bartering for goods or therapentic services; borrowing money from a client; providing therapy
to a friend, an employee, or a relative; engaging in a social relationhip with a client accepting an
expensive gift from a client. Some multiple relationships are clearly exploitative and do serious
harm to both the client and the professional counsellor. For example, becoming emotionally or
sexually involved with a current client is clearly unethical, unprofessional and illegal. Sexual
involvement with a previous or former client is unwise, can be exploitative and is considered
unethical.
Because of this multiple relationships, counsellors may loose their objectivity and clients may
not be assertive, to take care of themselves. Therefore, as a matter of ethics, counsellors should
avoid these multiple relationships. Setting healthy boundaries at the beginning of such
relationships is essential. Sometimes, these type of relationships can be beneficial to clients
such as engaging in business relationship. For example – buying their products to create
confidence, in the client
The ACA code of ethics (2005) stresses that counselling professionals must learn how to
manage multiple roles and responsibilities in an ethical way.
The profession of counselling is also guided by legal standards. legal refers to the law or the
state of being lawful and law refers to “ a body of rules recognised by a state or community as
binding on its members”
There is no general body of law covering the helping professions. In most cases, the law is
generally supportive or neutral toward professional code of ethics and counselling in general. It
supports licensure certification of counsellor as a means of ensuring that those who enter the
profession must attain minimal standards. Only time the law overrides code of ethics is when it
is necessary to protect the public health, safety and welfare. This is most necessary when in
situations concerning confidentiality when disclosure of information is necessary to prevent
serious harm.
It is important that the professional counsellors are fully informed about what they can or
cannot do legally. Such situation involves the sharing of information among clients, counsellors
and the court system.
Sharing refers to confidentially privacy and privileged communication.
Confidentiality is the ethical duty to fulfil a contact or promise to clients that the information
revealed during therapy will be protected from unauthorised disclosure.
Privacy is an evolving legal concept that recognises individual’s rights to choose the time,
circumstances and extent to which they wish to share or withhold personal information. If the
clients are forced to reveal information, they may seek legal recourse against a counsellor.
There is a limit to how much confidentiality, a counsellor can or should maintain. When it
appears that a client is dangerous to himself or herself or to others, law specifies that the
information must be reported to proper authorities. For example, when someone is at risk of
being suicidal, the court directs that school authorities including counsellors have to make a
referral and secure assistance from others.
Liability in counselling involves issues concerned with whether counsellor have caused harm to
clients. The concept of liability is directly connected with malpractice.
Civil liability:
In this we can be sued for acting wrongly towards another or for failing to act
Criminal liability:
Involves a counsellor working with a client in a way the law does not allow. Examples of
criminal liability are the commitment of a crime by a counsellor such as failing to report child
abuse, engaging in sexual relations with a client, or insurance fraud.
Administrative liability:
Means that the therapist licence to practice is threatened by an investigation from the licensing
board.
Counsellors are most likely to face civil liability suits for malpractice in the following situations
a) accessory to a crime
b) civil disobedience and
c) contribution to the delinquency of a minor
The records of all clients are legally protected. In some instances an individual has the right
legally to inspect his or her record. In the majority of cases, counsellors are legally required to
protect clients of all ages by keeping records under lock and key. They should not disclose any
information about a client, without written permission
The best method to use in meeting a request for disclosing information is a release – of –
information form , which can be prepared by an advocate. Counsellors should not release client
information that is not obtained firsthand
Counsellor have the legal liability to maintain records that contain all information about the
client, necessary for his or her treatment. Records should be updated when clients are seen or
when there is significant change in the client. And altering or making changes in the records is a
criminal act.
Summary
Effective counsellors have the ability to learn and think creatively. They have the energy to be
active insessions; capacity to encourage clients; desires to work with clients to promote their
independence; has knowledge of self;his own attitudes;values and feelings and knows heror his
own limitations. Effective counsellors also have successfully integrated scientific knowledge and
skills intheir lives. They possess expertise in some special area to help clients.
Effective counsellors maintain their health by taking preventive measures to avoid Burnout by
developing interests outside counselling.
1) Non-professional;2)Paraprofessional;and 3)Professional.
Professional helpers include Psychiatrists, Psychologists and social workers. Obtaining proper
credentials to practice as professional counsellor is important. Two types of professional
credentials are Certification and Licensure. Four levels of Professional Credentials are
1)Inspection; 2) Registration; 3) Certification; 4) Licensure.
Counselors work is based on two systems: They are 1)based on developmental issues 2) based
on the diagnosis of Disorders.
There are four attribution models that counsellors use .They are 1) Medical Model 2) Moral
Model 3) Compensatory Model and 4) Enlightenment Model.
(1)Continuing Education Units (CEU)- to stay up-to on theories and Practice and also to get
needed supervision and (2) Supervision-to improve professional counselling skills. Supervisory
techniques in counselling are (a) Reflective Team Model (b) Triadic supervision and (c) Peer
supervision.
Counselors need to engage in Advocacy which involves promoting through public relations.They
also need to practice social justice.
Professional counsellors are concerned with ethics and values. Unethical behaviours in
counselling includes Violation of confidentiality, claiming expertise which he doesnot possess,
imposing one’s values on clients,creating dependency in clients, sexual activity with a
client,Dual or Multiple relationships, charging excess fees,improper advertising and Plagarism.
Professional codes provide guidelines for the professional behaviour. Clients also can use codes
of Ethics and Standards as guide to evaluate treatment. The American Counselors Association
has developed code of ethics which contains eight topical sectional headings. They are unique
to the profession of counselling. Section-1 deals with the counselling relationship;Section-2
refers to ethical codes relating to confidentiality; Section-3 focuses on issues related to
professional responsibility; Section-4 covers relationships with other professionals; Section-5
deals with evaluation, assessment and interpretation.;Section-6 focuses on issues related to
teaching training and supervision. Section-7 deals with research and publications; and Section-8
explains ways to resolve ethical issues and law. Ethical decisions of Professionals depends on
the ethical reasoning.
Six ethical principles which relate to the activities of the counsellors are-Beneficence;
Nonmaleficence; Autonomy; Justice; Fidelity and Veracity.
Ethical codes are important for protecting the profession ;Codes of Ethics and standards to
evaluate the treatment. Ethical codes are very important for specific situations such as school
counselling; use of computers in counselling; Marriage .family and couple counseling
Law deals with the liability; malpractice and negligence in counselling. Record keeping is one of
the important aspects relating to legal liability. Client records include documents relating to
identifying information ;assessment information;treatment plan; case notes; termination
summary and other data.