To Advise or Not to Advise…. What is the Culture?

Posted by: Farah Lodi on February 26, 2014 4:00 pm

The Western model of counselling encourages us therapists to help our clients explore their issues, develop insight, develop coping mechanisms and tools to make their own decisions. We encourage autonomy, which we believe will empower our clients to find their own solutions. After all, isn’t our goal usually to help our clients achieve self-sufficiency? We’re not supposed to give advice, right?

This model doesn’t always work for all cultures. In the East, collectivist attitudes still prevail over the individualistic mind-set. Problems are solved within the community and family system. A young Omani client who came to see me for marriage counseling told me that back home specialists such as psychologists are few in number, because there is a good support system already in place in the form of extended family members……….who give advice. My knee-jerk reaction was, “does that really help people deal with life problems in the most considered, consistent and constructive way?”. He grinned, and reminded me of the significantly lower rates of depression and anxiety.

A Japanese client who was seeing me for marriage counseling asked me bluntly “what should I do?” This is after she revealed that her spouse had cheated on her. Her expectation was that she had paid money for counseling, and if I don’t give her advice, she may have wasted her money. After -all in the English language, to counsel means to advise.

I work with a very culturally diverse population.  Hence, I need to be diverse in my approaches with them. Symptoms and behaviors may have no cultural boundaries, but clients differ in their needs from therapy. Sometimes open-ended questions leave the client feeling confused, weak and scared. In my view, occasionally giving a client my advice often results in them walking away with a sense of relief, which in turn leads to uplifted mood, reduced anxiety, and strangely, a sense of confidence. Counseling goal achieved! People may wonder if this hinders building long-term psychological resiliency. My conclusion on that is that it’s my job to work within their cultural norms, and if seeking sound advice helps them, then let that be a coping mechanism for them to use now and in the future.

If client beneficence is the framework for counsellor ethics, I believe we need to be very flexible with our theoretical approaches. Self-sufficiency isn’t a goal for everyone. Rogerian- style unconditional positive regard and  person-centered empathic listening can lay the foundation for an emotional support strategy that includes advice-giving – if that’s what the client needs. It’s a no-brainer that when I give advice it has to be through the worldview of my clients. As a counselor I can sometimes model the attitude that makes them feel truly supported – the role of advice-giver.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Are You Ready to Make the Leap into Private Practice? 4 Points to Consider In Your Decision Making

Posted by: Andrea Cashman on February 26, 2014 3:55 pm

Making the decision to open a therapy private practice is a decision that requires a lot of soul searching. Opening a practice requires patience, knowledge, persistence and endurance, not to mention passion. It will take research and planning to make your dream a reality. I encourage people who are seeking this new adventure in their counselling career to take the time to reflect to make sure it is the right decision for you. There are a few things that I recommend you ask yourself before moving forward:

  1. Are you emotionally ready? Are you emotionally stable at this point to open your own practice? Keep in mind that you will be an entrepreneur, your own boss and you will be self-employed. I always encourage therapy for therapists to deal with their own issues so that transference issues and burnout are avoided as much as possible. Great self care practices to keep yourself healthy while you treat client issues are essential.
  2. Are you physically ready? Starting a private practice will require extensive time commitments not only in the planning stages but even with maintaining your practice. I suggest giving at least three months to develop and implement a business plan prior to opening. There is a lot involved in the process and keeping a checklist of what’s involved is crucial. I also suggest investing in a few books that will help you develop a business plan. Personally, I like the book “The Essential Skills for Setting Up a Counselling and Psychotherapy Practice” by McMahon, Palmer and Wilding.
  3. Are you financially ready? Create a financial cost-analysis of what will be financially involved in starting up. This can include (but not limited to) office rent, furniture and supplies as well as liability and general insurance, supervision, CCPA certification and advertising. Make sure you have a back up financial plan via secondary means of income. I recommend going part time in your practice to begin with and work somewhere else to provide consistent financial income.
  4. Do you have the credentials and experience? People make the leap into private practice at different stages in their counselling career. It is best to have some counselling experience under your belt. Seeking supervision from a psychologist and continuing to take educational courses, workshops and certifications will assist you in developing a tailored knowledge base that coincides with your niche. Networking with other therapists will not only help with referrals but also with building on your knowledge base.

It may be best to write a pro/con list if you decide to take the private practice route. This may help in your decision process. Don’t forget to reflect, process and research. I wish you all the best in your private practice embarkment. Stay tuned for more blog posts on running your private practice.

Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

SLCHG Pilot Project: Debunking Myths of Sunset Clients + Anomalous Experiences

Posted by: Linda AK Thompson on February 24, 2014 4:49 pm

Since my last 2 articles relating to the project, I am grateful, pleased to announce that the editor of Counselling Connect created a category for Blog Posts related to trauma counselling.  This will make it easy for readers to find/follow the progress of this research project/field of study.  The focus of this project remains the creation/development of a specialized, blueprint treatment program for posttrauma survivors with anomalous experiences.   Despite completion of effective Contemporary Phase 1–3 traumatic stress treatment programs; they continue to suffer/endure aftermath effects related to anomalies addressed by Herman [4], proposing a category for Complex PTSD [C-PTSD], implying treatment-resistance and labelling: fact, fiction or myth that they are “Sunset Clients” [6].

For background information: personal disclosures, professional development and motivational factors sustaining my interest in this field, readers can refer to previously submitted articles under the title – “The Emerging Field of Psychotraumatology in Canada.”  For the past 25 years, a small sub-group of PTSD survivors have presented with an extreme, severe degree of trauma vortex profiles Herman wrote about.  These heroic survivors have graced my private practice space and we worked hard towards healing goals.  With reservation, I acknowledge, but resist the idea: fact, fiction or myth inherent in the label that some survivors of severe childhood trauma will be ‘sunset clients.’  This term is pessimistic and fatalistic; neither helpful nor hopeful, and all this label does is promote complacency within the professions and helplessness in clients.

Instead, this project provides us with opportunity to create, study and better understand severe core psychological wounds in an active case study format where anomalous experiences are noteworthy, addressed and may debunk the myth that ‘sunset clients’ are doomed and damaged beyond healing-to-cure. These exceptional human beings deserve service from a helpful village of practitioners’ concept, where collaboration occurs and anomalous healing – cure is envisioned.  There is an ancient African proverb from Igbo and Yoruba regions of Nigeria that states, “It takes a village to raise a child:”http://www.reference.com/motif/society/origin-of-it-takes-a-village-to-raise-a-child.  For sunset clients [trauma vortex poster children], this proverb was lost during their childhoods and I believe collaborative teams can simulate a good enough, second chance village experience stimulating anomalous healing – cure.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Wired for Addiction?

Posted by: Dawn Schell on February 17, 2014 3:19 pm

The words “Internet addiction” (IA) seem to be tossed around quite freely these days. In the build-up to the release of the latest DSM (DSM-V) from the American Psychological Association I heard and read a lot of discussion about “Internet Addiction”.   There are some who wonder if this is a fad diagnosis that will fade away and think we ought to be careful about pathologizing this behaviour while others are sounding the alarm about how pervasive and damaging it is. In the end the APA chose not to include what they term ‘Internet Compulsive Disorder’ in the DSM-V.  They have however, listed it in Section III as “a condition warranting more clinical research and experience….”[1]

So what to call it?  In reviewing some of the research around the topic of Internet addiction I have come across a number of terms that are used instead of addiction:

Overuse
Preoccupation
Excessive absorption
Overly immersed[2]
Problematic Use
Compulsive Use

The authors of an article on the prevalence of IA amongst youth chose not to use the word “addiction” instead they talk about “…a potentially pathological behavioural pattern. It is denoted by the presence of the following symptoms: (i) a loss of control over the behaviour, (ii) conflict (internal and interpersonal), (iii) preoccupation with the Internet, (iv) using the Internet to modify mood, and (v) withdrawal symptoms.”[3]

This description comes from the Compulsive Internet Use Scale (Meerkerk et al., 2009[4]).

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Diverse Attitude

Posted by: Priya Senroy on February 15, 2014 3:15 pm

Hello  Peers…..

This moth has been interesting in many ways for my personal growth and also for my counselling practice. I attended a lecture on diversity in the classroom with the local school board as I have started to offer groups for youth with disabilities and also working closely with the LGBTQ community. It was interesting different perspectives the teachers, the counselors and the school administration brought forth in their discussions.   I found myself questioning that no matter how much we are trying to promote diversity, we usually focus on the diversity of our clients-When we talk abut working from an anti oppressive framework, we talk about the clients and often forget that we as educators, mentors, counselors  also brings a range of diversity issues to the space, into the sessions.,

Every counsellor  brings their  physical appearance and culture into the room at the same time as the clients  do. Is what one of the speakers shared. How I look, how I speak, how I act upon my suggestions), does have a profound effect on the interactions in my sessions. And more than once I have been aware of possible reactions among the clients to my race, gender, age, ethnicity, physical attributes, and abilities. Clients have not engaged with me wins session not because of any counselling issue but because I am either a woman, or have  an ethnic background or do not have any visible disability and other  perceptions. Have I felt offended—yes and no—yes…because I have felt inadequate sometimes-I am human after all and perhaps a part of time wants to say that I am a good counsellor, what has my diversity got to do anything with it….but I have also learned to prepare for such reactions  and knowing that  my practice will involve not only knowing as much as you can about my clients , but also turning the mirror to myself , and finding out more about my  own diversity issues.

So here are questions that the presenters left  us with to reflect on by reminding us that we  might identify our own attitudes toward diversity by remembering certain pivotal moments in our  lives by asking ourselves  the following questions:

Recall the incident in which you first became aware of differences. What was your reaction? Were you the focus of attention or were others? How did that affect how you reacted to the situation?

What are the “messages” that you learned about various “minorities” or “majorities” when you were a child? At home? In school? Have your views changed considerably since then? Why or why not?

Recall an experience in which your own difference put you in an uncomfortable position vis-à-vis the people directly around you. What was that difference? How did it affect you?

How do your memories of differences affect you today? How do they (or might they) affect your practice?

I hope that we will spend some time in our practice from time to time to ponder on these questions and tweak if we needed to work on our personal diverse attitude inventory.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Hello Fellow Counsellors….

Posted by: Priya Senroy on February 15, 2014 3:14 pm

February has been an interesting month for dealing with relationships issues in counselling and more interesting for me trying to find creative outlets for dealing with these issues.

Anniversaries around Valentine’s days are brutal and relationships are born and often put to death during this time leading to paradoxical emotional upheavals.

Working on using creativity to channelize the process of loss and grief has led me to plethora of resources, from journaling to using narratives to using music and drama to deal with these feelings.  While one client wanted to make a romantic musical out of his experience, another one did not know what to do with her ten years worth of stuff. While pondering whether to burn them or bury them, store them or donate them…I introduced her to  the museum of broken relationships where she could donate some of her belongings…..in order to honor that part of  her which   needed to be preserved and celebrated….

I think this is such a brilliant idea   where we are trying to forget those reminders of the failed love or the unthinkable gut wrenching emotions and what to do with them, this museum offers a brilliant alternative. You can in fact become a donor and the description goes like this:  Would you also like to become a donor? Recently ended a relationship? Wish to unburden the emotional load by erasing everything that reminds you of that painful experience? Don’t do it – one day you will be sorry.

Instead, donate the objects to the Museum while recovering and take part in the creation of collective emotional history. In order to protect your privacy all the exhibits are displayed anonymously…

I think as counsellors we face such situation where clients are not ready to let go but cannot live with   physical memories either-perhaps they can explore this alternative and that way keep their memories alive in some ways, if they choose to… We celebrate dinosaurs, historical figures and commemorate disengaged events so why not celebrate a part of us that perhaps heals the past, deal with the present and shapes the future in some way-emotionally, socially, spiritually and creatively..

More information: http://brokenships.com/en




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Reflecting on the Intersection of Human Psychology and Religion

Posted by: Jessy Alam on February 14, 2014 3:05 pm

If I could title a passion that I have pursued consistently for the last 10 years it would be: The Intersection of Human Psychology and Religion.  And yet, that title would be very much inaccurate. In fact, I want so much to find an apt and concise description for the phenomenon that I have witnessed in every individual that I have ever encountered as well as with every client I have ever treated. But I can’t. This dilemma is both a hindrance and a revelation to the issue I have brought forth.  These two things, the human mind and all that is contained by the term “religion”, are both by their nature limitless. I would like to commit to writing about this topic in upcoming articles—not only because there is so much content to be covered, but to relieve myself of the weight I feel every time I try to approach this enormous subject. At times it can be too much for words.

Faith, or lack thereof it, in anything supernatural plays a role in how individuals make meaning of life’s most minute details. What we believe about ourselves, the world and those around us has been marinated in existential wonder about the spiritual world.  But many seasoned clinicians have a hard time with this topic during sessions, especially when the client shares a different set of beliefs. I face this struggle, so have my colleagues and so have my own therapists when hearing me share about my own experiences. So how do we effectively create the space for dialogue on this issue with our clients? (In another article I also what to discuss why I believe it is of critical importance to touch on this subject with each of our clients.) The first step is investing time and getting our own therapy where we can discuss the evolution of our spiritual and religious beliefs (or lack thereof) and actually experience this discussion through the eyes of a “client”. I think this is paramount – we just cannot afford to skip this step. The second step is examining multiculturalism in therapy and what sensitive and ethical practice looks like. I will write separately about these in following entries. I think these two first steps of self-examination create the foundation necessary to help our clients in fundamental ways.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

From recruiter nightmare to loving his job

Posted by: Mark Franklin on February 14, 2014 3:02 pm

Clues from CareerBuzz Jan. 29

Click to listen to the whole interview

“I’m a recruiter’s nightmare,” David Wojcik told Career Buzz listeners (Jan. 29, 2014), referring to his zigzagging career path. “When you look at my resume I’m all over the map: finance, sales, training.” Yet not in spite of, but because of the twists and turns in David’s career story, the dots connected. It happened when he was 39.

David is now president and executive producer at BizTV Canada. His mission is to provide small and medium size organizations with relevant, informative and entertaining business videos via the internet. On his way here, he’s worked in finance, sales and management of woodworking machinery company, training for bankers, and stints in self-employment. All that experience “helped me understand what I really love to do: inform and entertain.”

“I kept bouncing back and forth from self-employment to working for someone. A potential employer would look at me and say, ‘this guy really has no idea what he wants to do.’ The truth is I just love to do everything. I want to do it all.” The last stint, training bankers, showed him how much he liked informing and entertaining, which he gets to do now at BizTVCanada. Plus, this new role draws on all the business experience he’d accumulated.

“My past has set me up perfectly for what I’m doing now,” David reassured listeners. “Doing a business show and having guests on the show in sales, HR, finance and marketing. All the things I’ve done over the course of my career have positioned me to sit across from someone and speak with them relatively intelligently about what they’re doing.”

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Fatherhood – Being the Best Father You Can Be

Posted by: Asa Don Brown on February 7, 2014 4:13 pm

“Fatherhood is a very natural thing; it’s not something that shakes up my life but rather enriches it.”
~ Andrea Bocelli

Today’s culture is making it easier and easier to be a “father.”  While children continue to be neglected, research is showing that there is an incline in the number of fathers who are actively participating in the lives of children. Moreover, there has been a significant “…increase in programs designed to promote involved and responsible fatherhood.” (Perry, 2012,  Online)

As a father, I have discovered my lifelong calling is, “fatherhood.”  Fatherhood is essentially the willingness to treat with protective care and in a nurturing manner.  It is fatherhood that allows the male in the relationship to join together with his partner and become “the father”.  A father is more than having the ability to impregnate a women, rather a father is the person who provides support, care, and an unconditional environment.

As men, we are not equipped to bear children, yet we are naturally designed to be fathers.  It is recognizing and accepting the role of fatherhood, that enables a man to begin becoming a father.  Our limitations, reservations, and fears of fatherhood, are frequently the uncertainties and insecurities associated with failure . What if I fail as a father?  So what, pull yourself up by your bootstraps and move forward.  Do not hesitate or fear asking for advice.   Asking for advice is not an indication that you are weak, rather that you are strong in your willingness to ask for help.

After all, fatherhood is the greatest education a man can ever receive.  As a father, you not only have an opportunity to learn more about yourself, but about the world around you.  A child’s constant questioning and inquiry of life, offers a father an unique opportunity and the privilege for growth.

ACTIVE LISTENING

“It is a wise father that knows his own child.”
~ William Shakespeare

As a father, we need to actively listen.  Active listening is the ability, the skill, technique, or an inherent trait whereby, a person is purposefully and intentionally focusing on the communications being sent by another person or persons.  An active listener not only listens and receives an intended message, but is capable of paraphrasing what messages he or she has received back to the communicator.  An active listener recognizes that not all communication is verbally spoken, but is often communicated through verbal and nonverbal transmissions.  It entails good physical posture, gestures, and purposeful eye contact.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Focusing on Soft Skills

Posted by: Mark Franklin on February 5, 2014 10:01 am

Clues from my most recent Career Buzz guests

suits-ladders

“Perseverance, excitement and enthusiasm,” said author and speaker, Suzen Fromstein, when I asked her what strengths she uses to be successful (Career Buzz, Dec. 4, 2013). “And because I love what I do I have the dedication to do it — and do it consistently.”

I like asking the strengths question because guests give such surprising, rich and unique responses. Notice Steve didn’t say “writing” and Suzen didn’t say “editing.” It’s as if the hard skills are a given, and the soft skills are the ones that make the difference between an ordinary career experience, and an exceptional one.Communications expert, Steve Kee, who was profiled in Suzen’s book, Suits & Ladders, responded to the strengths question by saying, “It’s how you build and enhance your personal relationships.”

What are the clues that apply to you?

No matter what hard skills you use at work, when you build and use your soft skills, like perseverance and relationship building, you’re moving beyond work’s basic ‘transaction’ — you work / employer pays. Focusing on soft skills makes you want to put in that ‘discretionary effort’ that employers want. And that makes you, as Seth Godin says, indispensable. Listen to the whole interview, also featuring Marc Belaiche of Torontojobs.ca

Want to follow the clues to putting your soft skills to work, and regenerate excitement and enthusiasm in your career? Get started with our Holiday Special — we’ve taken $40 off our Exploratory Consultation until Jan. 15.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA