| 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance | How many stages of grief are there and what are they? |
| Buys the client time to gather strength to deal with their situation
stems from fear and low self-esteem
need to help these individuals transition OUT of this stage to address the disorder. | What is the denial stage of grief? |
| "why me" - feeling a sense of injustice
feel angry and powerless
anger can be aimed towards others and lead to depression | what is the anger stage of grief? |
| "what if" or "if only"
they are looking for hope, a way to reverse it or to get a reprieve | what is the bargaining stage of grief? |
| feelings of emptiness
apathy, low energy and lack of motivation
need to refer if it reaches a stage of clinical depression (i.e., weight loss) | what is the depression stage of grief |
| be patient and allow the client time to contemplate during the sessions.
be concrete and yet empathetic
they need to be ready to hear what you recommend | Counseling suggestions for denial stage |
| allow time to express their feelings and then validate their frustrations | counseling suggestions for anger stage |
| faith/prayer can be a comfort
support their feelings of hope | counseling suggestions for bargaining |
| review your goals and make adjustments as needed
listen to your client and let them cry if needed
reflect on their feelings
think about their support system
express your faith in them "I know you can do this" | counseling suggestions for depression |
| the individual faces reality of the diagnosis and its deficits
they choose to do something about it | What is the Acceptance stage of grief? |
| emphasize progress being made and their strengths
stress importance of keeping healthy mentally and physically
learn about your client's culture and how it responds to disabilities, stress, etc.
monitor red flags of any previous stages | Counseling suggestion for acceptance |
| a prolonged process with no predictable end and maybe no complete resolution | What is episodic grief? |
| requires on going care and ongoing adjustments and modifications | what does episodic grief require? |
| feelings of being overwhelmed
Problem: Parents rely on the SLP to "fix" the issue because they are the professional rather then join you | Emotions of inadequacy |
| unproductive behavior
negative power to cause the disability
over protection of the child | Emotion of Guilt |
| we are all vulnerable to something bad happening in our lives
once vulnerability is accepted then you learn to appreciate what you have and live life to the fullest. | Emotion of vulnerability |
| jargon
don't provide TMI
Luterman suggests asking what do you need to know? | emotion of confusion |
| The goal of counseling is not to make people feel better but to separate feelings from nonproductive behavior.
The feelings must always be acknowledged.
It is always a mistake in any relationship to tell people, no matter how nicely, that they shouldn't feel a particular way. | Luterman takeaways |
| field of SLP
referral system
pharmaceutical effects
associated educational issues | What types of strong knowledge bases do you need? (5) |
| not just listening to the content but also to the process (mannerisms) | what does listening with the third ear or third eye mean? |
| active constructive
active destructive
passive constructive
passive destructive | Responses can be four types.. what are they? |
| share informations not so much knowledge
shows that they are listening to emotions through body language, touch, proxemics | What are the SLP's communication abilities? |
| reduced intelligibility can be challenged
avoid pretending to understand what your client said. | client's communication abilities |
| active listening
empathy
non-verbal communication | What are the three critical listening skills when serving others? |
| the process of hearing words, seeing the body language, and sending the emotion of a speaker to ensure that you have received the entire message.
understanding the overall content and intent of the message as a whole. | What is active listening? |
| words
intonation
gestures and body language | What are three ways that we communicate? |
| the action of understanding, being aware of, being sensitive to, and vicariously experiencing the feelings, thoughts, and experience of another of either the past or present without having the feelings, thoughts, and experience fully communicated in an objectively explicit manner. | What is empathy? |
| NO | Is empathy supporting and agreeing with the client? |
| it gives us an understanding of the emotion that the speaker is experiencing. | What does vocal tone do? |
| can convey the six primary human emotions and can be used to convey empathy as well. | What does facial expressions an gestures do? |
| 3-5 feet | what is a comfortable distance between the clinician and client? |
| SOLER
Squarely face the person
Open posture
Leaning towards the speaker
Eye contact
Relax while attending | What are the five steps to attentive listening skills? |
| SOFTEN
Smile
Open Posture
Forward lean
Touch
Eye contact
Nod | What are the six effective non-verbal communications? |
| Having preconceived notions about the client
anticipating what the client will say next
thinking about what you will say next
having personal issues
having a strong emotional reaction
being distracted by external or internal stimuli | What are some hinderances to listening? (6 ) |
| Door openers
minimal encouragers | Encouragers are words that help the client confide in the help. What are some types of encouragers? |
| stimulates deeper exploration of the facts, feelings and meanings by supplying the client a condensed version of the story | What does reflecting skills offer? |
| listening carefully to the client's story
feeding back to the client a condensed, nonjudgemental version of the facts and thoughts | What two steps are involved in paraphrasing? |
