3. Encouraging what already works
(Page 3 of 5)
Therapy focuses on the client's understanding of his problem, possible solutions and how change works. Of particular interest is symptom reduction. Together, client and counselor choose methods that mirror and enhance successful problem-solving strategies the client has already happened upon in the natural environment.
In this context, a method such as relaxation might be chosen if it fits. If an anxious client mentions that taking a walk sometimes helps when starting a stressful work project, for example, the counselor may label walking as a "relaxation technique" and encourage more.
Gradually, the counselor may also ask if the client is interested in practicing breathing techniques as he walks? Or, when walks aren't practical, the client could sit with his eyes closed and imagine walking around the block.
In this way, the
counselor uses methods
that fit with a client's pre-existing
symptom-reduction strategies.
Indeed, once the client-counselor
dialogue really gets rolling,
a client usually generates
better strategies than the counselor.
This is strongly encouraged,
since active client participation is
a major predictor of successful
outcomes. By fitting methods
to the client, counseling is
tailored to an individual's unique
circumstances instead of being
applied regardless of context.
Tailoring interventions also enhances client-counselor relationship, another leading factor in successful outcomes. Instead of theorizing, the counselor focuses on helping the client deal with presenting problems. Research indicates that clients are more satisfied with such counselors. The element of hope, which influences outcomes by about 15%, is also enhanced by a therapeutic alliance that generates solutions the client finds easy to buy into.
|
