copyright ©2007 brooks/cole, a division of thomson learning chapter 9 the skills of confrontation:...

Copyright ©2007 Brooks/Cole, a division of Thomson Learning

Chapter 9

The Skills of Confrontation:

Supporting While

Challenging


Confrontation Skill Function

Confront discrepancies.

Help clients move beyond their issues to realize their full potential as human beings.


Confrontation Skill Function

Identify incongruity or mixed messages in behavior, thought, feelings, or meanings.

Increase client talk and explain and/or resolve conflict.

Identify client change processes in the interview and throughout treatment.

Mediate conflict resolution.


Challenging and Supporting

1.Identify the conflict and/or discrepancy.

2.Point them out and work to resolve them.

3.Evaluate the change.


1. Identify Conflict

Internal Conflicts - Between

External Conflicts - Between

~ non-verbal behaviors.~ two statements.~ what one says and one does.~ statements and non-verbal behavior.

~ people.~ others and a situation.


2. Point Out and Work on Issues

Clearly identify incongruity.

Draw out specifics and attend each part of the mixed message.

Periodically summarize the dimensions of the incongruity.

Conduct a positive asset search.

When needed, provide feedback from your observations.

Don’t give up on positions you believe correct.



Establish a solid trust relationship.

Learn supportive, empathic confrontation.

Listen in silence as the client struggles with contradiction.

Use personally authentic and meaningful mode of confrontation.

Individual and multicultural cautions



Ask questions about dimensions rather than challenge immediately.

Allow time to explore the discrepancy and find new alternatives.

Take “time out” from confronting to focus on positive stories.

Question and elaboration



Logical consequences, interpretation / reframe, and special directives.

May take the form of sharing your thoughts with the client.

Direct challenge



Listening may be sufficient.

Pushing for change can get in the client’s way.

Client may need to live with discrepancies that cannot be resolved.

Not confronting


3. Evaluate the Change

Determine where your client is functioning in terms of change at any time during the interview.

Discover how effective your responses have been.

Observe client thinking and behaving.



Death and Dying Change Theory

Development of

Inclusive Behavior

s

Denial

Partial Acceptanc

e

Acceptance and

Recognition

Generation of a New

Solution

Early transcenden

ce.

Transcendence.Patient cannot accept

the reality.

Bargaining and anger,

magical thinking,

anger, masking sadness and fear.

Possible to

move to other

levels of

cognition and

emotion.

May include

depression.



Decides to Change From

Incongruity

Denial

Partial Examinati

on

Full Examination But No Change

Decides to Live With Incongruit

y

Discusses and is fully aware of decision impact.

Discusses and alters

choices when faced with

incongruity.

Denies or fails to hear

incongruity

Discusses part, but not all, of

the incongruity

.

1 5432Discusses incongruit

y completely, but will

not change.

Confrontation Impact Scale (CIS)


Identification and Classification

Identify discrepancies and incongruities.

Classify and write counselor statements indicating presence or absence of elements of confrontation.

Identify client change processes through observation on the CIS.


Basic Competence

Gain basic competence in confrontation before moving on to the next skill area.

Observe and identify, in the here-and-now, responses on the five levels of the CIS.

Use positive asset search to help clients find strengths to help them move toward positive change.


Intentional Competence

Help clients change their manner of talking about a problem.

Move clients from the lower to the higher levels of the CIS when discussing issues.

Identify and rate (CIS) client responses. Meet client responses inferred from the CIS.


Teaching Competence

To small groups of counselors or interviewers.

To appropriate clients.

Teach confrontation skills:

~ Self-directed thinkers~ Those grieving~ Clients facing divorce, rape, or other difficult issues

copyright ©2007 brooks/cole, a division of thomson learning chapter 9 the skills of confrontation:...

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