According to Egan, how would you know whether your services are working for your clients

The term "framework" rather than model is used to describe the problem-management process because the term ____.

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framework reflects a systematic but flexible, nonlinear approach

Egan reworked two stages of change models by Yankelovich and Prochaska and colleagues that serve to describe a client's readiness to change. Which of the following is not a part of this combined model?

rehearsal

The Skilled Helper approach to helping, as developed by Egan, is all about helping ____.

A. clients to manage their problems and to develop opportunities. All helping frameworks, models, or processes should help clients ask and answer for themselves which of the following questions?

A. What does a better future look like B. How do I get there? C. How do I make it all happen? D. All of the above (It's D) The tasks of Stage I of the Skilled Helper approach, as developed by Egan, all have to do with which of the following?

The client's present situation

Helping clients discover possibilities for a better future is a task in which stage of the helping process?

Stage II

Robert, a high school senior, tells his helper that he wants to get into Princeton University but he knows that his grades and SAT scores are not good enough to be accepted. He says, "I think I will apply anyway. What have I got to lose?" He goes on to say that he is only going to apply to Ivy League schools because his life won't be worth living if he doesn't attend one of these prestigious schools.

According to Task B of Stage II of the helping framework, Robert's helper should help Robert to ___.

choose realistic and challenging goals that are real solutions to key issues

  1. Helpers should choose goals that are ____. D. realistic and challenging, in order to better create solutions that are reasonable and likely to promote change.
  2. Stage III of the helping process involves helping client's ____.

A. choose strategies that best fit their resources B. pull strategies together into a manageable plan C. generate possible strategies for achieving goals D. all of the above It's D 11. The "action arrow" of the problem- management framework indicates that clients need to act ____.

A. from the beginning of the helping process

  1. According to Egan, how would you know whether your services are working for your clients?

C. Check on progress with the client throughout the helping process

  1. What is one reason for helpers using the Skilled Helper approach to remain flexible in its use?

C. Clients engage in each stage and task of the model differently.

  1. What is the most important outcome of the helping process?

A. Problem-managing action

  1. What is not true about the helping approach presented in your textbook?

B. It is designed to be a stand-alone approach to helping 16. What, as noted in the chapter, is important to understand with regard to using helping models?

D. Helpers need to share the helping process in order to help clients be in the driver's seat for making decisions.

  1. What is most accurate about Stage I-A of the Helping Skills Program?

D. Helpers help clients to (1) tell their stories, (2) reframe their stories in order to develop new, more useful perspectives, and (3) stay focused on issues that will make a difference in their lives. v2. What is not a helper's goal during Stage I-A? C. Keep the client from acting on their problems before they are ready. 3. What is not an example of a personal quality or regulator that signals that a person is prepared to benefit from the helping situation?

A. An ability to cry when the helper mentions something that feels very sad

  1. A client comes for his first session with you. He seems anxious and starts talking by saying "Yesterday, I felt so nervous that I couldn't leave the house. It took every bit of strength I had to come here today." And then he stops talking. In accordance with Stage I, you want to help him to tell his story. Which of the following might you do to help him to continue in the way most beneficial to him?

C. Ask him to tell you more about his anxiety.

  1. If a client thinks that a problem is critical, even though by objective standards ,the problem does not seem to be that bad, then ____.

B. for him or her, it is critical

  1. According to Egan, which of the following is not a purpose for discussing the client's past?

B. To learn which problems are so deep that they cannot be addressed 7. Read the following and answer the question:

CLIENT: Someone said that good things can come from evil things. What happened to my son was evil. But we'll give him all the support he needs to get through this. Though I had the same thing happen to me, I kept it all in until now. It was all locked up inside. I was so ashamed, and my shame became part of me. When I let it all out last week, it was like throwing off a dirty cloak that I'd been wearing for years. Getting it out was so

A. That he is using his recollections to reconcile or liberate himself with his past

sometimes tense up that way when I feel that I might have said something wrong. It could be just me, but I sense that things are a bit strained between us right now. AGNES: (hesitating) Well, a little....

This interaction between helper and client reflects which of the following? 7. When does a helping situation call for immediacy?

A. When a session is directionless and it seems that no progress is being made B. When cultural differences seem to get be getting in the way C. When trust seems to be an issue D. All of above (All of the above) 8. Stage I, Task I-C is about ____. A. helping clients to work on issues that will add value to their lives 9. In the screening process, it is important to ____.

A. decide whether a given problem situation is appropriate for treatment 10. A client is a fifty-year-old woman who is a recovering alcoholic and has recently divorced. She feels overwhelmed by anxiety about her finances. She also feels lonely and worries that she will never again have an important relationship. The helper should ____.

B. prioritize the client's issues and first help her with the most painful ones

  1. According to Frances, Clarkin and Perry, some clients have a history of treatment failure or often get worse in treatment. These kinds of clients might include which of the following?

B. Patients with malingering or fictitious illness

  1. In non-crisis situations, a helper might first help a client with which of the following?

A. The issues that the client sees as important and is most willing to work on 13. In working with clients with large and complex problems, it is best for the helper to do which of the following?

B. Break the problem down into manageable sub- problems

  1. In a crisis situation, which of the following is true?

B. First help the client manage the crisis

  1. Kelly, an accountant in her mid-30s, seeks help with a variety of concerns. She notes being unhappy in her career, having few friends, and having a potential phobia with spiders that she notes is "annoying more than anything." Her counselor notes a new approach she just learned with overcoming phobias and proposes this as an easy place to begin treatment. Based on the chapter, the counselor should ____.

B. focus on the problem that, if handled, will lead to some kind of general improvement

  1. What is not one of the three tasks of Stage II of the helping process?

B. Personal abilities ("What is there about me that I can rely on to help myself change?")

  1. What is the best description of design thinking?

A. thinking that highlights creativity in the search for solutions 3. Client: I have worked at the same job for ten years. I know I'll never be promoted, and even if I were, I am sure I wouldn't like any new job I might get. My work life and personal life are like two small boxes that I exist in and can never escape. I can't even imagine what life outside of these boxes would look like.

Helper: Why not try? What do you think life outside those boxes might look like?

In the vignette above, what is the helper trying to do in asking the client to imagine new alternatives to an unsatisfying life?

B. Help the client to imagine new possible selves

  1. What is the LEAST likely reason for why creative problem solving often eludes clients?

D. They have inherited little or no creative talent.

  1. According to Synder, hope is a process where ____.

A. people think about a goal, have a desire to move toward the goal, and come up with creative strategies for accomplishing the goal 6. What is an inhibitor to creative problem solving?

C. Deeply ingrained self-defeating habits and dependence on authority 7. What is not one of the skills for identifying possibilities for a better future?

C. Convergent thinking

  1. What is a key aspect of creativity? B. Persistence
  2. In helping people think about a better future, you may use a technique called ________, in which you instruct clients to come up with as many ideas as possible without criticism and use one idea to stimulate others, and to encourage clients to let themselves go and develop some "wild" possibilities.

B. brainstorming

10. One way of helping clients invent the

future is to ask them, or get them to ask

themselves, future-oriented questions

B. unmanaged problems or undeveloped opportunities

  1. What is not an example of a future-oriented probe with which to help clients imagine new future lives?

D. What current personal strength would you like to keep in the future?

  1. ____ assumes that there is always more than one answer.

D. Divergent thinking

  1. Role models can be helpful for clients by ____.

A. envisioning the future through others

  1. Overcoming the problems for goal setting that are a result of the shadow side requires ____.

A. good training for the helpers

  1. What is not a task of Stage III of the helping process?

C. Helping clients to identify tactics and strategies fo r accomplishing all the goals that the helper identified during Stage II 2. Stage III primarily is about ____. B. implementation 3. After clients develop strategies to accomplish their goals, they ____.

B. may need assistance finding best-fit strategies to meet their goals 4. When selecting strategies with a client, it is important to ____.

A. understand what resources are available to the client B. be realistic C. select strategies consistent with the values of the client (all of the above) 5. One way to help clients develop a range of strategies is to help them investigate resources in their lives by using ____.

D. a framework

Client: I am so depressed that I can't lose weight. I'll lose a few pounds but they never stay off. So here I go again on another diet that I am sure won't work. Helper: How might you help yourself this time? Client: I have no idea. I feel so alone in this. Helper: Have you ever thought of joining a group of people who are all struggling with this problem?

In this interaction, the helper is helping the client to ____.

A. find useful social support

  1. In Stage III, it is important to link ____. B. possible strategies to action
  2. After brainstorming strategies for accomplishing goals, the helping process should include choosing a strategy that ____.

B. best fits the client's situation, resources, personality, and preferences

  1. What are the three common pitfalls in the process of selecting strategies?

A. Wishful thinking, playing it safe, and avoiding the worst outcome What is not a guideline for helping clients choose best-fit strategies for achieving goals that is recommended in the text?

B. Make sure strategies are ambiguous so that the client can fill in the details along the way

What is not an example of the kind of question a helper might try to have clients ask themselves in order to choose best-fit strategies?

B. Which strategies reflect my wildest dreams, the things I most want in life?

Surprised by the number of program possibilities available to achieve the goal of getting liquor out of her life, Karen decided to try some of them. She went to an open meeting of Alcoholics Anonymous, attended

B. Strategy sampling

a meeting of a women's lifestyle-issues group, visited a hospital that had a residential treatment program, and signed up for a two- week trial physical-fitness program at a YMCA. She tried these out and then discussed the options with her counselor.

What technique for strategy selection was she using? 13. How do good plans add value to a client's search for a better life?

C. They provide an opportunity to evaluate the realism and adequacy of goal s What best described ESTs? C. They incorporate step-by-step manuals. 15. When the client's future seems particularly uncertain, it is helpful to develop ____.

C. contingency plans

  1. In Egan's helping model, the Action Arrow refers to which of the following?

A. A result-producing action

What is one of the conditions for achieving success discussed by Tom Morris?

A. Determining what you want—that is, a goal or a set of goals "powerfully imagined" B. Focusing and concentrating during preparation and planning

(It's A and B) What plays the most important role in implementing change programs?

A. Self-control

During her counseling, Lin came to realize that she had a hand to play in her poor relationships with co-workers at the office.

Lin: I feel so much better understanding that my unsatisfying relationships with colleagues wasn't just their fault. I also had a role to play. It makes me feel hopeful that I can make a change for the better. You know, I also think that I am learning that I can help my personal relationships too by being more aware of how I behave. I feel like I am always going to check in with myself whenever I am with people who are important to me.

Lin's realization reflects which of the following?

C. Protracted decisional self-control

  1. In the implementation phase of the helping process, strategies for accomplishing goals need to be complemented by ____.

D. tactics and logistics

  1. The art of providing the resources needed for the implementation of a plan in a timely manner is called ____.

A. logistics

  1. One of the primary ways to help clients achieve effective courses of action is through ____.

A. strong implementation intentions

S U 3 : E g a n ' s M o d e l : S t a g e 1 : C u r r e n t P r o b l e m S i t u a t i o n

O v e r v i e w / O o r s i g

Exploring the client's Existing problem Situation

The stage one skills of the Egan Helping Model are based upon the exploration of the client’s

situation and they basically correlate with the Rogerian counselling skills of the Person Centered

Approach. The purpose of Stage I is to build a nonthreatening counselling relationship and help

the client explore their situation and then focus on chosen issues. In this stage the Skilled Helper

helps the client to identify and clarify problems and opportunities and assess their resources.

Clients are often reluctant or resistant at this stage, therefore the therapist helps them to explore

new perspectives, challenges negative modes of thinking and constructively challenges the

client's excuses, evasiveness, distortions and negative self-statements. This stage is based around

helping the client in establishing priorities and developing action plans that put into practice

productive strategies. Stage I exploring skills include: Open-ended questions, Silence

,Focusing Empathy, Paraphrasing & Reflecting Meaning, Paraphrasing & Reflecting

Feeling, Structuring and Summarizing.

STAGE 1

TASK I-A: THE STORY

1. PRINCIPLES FOR EXPLORATION OF THE STORY

o Handle different styles.

o Stay with the client.

o Clarify key aspects.

o Determine the seriousness of the problem.

o Handle the past productively.

o Determine what the client’s resources/opportunities are.

o See problems as opportunities.

TASK I-B: THE REAL STORY

1. GOAL

2. CHALLENGE – FULL PARTICIPATION

o own problems

o state problems as solvable

o maintenance of problem

o moving on

3. USE OF IMMEDIACY TO CHALLENGE GROWTH

TASK I-C – THE RIGHT STORY

1. GOALS

2. PRINCIPLES FOR EXPLORATION OF ISSUES OF A PROBLEM THAT WOULD

ADD VALUE TO THEIR LIVES IF IT IS SOLVED ARE:

o coping with a crisis;

o problem that causes pain;

o important matters;

o solvable problems,

o problem that precedes general improvement.

How might a helper most challenge a client to participate in the helping process?

How might a helper most challenge a client to participate in the helping process? Invite clients to own their problems and unused opportunities. Invite clients to state their problems as solvable.

What does the action arrow in Egan's framework refer to?

Egan's proposed Action Arrow represents both the broad and specific actions necessary to produce desired changes. The three stages of this problem-management and opportunity development approach to helping are: the current picture, preferred picture, and the way forward.

What is best approach to inviting clients to self challenge?

The right for a therapist to invite clients to self-challenge should be founded on: A solid relationship, empathetic responses, and the therapists willingness to self-challenge.

What is the first rule of helping?

What is the first rule of helping? Do no harm.