Beutler and Harwood stressed that t

Beutler and Harwood stressed that the matching of treatment to client characteristics
involves more than determining an appropriate diagnosis. They argued that variations in nondiagnostic qualities, including enduring traits and situation-related states, should be used to select interventions that can be applied in similar ways to individuals with different problems and diagnoses. Table 13.1 includes client characteristics that Beutler, Malik, Talebi, Fleming, and Moleiro (2004) suggested clinicians consider when planning treatments to match client characteristics. Concerning functional impairment, counselors need to ensure that they do not under- or over-estimate client’s level of impairment. Mohr (1995) found that clients who get worse during treatment are often individuals who are working with therapists who have underestimated the level of impairment. In certain cases, such as schools and some agencies, a client may need to be referred to another organization to receive the type of treatment warranted by their level of functional impairment. The second client characteristic, Beutler et al. suggested considering in treatment matching is subjective distress. Although reports of distress are inconsistent and subject to change, they also suggest that subjective stress should be assessed and treatment should be selected accordingly. In addition to assessing problem severity, these authors also suggested gathering information related to problem complexity. In some cases, the complexity of the problems may be best treated by a multi-disciplinary treatment team. There is substantial research (see Prochaska & Norcross, 2002) demonstrating that client progress in treatment is a function of how well counselors match the treatment to the client’s readiness for change. To ensure quality information gathering, they recommended also assessing client reactant/resistance tendencies. An instrument specifically designed to predict resistance to therapy is the Therapeutic Reactance Scale (Dowd, Milne, & Wise, 1991). Beutler et al. also recommended assessing factors that might facilitate counseling and assessing clients’ social support systems. Another client characteristic they suggested assessing as a part of treatment planning is client coping styles because people typically have patterns in how they respond to distress.
Similar to client coping styles, and to some extent social support, are clients’ attachment styles. Clients’ attachment styles may be contributing to their current issues, but should also be considered, because the counseling relationship is one of the best, if not the best, predictor of positive outcome.

Hasil (Bahasa Indonesia) 1:

Beutler dan Harwood menekankan bahwa kecocokan pengobatan untuk klien karakteristikinvolves more than determining an appropriate diagnosis. They argued that variations in nondiagnostic qualities, including enduring traits and situation-related states, should be used to select interventions that can be applied in similar ways to individuals with different problems and diagnoses. Table 13.1 includes client characteristics that Beutler, Malik, Talebi, Fleming, and Moleiro (2004) suggested clinicians consider when planning treatments to match client characteristics. Concerning functional impairment, counselors need to ensure that they do not under- or over-estimate client’s level of impairment. Mohr (1995) found that clients who get worse during treatment are often individuals who are working with therapists who have underestimated the level of impairment. In certain cases, such as schools and some agencies, a client may need to be referred to another organization to receive the type of treatment warranted by their level of functional impairment. The second client characteristic, Beutler et al. suggested considering in treatment matching is subjective distress. Although reports of distress are inconsistent and subject to change, they also suggest that subjective stress should be assessed and treatment should be selected accordingly. In addition to assessing problem severity, these authors also suggested gathering information related to problem complexity. In some cases, the complexity of the problems may be best treated by a multi-disciplinary treatment team. There is substantial research (see Prochaska & Norcross, 2002) demonstrating that client progress in treatment is a function of how well counselors match the treatment to the client’s readiness for change. To ensure quality information gathering, they recommended also assessing client reactant/resistance tendencies. An instrument specifically designed to predict resistance to therapy is the Therapeutic Reactance Scale (Dowd, Milne, & Wise, 1991). Beutler et al. also recommended assessing factors that might facilitate counseling and assessing clients’ social support systems. Another client characteristic they suggested assessing as a part of treatment planning is client coping styles because people typically have patterns in how they respond to distress.Serupa untuk klien mengatasi gaya, dan beberapa tingkat dukungan sosial, adalah klien lampiran gaya. Klien lampiran gaya dapat berkontribusi terhadap masalah-masalah mereka saat ini, tetapi juga harus dipertimbangkan, karena hubungan konseling adalah salah satu yang terbaik, jika bukan yang terbaik, prediksi hasil positif.

Hasil (Bahasa Indonesia) 2:

Beutler dan Harwood menekankan bahwa pencocokan pengobatan dengan karakteristik klien
melibatkan lebih dari menentukan diagnosis yang tepat. Mereka berpendapat bahwa variasi dalam kualitas nondiagnostic, termasuk abadi sifat dan negara-situasi terkait, harus digunakan untuk memilih intervensi yang dapat diterapkan dalam cara yang mirip dengan individu dengan masalah yang berbeda dan diagnosis. Tabel 13.1 termasuk karakteristik klien yang Beutler, Malik, Talebi, Fleming, dan Moleiro (2004) menyarankan dokter dipertimbangkan ketika merencanakan perawatan untuk mencocokkan karakteristik klien. Mengenai gangguan fungsional, konselor perlu memastikan bahwa mereka tidak kurang atau tingkat klien over-estimasi tentang penurunan. Mohr (1995) menemukan bahwa klien yang memburuk selama pengobatan sering individu yang bekerja dengan terapis yang telah meremehkan tingkat kerusakan. Dalam kasus-kasus tertentu, seperti sekolah dan beberapa lembaga, klien mungkin perlu dirujuk ke organisasi lain untuk menerima jenis pengobatan dijamin oleh tingkat gangguan fungsional. Karakteristik klien kedua, Beutler et al. menyarankan mempertimbangkan dalam pencocokan pengobatan tekanan subjektif. Meskipun laporan dari marabahaya tidak konsisten dan dapat berubah, mereka juga menunjukkan bahwa stres subjektif harus dinilai dan pengobatan harus dipilih sesuai. Selain menilai keparahan masalah, penulis ini juga menyarankan mengumpulkan informasi yang berkaitan dengan kompleksitas masalah. Dalam beberapa kasus, kompleksitas permasalahan mungkin paling dirawat oleh tim perawatan multi-disiplin. Ada penelitian besar (lihat Prochaska & Norcross, 2002) menunjukkan bahwa kemajuan klien dalam pengobatan adalah fungsi dari seberapa baik konselor sesuai dengan pengobatan untuk kesiapan klien untuk perubahan. Untuk memastikan pengumpulan informasi yang berkualitas, mereka dianjurkan juga menilai klien kecenderungan reaktan / resistance. Sebuah alat khusus dirancang untuk memprediksi resistensi terhadap terapi adalah Reaktansi Skala Terapi (Dowd, Milne, & Wise, 1991). Beutler et al. juga merekomendasikan faktor menilai yang mungkin memfasilitasi konseling dan sistem dukungan sosial klien menilai '. Karakteristik klien lain mereka menyarankan menilai sebagai bagian dari rencana perawatan adalah klien mengatasi gaya karena orang biasanya memiliki pola dalam cara mereka menanggapi tekanan.
Mirip dengan gaya klien mengatasi, dan beberapa dukungan sosial batas, adalah gaya lampiran klien. Gaya lampiran klien mungkin berkontribusi terhadap masalah-masalah mereka saat ini, tetapi juga harus dipertimbangkan, karena hubungan konseling adalah salah satu yang terbaik, jika bukan yang terbaik, prediktor hasil yang positif.