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counsellors do have a responsibility for setting the scene so that motivation
can be improved (see, for example,Turnell and Edwards, 1999).
Prochaska and Di Clemente (1992) suggest that recovery weaves back
and forth through five stages; pre-contemplation, contemplation,
preparation, action and maintenance, and it is useful to assess where
the client is at in terms of willingness to change as well as overall
emotional states. Questions which have the potential to aid the assessment
of willingness, confidence and capacity to change will vary
depending on the theoretical orientation of the counsellor, but there
are some basic scaled questions which can be used at this stage of the
assessment process:
• On a scale of 1–10 (1 being you having no confidence at all that
you can reach your goal and 10 being you knowing, tough though
it may be, that you definitely will), where do you see yourself now?
• On a scale of 1–10 (1 being very dissatisfied and 10 very satisfied),
how happy are you with your score on [the problem severity rating]
scale?
• On a scale of 1–10 (1 being not at all bothered about the way that
things are and 10 being you knowing that this is the most significant
thing facing you at the moment which has got to change),
where are you at the moment?
• On a scale of 1–10 (1 being you knowing that you would not be
willing to do anything different to resolve this situation and 10
being knowing that you would whatever it takes to sort this out),
where do you see yourself right now?
• What don’t you want to change about your life?
6 ‘To produce an initial assessment (formulation) which provides the
counsellor with the basis for making the first decision about whether to
offer a counselling contract, to initiate referral and to suggest that counselling
would not be appropriate, and second to provide the basis for
developing a therapeutic or counselling plan, including the length of the
contract’
Although humanistically inclined counsellors see the assessment
process as less to do with dynamic formulation and more as an opportunity
for the counsellor and client to decide whether to embark on
the relationship (see, for example, Merry, 1999; King, 2001), they do
make assessments – even if only whether to carry on with sessions.
The argument between the various theoretical orientations is more to
Introduction 13
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