Grwp Llandrillo Menai Level 4 Diploma in Therapeutic Counselling Student Handbook 2015-2017 1 Contents Section Page Introduction 3 About the college 3 Learning Support 4 The course team 5 Title of Qualification 5 Structure of the course 5 About the Awarding Body 6 Entry Requirements 6 Progression 6 Bilingual Assessment 6 Equality and diversity issues 6 Equal Opportunities 7 Tutor Support 7 Support for self and other learners 7 Clinical placement information and requirements (also see 7 placement handbook) Supervision (also see placement handbook) 8 Study Entitlements and responsibility 8 About the course THE STRUCTURE 9 Entry to the second year 10 Complaints procedure 11 Unit Summary 12 Assessment Programme 19 Scheme of assessment (also see assignment handbook) 20 Appendix 1 CPCAP Service levels 22 Appendix 2 Recommended Reading 27 Appendix 3 Scheme of work 29 2 Introduction You will possibly find that there are a number of differences between your last educational experience and the methods involved in the Certificate in Counselling Studies course at Coleg Llandrillo Cymru. Therefore, this handbook has been produced with the intention of introducing you to the variety of procedures you will meet during the course. Please use this handbook for reference throughout the duration of the course, not simply as pre-course information. Finally, if you have any questions, worries or complaints, please let your Course Tutor or one of the course team know – they are there to ensure your time at Coleg Llandrillo is both productive and enjoyable. ABOUT THE COLLEGE Coleg Llandrillo has a wide range of resources including library and study support facilities which are open to the students on this course. Individual support is also available for students returning to study, who may experience difficulties. Students are encouraged to make the best use of the facilities available, and early on in the course will be given guidance on use and location of the various resources. All students will receive a copy of the College Diary for Students. The diary provides information on: o o o o Services and Facilities Leisure Services College Policies and Procedures Useful Telephone Numbers Advice and Guidance Whatever you are studying, our advice and guidance teams are here to help you get the best out of your time at college. Impartial information about study options to help you make the right choice Advice on financial support including scholarships and grants, the Education Maintenance Allowance, Assembly Learning Grant Support Funds and financial help for childcare Advice from your Student Welfare Co-ordinator on a range of personal issues from finding accommodation to counselling services Careers guidance to help you plan for the future 3 The Advice & Guidance Centre is located next to Reception in the main foyer. Call 01492 542 338/9 or email: [email protected] Learning Support Is a service for any student who feels they need extra help with any part of their College work. Support can be one off, for a short period or last as long as your College programme. Libraries packed with books and journals A Learning Centre where you can study and get help from qualified staff IT Workshops with the latest technology and software, technical support and open learning options Quiet study areas Your own email account and access to the Internet Where is it? Rhos-on-Sea Campus - In the Learning Centre, L Block Coleg Llandrillo Rhyl - upstairs in the Library Coleg Llandrillo Denbigh - in room C, the Learning Centre Coleg Llandrillo Abergele - in the Library What Does Learning Support Offer? Advice and information on access and specialist equipment Loan of specialist equipment Assessment for specific difficulties, for example, dyslexia Update of previous reports/assessments Help in asking for special exam arrangements Help with mobility problems Help with personal care needs Extra support with reading, spelling, writing and maths and bilingual learning The Learning Centre, Rhos-on-Sea Campus The aim of the Learning Centre is to improve and enhance your learning experience at College. It has a very friendly, relaxed atmosphere and the staff can provide one to one support with: Mathematics English Key Skills 4 Study Skills Presentation Skills Learning Resources available include: 30 computers linked to the College network CD-ROM packages Internet & email access Scanner & colour printer Paper-based hand-outs covering a variety of topics Bilingual Learning If you think you might like help extra help with your studies, either let us know by ticking the extra support boxes on the enrolment form or, if you’ve already started your course, speak to your Personal Tutor. The course team consists of the Course Coordinator and Course Tutors. Course coordinator/tutors Penni Neale Sue Critchley 01492546666 ext 1407 01492546666 ext 1368 [email protected] [email protected] Title of Qualification The qualification you will receive is a Level 4: Diploma in Therapeutic Counselling (TC-L4) Structure of the course The course is a two year course from 9.00am-4.00 pm (day to be arranged) There will be weekly tutorial slots from 4.00-5.00pm. These will be group and individual tutorials and students will be able to book individual sessions. 5 THE STRUCTURE OF DAY 09.00am-10.00am 10.15am -12.00am 12.00pm- 1.00pm 01.00pm- 03.00pm 03.00pm-04.00pm 04.00pm-05.00pm Process group Theory Lunch break Practice Group Supervision Personal Tutorials About the Awarding Body The Counselling and Psychotherapy Central Awarding Body (CPCAB) is a UK awarding body that is managed by professional counsellors, trainers and supervisors. Now in their 15th year of operation, they are the only awarding body in Europe to specialise in the field of counselling. Entry Requirements Candidates must have acquired both CPCAB’s Level 2 Certificate in Counselling Skills (CSK-L2) and CPCAB’s Level 3 Certificate in Counselling Studies (CST-L3), or their APL and/or APEL equivalents. Tutors can allow progression onto the first year of TC-L4 to candidates who have not yet completed their assessment for CST-L3. However, such candidates must successfully complete the assessment prior to entry into the 2nd year of TC-L4. Progression for students Successful candidates may progress onto CPCAB’s: Level 5 Diploma in Psychotherapeutic Counselling (PC-L5) Open University Foundation Degree in Counselling MA in Therapeutic Counselling Bilingual Assessment Course resources are available bilingually and students are offered the option of completing all assessment through the medium of Welsh. Please contact your course tutor for information on bilingual resources/assessment. Equality and diversity issues: As with any counselling training issues around equality and diversity are of fundamental importance and throughout the course students will be encouraged to bring their own rich diversity to the course, they will be encouraged to share ideas and support each other in their learning. The quality of the learning environment is essential to all students and the tutors 6 will work hard to create and maintain an inclusive atmosphere which is a positive, experience for the students studying on the course. Tutors and students will need to be open to challenge, and be willing to challenge others who may demonstrate behaviours, attitudes or language which appears to be abusive offensive, unfair, or discriminatory, Discrimination of any kind, whether based on age, disability, race, ethnic origin, religious beliefs, gender, sexual orientation or any other grounds will not be tolerated. Equal Opportunities Coleg Llandrillo has an Equal Opportunity policy which can be found in your College diary/website www.gllm.ac.uk Tutor support All students will be assigned a personal tutor and time will be allocated for both group and individual tutorials. This time is to support you in your learning on the course and gives you the opportunity to discuss any problems related to this. You will need to make sure that you keep a record of the tutorials that you have received in your portfolio. If during the course you find that you are experiencing difficulties that may affect your ability to counsel others or are impacting on your learning, it is your responsibility to notify your personal tutor so that appropriate action can be agreed between yourself and your tutor, and support may be considered if possible. Reasonable adjustments can be considered to help meet learner’s needs and an application can be made to the CPCAB if any further adjustments need to be considered. Support for self and other learners It is a requirement of this course that you receive a minimum of 10 hours of individual therapy. However, additional therapy may be required at times if students are feeling vulnerable or experiencing emotional problems. Although the group may be therapeutic in nature the counselling course is primarily a learning group, and not a therapy group. Therefore, there may be times when you need to seek personal therapy if you are experiencing difficulties. Clinical placement information and requirements (See Placement Handbook for details of requirements) Students are required to undertake a minimum of 100 hours formally-contracted counselling (one-to-one) with at least 5 different clients in an agency setting. The placement is usually 7 one where the trainee is a volunteer. A named member of the agency staff needs to be named as the person who will complete an agency report as this is a requirement to gain the award. Supervision (See Placement Handbook for details of requirements) Candidates require clinical supervision for their agency client work. In addition, candidates require 30-50 hours group training supervision as part of the course. The supervisor will be required to submit a supervisors report at regular intervals and a final report at the end of the course. Trainees should never be working with clients who have complex psychological needs (this is service level C work) For information about supervision requirements for both trainees and supervisors see the Placement Handbook which will be issued to each trainee at the beginning of the course (copies on Moodle) Study Entitlements and Responsibilities Entitlements As students on this course, you are entitled to: A structured programme which meets the objectives of the course and provides opportunities to achieve the Diploma in Therapeutic Counselling A learning experience which provides quality of opportunity: Workshops providing opportunities to receive and present information relating to the programme content Tutorials, where tutors provide individual guidance and receive feedback on course assignments Group activities Clear assessment criteria for course assignment and the prompt return of work Responsibilities Your responsibilities are: Prompt and regular attendance at College for the duration of the course, with absences notified to the Course Tutor at the earliest opportunity (a candidate is required to attend a minimum of 80% of the course to gain the award) To catch up on all work when the student has been absent Submission of assignments and other coursework to agreed deadlines, and negotiation with the tutor where this is not possible Assignments and other coursework to be checked against criteria and be presented in an accessible format To prepare for each session and in particular take personal responsibility for your own: o background reading 8 o o completion of agreed tasks participating in group activity About the course This qualification is intended for candidates who want to train to become a counsellor working in a counselling service agency. Successful completion of this course means that the trainees will be able to provide a therapeutic counselling service within the context of an agency's service framework. Structure of the course The course is a two year part time programme for 210 hours per year. The qualification has seven units which are based on the seven processes in the CPCAB model. (See appendix 1) The course consists of 7 mandatory units: Working ethically, safely and professionally as a counsellor (R/600/9346) Working within a counselling relationship (T/600/9355) Working with client diversity in counselling work (J/600/9358) Working within a user-centred approach to counselling (F/600/9472) Working with self-awareness in the counselling process (H/600/9478) Working within a coherent framework of counselling theory and skills (K/ 600/9482) Working self-reflectively as a counsellor (F/600/9486) Each unit sets out a list of learning outcomes and assessment criteria (learning tasks) which have to be met by the students and clear evidence of this has to be present in the portfolio and Candidate Learning Record (CLR) Candidates must give two pieces of evidence for each criterion and the CLR (when complete) will need to have evidence from three types of course work e.g. documentation, tutor observation and testimony These need to be present for each of the seven units above. 1. Documents – You must include: (blue) two self-reviews a clinical supervision record two assignments (such as an essay) a client log (minimum of five different clients and 100 hours) a weekly learning review(journal) two case presentations two case studies A personal counselling record (minimum of 10 hours). You might include (for example) (yellow) 9 A review of your counselling skills session (video including verbatim transcripts) A record of your personal development 2. Tutor observation – You must include: (green) Written tutor feedback on your counselling practice sessions (a minimum of four tutor observation sheets) these need to be included in your portfolio and two of these must be via audio or video recording. You might include (for example) Any written feedback from your tutor on your contribution to group work, discussions and case presentations. 3. Testimony – You must include: A report from you counselling agency. Records of peer feedback on their counselling practice session A supervisor’s report You might include (for example) Self and Peer feedback on case presentations and group discussions Any feedback received from agency team members, college tutorial records and client feedback and/or evaluation of your practice All documentation must maintain client and Agency confidentiality at all times and reference to any individual student by name. Entry into second year: Progression to the second year of the course is not always an automatic process and there are times when students may withdraw from the course or be asked to defer entry onto the second year. Progression will depend on the successful completion of year one, and may be halted for learners where there is concern for the learners’ mental wellbeing, if the supervisor or clinical placement report raises uncertainty to the suitability and competency of the learner. Any concerns will be discussed with the student and time and support will be offered to help solve any problems. Decisions will be made in conjunction with the IV and EV and the CPCAB. Complaints procedure Our aim at Llandrillo is to provide you with a high quality standard of service in all aspects of our provision. Most people who come to Llandrillo enjoy College life and do not experience 10 any problems. However, we recognise that sometimes things can go wrong, and when it does we would like to know about it so that we can put it right. We are committed to taking prompt action to ensure we achieve our aim of providing a high quality service. The aim of the Complaints Procedures is to give you a quick, but thorough response that answers all of your concerns properly. Stage One (Informal) If you are a student here you may be able resolve your concern informally, by talking to your Personal Tutor/ Course Co-ordinator. If you feel unable to discuss the matter with either of the above then you may prefer to talk, in total confidence, to one of the following: Your Head of Programme/Team Leader Your Curriculum Area Director A Student Union representative Staff in the Advice & Guidance Centre Customer Service Co-ordinator Stage Two (Formal) If you feel that your concern has not been resolved at the informal stage you may make a formal complaint in writing to the Customer Service Co-ordinator. Cyd-drefnydd Gwasanaeth Cwsmer/Customer Service Co-ordinator Mr Toby Prosser Governance Officer, Grŵp Llandrillo Menai, Coleg Llandrillo, Llandudno Road Rhos- on- Sea LL28 4HZ file:///H:/2016/L4%20YR%201/moodle/Complaints.pdf 11 2. Unit summary: Unit 1 Qualification Number: 500/8088/X Unit title: Working ethically, safely and professionally as a counsellor Unit Reference Number: R/600/9346 Level: 4 Guided Learning Hours 42 Credit value: 14 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able to: The learner can: 1. Work within an ethical and legal 1.1 Work within an ethical framework for counselling framework 1.2 Demonstrate professional standards of conduct 1.3 Be able to maintain confidentiality in counselling work 1.4 Comply with relevant legal requirements for counselling 1.5 Explain the issues relating to the duty of care with regard to the legislation on safeguarding children, young people and vulnerable adults 2. Work within a counselling service 2.1 Work within the ethical, legal and procedural organisation framework in which a given agency operates 2.2 Use teamwork skills to work with others 2.3 Use professional skills to work with others 3. Use supervision to work within 3.1 Monitor limits of proficiency and fitness to practise own limits of proficiency 3.2 Make suicidal risk assessments and work with emergency situations. 3.3 Support referral where appropriate 3.4 Monitor own effectiveness and identify issues that require personal work 12 Unit 2 summary Unit title: Working within a counselling relationship Unit Reference Number: T/600/9355 Level: 4 Guided Learning Hours 84 Credit value: 22 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able The learner can: to: 1.Establish and sustain the 1.1 Explore the role of the counsellor in different settings and boundaries of the counselling services relationship 1.2 Establish the boundaries of the counselling relationship within specific agency settings 1.3 Sustain the boundaries of the counsellor role 1.4 Manage breaks and endings appropriately 2. Establish and develop the 2.1 Explain the nature and significance of the therapeutic therapeutic relationship relationship 2.2 Establish and develop the therapeutic relationship 2.3 Reflect on the nature and quality of the therapeutic relationship throughout the counselling work 2.4 Use the therapeutic relationship to inform and enhance the therapeutic process 2.5 Recognise and respond to difficulties and conflicts in the therapeutic relationship 13 Unit 3 summary Unit title: Working with client diversity in counselling work Unit Reference Number: J/600/9358 Level: 4 Guided Learning Hours 63 Credit value: 17 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able to: The learner can: 1. Understand and work with 1.1 Explore diversity issues between self and client during diversity the counselling relationship 1.2 Evaluate how an understanding of diversity can enhance empathy 1.3 Demonstrate sensitivity to diversity issues with individual clients 2. Challenge own issues, fears and 2.1 Explore and challenge own beliefs and values prejudices 2.2 Explore and challenge own issues, fears and prejudices concerning working with client diversity 3. Understand how diversity issues 3.1 Reflect on diversity issues which impact on clients affect client access to accessing counselling within agency settings counselling 3.2 Reflect on issues relating to working with a third party present 14 Unit 4 summary Unit title: Working within a user-centred approach to counselling Unit Reference Number: F/600/9472 Level: 4 Guided Learning Hours 42 Credit value: 11 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able The learner can: to: 1. Work within a user-centred 1.1 Enable clients to explore their attitudes to and agreement for the expectations of counselling within specific agency counselling work settings 1.2 Negotiate a shared agreement for the counselling work 1.3 Regularly review the working agreement with clients 2. Maintain a user-centred 2.1 Enable the client to identify, prioritise and focus on their focus throughout the agenda counselling work 2.2 Use regular reviews and clinical supervision to maintain the focus on the client’s agenda throughout the counselling work 2.3 Enable clients to explore their unspoken agendas 15 Unit 5 summary Unit title: Working with self-awareness in the counselling process Unit Reference Number: H/600/9478 Level: 4 Guided Learning Hours 42 Credit value: 16 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able to: 1. The learner can: Use counselling theory to 1.1 Explore the nature and structure of own self understand own self 1.2 Explore own recent and formative personal history 1.3 Explore own patterns of relating 2. Work on personal issues that 2.1 Work on own emotional difficulties and internal resonate with client work conflicts that could impact on client work 2.2 Work on own recent and past life events that could impact on client work 2.3 Work on own relationship difficulties that could impact on client work 3. Use self awareness to enhance 3.1 Reflect on the importance of self awareness in counselling work counselling work 3.2 Use awareness of self during counselling sessions to enhance the therapeutic process 3.3 Use clinical supervision to develop awareness of own implicit processes 16 Unit 6 summary Unit title: Working within a coherent framework of counselling theory and skills Unit Reference Number: K/600/9482 Level: 4 Guided Learning Hours 126 Credit value: 30 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able The learner can: to: 1. Use a coherent framework of 1.1 Use theory of the self, personal history and relationships theory and skills to inform in client work and enhance counselling 1.2 Use theory of therapeutic change to inform client work work 1.3 Use research findings to enhance understanding of client work 1.4 Use counselling skills and techniques associated with own theoretical approach 2. Understand and work with 2.1 Understand and work with common life problems and client problems at different obstacles to well-being service levels 2.2 Understand and work with common mental health problems 2.3 Use clinical supervision to identify clients with severe mental health problems and support the referral process 2.4 Reflect on different approaches to understanding mental health 17 Unit 7 summary Unit title: Working self-reflectively as a counsellor Unit Reference Number: F/600/9486 Level: 4 Guided Learning Hours 21 Credit value: 10 Learning outcomes (skills, knowledge, understanding) Assessment criteria (to assess learning outcome) The learner will/will be able to: The learner can: 1. Manage own development as a 1.1 Evaluate own progress, identify needs and plan counsellor learning 1.2 Assist other counselling trainees to identify their progress and learning needs 2. Reflect on and evaluate own 2.1 Reflect on and evaluate the effectiveness of own counselling work within agency counselling work in agency settings settings 2.2 Prepare for and use clinical supervision effectively 2.3 Investigate the use of evaluative tools in counselling work Candidates must be assessed as Proficient in all 7 learning outcomes of the mandatory unit and must be assessed as Proficient in both internal and external assessment to achieve the qualification. 18 Candidates must give two pieces of evidence for each criterion. In addition the Candidate Learning Record, when complete, must include references to all three assessment methods (documents, tutor Candidates must be assessed as Proficient in all the learning outcomes of the 7 mandatory units and must be assessed as Proficient in external assessment to achieve the qualification. Candidates must give two pieces of evidence for each criterion. In addition the Candidate Learning Record, when complete, must include references to all three assessment methods (documents, tutor observation and testimony). NOTE: See Assessment Handbook for details of assignments. 19 Scheme of Assessment Assessment Hand out date Hand in date /observation date Type of evidence Self-Review 10/9/15 08.10.15 Completed self-review Mental Health Presentation & Assignment 10/9/15 24.03.16 Presentation notes & feedback sheets Assignment 1 10/9/15 24.03.16 05.05.16 10/9/15 08.12.16 31.04.16 Part 1 & Resource File Research Task Part 2 Assignment 2Theory Learning (continuous) Assignment (2000 words) The counselling relationship review 10/9/15 Weekly until 15.06.17 Reflective journal cross referenced to the assessment criteria and all front sheets signed by tutor Comprehensive written 10/9/15 Case Study 1 TBA Case Study (2000 words) Comprehensive written 10/9/15 Case Study 2 TBA Self-Review 1 10/9/15 23..06.16 Review of learning Self-Review 2 10/9/15 15.06.17 Review of learning Client record (minimum 10/9/15 of five different clients and 100 hours) 09.06.16& 08.06.17 Client Log signed by supervisor Verbal Case presentation 10/9/15 1 TBA Case presentation notes Year 1 Tutor feedback sheet Case Study (2000 words) Tutor feedback sheet Peer feedback sheets Tutor Feedback Sheet Verbal Case presentation 10/9/15 2 TBA Case presentation notes Peer feedback sheets Tutor Feedback Sheet 20 Supervision record 10/9/15 09.06.16& 08.06.17 Therapy record 10/9/15 (minimum of 10 hours) Skill practice: 10/9/15 1. Any skills practice session 2. Any skills practice session 3. Audio or videotaped practice session 4. Audio or videotaped practice session Report from supervisor 10/9/15 08.06.17 Supervision report and supervision log signed by supervisor A signed form recording counselling hours received continuous DVD (x2) session Written evaluation 2X Observed sessions of counselling Self-evaluation of session Tutor Feedback form Peer Feedback form 09.06.16& Signed and dated by supervisor 08.06.17 Feedback and/or report 10/9/15 from agency (managers) 08.06.17 Signed and dated by Agency Representative/manager Mock external 10/9/15 assessment and review paper May 2016 Tutor feedback Nov Peer Feedback 2017 Self-feedback EA audio-taped assessment TBA 12.01.17 Completed conditions Candidate Review Paper in relation TBA 26.01.17 Externally marked by CPCAB Completed under exam to audio-tape 21 Appendix 1 CPCAB SERVICE LEVELS CPCAB qualifications are linked to ‘service levels’ which describe what trainees need to learn in order to provide progressively more in-depth levels of helping, counselling and supervision work. These levels form the 2nd part of the CPCAB working model of the helper/counsellor/supervisor. The idea is that these levels start with helping work and progress, step-by-step, to working with people who have complex mental health problems. CPCAB qualifications define the understandings and skills that a practitioner needs to work effectively at each level. The service levels also provide a simple but effective framework for assessing the needs of a client, helpee or supervisee, together with defining the nature and limits of the service that a practitioner or agency is able to offer. Please note that helping work describes the activity of those who use counselling skills to support others (voluntary or as part of another role) and is clearly distinguished from formally contracted counselling or psychotherapy which takes place between therapist and client. 1 Helping work: support for immediate distress Practitioner proficient in: Using counselling skills to help others cope with immediate distress and access further support as appropriate. This may involve alleviating immediate emotional distress and helping others to clarify and prioritise concerns. ICSK-L2 practitioner proficient in: Using initial counselling skills 1 in helping work. “I‘m not feeling so good at the moment.” CSK-L2 practitioner proficient in: Using counselling skills in helping work. These refer, for example (but see the ICSK-L2 unit criteria in the Candidate Learning Record in the ICSK-L2 Tutor User Guide), to listening and responding skills, together with skills associated with helping the other person to find appropriate support where needed. 22 Service level A: working with current problems Practitioner proficient in: Working with clients coping with current problems associated with difficult life events & life crises. At this level of work clients need help with a current problem that’s associated with one particular situation - in contrast to more general problems associated with a variety of situations (Service Level B). CST-L3 practitioner proficient in: Counselling studies – preparation to begin an in– depth counselling training which will include (post-CST “Generally I’m OK, but I really need some help with this L3) workplace experience. particular problem.” TC-L4 practitioner proficient Such current problems might include a recent life crisis (such as an accident, bereavement or divorce), a stressful situation at work, conflict with someone at home or at work, or a health problem that could benefit from counselling. The counsellor uses counselling concepts and skills in the exploration, clarification and working through of the client’s problems. in: Counselling clients presenting with difficult life events and crises. CBT-L5 practitioner proficient in: Counselling clients (using CBT skills and theory) presenting with difficult life events and crises. Service level B: working with common mental health problems 2 Service level B.1: explicit patterns Practitioner proficient in: Working to alleviate the client’s common mental health problems or other psychological issues by exploring and working on explicit psychological patterns. At this level of work clients need help with problems that are often associated with life events and life crises, but which are fundamentally psychological rather than situational. TC-L4 practitioner proficient in: Working on explicit psychological patterns – working with clients experiencing common mental “I’m feeling depressed (etc.)” health problems or other These problems are more to do with the client’s psychological state than a single life event or life crisis. A life event or life crisis psychological problems. may have ‘triggered’ the common mental health problem or CBT-L5 practitioner proficient other psychological issue, but the event or crisis isn’t the primary in: problem. Applying CBT skills and theory to work with clients with common mental health or other psychological problems. 23 Service level B.2: implicit patterns Practitioner proficient in: Working at a deeper level to alleviate common mental health problems or other psychological issues by exploring and working-on implicit psychological patterns. Working with common mental health problems at this implicit level often involves the exploration of, and working through, of ‘no-go’ areas. These are areas of personality, personal history and interpersonal relationships that are very uncomfortable for the client and have tended to be psychologically separated off and ‘left untouched’. TC-L4 practitioner proficient in: Beginning work with implicit psychological patterns – working with clients experiencing common mental health problems or other psychological problems. PC-L5 practitioner proficient “I’m feeling depressed (etc.) [and the work I’ve done on my in: explicit psychological patterns hasn’t helped that much]” Working with implicit Problems that require this level of work are often associated psychological patterns as an with repeating patterns, for example: independent practitioner / repeated difficulties with similar life events: e.g. a series of senior agency practitioner. relationship breakdowns; Identifying and working anxiety associated with a variety of situations; therapeutically with clients depressive episodes associated with attempts to cope with with moderate mental similar life events; health problems. 3 getting into repeated conflicts with others; TCSU-L6 supervisor proficient a recurrent health problem with a psychological element. in: Additionally, problems that require this level of work may have Providing clinical supervision been triggered by an association with an earlier, ‘forgotten’ for counsellors who are experience (for example, an experience of bereavement). Work at Service Level B.2 also includes working with people who working with clients at Service wish to explore and work through the roots of their difficulties Level A or B. through this more in-depth therapeutic work. It is important to work within your level of clinical proficiency. 24 Service level C: working with complex mental health problems Practitioner proficient in: Counsellors would not normally work with clients needing work at this level. At this level of work clients need supportive or therapeutic work with severe, chronic debilitating mental health problems. Such work is often in relation to an area of personality that is fragile and has been a consistent or repeating source of difficulty throughout life: “I’ve never really seemed to cope that well with my life.” PC-L5 and CBT-L5 practitioner proficient in: Identifying, supporting4and where appropriate referring clients experiencing severe and complex mental health problems. Such severe mental health problems might include, for example, the client’s experience of life frequently being in some form of crisis, of frequently being anxious over a very long period, of frequently being depressed throughout life, of frequently being in fairly severe conflict with others, of frequently being ill and that illness having a strong psychological element. Part 3: Three therapeutic methods The third part of the CPCAB model relates to counselling and psychotherapy, but not to helping work. It describes three generic ways – which are often intertwined – in which counsellors can work therapeutically with their clients. Working with the structure of the self: This therapeutic method is based on the idea that there are different parts to our self, which are often in conflict with each other. Through helping the client to uncover the structure of him/herself, and then resolve any internal conflicts, the counsellor can help her change the way she feels as a person. The Freudian model of the id, ego and super-ego is one very famous theory of the structure of the self. In other counselling approaches, however, the counsellor helps the client find her own personal theory – helping her discover, for example, parts of herself that she calls the ‘prisoner’ and the ‘prison guard’. Working with the history of the self: This therapeutic method is based on the idea that ‘our past shapes our present’ – that what we learnt about the world, earlier in our life, shapes the way we live our life now. Through 25 helping the client explore her past, the counsellor can help her change the way she lives her life today. Characters in films have ‘back-stories’ which describe earlier events in their life and are used to explain why the character is the way they are. These back-stories are often based on the idea that ‘our past shapes our present’: for example, in the film K-PAX a man is classified as mentally ill and his psychiatrist works very hard to discover the traumatic event that he believes made his patient ill. Working with the self-in-relation: This therapeutic method is based on the idea that we develop patterns of relating – especially emotional patterns – that can be unhelpful to us. Through helping the client explore these patterns, the counsellor can help her change the way she relates with other people. The field of counselling and psychotherapy has made a number of important discoveries about the nature of human relationships. One such discovery is the practice of making the relationship between the client and counsellor the content of the counselling work: for example, the way in which the client establishes, sustains and ends the counselling relationship can itself be made the subject of the counselling. 26 Appendix 2 Suggested Reading List This is a preliminary list which will be added to as the course progresses Bond, T & Mitchels (2008) Confidentiality and Record Keeping in Counselling and Psychotherapy: Recording Confidences (Legal Resources Counsellors, Sage Publications Bond (2009) Standards and Ethics for Counselling in Action, Counselling in Action series) Carroll M (2001) Counselling supervision Theory, skills and practice. ISBN 141290210X Clarkson P (2004) Gestalt counselling in action, Sage Publications. Clarkson P 1989 Gestalt counselling in Action ISBN 10 : 9781412900850 Corey, G (2008) Theory and Practice of Counselling and Psychotherapy Brooks/Cole Pub Co Davies D 2000 Issues in therapy with lesbian, gay bisexual and Neal C transgender clients OUP ISBN 0 335 20331 0 De Board, R (1998) Counselling for toads Routledge ISBN-10: 0415174295 Erskine , R ( 1999 ) Beyond empathy a therapy of contact in relationship Moursund J Routledge Trautmann ,R. Feltham, C (2006) Brief Counselling- a practical integrative approach Dryden W OUP ISBN 0 335 21945 4 Fonagy , P, ( 2005 )What works for Whom? Target M Routledge ISBN 1 59385 166 9 Gabriel, L (2005) Speaking the unspeakable the ethics of dual relationships in counselling and psychotherapy Routledge ISBN 1 58391 985 6 Haugh, S (2001) Rogers therapeutic conditions: evolution, theory and Merry T Practice – Empathy PCss books ISBN 1 898059306 27 Haugh,S (2010) The Person-Centred Approach to Working with Loss and Bereavement (Person-Centred Counselling Series) (Paperback) Hough, M, ( ) Counselling skills and Theory Hodder Education Hawkins P (2006) Supervision in t he helping professions Shohet R OUP. ISBN 0 335 21817 2 Hawkins J (2002) Voices of the voiceless: person centred approaches and people with learning disabilities. PCCS books ISBN 1 898 05941 1 Largo C (2005) Race, culture and counselling OUP ISBN 0 335 21694 3 Leigh, A. (1998) Referral and Termination Issues for Counsellors Sage Publications Mearns, D. & Cooper, M. (2005). Working at Relational Depth in Counselling and Psychotherapy. London: SAGE. Mearns, D, Thorne, B (2007) Person-Centred Counselling in Action Sage Publications Mearns, D, Thorne, B (2000) Person-Centred Therapy Today: New Frontiers in Theory and Practice Mcleod, J. (2003) An Introduction to Counselling (3 edit) Open University Press; Mcleod, M (2009) The Counsellor's Workbook: Developing a Personal Approach Open University Press Murray Parkes C (2006) Love and loss the roots of grief and its complications Routledge ISBN Hb 0 415 39041 9 Orbach, S. (2002) On Eating Penguin Books Page S (2001) Supervising the counsellor Wosket V Routledge ISBN 0 415 20774 6 Palmer, S. (1997) Client Assessment McMahon, G. Sage Pritchard C (1995) Suicide – the ultimate rejection OUP ISBN 0 335 19032 4 Rogers, C.R. (1980) A Way of Being Boston: Houghton Mifflin Rogers, C.R. (1993) Client Centred Therapy (1951-current edns.) London: Constable Rogers, C.R. (1989) On Becoming a Person: A therapist’s view of psychotherapy (1961-current edns.) London: Constable 28 Rowan J (2002) The therapist’s use of self Jacobs M OUP ISBN 0 335 20776 6 Sanders, p (2003) The Tribes of the Person-centred Nation: A Guide to the Schools of Therapy Associated with the Person-centred Approach Scott, M. (1992) Counselling For Post-Traumatic Stress Disorder Stradling, S. Sage Publications Short, F., Thomas, P (2015) CORE Approaches in Counselling and Psychotherapy. Essex, Routledge Sills, C. (2006) Gestalt Counselling Fish, S. Speechmark Lapworth, P. Stewart. I (1981) TA today. Life space publishing. Nottingham. Stewart I (1989) Transactional analysis counselling in action Sage Thorne, Brian (1992) Carl Rogers Sage, London. A good account of his life and work Tribe R (2004) Handbook of professional and ethical practice for Morrissey J psychologists, counsellors and psychotherapists. Routledge ISBN 1 58391 969 4 Wertheimer A (2001) A Special scar- the experience of people bereaved by Suicide Routledge ISBN 0415 220227 0 Wilson, G. (2005) Born Gay Rahman, Q. Peter Owen Publications Worden W, (2002) Children and grief When a parent dies Routledge ISBN 1 57230 746 3 Wosket, V (2006) Egan’s skilled helper model Routledge ISBN 1 58391 204 5 Wosket, V (1999) The therapeutic use of self counselling practice, research and supervision Routledge ISBN 0 415 17091 Wilhelm, S (2006) Feeling good about the way you look a program for overcoming body image problems Guilford press ISBN 57230 730 7 Williams, M (2007) The mindful way through depression Teasdale J Guildford Press ISBN 1 59385 128 6 Yalom, I (2003) The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients: Reflections on Being a Therapist 29 Appendix 3 Scheme of work 30 31
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