HELPING PEOPLE CHANGE:

1

• HELPING PEOPLE CHANGE
• TEACHING COUNSELING SKILLS IN CLINICALPRACTICUM
• Sheryl R. Gottwald, Ph.D., CCC-SLP
• University of New Hampshire, Durham, NH
• srg_at_maple.unh.edu
• Diane Fillion Parris, M.S., CCC-SLP
• Boston University, Boston, MA
• dparris_at_bu.edu
• ASHA, 2006
• Miami, Florida

2
A COUNSELING FRAMEWORK THE THREE STAGE
MODEL(adapted from Hill OBrien, 1999)

• EXPLORATION
• (Listen)
• Help client explore his/her
• thoughts, feelings and behaviors
• Help client tell his/her story
• Identify and clarify problems
• Learn about clients perspective

ACTION (Change) Help client identify the
actions to take to empower his/her life Help
client develop skills needed to implement
action Help client evaluate actions and
changes Help client process feelings about
change
3
INTEGRATED DEVELOPMENTAL MODEL(Stoltenberg and
Delworth, 1987)

• SELF OTHER-AWARENESS MOTIVATION
  AUTONOMY
• LEVEL 1
• Primary focus is on him-herself HIGH
  Dependent on supervisor
• Focus on own fears/uncertainty Wants to
  help Leaves decisions to
  supervisor
• Difficulty understanding clients Do it
  the right way Seeks advice often
• point of view
• LEVEL2
• Begins to focus on client
  FLUCTUATES Dependency-autonomy conflict
• May loose him-herself in the clients
  This is not so easy Varies with
  confidence
• emotional or cognitive experience
  More ?s than answers fluctuations
• LEVEL3
• Realizes the clients emotional
  CONSISTENT Confident in ability
  to function
• impact on self Realistic expectations
  autonomously
• Develops ability to move back and
  Deeper self-knowledge Seeks advice without
  giving
• forth between own responses and
  up responsibility for
• clients experience
  decision making