Factors That Contribute To Client Resistance

When the counsellor has a greater awareness of their clients' culture into their theory and practice, they must realise that

this is something that many of us struggle with which is change because for most of us its something everyone hates. The reason so many despise this is because change is hard to deal with for most people. However after any change takes place in the long run it helps because it adds a experice and helps you grow as a individual from that experice which gives strength in change. This is not always so simple for some people for many they are sit in their ways and do not consider change in their lives. However unfortunately change for all is unavoidable and is something that has to happen over time. There are ways to help clients work through these problems by helping them see the good and positive things that can come from the change they have to encounter. Another way to help them deal with this would be by going through their past experiences and looking to see what positive things came from that

The complexity of the case meant I had to draw on a large range of social work skills to facilitate my engagement with the service user and carers and to complete my recommendations for panel. My Skills strongly developed throughout the process of assessing the service user and carers and they were acknowledged by my practice assessor.

Allowing for our ethical codes of conduct, if the client is someone we feel we can proceed with, then as always, the first stage would be to develop a good rapport and gain the clients trust to develop an honest and open relationship with them. The client centred approach as always is the best method for this – to put the client at ease in a non-judgemental space where they can express their emotions and explore what it is they want to achieve with therapy. In giving the therapist an

What goes wrong, thus bringing a client into therapy? Rogers considers the problem to be lack of

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

The counselor should always set boundaries with their clients so they understand what acceptable behavior is and what is not. By placing parameters early in the counseling relationship it will decrease the opportunity for violent escalations. Educating clients on their own warning signs and having them learn about their own violent urges makes the more self-aware of their behaviors may escalate. This also gives the counselor the skills to learn how to work with potential

As the helper, the strategies that I would use to engage the resistant client would be to start off by reassuring them that they shouldn’t be ashamed for having to apply for assistance.

Client resistance is ever present in the social work profession. As per Goldstein (1995), resistance presents itself in treatment within the client’s conscious or unconscious actions which interfere with therapeutic progress. Assessing the complex dynamic causing a client’s resistant behavior during clinical treatment is a challenging, but an essential task for goal achievement. According to Woods and Hollis (2000), understanding why a client is resistant facilitates reaching common ground with the client, enabling realistic goal setting. The causality of resistance is often discomfort associated with the client not being in a state of readiness, further emphasizing the need for mutual goal setting in order to obtain treatment progression.

For instance, a young woman from Africa parents had arrange her marriage. She had to come to the United State to attend college, and she did not want to go through with the arranged marriage. She went to see a counseling where the counselor told her that she did not have to do what her parents said. The counselor did not understand her customs and believe that a woman was free to do what she desired. The counselor caused conflict between the young woman and her parents, because they stop speaking to their daughter for not marrying the young man. According to Boisvert et. al. (2002), a counselor can make a client feel that it is a problem with their way of thinking that may cause results that are

* Differentiation and elaboration of experience. Clients start back seeing things in a very black and white manner with no grey areas. This change during the counselling process.

I feel the Engagement strategies are important. Building a relationship with the client will help the client to open up to me as a counselor. People don’t care what you know until they know that you care. When a counselor proves to the client that they are concerned about them and that they want to know about their culture, the client will become to open and begin to trust the counselor. It is important for the counselor to gain the knowledge ahead of time and continue to research the culture of their client. As the counselor I need to research the culture of all my students. I try to ask them about what they believe and then listen to what they are telling me. I want them to know I care. Before we meet again I read about their culture and

Treatment failure is unfortunately confronted at times despite the best efforts of the therapist or patient. Research shows that between 65 and 40 percent of patients do not respond to psychotherapy, depending

In peer counseling it is unethical to break the client’s confidentiality or imposing your own values. Talk to the client to change their behavior and don’t trace them. The moment you break the secrets of the client (his/her confidentiality) it leads to desperation, long-term mental issues or even suicide. But then, if you have to break confidentiality it has to be a matter of life or death but be careful. If you feel the matter is not resolved, approach another person, maybe your teacher. Never bring your religious background in counseling but give the skills that will help them when you are not there. After giving the client an alternative, let the decisions come from them. As a matter of fact in peer counseling every issue is critical, no matter how funny it is. For instance a client may approach you and say he takes too much food, funny as it may sound do not be judgmental. Also every time you have a counseling session, get the best out of the client and help him or her to be a productive

Along with becoming gentler and more patient in how they view themselves and others, give them the opportunity to reframe their viewpoint to one of acceptance of reality as it is. A compelling reason is that basically, until we accept ourselves we will suffer. Accepting the reality of a situation does not mean the client has to stay in the situation. However, until they accept what is real, they cannot hope to change it. Going from “life’s happening to me and it sucks” or “it’s all their fault”, or “I hate myself” to “everything is an opportunity for me to become more conscious”, or “everything can help me grow/transform”, can create a huge shift in potential outcomes, as well as assisting them to remain more comfortably with what is happening in the present (remembering that the present is all we have). “This too shall pass” is a helpful mindset when they encounter difficulty.