Professional Documents
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There may be reluctant clients or resistant clients. Reluctant clients may be there in referral cases, however,
resistant clients can be in both self referred and other-referred cases.
A reluctant client lacks motivation, is reluctant and does not take initiative. They do not want to be in counselling.
They may report dissatisfaction and prematurely terminate the counselling.
Resistant clients are those who may want counselling but are unwilling, unready, or opposed to change and want to
avoid the emotional pain, change in perspective, or enhanced awareness that counselling demands.
If the client is not involved in the counselling process or not doing assignments or work to change their thoughts and
actions, they are being resistant to the counselling process. In such cases, the skill of the counsellor becomes very
critical
Therapist/Counsellor Factors: The counsellor has an important role to play in the outcomes of the counselling
sessions. Their personal and professional qualities are very important building up the relationship with the client.
There are number of qualities which a counsellor should possess in order to be more effective such as they need to
be encouraging, supportive, patient listener, warm, accepting, empathetic, and non-judgemental and having positive
regards for the client.
All these qualities of the counsellor are more likely to create the right conditions for success. They should also be
interested in helping people.
Apart from these,s/he should be well trained and expert in the methods that they practice, with a high professional
ethics. BPCE 145 Free Solved Assignment
five important characteristics a counsellor should possess. These are: Self-awareness, honesty, congruence or
genuineness, ability to communicate and knowledge.
Clients also look for expertise in the counsellor. Counsellors need to communicate in simple, jargon-free language,
wear appropriate attire, and show genuine concern and interest in the client without being bossy, lecturing or
criticising the client.
Most important, counsellors need to develop a trusting relationship with the client which can serve as the
foundation for the client to open up and share things with the counsellor.
Q2. Explain person-centred therapy in terms of the role of counselor and the techniq used in it.
Ans. Person-centred therapy uses a phenomenological approach, that is, focusing on the experiences of the person,
how does the person experience herself and the world around.
This direct personal experience or organismic experiences related to one’s self are crucial for one’s learning,
enhancement and self-growth.
Role of the Counselor: In PCT the role of a counsellor is to be without a role. This is reason why PCT is also known as
non-directive counselling. The counsellor’s function in the client’s life nor a teacher.
The counsellor’s role therefore is not like a mother bird who pushes a baby bird off a cliff to help it fly, but that of a
steady nest, where the bird can continue to nurture itself before it flies away.
When to make the flight, how to make the flight – the counsellor puts these decisions to the client. As the therapist’s
attitude holds primacy, we must explore the kind of attitude that is suitable for PCT. BPCE 145 Free Solved
Assignment
The counsellor shows care, respect, acceptance and understanding towards the client, while being genuine or
authentic. She aims to facilitate and not direct a client. PCT is also open to a client’s explorations.
The client can shift the focus on therapy from the “primary concern” to other areas which have been denied in the
past. The counsellor must provide such an avenue whereby the client can feel free to explore any facet of her life.
Techniques/ Strategies: As the outcomes of PCT rely solely upon the counsellor-client relationship, Rogers gave six
conditions which had to be met in order for a therapeutic intervention to work.
Therapist’s Congruence or Genuineness: This condition requires the therapist to
honest and genuine with the client. This means that the counsellor must be her real self during a session.
The counsellor’s genuineness or authenticity helps her share her personal experiences, respond to the client with
her real thoughts on the matter and not put on a facade. This is a condition that PCT therapists must strive towards.
It must aisan be noted that therapists are also on their journey towards actualisation and reducing the incongruence
between their own real and ideal selves,
so the aim to be as genuine as possible (not to be perfect) and constantly aim to be more genuine with the client.
Unconditional Positive Regard: As mentioned in the paragliding example above, attaching conditions of worth harms
a person. BPCE 145 Free Solved Assignment
In this light, a PCT therapist provides the client with unconditional positive regard.
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The therapist accepts the clients and their experiences as they are. This does not mean that the therapist approves
everything that the client does, nonetheless, the counsellor accepts that this is how it is in this present moment.
As a PCT counsellor believes that each human being is capable of goodness,even if the counsellor doesn’t condone
the client’s present behaviour, she would still consider the client as a whole, a valuable being.
Empathic understanding: The last condition for a counsellor to fulfill is to provide the client with empathic
understanding.
This is experiencing the client’s feelings as if they were your own, but without losing the “as if” quality.
A PCT counsellor must strive to see a client’s feelings from the client’s perspective but not get carried away with
those feelings.
Assignment Two
Q3. Differentiate between assessment and testing. Explain the issues in assessment.
Ans.
Assessment Test
Assessment is a broader and holistic evaluation covering a wide A test is an instrument that measures a sample of
spectrum of behavior behavior at a specific time.
It uses multiple methods of collecting information like observation, It is ordinarily restricted to administering one or more
interview, rating scales, and case history, etc as well as testing. tests.
It involves a collection of data from multiple sources; both direct Testing involves a collection of data only from the
(client) and direct source, i.e the client based on her/his
indirect(parents, teachers, friends, etc.). performance
The assessment uses both formal (standardized) and informal As per the definition given by Anastasi and Urbina,
(nonstandardized) methods for gathering information. (1997), tests are standardized instruments.
They are called defence mechanisms or ego defenses. They are strategies that are unconsciously used to ward off
anxiety arising from unacceptable thoughts or feelings.
1) Repression: This is the principal defense mechanism where the ego unconsciously pushes the painful, troubling or
threatening thoughts, experiences, events into the unconscious.
A lot of survivors of childhood abuse tend to forget the details of the abuse. This has not happened because they
wanted to forget, but because the psyche couldn’t go on functioning with the memories of trauma continuing to
remain in conscious memory.
2) Regression: During stressful times we go back to behaving in ways as we did as a child,e.g., reverting to thumb
sucking when in a stressful situation.
3) Suppression: When the ego consciously tries to push experiences into the unconscious, it is known as suppression.
An example of this would be trying to forget being scolded in class.
4) Displacement: When the impulse is satisfied by substituting the object. For example, a woman who is upset with
her mother-in-law might show her anger on her child.
5) Denial: Overwhelming situations are blocked by the ego from awareness. For example believing that COVID-19 is a
hoax or showing unwillingness to take vaccination for it.
Intellectualization: This defense mechanism uses intellectual components to distance painful emotions related to an
event. Its aim is to relieve anxiety that is attached to a particular event. BPCE 145 Free Solved Assignment
An example of this would be telling oneself that a loved one who has passed away has gone to a better place, and is
no longer sick and in pain. In this way,sense can be made of a loved one’s death, without it causing a psychological
breakdown.
6) Rationalization: When an individual uses logic to explain his or her mistakes away, it is called rationalization. It
absolves an individual of accountability, e.g., saying “he was one who hit me first” as a way to justify physical
violence.
Reaction formation: When the ego cannot accept the unconscious desires and beliefs transforms the individual to
act in a way which is completely opposite of those View thoughts and beliefs.
Q5. Define music therapy and describe the benefits of music therapy.
Ans. Music therapy is different from just playing and listening to music. In music therapy, there is a purpose behind
playing or even selecting a particular musical piece.
Music acts as the mode of communication between the client and the therapist, especially for patients who have
speech difficulty or general difficulty in expressing through words.
Music therapy helps in providing an outlet for expression of patient’s thoughts and emotions, and meeting the
patient’s family members ’emotional needs as well. Music therapy is a complex concept to be described by one
single line definition.
However, music therapy should not be confused with the concept of ‘music medicine”. Bradt & Dileo state that,
music therapy is performed by qualified music therapists, however, music medicine sessions can be conducted by
health professionals.
For example, a music therapist has studied and qualified to be a music therapist. They develop the treatment plans
based on music therapy. But let’s say a nurse plays music for a patient as part of the treatment plan. BPCE 145 Free
Solved Assignment
That is essentially music medicine where music is used as a medicine for the patient’s better mental health. Benefits
of Music Therapy : Studies have revealed activation of different parts of the bram when listening to music or playing
a musical instrument.
For instance, the memory aspect and experiences related to music are controlled by the hippocampus. The motions
involved playing musical instruments in controlled by the cerebellum while the visual cortex is utilized for
comprehending music.
Benefits of music therapy have been observed in a wide range of physical and mental health issues.
Music helps lower hypertension, increase muscle relaxation and lower heart rate by calming the patient. The
emotional benefits of music therapy are equally significant and range from reduced stress and fatigue to improved
pain management.
Development of communication skills, increased concentration and memory retention are some of the known
cognitive benefits of music therapy.
Positive response to music therapy on cognitive skills were evidence in study conducted on children with autism and
neonatal care.
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A similar research involving children in post-operative care and recovery in age group of 9-14 conducted at the Lurie
Children’s hospital of Chicago found that children who were allowed to listen to their favourite music reported lesser
pain.
The selection of appropriate music and the choice of music used in music therapy sessions has an impact on the
results achieved through music therapy. Each individual is unique and so are their music choices.
Thus, the selection of music and the assessment of the music choices plays a vital role.
It is like having individual treatment plans for each individual based on their needs and choices as this gives a sense
of autonomy to the patient allowing for greater results with the therapist playing an active role in making such
selections and treatment plans.
Factors affecting these individual choices and music selection by the therapist can range from age, gender,
personality traits, family background to the mental state of mind and present conditions of the patient. BPCE 145
Free Solved Assignment
Music makes people happy with the release of hormones such as dopamine, endorphins, and cortisols. Hence music
has the potential to make people feel the pleasure and reduce their pain sensation.
It has been found to have similar effects like drugs,alcohol and sex. Also, music helps in neuroplasticity of brain, it
can induce structural and functional changes in the brain helping patients recover from brain damage.
Music therapy addresses problems in communication also as it gives people with verbal communicate problems, a
mode of expressing themselves through their music choices
Assignment Three
Q6. Standardized tests.
Ans. The use of psychological tests has been severely criticized and also challenged many times in the court of law.
Still, it is going on increasing rather than decreasing, particularly in schools.
For most counselors, tests are the basic assessment device to know their clients. A psychological test (or simply, test)
is defined as “essentially an objective and standardized measure of a sample of behavior” (Anastasi & Urbina, 1997).
Standardization means uniformity in the procedure of administration and scoring the test. Testi conditions and
instructions should be the same for all test takers.
Objective means administration; scoring and interpretation of scores are free from the subjective judgment of the
examiner.
That means whoever may be the examiner, the test taker, ideally, should obtain the same score. The scores on a test
represent the quantity of the particular behavior measured by that test. BPCE 145 Free Solved Assignment
Q7. Superego.
Ans. What it is: This is the part of the personality that contains all our “shoulds”. It contains our ideal self and our
conscience.
superego takes up the most space and is equally in the conscious and the unconscious areas of our psyche.
This shows how expectations we have from ourselves and expectations that others have from us are deep-seated
and therefore, when we act against these expectations,
for example even when we oppose our parents over something that is valid and important, we are punished by the
superego in the form of feeling guilt and shame.
Unlike the id which is passed down to us from our forefathers and is present in us even as babies, the superego is
acquired through our experiences. Children developed superego by the ages of 3-5 years. BPCE 145 Free Solved
Assignment
As this superego is not a need, but an internal representation of external values, interaction with other humans and
society become important to develop it.
What it wants: It wants individuals to be good boys or good girls in the eyes of society, follow the moral values.
Whatever image that we create of the perfect version of ourselves also comes into play here.
When the superego does not get its way, we experience emotions of shame and guilt what principle does it function
on: The superego functions on the principle of Morality.
Ellis explains that it is our arising from how we interpret the situation/event, that leads to negative consequences.
So this model makes it possible for applying an intervention (or therapy) to the beliefs (B), in order to bring about
change in emotions and behaviours.
Hence the focus is on irrational beliefs of the individual 1, wheras the focus in Beck’s theory is on the cognitive triad.
Q9. Psychoeducation.
Ans. Psychoeducation as the name suggests, refers to giving education to the client and/or to family about the
condition or psychological state of the client.
Psychoeducation is considered an evidence-based therapeutic intervention for clients and their families that
provides information and support to better understand and cope with condition or the illness. BPCE 145 Free Solved
Assignment
It is giving information about the causes, symptoms, prognosis, and treatments of their diagnosed condition.
It is the right of families and client to know about the problem which can help them understand and evaluate their
quality of life and better ways of coping with their daily difficulties.
Psychoeducation is given not only for the psychological or mental conditions such as anxiety disorders, clinical
depression, dementia, schizophrenia, eating disori personality disorders, and developmental disorders but also for
physical illnesses, such as cancer, diabetes, cardiac illnesses, etc. especially where long-term management is
required.
Q10. Marital schism and marital skew
Ans. Lidz et al. (1957) reported two types of marital discord in their client’s families, namely marital schism and
marital skew. BPCE 145 Free Solved Assignment
Marital schism develops in a family where one parent undermines the worth of the other parent in front of children
to get their sympathy and support.
In marital skew, one parent either denies the abnormal behavior of the other parent or tries to justify it as ‘normal’,
e.g., an abusive father is never confronted by the mother who either denies the abuse or gives justifications for it.
It also involves dominating of the family situation and interaction by one parent and there is neglect of the other
parent. BPCE 145 Free Solved Assignment
This puts pressure on children as their reality in distorted and they have to maintain status quo at any cost.