I was fortunate enough to listen to the online supervision class of the big coffee teacher in the field of psychological counseling, wh
I was fortunate enough to listen to the online supervision class of the big coffee teacher in the field of psychological counseling, which broadened my horizons and increased my knowledge. Due to the ethical requirements of consultation and the principle of confidentiality, I only talk about my own gains and feelings, and try not to involve specific teachers and cases.
1. In the psychological consultation meeting, we should collect as much basic information as possible about the visitors, such as personal growth history, family situation, academic status, work and marriage status, medical history, previous consultations, etc. In order to better understand and solve the problems of visitors, we sometimes need to know the specific situation of their parents, as well as the situation of their parents' original families, and sometimes even draw their genealogy as needed. At the same time, when collecting information, we should be sensitive to capture important information. Of course, the collection of basic information is not completed at one time during the talks, and it needs to be collected gradually in future consultations.
2. Visitors who have self-harm, self-harm or suicidal tendency must sign a written agreement with them before consultation. This is the protection of visitors and consultants. Psychological counselors must pay attention to this.
3. How do consultants choose consulting schools in consultation? First of all, you can use specific school therapy for counseling, such as cognitive therapy or psychoanalysis therapy, which is all possible. Secondly, the eclectic method, such as Zhong Youbin's cognitive comprehension therapy, is a combination of cognitive therapy and psychoanalytic therapy. Third, the integration method, that is to say, different consulting methods are adopted in different consulting stages.
? But you can't use too many methods in consultation. After studying psychological counseling for four or five years, you should have your own school identity. Specializing in learning the handling methods of schools that you like and are good at. You don't know anything about martial arts. Just like the psychological counselor in this case borrowed cognitive therapy and adopted motivational interview, square painting, hypnosis and relaxation. People feel that they are proficient in all kinds of methods, but they are not proficient in all kinds of methods, and they do not have their own clear consultation ideas in consultation.
? Through tonight's case, I have a further understanding of trauma. Trauma can generally be divided into simple trauma and compound trauma. Simple trauma is some accidental trauma in adulthood. Compound trauma mostly occurs in childhood, and it occurs repeatedly, which has great influence and harm on visitors. In this case, the trauma of 17-year-old girl who had self-mutilation behavior and didn't go to school belongs to compound trauma. There are usually two ways to face trauma: the first is exposure therapy, through facing up to and facing your own trauma, you can slowly get out of it. Of course, this is a very painful process, but it is also a very effective treatment process. The second is stabilization technology, which does not need visitors to face their own trauma directly, but gives them full support and tolerance, encouraging them to find their own resources and tap their own potential. This method is conservative and moderate. It doesn't matter which of the two methods is better or worse, it should be chosen according to the specific situation of visitors.
5. The role of empathy and anti-empathy in treatment. In this case, counselors attach great importance to the establishment of relationships. Like her mother, she has empathy for girls, accepting and even opposing them, which has enabled her to establish a good relationship with girls. This girl, who has a childhood trauma, is particularly alert and alienated from others, obviously has positive empathy for psychological counselors. However, the supervisor's reminder is that with the advancement of consultation, her empathy for the counselor will definitely change from positive to negative, and sooner or later, her anger towards her parents will be transferred to the counselor. In addition, a person who has been traumatized and abused as a child always needs someone to abuse her, so her sister sometimes gets bored with her, and psychological counselors are likely to get bored with her in future consultations. Then this is complementary anti-empathy. Because of the lack of consulting experience, I didn't think of the above, so I benefited a lot after listening.
? Through the study of the above supervision cases, I have seen the great demeanor of the supervisor, appreciated the maturity and Excellence of the consultant, and found myself lacking too much. The first is the lack of theoretical knowledge. I feel that the theoretical knowledge I have learned is not systematic and fragmented, and some parts are not well understood. For example, the concept of dissociative disorder in this case is still very vague. Secondly, I don't have enough experience and practice. My current consultation time is barely 100 hour, and students are free to consult, so the quality needs to be greatly reduced. So practice as much as possible in this year's work. In practice, we should not only make full preparations in advance, but also adjust the feedback scientifically, flexibly and timely in consultation, and even summarize and reflect in time after consultation. We should make every specific case detailed. Thirdly, we should take part in more supervision and study, and even strive to report cases and accept supervision. Also participate in peer supervision and group experience activities. Without supervision, consultation is blind and lacks direction. Only by accepting supervision, consultation will be led to the right path, and consultants will grow rapidly and healthily.