WESTERN SEMINARY SAN JOSE

Clinical Foundations

CNS 501S; 2 Credit Hours

Donelyn Culver Miller, M.A., M.F.T., Adjunct Instructor

3060 Valencia Ave. Suite 6 & 7

(831) 460-2550 x3 Voicemail - (831) 688-1718 Fax

Donelyn@sbcglobal.net (E-Mail)

Fall Semester, 2004

SYLLABUS

Course Description

This course introduces the student to basic skills of attending, empathy, acceptance, genuineness, and concreteness necessary to effective clinical counseling. The course also addresses the additional skills of confrontation, immediacy, self-disclosure, and strategies for change to develop the psychotherapeutic skills for clinical intervention and accomplishing goals. The role of faith in psychotherapy will be explored. Activities include reading, lecture, observation, role-playing, and student audio/videotaped clinical practice. 2 hours

Course Schedule

Alternating Monday nights, 6:00-10 pm, 9/13, 9/27, 10/11, 10/25, 11/8, 11/22, and 12/6.

There shall be lectures and practice in each class session. There will be one 10 minute and one 15 minute break in every class.

Course Goals

  1. Development of basic clinical skills from both a Biblical and psychological perspective.
  2. Development of awareness of the clinical process, and to experience being the counselor, the client, and the evaluator.
  3. Assessment of your personal strengths and weaknesses in demonstrating clinical skills.

Course Objectives

Cognitive

Affective

"the client" in practice sessions.

Conative

 

Textbooks

Required:

Note: Amazon.com (to which all the books are linked below) often has used volumes you can order. You may also want to check out http://www.bestwebbuys.com/books/ for a cost comparison for any book at the major online bookstores.

 

Course Requirements

  1. Attendance and participation in class sessions.
  2. Journal: Read text assignments and do one exercise from each chapter read, prior to class. Write a journal entry summarizing what you learned doing these exercises Be ready to share the results of the exercises and this journal entry at each class session. If there is no specific exercise in the chapters assigned, you will need to personally react to some point that was made in the assigned reading.
  3. Tapes: Record two audio or videotapes of yourself, as a counselor, demonstrating learned clinical skills. From each tape (of at least 30 minutes) pick a segment of consecutive counselor (your) responses to evaluate that include at least 12 responses that are a minimum of 3 words each. Type up a written "word for word" transcript of that section of tape using the attached format. Each counselor response (you) should be accurately evaluated according to the following list of skills. You may give alternate responses in your critique to demonstrate your knowledge of the skills if you found you did not adequately demonstrate them in your tape.
  4. In the first tape you will try to demonstrate the skill of accurate empathy from the developmental model and the skills of open & closed questioning, and positive asset search from Intentional Interviewing. You must either accurately demonstrate four Empathy 3 responses or give four as alternate responses. You must demonstrate a reflection of two or more positive assets in one response or in an alternate response. You must write summaries at the end to demonstrate that you understand where you did or did not demonstrate the skills of Acceptance, Genuiness and Concreteness according to the Developmental model.

    In the second tape you will demonstrate advanced empathy, confrontation, immediacy and self-disclosure from the Developmental model and feedback, from Intentional Interviewing. At the end you must summarize how using two of the above skills pointed the client toward change, citing at least two examples from specific critiqued responses.

    The clients in these tapes should not be family members. The problem the client discusses need not be deep but a real concern is better than a role-play. You will need to include some brief intake information and also get a signed release from your client to use the tape (anonymously) for class evaluation (see sample). The signed release may have just initials or first name to protect confidentiality and will constitute a grade drop if absent from tape evaluation when it is turned in.

    *****Please follow the format used on the attached samples*****

  5. Self Awareness paper: Fill in Table 14-1 (in II&C) and write a 4-7 page paper reflecting the awareness gained from filling out the table, and from reading the book Messages. Also, integrate your spiritual values and faith with your view of counseling, and the spiritual impact you are having or hope to have, on others through using learned clinical skills. Include 2 quotes from outside sources that support your views and/or experience. Use the library resources listed in the catalogue (Attach a copy of the table 14-1 to the paper.)
  6. Partner Presentations: With a partner pick 1 skill from the list presented in class. Prepare a 5-8 min. presentation for each skill consisting of teaching the skill and doing a mock role-play demonstrating that skill. Also, some type of visual aid must be used in teaching the skill (i.e. handouts, overhead, etc.) All skills are found in the Intentional Interviewing book. You must be ready to present at the beginning of class and going over the time limit will detract from your grade.
  7.  

  8. Final: You will view a short counseling session. You will be required to identify and evaluate the skills presented using the skills from the Developmental model, plus questioning, positive asset search, and feedback from Intentional Interviewing.

Course Policies

An attendance and reading log sheet will be filled out at the beginning of each class. If you are going to miss a class, please write the date and reason on your sheet. Absences will affect the absence and participation grade, so please only miss class if absolutely necessary.

All papers must by typed, double-spaced on white paper. I expect grammar and spelling to be correct. Papers with more than 5 grammar/spelling errors will be returned and must be resubmitted in corrected form. Points will be deducted for late papers.

Reading

Assigned reading is listed in the course outline.

According to Western Seminary standards there are two levels:

Familiarity level. This level assumes knowledge of the material assigned and leads to accountability in class. (45 pages per hour).

Mastery level. Reading at this level will average about 20 pages per hour and assumes careful reflective interaction with the ideas, note taking, and will lead to accountability in class, and papers at a mastery level (1000 pages = 50 hours).

These are intended to serve as flexible guidelines or rules of thumb; they are not thought to be rigid. It is certainly understood that books are printed with varying numbers of words per page and written to varying reading levels.

Each assignment should be completed before the class session so that you will be able to participate in and benefit from the class discussions.

Written Work

Papers must be written to a near-thesis standard. That is, minimum format standards must be met, as defined below. English grammar, idiom and spelling must be up to graduate level. Always include a strong introduction paragraph-declare what you intend to show the reader-and conclusion paragraph. Qualities valued include clarity, succinctness, and precision.

10% of the grades on the typed papers will be Form, that is, conformity to the above standards. All work must reflect Master's Level use of the English Language. Plagiarism will result in failure of the first assignment so discovered. A second instance will result in failure in the course.

 

 

  • Attendance, participation, journal
  • 30 pts

  • First tape
  • 50 pts

  • Second tape
  • 50 pts

  • Self-awareness paper
  • 30 pts

  • Partner presentation
  • 10 pts

  • Final
  • 30 pts

    TOTAL

    200 pts

    A+

    200 – 198 pts

    A

    197 – 190 pts

    A-

    189 – 186 pts

    B+

    185 – 182 pts

    B

    181 – 176 pts

    B-

    175 – 172 pts

    C+

    171 – 168 pts

    C

    167 – 162 pts

    C-

    161 – 158 pts

    D

    157 – 140 pts

    F

    Below 140 pts

    Grading

     

    A+

    99-100%

    B+

    91-92%

    C+

    84-85%

    D+

    77-78%

    A

    95-98%

    B

    88-90%

    C

    81-83%

    D

    74-76%

    A-

    93-94%

    B-

    86-87%

    C-

    79-80%

    D-

    70-73%

                 

     

    COURSE OUTLINE

    Date

    Topic

    Assignment Due

    Reading

    Sept. 13

    Orientation, Developmental Model, Acceptance

       

    Sept. 27

    Accurate Empathy, Empathy vignettes

    Partner Presents

    II&C ch 1-3
    Mes ch 1,4

    Oct. 11

    Genuineness, Concreteness

    Partner Presents

    II&C ch 4 -7
    Mes ch 3

    Oct. 25

    Advanced Empathy, Confrontation

    FIRST TAPE DUE

    Partner Presents

    II&C ch 8-11 Mes ch 5

    Nov. 8

    Self-disclosure, Immediacy

    SELF AWARENESS PAPER DUE

    Partner Presents

    II&C ch 12-14 Mes ch 2,6

    Nov 22

    Action, Problem Solving, Conflict Res.

    Practice Final

    SECOND TAPE DUE Partner Presents

    Mes ch 7-14

    Dec. 6

    Assertiveness, Public Speaking

    FINAL

    Partner Presents

    Mes ch 15-21

     

    Hours

     

  • Texts: Messages
  • 9.0

  • II&C
  • 17.0

  • Textbook exercises
  • 6.0

  • Tapes and critiques
  • 20.0

  • II&C table 14-1 & paper
  • 4.0

  • Partner presentations
  • 2.0

  • Final
  • 2.0

    TOTAL

    60.0

     

     

     

     

     

     

     

     

     

     

     

    Partner Presentation Record

    My Partner is

    Topic #1 Date of Presentation

    Topic #2 Date of Presentation

    (SAMPLE TAPE CRITIQUE)

    STUDENT'S (COUNSELOR'S) NAME: _Jesse

    DATE OF INTERVIEW: 9-5-98

    NAME OF CLIENT (first name or fake name only): Sara

    INTAKE INFORMATION: (age, marital status, social, physical , emotional and religious background, presenting problem and any other pertinent information to evaluate tape)

    Age 21, Single, she is a college student and lives in an apartment with 3 other

    young women, she is average build Asian woman, well kept and neat.

    Emotionally she seems younger than 21 and reports bouts of depression since

    a young teen. She reports that her relationship with her mother is strained and

    although her and her father get along well they have a distant relationship. One

    of her roommates is her best friend but there are some conflicts with the other 2

    roommates. She was raised in a Christian home but has stopped going to church

    since attending college. She states she has a distant relationship with God. Her

    presenting problem was depressed feelings and confusion in dealing with her

    mother and two of her roommates. She is intelligent but has trouble expressing

    her feelings and states she is often fearful that she doesn’t have the ability for

    close relationships.

    RELEASE: I RELEASE Jesse TO USE THIS TAPE RECORDING FOR EDUCATIONAL SUPERVISION AND EVALUATION.

    SIGNED Sara DATE 9-29-98

    TRANSCRIPT FROM TAPE CRITIQUE OF RESPONSE

    (exact words said, please identify speaker)

    S: Every time that I talk to my mom on the phone

    we end up angry at each other. I don’t mean it

    to but it ends up that way anyway.

    J: So, you’re feeling upset because even though you 1. Empathy 3 - content and feeling

    don't want it to end that way it seems like you end.

    every phone conversation with your mom angry

    S: Yeah, it really wrecks my whole day if I talk to

    my mom in the morning because I’m angry at her

    for what she said to me, guilty because I’m not the

    good daughter and discouraged because I don’t

    know if it will ever get better.

    J: Wow, this relationship is really important to you 2. Empathy 2 - content only

    so when things don’t go well if affects many parts of

    your life..

    S: Yeah, I’m really discouraged with life.

    J: How would you like your conversations with your 3. Open question (I could have use an empathy 3)

    mother to end? "You feel discouraged because it seems like things with your mother will never change"

    This critique would continue until 12 counselor responses (of more than 3 words) were critiqued.

    AT THE END OF CRITIQUE:

    1st Tape

    Acceptance - I tried to show this by not judging her as bad or defective because she has a strained relationship with her mother or her roommates. Just by listening to her seemed to reassure her and she said she felt really understood and accepted by me. I felt that it may have seemed like lack of respect when I said Wow - I need to really watch that as it is a habit of mine. (See response #2)

    Genuineness - I genuinely like, respect and care for Sarah so my responses sound how I really feel. I tried to make sure my body language and facial expressions match what I feel/felt. One time I was really tired when we met so I told her that right away so she would know how to interpret my yawns or tired looks and I think that really helped.

    Concreteness - I showed concreteness by listing her feelings, by getting to the exact words said between her mother and her and by reflecting the details of the latest argument with her roommates. When her feelings were vague I tried to use a more specific word (tentatively) when I reflected feelings (see response #6).

    2nd Tape

    Advanced Empathy - In response #7, when I reflected that the feelings that she had toward her mother and father were similar to the feelings about her roommates and God, I pointed out a pattern that would lead to action for cognitively restructuring the whole way she thought about relationships and expectations rather than see each problem as separate.

    Immediacy - In response #12 I commented "you had a look of excitement when you told me that your mother had shared some stories about her life as a teen. I sense you are ready to take some more risks with relating to your mother as a person!" This led to plans of how she could reshape her relationship in a way that would give her and her mother a fresh start, more as friends.