collab reading 3 response
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School
Humber College *
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Course
1131
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
3
Uploaded by CoachWallabyPerson801
Questions to Answer
1.
What are the credentials of the writers to the document or chapter you are reading?
2.
From your perspective -- what are the two or three most important points made in the
reading?
3.
How did the reading contribute to your learning?
4.
How might the content influence your practice as a nurse in a helping relationship?
The author’s credentials:
William R. Miller, PhD. is an emeritus Distinguished Professor of Psychology and
Psychiatry at the University of New Mexico
Stephen Rollnick, PhD. is a professor of Health Care Communication in the School of
Medicine at Cardiff University, Cardiff, Wales, United Kingdom
The readings highlighted many important points about the process of engagement which is
“establishing a mutually trusting and respectful helping relationship” (Miller & Rollnick,2013,
p.40). From my perspective an important point from the readings is the different traps that could
result in disengagement. One of trap is the assessment trap this occurs during the first meeting
when the counselor is trying to collect information from the client, but they ask too many closed
ended questions. This is harmful in a helping relationship as this results in the clients giving
many short answers which doesn’t provide enough room for the client to include change talk.
This would result in the client being unable to progress into the changed behaviour necessary.
This also sets the standard that the counselor is the expert and the client is there to just listen to
the counselor instead of being an active participant in the process. In order to result in changed
behaviour the client and the counselor should be collaborating. The next trap is the expert trap
which is when the counselor asks a bunch of questions. This sets an unrealistic expectation for
the client to assume that the counselor will have all the answers and will tell the client what to
do. This is not effective as a counselor your not the one who is making the change in the client
but rather the client themselves. As a nurse its important to remember that we are working with
the client. Another trap is the premature focus trap which is when the counsellor tries to fix a
problem before the client voices what they think is the problem. It’s important to understand that
what you might think is a big concern might not be the same as a client. Therefore, you should
listen to what the client thinks is a major concern to them and use that as a focus instead. Since
by placing your own views on a client won’t help them resolve what they value as an important
component to change. Another trap is the labelling trap , this is when you label the client. This
could be harmful as labels have stigmas. When a client brings up a label you should reflect and
reframe. This is helpful as it moves on from the issue of labels. However, if a client want to
embrace the labels its important to also allow them to. Morevoer, the blaming trap is when the
client wants to place blame on someone. To address this trap you should reflect and reframe. It’s
important to ensure that the client understands that placing blame isn’t a concern and instead
should focus on the purpose of counseling. The last trap is the chat trap when the counselor
spends a lot of time talking about things that are not relevant. Small talk can make clients feel
comfortable but in the engaging stage the mian focus should be on the client’s goals and
concerns. The different factors that can influence engagement or disengagement is the goals of
the client. By understanding what the client wants to achieve from the counselling is important
since this ensures you are not falling into the premature focus trap. THEN ADD IN
PREMATURE FOCUS TRAP PART.
This As a nurse in a helping relationship, it’s important to
be able to recognize the different disengagement traps as it helps us to not fall into these traps.
Since these traps result in clients withdrawing from the process and could result in them not
coming back. Therefore, its important for nurses to be aware of these different traps.
The readings highlighted the importance of reflective listening, Gordon’s 12 roadblock are
common setbacks that counselors face that take away from listening. An important point
highlighted is that nonverbal listening is just as important as verbal listening. The ways to ensure
nonverbal listening is to give undivided attention to the client. This is important as it allows the
clients to feel like you are respecting them? The counselor should also mirror the client’s
expression instead of just giving a poker face as this allows the client to view them . Its
important to use nonverbal listening as this allows them for to open mind.
The readings helped me learn more about reflective listening which makes a guess about
what a person means. Reflective listening is an important concept as it encourages the client to
continue opening up instead of posing questions to the client which forces the person to explain
themselves and pushes them away. instead reflective listening is checking your guess instead of
just assuming you already understand it *.Even if you guess wrong this does not harm the
helping relationship as the client still continues on. I feel like making reflective statements is
hard concept but the readings helped point out thatw. There are 2 types of reflective statements:
simple reflections and complex reflections. Simple reflections are just repeating back what the
client said. This is effective as it would allow the client to hear what they said. Whereas complex
reflections continue the conversation. This is important as it allows the client to continue opening
up. As using questions would not lead the conversation to continue on but instead stall the
conversation. Even though reflective listening is a hard concept for me to fully grasp as I
continue to practice it I can get constant feedback based on the person’s reaction. For complex
reflections its important that your guess doesn’t go too far since this can cause the client to
become defensive. As a nurse in a helping relationship reflective listening will allow me to help a
client open up** Reflective listening plays an important role in helping relationships as nurses as
it allows nurses to be able to help clients*
Miller & Rollnick highlight that in the engaging process asking open ended questions,
affirming and summarizing are important. There should be a balance between asking open-ended
questions and reflecting as this ensures that the process is still client-centered. Since by asking
too many questions this can fall into the assessment trap and cause the client to draw back. As by
providing more reflective statements this will cause the client to be able to explore more.
Affirming is about focusing on a positive aspect of a person and acknowledging it. is important
for nurses in a helping relationship as it allows a client to be able to trust and share with the
nurse. As well as it supports and encourage the client. Summarizing is an important core skill as
it is reflections that put together many different statements that the client told you. As a nurse in a
helping relationship this is an important skill to have as it allows clients to be able to reflect on
previous statement s they have expressed. Summarizing can occur by collecting the strengths of
the clients then asking them to expand on a question. Another type is a linking summary that
reflects on what the person has said then links back to a prior conversation. The third is the
transitional summary that closes the session by brining in everything that seems important that
then moves it to something else. This is important as it allows the person to hear many of their
own experiences at the same time gives them a “whole picture” view.
Lastly, the readings helped me learn about how to respond when there is a discrepancy
between a client’s values and their actions. Miller & Rollnick highlight that self-confrontation is
when the client themselves realize the discrepancy is more effective then when the client is
confronted by someone else. Self-confrontation occurs in a supportive and affirming place with
no judgment. This allows the client to look at themselves. This is important for when developing
helping relationships as by confronting the client would just cause the client to pull back whereas
self-confrontation allows clients.
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