The
New Hope Crisis Counseling Center Continuing Education Series
June
2002 Class Notes
William Gaultiere, Ph.D.
WELCOME
After sharing
their struggles most New Hope callers and chatters ask us, directly
or indirectly, "What should I do?" They're hurting or confused
and they want resolution. At this point many volunteers feel
pressured to fix things and are likely to either give reassurance
("Don't worry." "It's not that bad." "You'll be ok." "Other
people have it worse." "Cheer up!") or advice ("What you need
to do is..." "You should..." "Here's what helped me...").
These are the standard responses that people in our society
offer to one another, but they are not helpful from New Hope
counselors.
In this
class you'll learn how to resist the pressure to fix things
and instead to collaborate with people on solving their problems.
We'll discuss and practice how to engage people in the problem
solving process: asking questions to draw out ideas, assisting
people in generating a plan, and reinforcing their positive
motivation.
I want to
thank Dr. Ken France, our New Hope Online mentor and counselor,
for his ideas which are throughout this class. Dr. France is
the author of Crisis Intervention: a Handbook of Immediate
Person to Person Help, now in it's 4th edition.
GOALS OF
THIS CLASS
1.
Realize that collaborating to solve problems in New Hope
Counseling is a much better alternative than giving advice.
2.
Learn the "A-B-C Problem Solving Process" which is the basics
of New Hope Counseling.
3.
Practice using problem-solving to improve your skills.
WHAT IS NEW
HOPE COUNSELING ABOUT?
Most callers
and chatters contact us because they feel alone with their hurt
and because they're having problems and they need to make a
change. So as New Hope Counselors it's important that we help
them to experience the caring or comfort that they need and
that we assist them in developing their own plan for coping
or making changes.
LEANING INTO
THE WHITEWATER
Recently
I went whitewater rafting on the Kern River with my 11-year
old son and his by Boy Scout trip. What a thrilling adventure!
And scary too! Driving on the highway along the river we say
a sign that said, "264 people have died in the Kern river since
1962." I thought about turning around! If that wasn't bad
enough, I learned that just one-week prior someone died in the
river.
This was
on my mind at the roughest section of the classs-3 rapids when
our guide yelled, "High water hard!" which meant,
"Lean forward into the high waters and paddle hard or else
we'll flip over!"
Being one
of the two front paddlers, I knew my role was crucial so I leaned
out over the tip of the raft and into the splashing waves and
paddled furiously through about a five foot dip, screaming,
"Ahhhh! Ahh!" and then finally, "Yes! We did
it!"
My excitement
and sense of conquest was abruptly curtailed though when our
guide yelled out to the other guide on the raft next to us,
"Rescue!" One of the women on our raft had been catapulted
into the water. She was careening down the river head first
(not feet first as she had been instructed!) and had to be pulled
to safety. She bruised and bloodied her hand and needed stitches,
but she was going to be okay.
My son and
I, and I think the others too, gained something important from
prevailing in our battle with the roaring whitewaters and crashing
waves - in a word we grew in confidence. And we bonded as together
we avoided the jutting rocks and crashed through the turbulent
waves.
I hope that
New Hope Counseling is like that for you. I want you to feel
a sense of adventure in helping others. Afterall, you never
know when the next call or chat may be someone in crisis. And
when it is we need to remember "High water hard!" We need to
lean into the crisis with the paddles of compassion and problem-solving.
AN INSTRUCTIVE
BIBLE TEXT FOR OUR WORK
There's
more than an analogy behind New Hope Counseling. There's a
theology! Here's one example:
"Brothers,
if someone is caught in a sin, you who are spiritual should
restore him gently. But watch yourself, or you also may
be tempted. Carry each other's burdens, and in this way
you will fulfill the law of Christ. If anyone thinks he is something
when he is nothing, he deceives himself. Each one should test
his own actions. Then he can take pride in himself, without
comparing himself to somebody else, for each one should carry
his own load." (Galatians 6:1-5, italics added for emphasis.)
The Apostle
Paul is instructing us to be gentle in helping other people
with their problems. When someone is overwhelmed with a crushing
weight (here a "burden" is like a huge boulder) we're to exercise
compassion. In our helping we should not carry someone's whole
burden ourselves, but we should help in a way that they learn
to carry their own load (as in a manageable weight, like a backpack)
and can take pride (esteem) in their actions.
Advice is
not gentle! Nor does it encourage people to learn the personal
responsibility of carrying their own load.
WHY ADVICE
ISN'T HELPFUL
If you're
talking with your doctor, an attorney, or another professional
you expect to receive some advice. As a psychologist I give
my clients advice, though I am careful about when and how I
do it. In New Hope Counseling advice is usually un-helpful.
You may
have heard me say before, "Even good advice is bad from a New
Hope Counselor.' Well, here are four reasons why.
1.
The counselor who gives advice is acting as an authority or
expert instead of being a peer and a lay counselor. This may
be experienced as a "put down" of the caller/chatter's problem
solving abilities.
2.
To accept the advice, the caller/chatter relinquishes responsibility
for their problem and it's solution.
3.
Advice oversimplifies the problem and the caller/chatter doesn't
feel understood.
4.
Usually callers/chatters don't try your advice and even if they
do it may not work for them. But even if the advice does work
it tends to reinforce dependency, insecurity, and low self-esteem.
THE A-B-C PROBLEM
SOLVING PROCESS
Instead
of giving advice, here is the three-step process that represents
the basics of New Hope Counseling.
A ctively
Listen to Concerns
- Express
warmth in nonverbals: "Hm hmm."
- Reflect
feelings with fresh words: "It seems you feel."
- Invite
deeper self-disclosure with open probes/questions: "Tell
me more about." "Please share an example." "How did you
feel about.?"
- Summarize
main concerns (focus): "So the main issue you're concerned
about is."
B
rainstorm Alternatives for Action
- Mobilize
caller's coping resources: "What have you tried to do to deal
with this situation?"
- Reinforce
strengths utilized in the past: "What has helped you in the
past to deal with issues like this?"
- Encourage
new thinking: "What other ideas come to mind?"
C
ollaborate on a Plan for Problem-Solving
- Negotiate
(don't dictate) a plan of action: "So what you'd like to
do is."
- Make
sure the plan is realistic for the person to do: "You believe
it will help if you."
- Keep
the focus on the immediate: "Today (or tomorrow) what you
want to do is."
- Break
the plan into concrete steps: "So, it sounds like the fist
step you want to take on this is to."
WHAT TO DO
WHEN YOU'RE ASKED FOR ADVICE
As
you know, callers and chatters often ask us for advice. What's
your best response in these cases? I've heard some counselors
say, "Oh, I'm not supposed to give you advice." That's not
a good response! Better to use gentle persistence in trying
to draw out energies and ideas from the caller/chatter. Here's
four examples of how you can do this:
1.
You can delay problem-solving: "First, help me better
understand your situation."
2.
You can always reflect feelings: "You very much want
to find a way to resolve this."
3.
You can just begin collaborating: "I don't know. Let's
discuss it. What do you think would help you?"
4.
Or you can directly resist giving advice: "I'm not sure. It'd
be best for you to tell me what you want to do about this."
WHEN YOU
SHOULD GIVE ADVICE
There are
exceptions to most every rule! For instance, sometimes it'd
be harmful not to give advice. Examples include all the "red
flag" issues like suicide, homicide, child abuse, elder or spousal
abuse, or any out of control self-destructive behavior (like
drug addiction or not taking doctor prescribed medication).
In these cases you need to be rather directive in encouraging
people to change.
The other
exception is when the A-B-C process doesn't generate a plan.
If the basic approach I'm teaching isn't working then you can
gently, offer a suggestion that is manageable. In this case,
you could say, "You might try" How does that sound to you?"
In other words, you're still collaborating with the person,
adult to adult, not acting as an authority, trying to find and
encourage his/her motivation and resourcefulness.
Finally,
recommending a referral or resource may seem to some like an
exception to the "no advice" rule. Here's the tone of how to
do this: "Would you like a referral to a support group (or other
self-help organization)?" "Maybe you'd find it helpful to read
an article on depression from our website."
IT'S
A BLESSING TO HELP OTHERS
Jesus
taught, "It's more blessed to give than to receive" (Acts 20:35)
and "Give and it shall be given unto you" (Luke 6:38). Here's
a heart-warming story that illustrates what I hope you experience
(at least from time to time) at New Hope.
One day,
a poor boy who was selling goods from door to door to pay his
way through school, found he had only one thin dime left, and
he was hungry. He decided he would ask for a meal at the next
house.
However,
he lost his nerve when a lovely young woman opened the door.
Instead of a meal he asked for a drink of water. She thought
he looked hungry so she brought him a large glass of milk. He
drank it slowly, and then asked, "How much do I owe you?"
"You
don't owe me anything," she replied. "Mother has taught
us never to accept pay for a kindness.
He said...
"Then I thank you from my heart." As Howard Kelly
left that house, he not only felt stronger physically, but his
faith in God and man was strong also. He had been ready to give
up.
Year's later
that young woman became critically ill. The local doctors were
baffled. They finally sent her to the big city, where they called
in specialists to study her rare disease. Dr. Howard Kelly
was called in for the consultation. When he heard the name
of the town she came from, a strange light filled his eyes.
Immediately, he rose and went down the hall of the hospital
to her room. Dressed in his doctor's gown he went in to see
her. He recognized her at once. He went back to the consultation
room determined to do his best to save her life. From that day
on he gave special attention to the case.
After a
long struggle the battle was won. Dr. Kelly requested the business
office to pass the final bill to him for approval. He looked
at it, then wrote something on the edge, and the bill was sent
to her room.
She feared
to open it, for she was sure it would take the rest of her life
to pay for it all. Finally she looked, and something caught
her attention on the side of the bill. She read these words,
"Paid in full with one glass of milk." (Signed) Dr. Howard
Kelly.
Tears of joy flooded her eyes as her happy heart prayed: "Thank
You, God, that Your love has spread abroad through human hearts
and hands."
MOST
COMMON REFERRALS
Here are
the New Hope national referrals from www.NewHopeNow.org
that I use the most in my New Hope Counseling:
1.
American Association of Christian Counselors: Find a local AACC
registered counselor or pastor, 1-800-526-8673, www.aacc.net.
2.
Focus on the Family: Find a local Christian therapist, 1-800-A-FAMILY
3.
Overcomers Outreach: Christian support groups across the country,
1-800-310-3001, www.overcomersoutreach.org.
4.
Robert H. Schuller Institute: Referrals to Local Positive Christian
Churches, 1-714-971-4195.
5.
Willowcreek Association: Find a local Evangelical Christian
church, 1-847-765-5046, http://www.willowcreek.com/wca_info/find_a_church/ProfileSearch.asp
FREE RESOURCES
ON OUR WEBSITE
1.
Here's a helpful booklet if someone wants to become a Christian
or is a new believer. "Discover the God who Believes in You"
is written by Crystal Cathedral pastors and offers Bible verses
grouped in eight life-changing principles: http://www.crystalcathedral.org/discovery/
2.
Here's the "Resources Archive" link from NewHopeNow.org,
which is an index, organized by subject, of all the New Hope
articles I've written:
http://www.newhopenow.org/misc/public.resource.html.
ADDITIONAL
NEW HOPE TRAINING
Visit www.NewHopeNow.org/counselors,
for easy access to the "CE Notes" and corresponding exams to
past classes. Our counselors' website also features many "Case
Discussions" to demonstrate good New Hope Counseling.
LET'S PRACTICE!
To receive
CE credit and the satisfaction of accomplishment take the CE
Exam, which includes a role-play, and turn it into SheilaS@CrystalCathedral.org.
Complete all 11 classes for 2002 and you'll receive a special
award at the end of the year!
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