Self exploration - Cengage



Chapter 5 Support and Empathy

Chapter Outline

Chapter 5 Support and Empathy: A Sustaining Presence

I. A Supportive Presence

A. Warmth and Caring

1. Relational processes

2. Conveying warmth appropriately

Exercise 5.1 Conveying Warmth and Caring

B. Acceptance

1. Unconditional positive regard

2. Societal norms

a. standards of conduct

b. may be codified into law

c. change over time

d. different cultures, different norms

3. Personal values

a. developed in context of family and sociocultural influences

b. nonjudgmental—unconditionally accepting people, not all behaviors

Exercise 5.2 Personal Values

4. Stylistic differences

a. personal style—habits and preferences

b. acceptance—an ethical responsibility

Exercise 5.3 Clients I Might Find Hard to Accept

CLIP 5.1 WARMTH AND CARING

C. Clinical Repose

1. Holding environment

2. Deliberate yet warm

3. Calm and confident manner

Exercise 5.4 Clinical Repose

D. Genuineness

1. Congruence

2. Honesty

3. Free from pretense, hypocrisy

4. Meaning what we say, but not saying everything we think

5. Owning mistakes and lack of knowledge

6. Inauthenticity undermines client confidence

E. Availability

1. Easy accessibility and flexibility

2. Additional contact in crisis

3. Safety net

4. Services in client’s language of choice

5. Connecting via technology

F. Validation

1. Endorsing and appreciating client’s story

2. Universalizing

G. Identifying and Affirming Strengths

1. Strengths perspective

2. Transferability of skills

CLIP 5.2 AFFIRMING CLIENT STRENGTHS

H. Provision of Concrete Supports

1. Help client access needed services

2. Builds trust and alliance

3. Avoid rescue fantasies and excessive “doing for”

4. Aware of our own strengths and weaknesses

I. Advocacy

1. On behalf of specific clients

2. In larger systems, for all people/living things

II. Empathy

Exercise 5.5 Experiencing Empathy

A. Empathy and Human Development

1. Mutually engaging exchanges

2. Fine-tuned over time with responsive others

3. Compassion fatigue

B. Developing Clinical Empathy

1. Getting into role

Exercise 5.6 Becoming the Other

2. Getting necessary and relevant information

a. information builds empathy

Exercise 5.7 Information Builds Empathy

b. learning about differences

Exercise 5.8 Expanding Your Capacity for Empathy

3. Befriending and working with a wide variety of people and communities

Exercise 5.9 Empathy Role-Plays

C. Communicating Empathy in the Relationship

1. Supportive sounds

2. Mirroring

a. physical form of reflection

b. rapport leads to synchrony

Exercise 5.10 Mirroring

3. Empathic echo

a. verbal reflection of client’s story

b. clinician shares client perspective

c. empathic reflection of content

Exercise 5.11 Empathic Reflection of Content

d. empathic reflection of affect

e. advanced empathy

Exercise 5.12 Empathic Reflection of Affect

CLIP 5.3 EMPATHY

D. Empathic Failures

1. Learning from empathic failures

2. Two-way feedback heightens mutuality

3. Cultural differences and assumptions may contribute to more mistakes

CLIP 5.4 EMPATHIC FAILURES

III. Conclusion

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