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Chapter 14

FRHD 3400 Chapter Notes - Chapter 14: Stress Management, Genogram, Shool

Family Relations and Human Development
Course Code
FRHD 3400
Carol Anne Hendry

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Chapter 14: Skill Integration, Decisional Counseling, Treatment Planning, and Relapse Prevention
Decisional Counseling: Overview of a Practical Theory
o Decisions require creativity, a disciplined freedom, an openness to change, and the
capacity to envision the potential consequences of given actions
o Your clients face bears of decisions
One bear promises one thing, while the other may being something else
We can help clients taste the sweetness of the berries and the importance of
the moment before they jump
o Cliets oe to us ith piees of their lies literally all oer the plae
The History of Pragmatic Decisional Counseling: Trait-and-Factor Theory
o Basics of the decision process
Define the problem
Generate alternative solutions
Decide for action
o This approah is ery Aeria, fousig o hat is pragati ith o attetio to
o The goal i deisioal ouselig theory ad pratie is to failitate liet’s deisio
making and to consider the many traits and factors any single decisions
Trait and factor theory has a long history in the counseling field, dating back to
Frak Parsos’s deelopet of the Bosto Voatioal Bureau i 
Parsons expanded the Franklin framework and pointed out that in
making a vocational decision the client needs to:
o Consider personal traits, abilities, skills, and interests
o Examine the environmental factors (opportunities, job
availability, location, and so on)
o Deelop true reasoig o the relatios of these to groups of
Trait and factory theory has been seen to be incomplete, and new decisional
and problem-solving models have arisen
The Place of Decisional Counseling in Modern Practice
o Clients are always seeking to solve their life issues and make decisions, and is a lifelong
o Counseling and psychotherapy are clearly moving to more of a health and wellness
Stress management, and good lifestyle choices
o Competence in decisional counseling is critically in virtually all issues and theories in
counseling and therapy
o The practical basis of decisional counseling is found in the five stages of the counseling
This five stage model provides a solid structure for creative and intentional
decision making
This model is often sufficient for clients to make a major decision and affect
o Decisional counseling can be equally useful with difficult personal decisions.
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It becomes integrative and eclectic in that it feels free to draw on other theories
as they meet the immediate pragmatic needs of the client
Ex. A client starts with career choice, but mention an issue with alcohol,
and then the counselor can suggest on approaching that issue first
Decisional Counseling and Emotional Understanding
o There is a common limitation in the problem-solving models, particularly those close to
the original trait and factor framework, in that insufficient attention is paid to the
emotional aspects of the decision.
Very few of us will be satisfied if our decisions reflect only rational cognitive
processes. Decisions require emotional energy.
o How clients feel emotionally about a decision heavily determines whether they are
going to act on that decision.
The fourth and fifth stages of the counseling session need to give special
attention on reflection of feeling and how emotions relate to the actions a client
might take after the interview in the real world.
The first route to this is to explore the feelings and emotions associated
with each alternative.
o Cognitive and Emotional Balance Sheet
Created Australian Leon Mann
An extension of logical consequences
Each alternative is written down in a list of gains and losses
Writing down the multiple aspects of a decision clarifies issues and
helps ensure that the most critical matters are considered
We can use the emotional balance sheet to help substance abusers to look at
the other issues around drinking or drugs
A balance sheet lists the positives and the negatives
Emotional balancing gives special attention to how the client might feel after
each possible decision
Real satisfaction from a decision comes with feelings of pleasure and
satisfaction about the result
With this activity, emotions are stressed throughout the logical
consequences strategy.
o The future diary as a further emotional support
Asking clients to think and write about life in the coming months, years, and if
they decide one way or another
Then a future diary is completed and compared
Importance of Case Conceptualization and Working Formulation
o Foundation of your work is your understanding of your clients, their issues, and the
decisions they want or need to make.
o A case conceptualization is an individualized application of your theoretical model that
takes into consideration the antecedents of the case and your observations and
The data included demographics, personal history, and presenting issues or
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