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I think that the second counsellor did a better job, I think it was more client (student, patient) centred. I feel like  the first counsellor was more counsellor centred. -Tom

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Again, I agree with all of you. I think that paraphrasing is important to show that you are listening but if I was talking to a GC and they just repeat everything that I say, I'd be fairly annoyed and probably wouldn't go back. So I'd use paraphrasing in moderation and only on the "more important/ bigger" topics. I did like the last response from Mrs. Hill, she briefly paraphrased and then offered a possible solution to help Sue with one of her problems. -Tom

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I agree with you both, that Sue was asked better questions and her counsellor was definitely more attentive to her concerns.
I feel that it's really hard to tell if Bob or Sue's counsellor addressed all of their concerns in the end, as this was just a snapshot. -Paula

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She also asked the right questions for Sue to bring up other issues as well. -Alissar

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I agree with you Casey, the second counselor did a much better job at tackling the issue. She paraphrased Sue's responses it made it seem like she was listening to her a lot more. Sue also kept talking because she was being encouraged to. I know this is only a snapshot of their conversation but I think that Mrs. Hill's method was a lot more effective . -Alissar

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Case Study #2: This counselor did a much better job at asking open ended questions and using the encouragement/restatement/paraphrasing/summary framework. She was able to elicit a more detailed response from the student each time she asked a OEQ and encouraged the student to continue sharing. The focus was kept on the client and the counselor kept the conversation on track. I feel that the student felt heard, and supported through the counsellor's empathic mannerisms and statements.

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Case Study #1 Everyone brings up great points and I agree that the counsellor did a lot of talking, but didn't do a great job using the encouragement/restatement/paraphrasing/summary framework. He didn't ask many open ended questions. I would suggest he use more OEQ, and "How might you...." and "I wonder..." statements/questions

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That's a very good point, Tom. It really needs to be coming from him and not just his parents. Some of the alternative replies I thought of when Bob brought up his parents being angry were: 'Why do you think your parents are angry?' 'Do you understand where they're coming from?' 'Why might they not want you to smoke?' These responses might help Bob to see where his parents concerns stem from and help him realize why quitting should/could be an option for him. - Paula

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I also agree, I feel that Mr.Jones talked a lot. I personally would have responded to his parents being mad, because he needs support to quit smoking. As a parent, I'd be mad too, but I wouldn't turn my back on my son. As a counselor, I'd see if the student really wanted to quit smoking (because he cant/wont quit if he doesn't really want to). Then I would try to come up with a plan with Bob. The plan may or may not include his parents depending on if they are willing to quit. ~Tom

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I completely agree, Alissar. I found the counsellor's responses to be a bit presumptuous and not necessarily getting to the root of his biggest concern. I think he could have asked some more specific questions paraphrasing some of Bob's points, in order to get more information from him, so he could be understood on a deeper level. - Paula

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Case Study 1 (Bob): I find the counsellor spoke a lot more than the client and he did not really have a lot of say in the matter. I think Mr. Jones asked a lot of very good questions but he asked too many questions without getting an answer from Bob. It felt a little overwhelming to me. It could have been improved if Mr. Jones asked one or two questions at a time and waited for Bob to answer to guide the rest of the conversation. -Alissar

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Refer to Case Study 1: Bob and Case Study 2: Sue (also available in the Study Aids section of the Course Toolkit). It is best if you have a copy of each case study in front of you when you participate in the chat discussion.

The case studies present two counselling situations. In each case, there are three different and non-consecutive interchanges between the client (Bob or Sue) and the counsellor.

Note that these two cases are not complete counselling sessions. They give you a snapshot of the counsellors’ skills and direction of the counselling sessions. Your group’s task is to discuss the merits of each case. It is best to deal with Case Study 1: Bob, first, and then proceed to Case Study 2: Sue.

You may wish to consider some of these questions in your discussion:

Did the counsellor give an appropriate reply?

Can you suggest an alternative reply?

Was the focus kept on the client?

Did the counsellor really listen to what the client was saying?

How would each client feel about the counselling experience?

Which counsellor did the better job?