Gender and sexual orientation are important and critical characteristics about a person during counseling. External and internal stressors can all be exist based on the gender of a person or the person’s sexual orientation. As counselors, it is important to have an important understanding of these target populations and the bias and discrimination they face as well as their own internal issues with family and friends.
LGBTQ and women face different challenges in grief. Please review AIHJCP’s Grief Diversity Counseling
Please also review AIHCP’s Grief Diversity Certification and see if it meets your academic and professional goals. The program is designed for certified grief counselors looking to enhance their understanding of grief through a better understanding of target populations.
Multicultural counseling competency is important in counseling. Counselors need to be diverse in understanding how culture, race , creed, age and gender play a role in how a client will respond to them. Counselors need to be also aware of their own internal biases. With good cultural understanding, the counseling relationship can become enhanced and help the client heal and grow. Please review the video above to learn more about multicultural counseling,
It is important to have a strong grasp of multicultural counseling skills when helping clients from diverse backgrounds. Please also review AIHCP’s many behavioral health certification programs
Please also review AIHCP’s Grief Counseling Certification, as well as its numerous behavioral health certifications in Christian Counseling, Spiritual Counseling, Anger Management, Crisis Intervention and Stress Management, as well as Life Coaching, ADHD Consulting and Meditation Instructor.
Rogerian Therapy is based on client centered care and empathic approaches. It sees healing as a process of the client confronting emotions and discussions based on those emotions. It can involve empty seat, emotion analysis, as well as grounding techniques that capture emotional distress with physical manifestation. The key is to help clients understand emotion and to guide client empathetically at every step of the way
Rogerian Therapy is client based and empathetic in approach. Please review AIHCP’s Grief Counseling Certification
Please also review AIHCP’s Grief Counseling Certification, as well as AIHCP’s other behavioral health certification programs in crisis counseling, Christian counseling, Stress Management, Anger Management and Meditation. The programs are online and independent study and open to qualified professionals. Please review and see if the program meets your academic and professional goals
Cognitive Behavioral Therapy helps individuals alter bad behaviors through reframing. In depression and grief, reframing can help build new perspectives and to approach life differently. Reframing and labeling something in a positive light can help an individual understand life differently and move forward with healthier behaviors. In grief and loss meaning reconstruction and reframing is especially important in understand loss but also understanding one’s reaction to loss.
Reframing is key to recovering from grief and loss. Please also review AIHCP’s Grief Counseling Program
Please also review AIHCP’s Grief Counseling Certification program and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Grief Counseling.. The program is for both clinical professional counselors as well as pastoral counselors. Please also review the video below on reframing and meaning reconstruction
A key part of counseling involves helping the client identify the problem, propose solutions and execute those plans into action with assessment of progress. This is the core of the Problem Management Model in counseling and is key in helping track a client’s progress.
Counselors can help clients learn to find solutions for their issues through the Problem Management Model
Please also review AIHCP’s multiple behavioral health certifications ranging from Grief Counseling and Christian Counseling to Crisis, Stress, Life Coaching and Anger Management Programs. The programs are online and independent study and open to qualified professionals in both the behavioral health and health field areas.
Good response skills are critical to help clients receive feed back. Good responses can help the client move forward in the conversation, hear his/her own words, supply additional insight and help give direction. Responding skills are essential micro skills in counseling and Grief Counselors should be able to utilize good responding skills to help clients better find meaning and emotional validation.
How well a counselor listens and responds to a client is key in showing the client she is heard but also understood. Good responding skills are key to help the client express and delve deeper.
Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Grief Counseling.
In addition to Grief Counseling, AIHCP offers a variety of other mental and behavioral health certifications for human service and health care professionals. The programs include Christian Counseling, Spiritual Counseling, Stress Management, Anger Management, Crisis Intervention and Life Coaching. These programs are aimed to help others in existing counseling fields. Be aware to differentiate one’s role as a counselor when only pastoral versus one who is licensed. This is key when applying these certifications to your various levels of academic and professional levels.
Counselors study psychology, various therapies and devote themselves to understanding the science of the mind and behavior, but if the counselor is unable to communicate and attend the client properly, then the knowledge is useless. Counseling hence is also an art. Counselors must possess interpersonal skills that allow them to help their clients. Various micro skills help the counselor attend the client. Basic fundamentals of attending include empathetic listening, observation skills, and appropriate responses. This forms the foundation of the counselor and client relationship and allows therapy to flourish.
Attending the client refers to basic skills involving listening and observing. Please also review AIHCP’s behavioral health certifications, as well as AIHCP’s Grief Counseling Certification
Please also review AIHCP’s numerous behavioral health and healthcare certifications in Grief Counseling, Crisis Counseling, Christian Counseling, Spiritual Counseling, Anger Management, Life Coaching and Stress Management. The programs are online and independent study and open to qualified professionals seeking a four year certification.
Mental Health should receive the same care as physical health. Please also review AIHCP’s numerous healthcare based certifications
Mental health is health. Too many stigmas exist that prevent individuals from seeking help when signs of mental illness occur. Unlike physical symptoms of sickness that are addressed immediately, mental illness falls to the side due to stigmas and embarrassment. It is important to notice changes in emotional and mental health that persists longer than 2 weeks. Many minor things as OCD, ADHD, or minor stress and depression issues can be resolved through professional care.
Please also review AIHCP’s numerous mental health certifications within Grief Counseling, Crisis Counseling Spiritual/Christian Counseling, Anger Management and Stress Management Programs. The programs are online and independent study and open to qualified professionals. Remember only those within the clinical side of Human Services can treat mental illness. Pastoral counselors can refer or help others in non pathological issues.
When clients experience stress, grief or loss, sometimes meaning is critical to understand. The emotions and feelings need to find meaning in relation to the issue. Counselors need to have the helping skills to aid the client in finding meaning again. This is essential especially in Grief Counseling. In grief and loss, the individual needs to find meaning in the loss and be able to connect the past with the present to move forward to the future. New meanings in relationship to the loss help the person connect the dots and knit together the chapters of life into a logical story. When meaning is not found and emotions rage without direction, then the stressor or loss can lead to grief pathologies of depression or prolonged grief. Hence it is important for the counselor to be able to navigate the person through the emotion and find meaning. This is more than understanding the process of grief and loss, or dealing with stress, but also being able to help the client find meaning through good counseling techniques that help the client find meaning.
In previous blogs, we discussed the importance of meaning re-construction, as well as Cognitive Behavioral Therapy or CBT, as key ways to help clients tie together pass loss or trauma to the present to move forward. In this blog we will focus more on the micro skills and probing that is necessary to help clients find meaning via interaction, reframing and interpretation skills, and how to relate to the client. Obviously, many of the other micro skills of attending the client, observation, focusing, responding, challenging and confronting are all implied within this blog and found in other previous blogs.
Please also review AIHCP’s multiple counseling blogs as well as certification programs in Grief Counseling, Stress Management, Crisis Intervention or Christian and Spiritual Counseling.
The Importance of Meaning
Finding meaning is critical to life. When bad things happen, counselors can help clients discover meaning
Meaning is essential to human existence. This is why it is so important for individuals suffering from trauma, or abuse, or loss, or any situation to find meaning in their situation. Sometimes it involves regaining it because it has been taken away, other times, it is discovering it for the first time.
Logotherapy is a type psychotherapy that helps individuals find meaning. It is based off Victor Frankl, the famous Holocaust survivor, who utilized meaning in life, even in its darkest hours, as a prisoner in a Nazi camp, to find hope. Frankly administered to many of his fellow prisoners and helped them find also meaning despite the evil and trauma and abuse that surrounded them under Nazi rule.
Frankly believed everyone had a will to meaning. This meaning is what pushes all in will and action and even helps one endure suffering and pain. These beliefs persist in the value and uniqueness of each human person. It also is a platform for a person to move forward in life. This has numerous applications in counseling and helping others. It involves understanding purpose in life despite pain, but the importance to define and push forward. It involves understanding that life is far from fair but one can still find meaning through it. Purpose is beyond bad things (Waters, E., 2019).
Frankly summarized his philosophy in six basic tenets. Humanity is comprised of mind, body and soul but it is through the soul that we experience and find meaning. He continued that life has meaning in all circumstances, good or bad. He stated as well that humans have a will to meaning that pushes them. He also listed humans also have freedom to access this meaning no matter the situation. He stated in addition that true meaning is not merely an statement but something concrete that correlates with life and one’s values and beliefs. Finally, he emphasized that all human beings are unique (Waters, E., 2019).
From Frankl and his classic work, “Man’s Search for Meaning”, counselors, but especially grief counselors have an excellent way to help reconstruct meaning to clients and cultivate true change in a client’s life.
Obviously, much of the work associated with David Neimeyer and meaning reconstruction are found from the ideas of Frankl.. Meaning helps tie together past, present and future into something that matters to the individual. It helps make sense of the loss and allows the chapters of one’s life, even the bad ones, to have meaning to the overall story and book. Obviously, counselors play a key role in helping clients evolve the story told initially into telling the right story that correlates with reality. This involves intense counseling and sorting out feelings, but eventually these feelings can lead to a true meaning. Reflecting and reframing are keys in achieving this for a client.
Reflection
When individuals are discussing feelings and emotions, it is essential eventually, not initially, to guide them to meaning. In the very beginning, it is important to allow raw emotion to be expressed, felt and processed, but it needs to eventually find meaning within the grieving process. Counselors can help clients reflect on the emotion. Ivey refers to the term “reflection on meaning” as a way to help clients find deeper understanding regarding issues, purpose, feelings and behaviors (2018, p. 258). Ivey also points to the importance of interpreting and reframing these feelings. Interpretation helps the clients understand their feelings and add meaning to them through a variety of perspectives or multicultural or psychodynamic ways. The client is able to find new meaning, while the counselor provides the necessary reframing to explore new interpretations (2018, p. 258).
The counselor through reframing, can with empathy begin to offer different interpretations of the event itself, One skill a counselor can utilize is linking. Linking helps the client tie together two or more things that enables them to find new insight (Ivey, 2018, P. 265). A counselor can tie family history, values and talents to the client in relationship to the issue, or tie the event to psychodynamic issues that exist within the client. The linking helps the client find new perspectives on the issue at hand.
Counselors can help clients link and find self discovery through a variety of approaches. Some counselors may utilize decisional theory that presents outcomes and alternatives for action. Decisions need to be understood and made with the client understanding outcomes (Ivey, 2018, p. 268). Another approach is person centered. Linking is utilized to tie the problem together with the person’s strengths. CBT is another way to help individuals review old ways of thinking, acting and behaviors and re-interpret them. Reframing and linking can also be utilized with psycho-dynamic theories that help the person understand the person’s deeper subconscious past. Finally, multicultural therapy can help a person link to and also reframe an issue with ones’ own ethnic and cultural backgrounds
Reframing
A counselor’s response is key in helping one reframe and interpret meaning. In previous blogs, we discussed first attending the client, with basic responses, such as paraphrasing or summaries. How one reflects how one feels helps open new dialogue and understanding. Other ways to help discuss emotions and help build meaning and cultivation to change involves disclosures, feedback and consequences.
Counselors can help clients reframe and reinterpret events and emotions and help them find new meanings moving forward
Disclosures are excellent ways to involve oneself by sharing an appropriate story of one’s own life, but usually it involves oneself utilizing the phrase ” I think or I feel” in relationship to one’s issue or feeling or intended action. Feedback is also critical in cultivating change. It can be confirmatory or corrective. When corrective, it looks to help align a person back on track. It involves empathy and nonjudgment when being applied but helps the client again find the proper perspective and route. Remember, the client remains in charge and review how the client responds. Empathetic confrontational approaches should be utilized. Finally, logical consequences can be employed to help a client. It summarizes the possible positive and negative consequences of a particular action. The common phase includes “If you do…then…will possible result” (Ivey, 2018. p. 302).
Employing psychoeducation and instruction is also a key way to help push individuals to change and reframing. By making the client understand the science and philosophy of their feelings, one can better take ownership to change.
Whatever link the counselor can utilize through whichever therapy, or phrasing is good. Each individual is different. The key is to help the person find a new perspective on the emotion, situation, stressor or loss. This enables the person to form a new meaning which can help them tie the past with the present and into the future.
Fostering Resiliency
Through any change and new discovery, counselors need to foster resiliency. This helps the person emotionally and physically push forward into the new change and maintain the new meaning he/she has found. This can be accomplished through a multitude of stress management techniques that involves multicultural approaches, psychoeducation, social skill training, assertiveness training, conflict resolution, bio or neurofeedback, positive reframing, CBT, time management, relaxation management and active planning techniques (Ivey, 2018, p. 288). Ivey also lists the importance of Seven Therapeutic Lifestyle Changes. He includes exercise, nutrition, sleep, social relations, cognitive challenges, meditation and cultural health. Within these, he also lists the importance of prayer, hobbies, positive thinking, social outreach and avoidance of negative substances (2019, p. 288).
Egan, emphasizes that in cultivating change, counselors need to help client discover their own resilience. Egan points out the difference between process resilience and outcome resilience. In counseling, the counselor should be able to encourage clients to change in face of challenges, but also note outcomes. With outcome resilience, the counselor comments on the change and how one has returned to one’s own self (Egan, 2019, p. 263). Like a coach, the counselor hence cheers the person’s progress and ability to overcome. Counselors need to also help clients identify resources for resiliency, within family, friends or other social support systems. A counselor should help a client find ways to make better connections with families and friends as well. In pushing forward, a counselor can help a person reframe issues, such as challenges or crisis as ways to grow and to understand that change is part of life (Egan, 2019, p. 265). A client must continue, especially after loss, or trauma, to continue to keep things in perspective, maintain a healthy outlook, find new ways for self discovery and maintain care of oneself (Egan, 2019, p.265). A counselor can help a person maintain this progress.
Recall also, the previous blog which discusses the change scale in clients and how it is essential that the counselor discovers the level of acknowledgement and commitment to change a client may possess, as well as helping the client implement first order or second order changes depending on their situation. The counselor can help the client with goals to implement the change and also be aware of possible setbacks and pitfalls.
Conclusion
Please also review AIHCP’s multiple mental health certifications, including AIHCP’s Grief Counseling Certification
In helping clients change, reflection and reframing are key in helping the client link and find meaning in the trauma or loss. As time progresses, the client will be able to find meaning and connect the incident into one’s life narrative. Counselors can help this transition through a variety of skills mentioned in this blog and throughout other blogs written for AIHCP. These skills help the client understand the emotion and find linking to it. This helps them discover new meaning and ways to reinterpret the event. Furthermore the counselor helps the client move forward by fostering resiliency and helping the client continue to move forward.
Please also review AIHCP’s various mental health certifications. These certifications are granted to professionals in the health care field and human service field. Some may be licensed professionals while others may be pastoral in nature. Obviously such licensures or lack of, grant or prohibit the extent of certain counseling therapies and techniques.
AIHCP’s programs include Grief Counseling, Crisis Counseling, Stress Management Consulting, Anger Management Consulting and also Christian Counseling and Spiritual Counseling. The programs are online and independent study.
References
Egan, G. & Reese. R. (2019).”The Skilled Helper: A Problem Management and Opportunity-Development Approach to Helping” (11th Ed). Cengage
Ivey, A. et, al. “Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society” (9th Ed( (2018). Cengage.
Additional Resources
Morin, A. (2023). “How Cognitive Reframing Works”. Very Well Mind. Access here
Caraballo, J. (2018). “Reframing is Therapy’s Most Effective Tool, Here’s Why”. TalkSpace. Access here
Ackerman, C. (2018). “Cognitive Restructuring Techniques for Reframing Thoughts”. Positive Psychology. Access here
Waters, E. (2019). “Logotherapy: How to Find More Meaning in Your Life”. PsychCentral. Access here
A driving force in recent years is a more counselor awareness of multicultural differences between people. As the world becomes smaller and more and more different ethnic and religious communities interact, the reality that individuals with very different views is becoming more and more common. Simply through social media, the interaction between different individuals with diverse backgrounds has increased over the years. Counselors also are coming into more contact with others of different beliefs and cultures and it is important for counselors to understand cultural issues within a client and how that affects the counseling process. How a particular person from one culture versus another culture can vary greatly how various emotions such as grief are displayed, or how certain emotions are seen as positive and negative. When working with a client, a counselor needs to be able to understand these differences. The counselor will also need to understand other sensitive issues that exist for a particular client that is tied to his/her culture or background. This involves many investigative and interviewing steps to have a full grasp of the client.
Multicultural Competence
When counseling, counselors need to be aware of cultural differences between themselves and clients
Many are sometimes rigid to ideas of multicultural issues and may see it as merely another “woke” agenda but this is farther from the truth. Multicultural competence is imperative to social skills, especially for counselors. It helps counselors better understand different clients to maximize helping and minimize harm. According to Ivey, it is ethically imperative that counselors become more multicultural competent in their care of clients (2018, p. 51). Hence any hesitancy by counselors to remain close minded to cultural realities is something contrary to the very nature of helping others. There are extremely important things to consider when helping others with different backgrounds and they play key roles in the therapeutic process.
Ivey lists the “RESPECTFUL” model which highlights key dimensions within a human person. Each letter of respectful correlates with something unique about ourselves as well as others. When looking at the counselor and client, it is important to identify not only the client within this model, but also the counselor and how the differences between the two could possibly manifest and side track the counseling process. We will briefly look at this model.
R= Religious or spiritual background. Obviously someone who is Christian would differ greatly from someone who is Hindu, or someone who is religious versus someone who is secular.
E= Economic and social background. A more wealthy counselor may have issues identifying with an individual with far less income and wealth.
S= Sexual Identity. Individuals who are heterosexual or homosexual have very different stories to tell in regards of acceptance within society
P= Personal Style and Education. Different levels of education can cause differences in how well communication and conversation is achieved.
E= Ethnic and Racial Identity. Different cultures and races have different experiences with situations. Sometimes counselor and client are two differently culturally and racial people
C= Chronological/Life Span. Depending on one’s age, the outlook on a particular situation can differ greatly.
T= Trauma. An individual based on their situation or culture may inherit various different levels of inherent trauma
F= Family background and History. A person’s upbringing can play a key role in his/her development. A person raised in a two parent home versus a one parent home
U= Unique Physical Characteristics. A person with various disabilities has a unique set of challenges.
L=Location and Language. A person’s land or origin, or where a person resides or the language a person speaks can all create unique difficulties
(Ivey, 2018, p. 33)
These types of differences all point to unique challenges a counselor may encounter with a particular client. When counseling, different cultural expressions can emerge in how one expresses or speaks or means a certain phrase. Hence it is important to be aware of the RESPECTFUL model and see how each element can possibly apply to a client
Soul Wounds
Different races, cultures and people face historical traumas and what is referred to as “soul wounds”
Different cultures experience different griefs or collective wounds that an individual has inherited. This can be referred to as social grief, but also according to Ivey, as “soul wounds” (2018., p.52), Historical trauma can play a key role in how an individual living in the present experiences the world and interacts with it. African American clients can experience quite a different situation from day to day interaction with others than White Americans. A simple traffic stop can have a greater traumatic effect due to racial profiling, police brutality, and social injustice. In addition, African Americans suffer the tragic legacy of slavery within their history. Following slavery, unjust and unequal economic restrictions prevented many African Americans from accumulating wealth leading to current poverty levels for many of them. These types of issues and a host of other microaggressions greatly affect African American clients.
Simple prejudice can also exist at the microlevel that many individuals do not notice. Microaggressions based on mere differences of culture and skin color exist within the world. Whether unintended or intended, these aggressions add up over time. Individuals face prejudices, looks, stares, or unkind words or opinions that can build up within them over time (Ivey, 2018, p. 52). In most cases, although, microaggressions are not intended to be harmful, they still can cause great harm and trigger the other party.
So whether it is the African American community, or the Native American community, or the LGBTQ community, various slights and soul wounds exist within their communities that affect them. Understanding these wounds and the importance of recognizing this diversity is critical in any type of counseling.
Counselor World View
Believe it or not, the counselor brings with him/herself a variety of inherent bias and world views that he/she must be aware of and attempt to filter out when counseling. Awareness of one’s own background is as key as awareness of the client’s background (Ivey, 2018, p. 52). Within this, a counselor of a particular background must be aware of his/her own beliefs and background but also how he/she appears before the client. A white male counselor may initially cause some distance between a black female client. The issue of creating trust and understanding may take longer. In this case, privilege and image play a key role. A young counselor may find struggles counseling an older client, so minimizing the status of oneself or the privileges associated with oneself can play a key role in a healthy counselor/client relationship. Unfortunately, sometimes, counselors and clients do not match, and through no fault of either, another fit may be best. Do not feel horrible if this is the case because in many cases the perception of the client regarding the counselor is key.
The client hence needs to show cultural sensitivity to race, religion, age, gender, sexuality or culture of the individual. This involves using political correct terminology (Ivey, 2018, p. 52). The counseling session should not include language that is non-inclusive that already exists in the outside world and causes distress to the client. The counseling should be professional and void of damaging language. In addition, the counselor must be extra careful in how he/she presents himself to different individuals with different backgrounds that may cause distress, either through posture, facial expressions, or words. The counselor also needs to be mindful of his/her own beliefs and maintain a neutral setting with those of extremely different views. The counselor should do his/her very best to be inclusive and open minded in listening and discussing issues that are different than his/her own religious or even moral beliefs. If bias exists, then it needs to be dismissed. A client can never be dismissed or set to the side due to cultural or moral differences. This goes against all ethical standards of counseling. If cultural differences are so great and there is no benefit in the counseling, usually the client will sense it, but if not, a counselor can help the client find a counselor that better matches the client’s needs, but again, this must be done with sensitivity, care and mutual agreement.
Conclusion
Ultimately it is the counselors job to be multicultural competent. Some counselors may be less open to this type of training but to better serve the client and cause no harm it is absolutely essential that counselors become multicultural competent.
Please also review AIHCP’s Grief Counseling and Christian Counseling certification programs and see if they meet your academic and professional goals
Counselors need to be aware of different backgrounds through the RESPECTFUL MODEL, be aware of soul wounds of a particular culture and also be aware of their own beliefs and values. The counselor needs to remain neutral but educated on different backgrounds. This is not only important ethically but it also permits the counselor to better understand how different people experience the world and how they communicate it. In addition, a counselor needs to be aware of his/her own values and appearance and how that translates to a potential client.
Please also review AIHCP’s Grief Counseling Certification, as well as its Christian Counseling Certification. AIHCP also offers a host of other mental health certifications for clergy, pastoral and clinical counselors, social workers and any individuals within the Human Service fields in Crisis Intervention, Stress Management and also Anger Management. All of the programs are online and independent study and open to qualified professionals seeking a four year certification.
Also for members of AIHCP with existing Grief Counseling Certifications, please review AIHCP’s Grief Diversity Counseling Program which focuses on such issues of grief and diversity within different cultural groups.
Reference
Ivey, A. et. al. (2018). “Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society” (9th Ed.) Cengage
Additional Resources
Seales, J., (2022). “Cultural Competence in Therapy: What It Is and How to Find It”. PsychCentral. Access here
Farook, M. “The State of Multicultural Counseling Competencies Research”. Society for the Advancement of Psychotherapy. Access here
Gillson, S. & Ross, A. (2019). “From Generation to Generation: Rethinking “Soul Wounds” and Historical Trauma”. Biol Psychiatry. 2019 Oct 1; 86(7): e19–e20. National Library of Medicine. Acces here
Berns-Zare, I. (2021). “6 Ways to Build Multicultural Competence and Combat Racism”. Psychology Today. Access here
