Category Archives: teaching counseling

June 4, 2009 · 10:18 am

Biblical Seminary Summer Offerings


Every summer we have a summer counseling institute where we offer electives for current students, alum, and other interested parties (graduate counseling credit counts for required CEUs!). This summer we have three fabulous offerings!

1. **ON-LINE** Models of Counseling(2 credits) by Dr. Bryan Maier. From 7/6 to 8/31. This class has NO on-site time. If you have ever wanted to study the historic models of counseling from a Christian perspective this class is for you. Bryan really understands the basics of these models, offers great insights and careful thinking. Plus, Bryan’s material includes narrated PowerPoints and short videos made to stimulate your thinking. 

2.  Theology of Suffering & Disability(2 credits) by Jerry Borton and Kevin Kain. Class meets two weekends (7/10-11, 7/24-25). Jerry works for Joni & Friends and both Jerry and Kevin have intimate understanding of Cerebral Palsy. This is not, per se, a counseling course but open to all who want to think biblically about suffering and disability and apply that to their counseling or ministry practices.

3. Counseling Victims in the Criminal Justice System(1 credit) by Jenn Zuck. Class meets one weekend (August 7-8). Jenn has tremendous experiences working with victims of abuse and crimes in the justice system. Sadly, the church has not supported these individuals as it could have (I have heard several Christian prosecutors tell me that they have yet to see a pastor come in support of the victim, but many times observed the pastor supporting the alleged perpetrator). If you don’t live in the area, consider a visit. Class meets Friday night and Saturday. Philadelphia is a great town to visit!

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May 29, 2009 · 5:51 am

I’m not worthy…


…to be on the same page as David Powlison and Mike Emlet! Check out CCEF’s home page. They have the audacity to put my mug up there (advertising next year’s annual conference) right next to David. That should never be!

Fun.

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May 18, 2009 · 5:01 am

Thank you Biblical Seminary!


On July 1 this blog celebrates its third anniversary! Over the years We’ve talked about lots of topics that concern folk—everything from abuse to pornography addiction to forgiveness.  I’ve enjoyed the chance to share my thoughts with you and you have been kind enough to respond.

For those of you who blog, you realize that it requires time and effort–more effort than I realized when I first started this! One of the blessings I’ve received is the encouragement to continue blogging by Biblical Seminary, where I am a faculty member and the director of the MA in counseling program. They give me the space to write what I think, without interference.  For that I am thankful.  I would like to return the favor and do something I’ve never done before—ask my readers to consider making a financial donation to the seminary. Many seminaries are tightly pressed during this recession and Biblical is no exception. There is no pressure—if you can help simply follow the link below. Thanks for considering a gift that supports what I do.

https://secure.mediafusiontech.com/biblical.edu/onlinegiving/index.asp

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May 11, 2009 · 1:27 pm

Practicum Monday: Learning counseling skills from videos


Counseling education includes the usual academic exercises as well as hands-on practice. There is no substitute for the practice piece. But, videos can provide students with good illustrations of various counseling activities, styles, processes, etc.

But which videos to watch? The classics (masters in unstaged vignettes)? Training videos (usually staged with actors)? One of the first videos I ever saw was of Salvador Minuchin at the Child Guidance Clinic. There he was in a room, unashamedly smoking a cigarette, and manipulating (in the best sense of the word!) a family with an eating disordered girl. I was taken with his larger-than-life presence in the room and his ability to be irreverent. Needless to say, I could never emulate him. In fact this video that I loved made me wonder if I had what it took to be a therapist.

Last week and this week the practicum class has been viewing Mark McMinn’s christian counseling video produced by APA. One ought not expect the APA to be up on Christian counseling (and its many varieties) but this video is useful for many reasons. First, Mark illustrates a relational style of cognitive therapy and so what he does in this first session is usable in almost any method of counseling. Second, the counselee is not an actress. She is a real person with real concerns (which students relate well to!). Third, Mark doesn’t merely focus on her problems but does a great job highlighting her strengths and resources. Finally, Mark isn’t a big personality–meaning we can all see ourselves doing what he does.

We use mock vignettes as well. I participated in making some mock counseling videos at Regent in Virginia Beach. Mock sessions tend to focus on discrete skills and are better in 2-3 minute vignettes rather than full sessions, and for beginning students rather than those about to graduate.

If you ever took a counseling class that used videos, what counseling videos did you watch and were they helpful?

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May 5, 2009 · 5:54 am

Rwanda!


My on again off again trip is now on. I have tickets and yesterday I got my shots! Our small group of psychologists (4) will be leaving on June 22 and returning July 1. We will be going as the guests of the Right Rev. Alexis Bilindabagbo, Anglican Bishop of the Gahini diocese. You can learn a bit about him here.

We will be meeting with pastors, government officials, victims, and perpetrators of the 1994 genocide. Our goal is to immerse ourselves into the culture to learn how best to provide trauma training and counseling education at the graduate level for pastors and key leaders of the church right in Rwanda. While we know quite a bit about trauma and counseling training, we wish to avoid the mistakes of assuming we know best what this particular people need and what works within their cultural milieu.

I hope to be able to give you more details as the time approaches and to blog from Rwanda when I have Internet access.

FYI, each of us are paying our own way. Some donors at Biblical Seminary gave generously to underwrite a small portion of the trip. Further, the American Association of Christian Counselors is helping to sponsor this trip. So, if someone wants to give to the trip, I’m sure we can find a way to provide you a receipt for tax purposes :). Email me at pmonroe[at] biblical [dot]com and we’ll figure it out.

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May 4, 2009 · 1:26 pm

Practicum Monday: counseling mistakes?


I’d like to compile a list of mistakes mostly likely to be made by novicecounselors. In the past I’ve written on some of the mistakes or foolish behavior of counselors and some of you have helped contribute stories like the counselor who fell asleep during the session, the counselor who ate a meal, who tried to set the counselee up with a son or daughter, the counselor who took phone calls, etc. Most of these mistakes wouldn’t be made by the typical counselor, even one who had never counseled before.

So, what are the most common mistakes of the novice counselor? Not sure, here are some I’ve observed:

1. Failing to collect enough data during the first sessionto assess matters of suicidality or mental status. Novice counselors tend to either drill too deep on one topic (and so miss other important matters) or stay on the surface and fail to ask questions they think might embarrass the client

2. Promising too much. We want the client to have hope and we hope they don’t see us as novice, so we promise the world. Such temptations lead sometimes to offering our phone number to call at all hours, to agreeing to meet outside of sessions, too allowing sessions to go beyond the planned limit.

3. Encouraging. Beginning Christian counselors sometimes fail to let the counselee sit with their pain. Instead, they trot out verses to comfort and encourage. Often, these passages fall flat without their intended result.  

4. Writing too much. Progress notes may look like novellas. When you don’t know what is important, everything is documented.

5. Going along with the parents. Novice counselors often seen kids and their parents. It is easy to become railroaded into allowing the parents to use the session to gang up on the kids. Novice counselors have a hard time managing the parents and the kids in the same session.

What mistakes did you make? Did you experience at the hands of a novice?

When I started, I hated the question about my age (I was 24 but looked younger). I tried all sorts of creative ways to illustrate my experience and to be vague about my actual age. I’m sure I never convinced anyone. They stayed because they didn’t want to start over. I should have just said (nicely), “your right, I’m young. We can either find you another client now or we can try the following intervention and if you don’t like what I’m doing, we can find you someone else then. What would you like to do?”

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April 21, 2009 · 11:59 am

What is a competent counselor?


Today, I begin an introduction to pastoral counseling class for MDiv students with my colleague Jenn. In six short weeks we will expose them to biblical foundations of understanding people and their problems, the basic helping skills, and provide them opportunities to practice on each other.

So, what makes for a competent counselor? There is a famous book on this topic. Jay Adams focuses in his landmark, bulldozing book on the problems of secular psychology and the need for a new understanding of how people change that fits with Scripture and a confidence that all people, especially pastors, are capable of leading others to change.

Important work, but misses some of the nuances that we have now about Christian models of change. For some of my thoughts on a more robust model of counseling that I seek to impart here at Biblical, see this post from several years ago.

But I want to focus here on the talents or capabilities of the counselor. And here I list 7 factors needed to be a competent counselor

1. Spiritual maturity. Not only must the counselor know the bible, its story line, etc., they must also have understood and experienced the Gospel, show a maturing trajectory towards holiness and awareness of the diversity within the Christianity. In the words of one of my theology colleagues, they must know the difference between dogma and doctrine and opinion.

2. Self-awareness/insight. One can be spiritual mature, but not particularly insightful about the self. The competent counselor has a grasp of their own narrative (and how the Gospel story is changing it) and how it impacts past and present relationships. The competent counselor understands strengths and weaknesses and is not defensive.

3. Capable of building trusting relationships. Nothing much good comes from counsel provided by standoffish and stand-above kinds of counselors. The competent counselor is able to build trusting relationships by being interested in individuals (more so than in outcomes), able to walk in another’s shoes, cross cultural lines, and able to empower others more than tell others what to do

4. Flexibility in response styles. The competent counselor understands the need to use a variety of conversational responses depending on the needs of the client. This means sometimes questions are appropriate, other times silence. Other responses include reflections, summarizing, focusing, confronting, joining, problem-solving, self-disclosing. Counselors who only use one or two of these styles will not be able to work well with clients who find those particular styles problematic. The competent counselor is intentional in her or his choices of responses.

5. Assessment and Hypothesis skills. The competent counselor is able to move from their counselees problems and descriptions to a wider view of the person and their situation and back again. This counselor is able to pull multiple pieces of data into a cohesive understanding of the situation. In doing so she forms and tests possible hypotheses that clarify motivation for behavior as well as point to interventions. For example, is the child’s behavior merely rebellious or is it ADD or anxiety based?

6. Observation skills.The competent counselor not only understands people, their needs, solutions, and has the capacity to use multiple response styles, but also is observant regarding their own impact on the counselee. They observe subtle reactions form clients and seek to moderate their counseling style and/or gently explore the meaning of the reaction. Without these skills, the counselor blithely works toward a goal without knowing if the counselee is really following.

7. Ability to care for self. Finally, the competent counselor recognizes personal limits, boundaries and actively seeks to sustain a life of personal care. Far too many counselors confuse sacrificial giving with bypassing appropriate care for one’s own spiritual well-being. Just because one is spiritually mature one day does not mean such maturity is permanent. Neglecting personal care will likely diminish all other counselor competencies over time.

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April 20, 2009 · 11:03 am

Practicum Monday: The green counselor


No one wants to be a green counselor. “Hi, I’m an intern and you are my first counselee.” Who wants to say that? Also, no one wants to entrust their most significant problems to a green counselor. “I see you haven’t any experience, so let me expose my most tender parts to you and see what you can do.”

Houston, we have a problem.

Every counselor has to get their start somewhere just as every surgeon cuts a live human being for the first time. Young single folk counsel conflict-riddled married individuals or offer parenting advice while not yet a parent. Individuals with no history of addictions sit with folks in their 10th inpatient stay in a treatment center.

Is there any way this goes well? YES! Let me tell you why going to an intern with a good supervisor is good, even sometimes better than getting a seasoned counselor by them self.

1. You get two heads instead of one. Even if the supervisor is not in the room, you get a young, determined-to-do-it-right counselor and a supervisor on his or her toes (who loves to teach and wants nothing bad to happen) thinking about you and planning carefully. They talk about the intricacies of your situation at great depth, they consider the options, and carefully review the outcome. If you only have a seasoned counselor, they may perform better (relationship wise) in sessions, but they probably aren’t thinking as critically as they could. I can attest that I am thinking much more carefully about clients during supervision (as supervisee or supervisor) than when I am not there.

2. Book knowledge actually does help. The further a person gets away from textbooks, articles, etc. the more they rely on old knowledge. Teaching counselors and green counselors are fresh from their reading and thinking about key problems. For example, the student having just completed an ethics course will be more sensitive to boundary violations than the one who has grown accustomed to thinking they will always do the right thing. Sometimes resident doctors are more aware of subtle health issues because they are running down every article to learn and running down every symptom.  

Now surely a seasoned counselor provides many good benefits. Working with an intern or medical resident often takes longer to get to a good outcome. They just aren’t as fluid. They are still learning–learning on you. A seasoned counselor will make fewer mistakes. But if they are a humble learner, the green counselor will catch on quickly and repair any damage. Whether green or seasoned, the most dangerous character problem in counselors is arrogance and listening only to him or herself.

But the intern can manage some of this by dealing with his or her own anxiety. Confidence does actually help. It enables you to think clearly, consider options, be honest about your own weaknesses, offer the client help in finding someone else if you aren’t the right fit. It is like baseball. If you are afraid of getting hit, you’ll likely not catch or hit the ball. If you have confidence, you’ve got a better shot of catching it and/or at least making contact when hitting.

 

All that said, I have to tell you a story about my “first time.” I had just completed a 13 week internship where I counseled 2 separate clients with my supervisor in session and by myself. I could be given good grades for trying hard, but probably was too impatient to get to the good stuff of people’s problems–the stuff of repentance. In a moment of insanity my supervisor set me up as a staff counselor in a satellite center. On my first night I saw a person who said the Lord had told her I was the counselor for her but now was rethinking she had misheard. How could an 18 year old be right for her (ahem, I was all of 24!)? After trying to find out the issues, she said if I couldn’t figure it out, she definitely had misheard God. The next client was a couple. In the course of the session, the husband actually stood up and started choking his wife. I stood up–not knowing what else to do–and he fled the building.

There’s nothing like baptism by fire 🙂

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April 13, 2009 · 11:11 am

Practicum Monday: The secret to a good experience


A new semester begins today and I pick up teaching again after a sabbatical. It feels good to get back in the saddle again. Practicum and Professional Orientation starts today and so my students begin their first fieldwork assignments around the region. If they are at all like I was when I first began counseling work, they will be nervous and worried about doing well and doing the right thing. But I have a secret for them. This nervousness will actually help them do well and, for the most part, mistakes in counseling often turn out to be good for both counselee and client. Counseling is more like art and less like surgery. And since counseling is relational art, the opportunity to “do over” actually provides wonderful realism to the healing.

However, there is another secret to good practicum experiences: good supervision. Good supervision makes or breaks an experience. And good supervision requires the active participation of both supervisor and supervisee.

The Supervisor: Supervisors come with a variety of skills, personality, and style. Some are quite directive and keep a tight rein on your practice attempts. Others are very hands-off, wanting you to try stuff yourself and so they respond to your questions and concerns rather than seek you out. Others are very process oriented and focus on your experience more than what you actually do.

The Supervisee: Some students come with hundreds of questions (some out of curiosity but most out of anxiety). Others want very specific directions and then try to act them out as was given. Others still want to talk about their own experiences and have a harder time recalling client responses.

Practicum students do well to prepare for supervision:

1. Before you begin, have some discussion about how the supervisor likes supervision to go? Do they have an idea about how they want you to function in it? Do they want it to happen just after your counseling experiences for the week so you can debrief? Just before so you can best remember what was decided?

2. When you bring your cases to supervision, come prepared to concisely summarize history, presenting problems, attempts to solve prior to counseling, family systems, current crises if present, work thus far in your counseling. Also, come prepared with a specific objective question you would  like to have answered. The more specific your question, the more likely you will come away with an answer.

3. Be sure to ask the supervisor to help you refine your hypotheses. This is a good opportunity to consider alternative ideas.

4. Schedule time when the supervisor can either watch you live or listen to a taping. There is NO better supervision possible. Scary? Yes. But essential if you do intend to become a good counselor

5. Be willing to ask (nicely) the why question when your supervisor gives you directives that don’t make sense. More than doing the right thing, you want to understand the critical thinking behind the right response.

6. Use your relationship with the supervisor to grow as a professional. This is one of your future colleagues. If there are conflicts between you, practice the good art of resolution. Don’t avoid and don’t attack.

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February 16, 2009 · 2:23 pm

Wanna see a MA Counseling program in action?


For those of you in the Philadelphia region and considering an Masters degree in Counseling you are hereby invited to our March 9th “taste of Biblical Seminary.” This open house is just for those interested in a counseling degree and will expose attendees to what we do at Biblical. You’ll come hear from profs and students, have a meal with us, have time to ask current students anything you want, and then sit in on our classes. You’ll leave with a very clear sense of what we are about.

For more information and an opportunity to have a meal with me, check out this pdf on our website: http://www.biblical.edu/images/embark/PDFs/infoeventmar09.pdf

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