copyright © 2012 brooks/cole, a division of cengage learning, inc. the client chapter five

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C o p y r i g h t © 2 0 1 2 B r o o k s / C o l e , a d i v i s i o n o f C e n g a g e L e a r n i n g , I n c . The Client The Client Chapter Five Chapter Five

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Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

The ClientThe Client

Chapter FiveChapter Five

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

The Whole PersonThe Whole Person

Perceptions of client problemsPerceptions of client problems

Defining a problemDefining a problem

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Defining “problem”: Two Defining “problem”: Two componentscomponents

A description of the problem: situation, A description of the problem: situation, event, or condition that is troublesomeevent, or condition that is troublesome

A course of action leading to resolutionA course of action leading to resolution

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Categories of ProblemsCategories of Problems

Developmental vs. situationalDevelopmental vs. situational

Hierarchical needsHierarchical needs

Needs created by social changeNeeds created by social change

Environmental influencesEnvironmental influences

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Infancy: Trust verses MistrustInfancy: Trust verses Mistrust– Birth to 18 monthsBirth to 18 months– Dependent on adequate and consistent Dependent on adequate and consistent

parental careparental care– Positive experience Positive experience provides trust and hopeprovides trust and hope– Negative experience Negative experience creates mistrust and creates mistrust and

hampers the development in later stageshampers the development in later stages

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Early Childhood: Autonomy verses shame Early Childhood: Autonomy verses shame or doubtor doubt– 2 to 3 year olds begin to develop a sense of 2 to 3 year olds begin to develop a sense of

autonomy (self-sufficiency)autonomy (self-sufficiency)– Positive experience provides self-confidence Positive experience provides self-confidence

and willand will– Negative experience may cause shame and Negative experience may cause shame and

doubtdoubt

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Play Age: Initiative verses guiltPlay Age: Initiative verses guilt– 4 to 5 year olds4 to 5 year olds– Preschool children begin to understand their Preschool children begin to understand their

role and the desire to learn is significantrole and the desire to learn is significant– Positive experience Positive experience develops a sense of develops a sense of

purposepurpose– Negative experience Negative experience may cause a sense of may cause a sense of

guiltguilt

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

School Age: Industry verses InferioritySchool Age: Industry verses Inferiority– 6 to 13 year olds6 to 13 year olds– Children begin to compare themselves to Children begin to compare themselves to

peers to assess their accomplishmentspeers to assess their accomplishments– Positive experience Positive experience provides a sense of provides a sense of

competencecompetence– Negative experience Negative experience may cause a sense of may cause a sense of

inadequacyinadequacy

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Adolescence: Identity verses identity Adolescence: Identity verses identity confusionconfusion– Teen yearsTeen years– Self definition, relationships, and peer groups Self definition, relationships, and peer groups

become importantbecome important– Positive experience Positive experience provides a sense of self provides a sense of self

confidence and fidelityconfidence and fidelity– Negative experience Negative experience may create role may create role

confusionconfusion

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Young Adulthood: Intimacy verses Young Adulthood: Intimacy verses IsolationIsolation– Intimate relationships form here and the focus Intimate relationships form here and the focus

on significant others becomes importanton significant others becomes important– Positive experience Positive experience a sense of the ability to a sense of the ability to

love an be lovedlove an be loved– Negative experience Negative experience may cause a sense of may cause a sense of

isolation and difficulty forming intimate isolation and difficulty forming intimate relationshipsrelationships

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Maturity: Generativity verses stagnationMaturity: Generativity verses stagnation– The need to be needed is experienced hereThe need to be needed is experienced here– Positive experience Positive experience provides the ability to provides the ability to

care for others, a sense of purposecare for others, a sense of purpose– Negative experience Negative experience may cause a sense of may cause a sense of

boredom and/or stagnationboredom and/or stagnation

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Erik Erikson Psychosocial Erik Erikson Psychosocial StagesStages

Old Age: Integrity versus DespairOld Age: Integrity versus Despair– People examine their lives with a sense of People examine their lives with a sense of

satisfaction or disappointmentsatisfaction or disappointment– Positive experience Positive experience provides integrity and provides integrity and

wisdomwisdom– Negative experience Negative experience may create a sense of may create a sense of

despair from unrealized goals, etc.despair from unrealized goals, etc.

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

These needs include those things necessary to basic survival. They include such things as food and water, rest and an appropriate climate, the avoidance of pain, etc.

Physiological Needs

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

These needs include such things as finding safe circumstances, shelter, satiability, and protection. They may also include a need for structure and order.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

These include the need for friends, affectionate relationships, children, and a sense of community.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

Self-Esteem Needs

There are two levels of this need: The lower level involves the need for attention, the respect of others, status, recognition, etc. The upper level includes self-respect, confidence, a sense of independence and freedom.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

Self-Esteem Needs

These first four levels represent Deficiency-needs or D-needs.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

Self-Esteem Needs

Intellectual

This is the internally directed need for intellectual development. It is not focused on a deficiency but rather a sense of enhancing the nature of one’s being.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

Self-Esteem Needs

Intellectual

Aesthetic

This is the internally directed desire to acquired an appreciation for the beauty or aesthetic nature of things. Again, it is not a deficiency but rather an enhancement of one’s being.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

Self-Esteem Needs

Intellectual

Aesthetic

Self-actualization

The level is seldom reached but it is the result of the inner-directed drive of humans to grow, improve, and use their potential to the fullest.

Abraham Maslow’s Hierarchy of Needs Abraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Physiological Needs

Safety and Security Needs

Love and Belonging Needs

Self-Esteem Needs

IntellectualIntellectual

AestheticAesthetic

Self-Self-actualizationactualization

The final three levels of need are referred to as Being-needs or B-needs.

Abraham Maslow’s Hierarchy of NeedsAbraham Maslow’s Hierarchy of Needs

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Societal ChangesSocietal Changes

Create problems due to Create problems due to

Rapid social changesRapid social changes Breakdown of traditional forms of Breakdown of traditional forms of

societysociety

Conflicts between old and new Conflicts between old and new values.values.

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Defining “client”Defining “client”

IndividualIndividual

Small groupSmall group

Geographic areaGeographic area

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2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Getting HelpGetting Help

Self-referralSelf-referral

Referral by othersReferral by others

Involuntary placementInvoluntary placement

Inadvertent servicesInadvertent services

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

BarriersBarriers

Problem difficultyProblem difficulty

EmbarrassmentEmbarrassment

Hesitant to self-discloseHesitant to self-disclose

CultureCulture

MoneyMoney

FearFear

Copyright ©

2012 Brooks/C

ole, a division of Cengage Learning, Inc.

Client’s PerspectiveClient’s Perspective

Expectations influence evaluationExpectations influence evaluation

Satisfaction tied to concrete Satisfaction tied to concrete outcomesoutcomes