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Interpersonal Communication and Counselling 2013-1-NOl-LEOOS-06154 What is Communication? • Communication can be defined as the process by which people share ideas, experience, knowledge and feelings through the transmission of symbolic messages. • The means of communication are usually spoken or written words, pictures or symbols. But we also give information through body language, gestures, and looks, facial expressions can show how we feel and what we think about an issue or another person. 2013-1-NOl-LEOOS-06154 What are the most common ways we communicate? 2013-1-NOl-LEOOS-06154 Types of Communication Downwards Communication : Highly Directive, from Senior to subordinates, to assign duties, give instructions, to inform to offer feed back, approval to highlight problems etc. Upwards Communications : It is non directive in nature from down below, to give feedback, to inform about progress/problems, seeking approvals. Lateral or Horizontal Communication: Among colleagues, peers at same level for information level for information sharing for coordination, to save time. 2013-1-NOl-LEOOS-06154 Communication Key Elements • • • • • • Message Source (sender) Channel Receiver Filter Feedback 2013-1-NOl-LEOOS-06154 2013-1-NOl-LEOOS-06154 The Communication Process Medium Barrier SENDER (encodes) Barrier Feedback/Response 2013-1-NOl-LEOOS-06154 RECEIVER (decodes) Characteristics of effective communications Effective communication requires the message to be: • • • • • • Clear and concise Accurate Relevant to the needs of the receiver Timely Meaningful Applicable to the situation 2013-1-NOl-LEOOS-06154 Characteristics of effective communications Effective communication requires the sender to: • Know the subject well • Be interested in the subject • Know the audience members and establish a rapport with them • Speak at the level of the receiver • Choose an appropriate communication channel 2013-1-NOl-LEOOS-06154 Characteristics of effective communications The channel should be: • Appropriate • Affordable • Appealing 2013-1-NOl-LEOOS-06154 Characteristics of effective communications The receiver should: • Be aware, interested, and willing to accept the message • Listen attentively • Understand the value of the message • Provide feedback 2013-1-NOl-LEOOS-06154 Barriers to communication • • • • • • • • • • Language Values and beliefs Sex/gender and age Economic status Educational level Physical barriers Attitude Timing Understanding of message Trust 2013-1-NOl-LEOOS-06154 Question! • How do you verify that the person you are communicate with has understood? 2013-1-NOl-LEOOS-06154 Characteristics of effective communicator An effective verbal communicator: • Clarifies • Listens • Encourages empathically • Acknowledges • Restates/repeats An effective nonverbal communicator: • Relaxes • Opens up • Leans toward the other person • Establishes eye contact • Shows appropriate facial expressions 2013-1-NOl-LEOOS-06154 Interpersonal Communication (IPC) • Interpersonal communication is a person to person, two-way, verbal and non verbal interaction that includes the sharing of information and feelings between individuals or in small groups that establish trusting relationships. • IPC in professional settings takes place between service providers and their clients and members of the community and is a key element in maximizing access to quality care. IPC includes the process of education, motivation and counseling and starts with understanding the critical role of good client service. 2013-1-NOl-LEOOS-06154 • Education is the process of providing factual information and clarification about a topic to an individual or group. • Counseling is the act of helping a client to make her or his own decision, by providing unbiased information and asking questions about what the client wants and what the client thinks that he or she can do. 2013-1-NOl-LEOOS-06154 Counseling is a special process. It is a confidential dialogue between a provider and a client that helps a client to define his or her feelings and to cope with stress. Usually people need training to be a good counselor. 2013-1-NOl-LEOOS-06154 • Counseling is different from education, although education can be an important part of counseling. Counseling is NOT solving the client’s problem for him or her or giving advice. In the counseling process, the provider avoids taking on the client’s problem or telling him or her how to solve the problem or what decision or action to take. 2013-1-NOl-LEOOS-06154 Knowledge and skills needed for effective interpersonal communication • Adequate knowledge of subject area • An understanding of one's own values and willingness to withhold judgment about the other people’s values. • Skills in verbal and nonverbal communication. • Ability to show empathy and encourage others. • Skills in asking questions and listening. • Tolerance and patience • Ability to paraphrase and summarize the concerns of individuals and the community. • Ability to observe and interpret behavior of other people. • Ability to use language that other people understand. • Skills to effectively use support materials. • Confidence • Flexibility 2013-1-NOl-LEOOS-06154 Characteristics of effective counseling 1. Client-centered 2. Interactive 3. Private and confident 4. Individualized 2013-1-NOl-LEOOS-06154 IPC Summary • To establish and maintain a positive rapport with the client throughout the encounter. • To enhance clients to open up and comply. Socio-emotional skills include the ability to use statements to show empathy, concern, positive regards, and to give reassurance. 2013-1-NOl-LEOOS-06154 Sensitive Issues What to do if appearance dissatisfaction appears to be an issue for a student or colleague 2013-1-NOl-LEOOS-06154 Sensitive Issues • 1st step – Identify local sources of specialist support (eg counselling, family doctor) in case of more urgent need – Familiarise yourself with sources of suitable forms of additional support 2013-1-NOl-LEOOS-06154 Sensitive issues • If you are concerned about one of your student’s level of dissatisfaction with their appearance and feel that this is interfering with their lives to a noticeable degree, you might wish to discuss these concerns with them and/or point them to services which can provide additional information or support. 2013-1-NOl-LEOOS-06154 Sensitive issues • Before doing so, you should consider how your own body image and appearance dissatisfaction may affect the conversation. 2013-1-NOl-LEOOS-06154 Sensitive issues • Please note: You should not assume that people with a visible difference (disfigurement) are dissatisfied with the way they look, as this may not be the case. • It would only be appropriate to raise this in discussion if they show visible signs of dissatisfaction or distress 2013-1-NOl-LEOOS-06154 Sensitive issues • Appearance dissatisfaction can be a sensitive topic and it may be hard for your students to admit to and/or express concerns. You may become aware of their dissatisfaction by the way they talk about their appearance. 2013-1-NOl-LEOOS-06154 Sensitive issues • For example, they may make frequent negative comments – ‘I’m fat’ – ‘I’m ugly’ – ‘I look dreadful’ 2013-1-NOl-LEOOS-06154 Sensitive issues • Or make statements expressing belief in the ‘beauty myths’ – ‘I’ll never get a job looking like this’ – ‘Only attractive people have lots of friends’ – ‘The only way I can have a good life is to look more like a supermodel’. • Many men find it harder to discuss their feelings and the topic of their appearance than the majority of women. 2013-1-NOl-LEOOS-06154 Sensitive issues • When raising the topic and discussing any issues the person may have, avoid being judgemental or dismissive of their feelings. • Encourage acceptance and appreciation of diversity in appearance in themselves and others and discourage them from comparing themselves (negatively) with their peers. 2013-1-NOl-LEOOS-06154 Sensitive issues • Encourage them to dismiss or challenge appearance-related messages in advertising and the media understand that looking a particular way is not the key to friendships and good relationships and although clothing choices, hairstyle etc. may affect the first impressions formed by others 2013-1-NOl-LEOOS-06154 Sensitive issues • Inform that social skills are more powerful in situations such as job interviews and forming friendships. 2013-1-NOl-LEOOS-06154 Sensitive issues • Let them know you are willing to direct them to additional information or support if they feel this would be beneficial and be aware of how they might access these services. • The following practical hints and tips may be helpful 2013-1-NOl-LEOOS-06154 Sensitive issues Do…. • Provide a ‘safe’ environment for the conversation (ie somewhere private, where an interruption is unlikely) • Be clear about the boundaries of the conversation from the start (eg inform the person that if the conversation goes beyond their knowledge & skills, you will point them to other sources of help) 2013-1-NOl-LEOOS-06154 Sensitive issues Do…. • Reassure them that concern about appearance is commonplace • Offer them the chance to talk about their concerns to you or someone with specialist knowledge or skills 2013-1-NOl-LEOOS-06154 Sensitive issues Don’t…. • Pass judgement on their appearance (eg, saying they ‘look fine to you’) • Say that lots of other people look ‘worse’ than they do • Suggest they are silly or making a fuss about nothing 2013-1-NOl-LEOOS-06154 EXAM!!!! 2013-1-NOl-LEOOS-06154 Summary Activity: (please answer yes or no) If I think someone might have a Body Image problem I should: • Explain that concern about appearance is normal • Recommend plastic surgery • Reassure them that they look beautiful to me • Tell them they are making a fuss about nothing • Encourage them to read more about Body Image problems • Encourage them to participate socially 2013-1-NOl-LEOOS-06154 Summary Activity: yes / no If I think someone might have a Body Image problem I should: • Explain that concern about appearance is normal • Recommend plastic surgery • Reassure them that they look beautiful to me • Tell them they are making a fuss about nothing • Encourage them to read more about Body Image problems • Encourage them to participate socially 2013-1-NOl-LEOOS-06154 Summary activity (cont) • Encourage them to spend less time in front of the mirror • Encourage them to research surgery on the Internet • Encourage them to go out without make-up from time to time • Encourage comparison with a wider group of people • Discuss sources of support • Explain how to access help 2013-1-NOl-LEOOS-06154 Summary activity (cont) • Encourage them to spend less time in front of the mirror • Encourage them to research surgery on the Internet • Encourage them to go out without make-up from time to time • Encourage comparison with a wider group of people • Discuss sources of support • Explain how to access help 2013-1-NOl-LEOOS-06154 This project (project n° 2013-1-NO1-LEO05-06154) has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein. LEONARDO DA VINCI TRANSFER OF INNOVATION PROJECT November 2013 -October 2015 2013-1-NOl-LEOOS-06154