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Counselling Tutor

187 – Walk-and-Talk Therapy

Counselling Tutor

Ken Kelly and Rory Lees-Oakes

Education, Courses

4.6636 Ratings

🗓️ 24 April 2021

⏱️ 39 minutes

🧾️ Download transcript

Summary

Use of Homework in CBT - Timing of Communication in Asynchronous Counselling Episode 187 of the Counselling Tutor Podcast opens with Rory Lees-Oakes and Ken Kelly talking about the strengths and weaknesses of Cognitive Behavioural Therapy (CBT) and in particular the use of homework in this popular modality. 'Digital Counselling Revolution' then looks at asynchronous therapy - specifically the timing of communications when working in this way. Last - in 'Practice Matters' - Rory speaks with counsellor and tutor Simon Heath about ecotherapy, in particular walk-and-talk therapy. Use of Homework in CBT (starts at 1.45 mins) The term 'homework' may carry negative connotations of school and its academic pressures for some people, but CBT homework is intended as a supportive part of the therapy that both increases its effectiveness and promotes client autonomy (through encouraging clients to 'become their own therapist' between and after sessions). Rory describes the origins of CBT, describing how US psychologist Albert Ellis developed Rational Emotive Behavioural Therapy (REBT) - the earliest form of cognitive-based psychotherapy - in the 1950s. As a young man, Ellis lacked the confidence to talk to women of his own age. He decided to try to tackle his shyness by going to Central Park in New York and making himself talk to 100 women. This helped him become more confident about talking to women and he managed to alter what he saw as his irrational fear. Ellis's experiment was an early example of CBT homework, which may focus on the client challenging their perception. Ken and Rory discuss other examples of such experiments and other possible types of CBT homework. They also compare and contrast the non-directive modality of person-centred therapy and the active-directive CBT. CBT has a strong base in research, helped by its measurability (due partly to the setting of a specific goal for therapy). You can download a handout on CBT session structure and use of homework here. And the Counselling Tutor website has lots of other resources on CBT - simply go to the 'Theory' tab on the top menu bar or search for what you require using our special tool on the website. Timing of Communication in Asynchronous Counselling (starts at 15.00 mins) Asynchronous communication is when you send a message without expecting an immediate response - for example, using text, social media, email or online forums. Email and text therapy are forms of counselling that use asynchronous communication. It is easy to think that it's fine to send an email at any time of day or night, but it is good practice to contract with the client on when you will do this - partly to avoid them being left emotionally 'open' for a long period after sharing their intimate thoughts and feelings by message, and partly to reduce the chance of them experiencing the black-hole effect. The latter phenomenon was named by American psychologist John Suler (1997); it refers to the uncomfortable phenomenon of sending an email and not knowing whether or not it was received and read. Ken and Rory talk about the importance of clear contracting for email/text therapy; the skills needed; and how to work safely, ethically and professionally in this way. Professional training in working online is vital, and you may wish to consider taking our Online and Telephone Counselling Certificate course. The course exceeds 80 hours of guided learning, and the learning outcomes are mapped to the BACP's 2021 competencies for telephone and e-counselling. Most of the course is self-directed learning via online lectures and resources; this means that you can work at your own pace, and complete the course with no external time pressure. Walk-and-Talk Therapy (starts at 27.15 mins) Rory talks to Simon Heath, who has recently recorded a lecture on Ecotherapy for our Counsellor CPD library (which offers hundreds of hours of on-demand lecture...

Transcript

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0:00.0

Welcome to the counselling tutor podcast. The must listen to podcast for students of counselling and psychotherapy.

0:10.6

Here are your hosts, Rory Lee's Oaks and Ken Kelly. Hi, I'm Rory and with me as always is Ken. How are you doing, Ken?

0:19.6

I'm exceptionally well. Thank you for asking

0:21.4

Rory and how are you joining us today on the counselling tutor podcast. We both hope that you are well.

0:27.0

This is episode 187 and we've got three topics we're going to be looking at today with our student

0:33.7

check-in where we kind of recognise something that students may come across in their

0:38.8

counseling training. We're going to be speaking about CBT, that's cognitive behavioral therapy,

0:43.6

and more specifically, the use of homework in CBT. We then check in with our digital counseling

0:51.4

revolution where we recognize that technology now forms a large

0:55.7

part of how students train in counselling training, how therapy is delivered and how therapy

1:02.5

is consumed by our clients. Technology is playing more and more of a part. And today we're going to

1:08.4

be speaking about asynchronous communication, so that's text and email. And we we're going to be speaking about asynchronous communication, so that's text

1:12.0

and email. And we're specifically going to be speaking about the timings of such communications.

1:17.7

And then to end episode 187, we go into our practice matter section. That's where we dip our

1:23.5

toe into something we may come across in practice. And today we have Simon Heath who's going to be

1:29.3

speaking about ecotherapy. And he recently did a lecture for us in our councillor CPD library. And he's

1:38.9

going to be sharing a little bit about echotherapy and about topics from the lecture that he delivered for us.

1:44.5

But starting off with that student check-in, CBT and the use of homework.

1:49.2

When I hear the word homework, Rory, ice goes cold.

1:52.1

I remember school, hated homework.

1:54.7

But it's a good thing, isn't it, when you relate it to CBT?

1:57.8

It is a good thing when you relate it to CBT.

...

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