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The Usefulness of Silence ; Sometimes the most useful thing you can do as a helper is to
support your client silently. Your client may be in tears, and you may want to give
immediate support. However, sometimes the best support may be simply being with the
person and not saying a word. Of course, don’t follow the silence too long, search for a
natural break, and attend appropriately.
4. Body language. Be yourself—authenticity is essential to building trust. To show interest,
face clients squarely, lean slightly forward with an expressive face, and use encouraging
gestures. Especially critical, smile to show warmth and interest in the client.
What determines a comfortable interpersonal distance is influenced by multiple factors.
Hargie, Dickson, and Tourish (2004, p. 45) point out the following:
Gender: Women tend to feel more comfortable with closer distances than men.
Personality: Introverts need more distance than extraverts.
Age: Children and the young tend to adopt closer distances.
Empathy
Carl Rogers (1957, 1961) brought the importance of empathy to our attention. He made
it clear that that we need to listen carefully, enter the world of the client, and communicate
that we understand the client’s world as the client sees and experiences it. Putting yourself
“into another person’s shoes” or viewing the world “through someone else’s eyes and ears” is
another way to describe empathy. Rogers’s thinking led to extensive work by Charles Truax
(1961), who is recognized as the first person to measure levels of empathic understanding. He
developed a nine-point scale for rating level of empathic understanding (Truax, 1961). Robert
Carkhuff (1969), who originally partnered with Truax, developed a five-point scale. These scales
have been used widely in research and have practical applications for the session.
common current practice is to describe three types of empathic understanding
Subtractive empathy: Counselor responses give back to the client less than what the client
stated, and perhaps even distort what has been said. In this case, the listening or
influencing skills are used inappropriately.
Additive empathy: Counselor responses may add something beyond what the client has
said. This may be adding a link to something the client has said earlier, or it may be
a congruent idea or frame of reference that helps the client see a new perspective.
Feedback and your own self-disclosure, used thoughtfully, can be additive.
Empathy and Mirror Neurons Historically, counseling and therapy have advocated and
demonstrated the importance of empathy, but empathy has always been a somewhat vague
and sometimes controversial concept. Well-established findings from neuroscience have
changed our thinking. Empathy is identifiable by means of functional magnetic resonance
imaging (fMRI)and other key technologies. Key to this process are mirror neurons, which
fire when a human or other primate acts and when they observe actions by another. Many
psychologists believe that mirror neurons are one of the most significant discoveries in recent
science.
Don’t be fooled by the apparent simplicity of the attending skills. Some beginning counselors
and psychotherapists may think that these skills are obvious and come naturally. They
may be anxious to move to the “hard stuff.” The more we work with beginning and experienced
counselors, the more we realize how difficult it is to master these skills. Yes, they can
be learned, but it takes time, commitment, and intentional and deliberate practice. You also may
have wondered how attending behavior can be useful if you plan to work
with challenging clients in schools, community mental health centers, or hospitals.