Health counseling : a microskills approach / Richard Blonna, Daniel Watter.

Includes bibliographical references and index.

Contents
INTRODUCTION - by Dr. Ivey
CHAPTER 1: INTRODUCTION TO HEALTH COUNSELING
INTRODUCTION
HEALTH AND WELLNESS DEFINED
The Six Dimensions of Wellness
Physical
Intellectual
Emotional
Social
Environmental
Spiritual
Occupational/Vocational
HEALTH PROMOTION AND HEALTH EDUCATION
Health Promotion
Health Education
HEALTHY PEOPLE 2010
WHAT IS COUNSELING?
Characteristics of Effective Counselors
WHAT IS HEALTH COUNSELING?
The Practice of Health Counseling
THE COUNSELOR-CLIENT RELATIONSHIP
The Relationship Itself
The Relationship as a Means to an End
The Relationship and Outcomes
ETHICAL ISSUES IN COUNSELING
Ethical Dilemmas
TERMINATION OF COUNSELING
SUMMARY
CHAPTER 2: THE THEORETICAL BASIS OF HEALTH COUNSELING
THE THEORETICAL BASIS OF HEALTH COUNSELING
Health, Illness and Sick Role Behaviors
BEHAVIOR CHANGE THEORIES
Health Belief Model
Social Cognitive Theory
Self-Efficacy Theory
Transtheoretical/Stages of Change Theory
Theory of Reasoned Action
Stimulus-Response/Behavior Theory
COUNSELING THEORIES
Insight Theories
Behavioral Theories
Ivey's MicroSkills
COMPLIANCE AND ADHERENCE THEORY
Factors Unrelated to Compliance
Factors Related to Compliance
SUMMARY
CHAPTER 3: INTRODUCTORY AND ATTENDING SKILLS
INTRODUCTORY SKILLS
Smile
A Firm Handshake
Exchanging Names
Discussing the Nature of Counseling
Description of Roles
Transition to Clients Stories
ATTENDING SKILLS
The Three Vs + B: Visuals, Vocals, Verbals, and Body Language
Visuals; Culturally-Appropriate Eye-Contact
Vocals
Verbals
Non-Verbal Communication
Body Language
Physical Appearance
Time Frame and Silence
Touch
Space
SUMMARY
Chapter 4 OBSERVATIONAL AND RESPONDING SKILLS
OBSERVATIONAL SKILLS
Non-Verbal Messages
Client Orientation
RESPONDING SKILLS
Minimal Encouragers
Non-Verbal Minimal Encouragers
Verbal Minimal Encouragers
Questioning
Positive Uses of Questioning
Potential Problems with Questioning
Open-Ended Statements and Questions
Closed, or Yes/No Questions
Forced Choice Questions
Paraphrasing
Reflection of Feelings
Summarizing
SUMMARY
CHAPTER 5: INFLUENCING SKILLS
INTRODUCTION
CONFRONTATION
FEEDBACK & SELF-DISCLOSURE
Feedback
Self-Disclosure
FOCUSING THE NARRATIVE
Problem & Individual Focus
Family Focus
Other Individual Focus
Mutuality Focus
Helper Focus
Culture/Environmental Focus
ELICITING AND REFLECTING MEANING
INTERPRETATION AND REFRAMING
Interpretation of Meaning
Reframing
INFORMATION, DIRECTIVES, AND INSTRUCTIONS
Information
Directives
Instructions
LOGICAL CONSEQUENCES
SUMMARY
CHAPTER 6: COUNSELING PERSONS WITH CHRONIC STRESS
HEALTH COUNSELING FOR PRIMARY PREVENTION
WHAT IS STRESS?
Personality & Stress
Psychosomatic Disease and Stress
Everly & Benson's (1989) Disorders of Arousal
The Effects of Stress on Disease
THE GOALS OF STRESS MANAGEMENT COUNSELING
COUNSELING SOMEONE WITH CHRONIC STRESS
Case Study Application: John
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Non-Verbal Minimal Encouragers
Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing
Reflection of Feelings
Summarizing
Influencing Skills
Self Disclosure
Confrontation
Changing the Focal Point
Eliciting and Reflecting Meaning
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY
CHAPTER 7: BIRTH CONTROL COUNSELING
INTRODUCTION
EFFECTIVENESS: THEORETICAL AND ACTUAL USE EFFECTIVENESS
Theoretical Effectiveness
Actual Use effectiveness
Pregnancy Risk
MECHANISMS OF ACTION
METHODS ASSOCIATED WITH MECHANISMS OF ACTION
Non-Penetrative Behaviors
Celibacy/Abstinence
Kissing/ Hugging/Massage
Masturbation
Sex Toys
Oral-Genital Sexual Behavior
Methods that Prevent Sperm from Reaching Eggs
Coitus Interruptus (Withdrawal; Pulling Out)
Fertility Awareness
Methods that Provide Barriers Between Sperm and Egg
Male Condom
Female Condom
Diaphragm
Cervical Cap
Vaginal Contraceptive Sponge
Chemical Spermicides
Methods that Preventing Implantation of a Fertilized Egg
Intrauterine Devices
Methods that Prevent the Release of Ova
Methods That Prevent Sperm from Reaching Egg (Surgical)
Methods that Terminate an Established Pregnancy
Surgical Abortion Method
Medical Abortion
THE GOALS OF BIRTH CONTROL COUNSELING
COMMUNICATING ABOUT SEXUALITY AND BIRTH CONTROL
Sexual Vocabulary
COUNSELING CLIENTS ABOUT BIRTH CONTROL
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Non-Verbal Minimal Encouragers
Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing
Reflection of Feelings
Summarizing
Influencing Skills
Feedback
Self Disclosure
Changing the Focal Point
Confrontation
Eliciting and Reflecting Meaning
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY
Chapter 8 ASTHMA COUNSELING
HEALTH COUNSELING FOR SECONDARY PREVENTION
OVERVIEW OF ASTHMA
Epidemiology
Diagnosis
Treatment
Long-Term Controllers
Quick Relief Rescuers
Hypo-Sensitization
Control and Prevention
GOALS OF ASTHMA COUNSELING
COUNSELING CLIENTS WITH ASTHMA
Case Study Application; Peter
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Responding Skills
Verbal and Non-Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing, Reflection of Feelings ,Summarizing
Influencing Skills
Feedback
Self-Disclosure
Changing the Focal Point
Confrontation
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY
CHAPTER 9: HYPERTENSION
OVERVIEW OF BLOOD PRESSURE & HYPERTENSION
Diagnosis
Epidemiology
Uncontrollable Hypertension Risk Factors
Age
Gender
Race

Family History
Controllable Hypertension Risk Factors
Obesity
Sedentary Lifestyle
Tobacco Use
Stress
Sodium and Potassium
Alcohol
Hypertension as a Risk Factor
Prevention and Control
COUNSELING SOMEONE WITH HYPERTENSION
GOALS OF HYPERTENSION COUNSELING
Case Study Application; Ida
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Responding Skills
Verbal and Non-Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing, Reflection of Feelings ,Summarizing
Influencing Skills
Feedback
Self-Disclosure
Changing the Focal Point
Confrontation
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY
CHAPTER 10: COUNSELING PERSONS WITH CHLAMYDIA AND OTHER SEXUALLY TRANSMITTED DISEASES (STDs)
INTRODUCTION TO STDs
Overall Goals of STD Counseling
OVERVIEW OF CHLAMYDIA TRACHOMATIS
Epidemiology
Diagnosis
Treatment
Prevention: A Pyramid of Risk
Sexual Relationships
Sexual Behavior
COUNSELING SOMEONE WITH CHLAMYDIA
Case Study Application; Cindy
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Responding Skills
Verbal and Non-Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing, Reflection of Feelings ,Summarizing
Influencing Skills
Feedback
Self-Disclosure
Changing the Focal Point
Confrontation
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY
CHAPTER 11 INJURY COUNSELING: TORN ANTERIOR CRUCIATE LIGAMENTS
HEALTH COUNSELING FOR TERTIARY PREVENTION
OVERVIEW AND EPIDEMIOLOGY OF ACL INJURIES
DIAGNOSIS
TREATMENT & MANAGEMENT
SERIOUS AND CAREER-ENDING INJURIES
Applying Kubler-Ross' Model to Career-Ending Injuries
GOALS FOR COUNSELING SOMEONE WITH A TORN ACL
COUNSELING SOMEONE WITH ACL INJURIES
Case Study Application; Tanisha
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Responding Skills
Verbal and Non-Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing, Reflection of Feelings ,Summarizing
Influencing Skills
Feedback
Self-Disclosure
Changing the Focal Point
Confrontation
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY
CHAPTER 12: SEXUALITY COUNSELING
INTRODUCTION
OVERVIEW OF SEXUAL CONCERNS
Sexual Disorders
Sexual Problems
Sexual Worries
OBSTACLES TO DISCUSSING SEXUAL CONCERNS
HELPING CLIENTS MANAGE SEXUAL CONCERNS
THE MEDICALIZATION OF SEX COUNSELING
COUNSELING THOSE WITH SEXUAL CONCERNS
The PLISSIT Model
Permission
Limited Information
Specific Suggestions
Intensive Therapy
SEXUALITY COUNSELING USING MICROSKILLS
Overall Goals of Sexuality Counseling
Introductory Skills
Identify Yourself and Explain Your Role
Clarify Client's Name
Explain The Client's Role
Set Goals for the Session(s)
Transition to Client's Story
Attending Skills
Non-Verbal Skills
Verbal Following
Vocal Tone
Responding Skills
Responding Skills
Verbal and Non-Verbal Minimal Encouragers
Open Invitation to Talk
Open-Ended Statements and Questions
Paraphrasing, Reflection of Feelings ,Summarizing
Influencing Skills
Feedback
Self-Disclosure
Changing the Focal Point
Confrontation
Interpretation of Meaning and Reframing
Reframing
Directives & Logical Consequences
SUMMARY