Q&A Hero

Question

Level 1. Denial, The negative alpha solution. The client seems unable to accommodate new data from the counselor or therapist. The client will fail to deal with the conflict or contradiction, make an abrupt topic shift, or show a clearly incorrect "off-the-wall" response.
Level 2. Partial examination, The more mature alpha solution. The client deals with only a portion of the issue or counselor's statement. The client may over-generalize, delete, or distort what has been said, but not as seriously as in Level 1. You may find irrational ideas and some blindness to problems.
Level 3. Acceptance and recognition, Beta solution. The client recognizes the situation as it is and the client's comment, feeling, or thought seems close to that presented by the therapist, but nothing new is added by the client. This level characterizes homeostasis or no change. Score as Beta if the client tends to describe a situation, event, or self-picture fairly clearly, but tends to leave it there.
Level 4. Generation of a new solution, Early gamma solution. In response to the counselor, the client moves to the creation of something new. The client has added something that was not there before. At times, the underlying conflict may remain ï‚¾ï€ acceptance of insoluble problems begins here.
Level 5. Transcendence, Full gamma solution. The client has arrived at a new synthesis, a new way of thinking, behaving, or feeling. These are relatively rare moments in counseling and therapy and may represent the development of useful or important insights, the ability to engage in a truly new way of behaving, the generation of a new ability to engage emotionally.
You will now be given a variety of counselor-client situations. The possible client responses are in random order. Please classify each client response at one of the five levels.
Depressed client
Counselor: (To hospitalized patient) "Could you tell me what brought you to the hospital?"
a. "I wasn't able to get up in the morning, yet I couldn't sleep at night and I have
all these awful thoughts. I know I scared mom."
b. (Tearsno response)
c. "I guess mom just wanted to get rid of me."
d. "Well, when I came here I was pretty depressed and mom was worried. But now
I'm doing a better. Last night I slept through the whole night for the first time."
e. "Extreme depression ï‚¾ï€ I was immobilized. Small wonder mom brought me in.
I know now that I can't stay home all the time and do nothing. I'm going to start getting out and being more active."

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