Two-Way Feedback Between Client and Helper

Feedback needs to be given, explored, confirmed, and acted upon by both client and helper. Yet the role of feedback in therapy has been slow to be recognized and studied. Actually, monitoring the quality of the helping sessions and the progress the client is making reduces uncertainty for both client and helper. It is an opportunity to “clear things up.” That is why Duncan and his associates use very simple feedback surveys. What is important is not the survey itself but the kinds of consciousness raising and exploration it promotes. There is also uncertainty about feedback from the helper to the client. Does this rob clients of their autonomy? Is this a kind of power play or one-upmanship helpers are trying to avoid?

The Model or Method of Treatment and the Assumptions Behind It

Laura realizes that there are dozens, no hundreds, of different approaches to helping. All claim to be effective. But, as mentioned earlier, she can use the problem- management framework to suggest methods and treatments drawn from a wide range of approaches. But in her practice this isn’t a “let’s-try-this-and-see-what-happens” approach. The fact that she knows many different evidence-based approaches does not clutter her mind because she uses the problem-management framework to organize them. And although she makes sure that Karl understands what is on offer, she makes sure that she does not dump any of this complexity on Karl.

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