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Preface | |
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Becoming a Professional | |
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The Dawning of a New Awareness | |
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Additional Complications in Clinical Roles | |
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The Professional Learning Curve | |
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At One with Clients, Yet Different from Clients | |
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Crises Around Learning to Be Deliberate | |
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Tending, Not Just Having, Relationships | |
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You, Too? | |
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Noting and Making Use of Parallels | |
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Reconciling with Strengths and Limitations | |
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Moving from Smart to Wise | |
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Will Anything Rule Me Out? | |
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Early Successes and Derailments | |
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Defining and Identifying Mistakes | |
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How Can We Tell When Clinical Work Is On Track? | |
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Usefulness of Recordings | |
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General Characteristics of Effective Work | |
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Discerning Our Mistakes | |
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Common Worker Signals of Mistakes in Progress | |
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Frequent Sources of Derailment | |
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Engaging With Clients and Getting Started | |
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True Engagement Is Hard Work | |
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Initial Challenges and Pitfalls | |
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Startup Conversation and Exploration | |
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Other Orientation Topics | |
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Hesitating to Discuss Worker--Client Differences | |
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Overlooking Fundamental Human Resources | |
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Problems with Technique in Engaging and Starting Up | |
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Asking Questions Closely Aligned with Where the Client Is | |
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Avoiding Rapid-Fire Questions | |
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Using Open-Ended Questions | |
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Asking Rather Than Assuming | |
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Leaving Time to Reflect After Each Segment of Discussion | |
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Purposeful Focusing | |
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Appropriate Timing and Dosage | |
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Carefully Working from the Outside In | |
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Overprotecting Clients | |
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Prejudice and Ignorance in Action | |
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Class Differences and Classist Behaviors Can Affect Engagement | |
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Attitude Taints Engagement | |
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Shifting Meeting Times Creates Bad Feelings | |
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Emergency Interruptions Can Derail Bonding and Work | |
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Emotional Overbooking Is Visible | |
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Missteps Around Confidentiality and Privacy | |
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Breaches of Confidentiality | |
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Inflexibility Regarding Confidentiality | |
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Professional Relationships: Steps and Missteps | |
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Unique Features of the Worker--Client Relationship | |
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Worker Self-Disclosure as a Form of Relational Tending | |
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Empathy: Being Where the Client Is | |
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Conditions Conducive to Accurate Empathy | |
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Missteps in Trying to Empathize | |
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Trivializing via Excessive Universalizing | |
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Restoring Empathic Alignment | |
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Worker Concerns About Relating with Clients | |
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Shared Concerns About Relating with Other Agencies and Helpers | |
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Common Mistakes in Relating with Clients | |
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Assessment and Contracting | |
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Assessment | |
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Observation Changes the Observer and the Observed | |
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Elements of Good Assessment | |
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Frequent Mistakes in Assessment | |
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Implications for Contracting with Involuntary Clients | |
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Mistakes in Contracting | |
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Larger Systems Issues | |
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The Middle Phase of Work | |
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Common Foci for Work | |
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Techniques for Updating Unhelpful Thoughts | |
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Integrative Techniques for Working on Feelings and Behaviors | |
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Connecting the Past, the Present, and Hopes for the Future | |
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Going Home Again | |
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When the Work Doesn't Work | |
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Not Resolving Important Conflicts over Plan or Methodology | |
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Not Helping Clients Obtain Needed Resources | |
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Getting Too Far Ahead of the Client | |
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Overestimating the Ease of Change | |
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Skipping the Middle Part | |
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Steering Around Topics or Feelings | |
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Not Challenging or Confronting the Client When Process Is Stuck | |
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Giving Up Too Soon | |
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Pushing the Client | |
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Using Inappropriate or Meaningless Strategies | |
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Showing Favoritism | |
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Taking Sides | |
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Defending Our Own Points of View | |
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Using Strategies That Embarrass the Client | |
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Skewing the Work | |
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Providing Inadequate Support and Reinforcement | |
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Scoutmaster Behavior | |
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Expressing Upsets with Clients | |
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Not Dealing in Supervision with Feelings About a Client | |
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"Should" and "Ought" Statements | |
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Misspeaking | |
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Ending Sessions Early Because the Client Is Silent | |
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The Client Is Testing and the Worker Doesn't See | |
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Blaming Clients for Failures in the Work | |
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Serious Mistakes, Serious Consequences | |
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Boundary Violations | |
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Funny Money: Improper Financial Dealings | |
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Working While Impaired | |
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Untruthful or Devious Behaviors | |
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Sexual Harassment in the Workplace | |
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Responding to Egregious Behaviors | |
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Common Mistakes in Ending | |
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Factors Influencing Ending Process | |
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Steps in Ending | |
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Other Common Mistakes in Ending | |
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Epilogue | |
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Questions That Haunt Us All from Time to Time | |
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Developing Important Capacities | |
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Where to from Here? | |
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References | |
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Index | |