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| Preface | |
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| Preparing to Meet Your Client | |
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| Counseling Defined | |
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| Nutrition Counseling Goals | |
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| Theoretical Approaches for Lifestyle Awareness and Management | |
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| Person-Centered Therapy | |
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| Behavioral Therapy | |
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| Gestalt Therapy | |
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| Cognitive Therapies | |
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| Family Therapy | |
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| Solution-Focused Therapy | |
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| Multicultural Counseling | |
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| Overview of Behavior Change Models and Approaches | |
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| Self-Efficacy | |
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| Health Belief Model | |
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| Transtheoretical Model | |
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| Motivational Interviewing | |
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| Health Behavior Change Method | |
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| Understanding an Effective Counseling Relationship | |
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| Characteristics of Effective Nutrition Counselors | |
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| Understanding Youself--Personality and Culture | |
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| Understanding Your Client | |
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| Relationship Between the Counselor and Client | |
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| Novice Counselor Issues | |
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| Helping Relationships | |
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| Review Questions | |
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| Assignment: Observation of a Nutrition Counselor | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Building a Relationship: Basic Counseling Responses | |
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| Stages of Skill Development | |
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| Model of Communication | |
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| Intercultural Influence on Communication | |
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| Guidelines for Enhancing Counseling Communication Effectiveness | |
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| Use Focuses and Intents When Formulating Responses | |
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| Use Effective Nonverbal Behavior | |
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| Harmonize Verbal and Nonverbal Behaviors | |
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| Analyze Nonverbal Behavior of Your Client | |
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| Interact in a Culturally Sensitive Manner | |
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| Use Translators Appropriately | |
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| Be Aware of Communication Roadblocks and Use Them Only When Justified | |
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| Develop Skills for Building a Helping Relationship | |
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| Basic Counseling Responses | |
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| Attending (Listening) | |
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| Reflection (Empathizing) | |
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| Legitimation (Affirmation, Normalization) | |
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| Respect | |
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| Personal Support | |
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| Partnership | |
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| Mirroring (Parroting) | |
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| Paraphrasing (Summarizing) | |
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| Giving Feedback (Immediacy) | |
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| Questioning | |
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| Clarifying (Probing, Prompting) | |
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| Noting a Discrepancy (Confrontation, Challenging) | |
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| Directing (Instructions) | |
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| Advice | |
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| Allowing Silence | |
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| Self-Referent (Self-Disclosing and Self-Involving) | |
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| Communication Analysis of John's Interactions | |
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| Review Questions | |
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| Assignment: Observation and Analysis of a Television Interview | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Meeting Your Client: The Counseling Interview | |
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| Nutrition Counseling Models | |
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| Motivational Algorithm for a Nutrition Counseling Intervention | |
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| Assessing Readiness to Change | |
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| Nutrition Counseling Protocols: Analysis and Flow of a Counseling Interview/Counseling Session | |
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| Involving Phase | |
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| Exploration-Education Phase | |
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| Resolving Phase | |
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| Closing Phase | |
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| Considerations for Acute Care | |
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| Intercultural Counseling Skills | |
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| Respondent-Driven Interview | |
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| Nancy: Intervention at Three Levels of Motivation | |
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| Review Questions | |
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| Assignment: Conducting an Interview across Cultures | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Developing a Nutrition Care Plan: Putting It All Together | |
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| Goal Setting | |
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| Explore Change Options | |
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| Explain Goal-Setting Basics | |
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| Identify a Specific Goal from a Broadly Stated Goal | |
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| Define Goals | |
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| Design a Plan of Action | |
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| Investigate the Physical Environment | |
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| Examine Social Support | |
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| Review the Cognitive Environment | |
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| Explain Positive Coping Talk, If Necessary | |
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| Modify Goal, If Necessary | |
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| Select a Tracking Technique | |
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| Verbalize the Goal | |
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| Write the Goal Down | |
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| Dietary Assessment | |
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| Food Intake Data Collection | |
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| Data Analysis | |
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| Interpretation of Analysis | |
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| Energy Determinations | |
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| Physical Assessment and Healthy Weight Standards | |
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| Weight-for-Height Tables | |
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| Hamwi Method | |
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| Body Mass Index | |
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| Waist Circumference | |
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| Waist-to-Hip Ratio | |
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| Documentation/Charting | |
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| SOAP Format | |
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| IAO Format | |
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| Nancy: Documentation at Three Levels of Motivation | |
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| Review Questions | |
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| Assignment: Nutritional Assessment | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Promoting Change to Facilitate Self-Management | |
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| Strategies to Promote Change | |
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| Food Management Tools | |
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| Tracking | |
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| Components of Effective Interventions | |
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| Education | |
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| Positive or Negative Approach | |
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| Supporting Self-Management | |
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| Individualization of Therapy | |
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| Length and Frequency of Counseling Sessions | |
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| Perception of Quality of Care | |
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| Nonadherence Counselor Issues | |
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| Behavior Change Strategies | |
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| Cue Management (Stimulus Control) | |
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| Countering | |
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| Reinforcement: Rewards | |
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| Contracting | |
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| Encouragement | |
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| Goal Setting | |
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| Modeling | |
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| Barriers Counseling | |
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| Mary: Busy Overweight College Student and Mother | |
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| Review Questions | |
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| Assignment: Food Management Tool Utilization | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Making Behavior Change Last | |
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| Social Support | |
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| Involving Family or Significant Others in Counseling | |
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| Assertiveness Skills | |
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| Social Disclosure | |
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| Cognitive Restructuring | |
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| Stress Management | |
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| Stress Management Counseling | |
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| Relapse Prevention | |
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| Immediate Determinants | |
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| Covert Antecedents | |
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| Relapse Prevention Counseling | |
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| Amanda: The Busy Sales Rep | |
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| Review Questions | |
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| Assignment: Identifying Stress | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Physical Activity | |
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| Role of a Nutrition Counselor in Physical Activity Counseling | |
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| Physical Activity and Fitness | |
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| Differences Between Physical Activity and Physical Fitness | |
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| Benefits of Regular Physical Activity | |
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| Risks Associated with Exercise | |
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| Exercise Myths | |
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| Physical Activity Goals | |
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| Moderate Physical Activity | |
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| Vigorous Physical Activity | |
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| Muscular Strength | |
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| Flexibility | |
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| Barriers to Becoming Physically Active | |
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| Assessment of Activity Level and Readiness to Increase Physical Activity | |
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| Medical Assessment | |
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| Motivation Level | |
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| Assessment Feedback | |
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| Physical Activity Counseling Protocols | |
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| Implementation of Resolving Phase Counseling Approaches | |
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| Issues Pertinent to Physical Activity Goal Setting and Action Plan Development | |
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| Walking Basics | |
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| Officer Bill | |
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| Review Questions | |
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| Assignment: Physical Activity Assessment and Counseling | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Professionalism and Final Issues | |
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| Ending the Counseling Relationship | |
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| Preparation for a Wrap-Up Session | |
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| Wrap-Up Session | |
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| Handling Abrupt Endings | |
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| Evaluation | |
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| Evaluation of Client Progress | |
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| Evaluation of Counseling Effectiveness and Skills | |
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| Professionalism in the Helping Relationship | |
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| Overview of Professionalism | |
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| Standards of Professional Practice | |
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| Ethics | |
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| Client Rights | |
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| Boundary Between Nutrition Counseling and Psychotherapy | |
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| Referrals | |
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| Proper Dress Attire | |
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| Selected Counseling Issues | |
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| Counseling Strategies for Dealing with Difficult Behaviors | |
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| Rambling | |
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| Counseling Low-Literacy Populations | |
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| Group Counseling | |
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| Advantages of Group Counseling | |
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| Disadvantages of Group Counseling | |
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| Group Process | |
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| Practical Considerations for Successful Groups | |
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| Specific Group Counseling Skills | |
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| Interactive Personal Case Study | |
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| Review Questions | |
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| Assignment: Evaluate Your Counseling Effectiveness | |
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| Suggested Readings, Materials, and Internet Resources | |
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| References | |
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| Guided Counseling Experience | |
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| Developing a Counseling Style | |
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| Finding Volunteer Clients | |
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| Goals of the Guided Counseling Experience | |
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| Skill Goals | |
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| Attitude Goals | |
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| The Four Counseling Sessions | |
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| Preparation for Session 1 | |
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| Reference | |
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| Preparation for Session 1 Checklist | |
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| Session 1 Checklist | |
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| Session 2 Checklist | |
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| Session 3 Checklist | |
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| Session 4 Checklist | |
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| Daily Food Guide | |
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| DASH Diet | |
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| Anthropometric Measurement Protocols | |
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| Weight-for-Height Tables | |
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| Body Mass Index Chart | |
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| Exchange Lists for Weight Management | |
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| Lifestyle Management Forms | |
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| Index | |