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The third edition Counselling Skills for Dieticians has been fully revised and updated to reflect the recent developments, research and interests in the field. It explores the skills required for dietetic counselling, and includes frequent examples of dialogue from patient consultations, as well as exercises and activities so that the reader can undergo experiential learning relevant to their practice. * Includes examples from daily practice to illustrate the difficulties encountered by dietitians and demonstrate the application of counselling skills * Clearly explains theoretical models of…mehr
The third edition Counselling Skills for Dieticians has been fully revised and updated to reflect the recent developments, research and interests in the field. It explores the skills required for dietetic counselling, and includes frequent examples of dialogue from patient consultations, as well as exercises and activities so that the reader can undergo experiential learning relevant to their practice. * Includes examples from daily practice to illustrate the difficulties encountered by dietitians and demonstrate the application of counselling skills * Clearly explains theoretical models of accepted counselling practice underpinning the skills described * Has been updated to include additional information on topics such as assertiveness skills and eating distress * Addresses practical and psychological issues faced by dietitians and patients * Includes the latest research evidence for counselling skills in dietetic practice * Draws upon research evidence, theory and experience from the fields of psychotherapy and counselling * Now provides access to a range of supportive online material including videos of consultations, case studies and resources for trainers
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Autorenporträt
Judy Gable worked as a dietitian for many years, specialising in paediatrics in the 1970s and diabetes research in the 1980s. In the early 1990s she established the course in communication skills for dietetic students at King's College and during the next ten years also facilitated introductory courses in counselling skills and assertiveness for dietitians. She continued to work as a counsellor in primary care until 2010.
Tamara Herrmann has worked for many years as a GP/Community dietitian and during this time developed her interest in obesity, eating disorders and communication skills. Tamara now works in private practice as a registered dietitian and registered psychotherapist.
Inhaltsangabe
Foreword xiv
About the authors xvi
Preface to the third edition xvii
Acknowledgements xx
Introduction xxi
About the companion website xxv
Part 1: Using a counselling approach in patient-centred practice 1
1 The dietitian 3
The role of the dietitian 3
Using a prescriptive approach 4
Control, compliance and responsibility 5
Changing approaches to providing health care 5
Developing a patient-centred approach 7
Introducing counselling skills 8
Developing a counselling approach 10
Portrait of a dietitian using a counselling approach 10
Qualities for a dietitian to develop 11
Providing care 12
Personal and professional development 12
Self-awareness 13
Frame of reference 13
Self-worth 13
Reflective practice 14
Benefits of reflective practice 14
Use of the word 'reflection' 15
Different approaches to counselling and psychotherapy 15
Psychoanalytic approach 15
Behavioural and cognitive approaches 16
Humanistic approach 16
Transactional Analysis 17
Systemic therapy 17
Neuro-linguistic programming 17
Mindfulness 18
Overview of the evidence concerning the use of communication skills in dietetic practice 18
References 19
2 The patient 22
Using a patient-centred approach 22
The concerns of the patient 23
The feelings of the patient 24
The expectations of the patient 25
The nature of change 26
Change has a ripple effect 26
Change occurs in a number of ways 26
People react and adapt to change in various ways 27
Change is paradoxical, in that we both want it and do not want it 27
Change can have implications of which we are not aware 27
Reactions to change 27
Shock 28
Release of emotion 28
Talking about it 28
Ambivalence 29
Bargaining 29
Doubt about being able to cope 29
Blame 30
Distancing 30
Adapting to change 30
Patient satisfaction 31
References 32
3 The relationship between dietitian and patient 33
Circumstances surrounding the dietitian's relationship with the patient 33
Core conditions for a helping relationship 34
Empathy 34
Acceptance 37
Genuineness 39
Issues arising between patient and dietitian: power, dependency, transference and counter-transference 40
Power 40
Dependency 41
Transference and counter-transference 41
The working alliance 42
A therapeutic bond 42
Goals 43
Tasks 43
Further points to consider 44
References 44
4 Aspects of the helping process 45
The dietitian's concerns 46
Keeping boundaries: how the dietitian can manage time, confidentiality and referral 46
Establishing a time boundary 47
Maintaining confidentiality 47
Recognising professional and personal limitations: when, how and where to make a referral 50
Recognising the different developmental stages of the helping process 51
