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A Single-Session Counseling Paradigm


A Single-Session Counseling Paradigm Paul Jones, Ed.D. Renee Kadlubek, Ed.S. Bill Marks, Ed.S. School Psychology Department of Educational Psychology University of ... – PowerPoint PPT presentation

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Title: A Single-Session Counseling Paradigm

(No Transcript)
A Single-Session Counseling Paradigm
  • Paul Jones, Ed.D.
  • Renee Kadlubek, Ed.S.
  • Bill Marks, Ed.S.
  • School Psychology
  • Department of Educational Psychology
  • University of Nevada, Las Vegas
  • Las Vegas, NV

(Not, by the way, this Single-Session Counseling
True or False
  • Most school psychologists report that they would
    like to spend more time on delivery of counseling
  • An effective counseling intervention requires at
    least five sessions.
  • There is sex after death.

The Plan for This Morning
  • Single-Session Counseling Why ?
  • Single-Session Counseling Why Not ?
  • Single Session Counseling How ?
  • Single-Session Counseling Research

A Single-Session Counseling Paradigm A
Scientific Paradigm (Kuhn) involves
  • what is observed
  • the questions that are asked, and
  • how the answers are interpreted.

Single-Session Counseling Why ?
  • 1. Because we don't have time to do any other
    form of counseling, or
  • Because it may now be time for a change in how
    we think about the delivery of counseling

Single-Session Counseling Why Not ?
  • 1. There are political risks if we offer an easy
    way out for local school districts.
  • I wasn't trained that way.

  • (We'll be back in a moment after a
  • brief word from our sponsor.)

Did you know?
  • The name Nevada is from a Spanish word meaning
  • Nevada is the seventh largest state with 110,540
    square miles, 85 of them federally owned
    including the secret Area 51.
  • Nevada is the largest gold-producing state in the
    nation. It is second in the world behind South
  • Hoover Dam, the largest single public works
    project in the history of the United States,
    contains 3.25 million cubic yards of concrete,
    which is enough to pave a two-lane highway from
    San Francisco to New York.

Did you know?
  • Camels were used as pack animals in Nevada as
    late as 1870.
  • Las Vegas has more hotel rooms than any other
    place on earth.
  • The ichthyosaur is Nevada's official state
  • There were 16,067 slots in Nevada in 1960. In
    1999 Nevada had 205,726 slot machines, one for
    every 10 residents.
  • In Tonopah the young Jack Dempsey was once the
    bartender and the bouncer at the still popular
    Mispah Hotel and Casino. Famous lawman and folk
    hero Wyatt Earp once kept the peace in the town.

Single-Session Counseling How ?
  • A single-session modality is feasible with a
    variety of counseling theories.
  • The theory guides the goal development and the
    role of the provider, not the number of sessions
    required for the goal to be attained.

Single-Session Counseling How ?
  • A large scale comparative study almost 25 years
    ago concluded that successful outcome of
    counseling (therapy) appeared to rest on just
    three key factors, the active ingredients.
  • 1. relationship,
  • 2. re-framing, and
  • 3. ritual.

Single-Session Counseling How ?
  • The question then becomes whether (and when)
    these three key factors can be accomplished in a

Single-Session Counseling Relationship
  • Common to essentially all counseling approaches
    is the importance of a special relationship,
    communicating warm, empathy, positive regard,
  • This is sometimes called the therapeutic
    alliance, and a recent study found intriguing
    neuropsychological linkage when the relationship
    is evident.

Single-Session Counseling Re-Framing
  • In some brief therapy approaches this is the
    problem identification/problem solving phase.
  • With assistance from the provider, the
    student/client re-frames the concern as a problem
    to be solved and constructs one or more potential
    strategies for a resolution.

Single-Session Counseling Ritual
  • This key factor comes through actions that make
    the counseling session different from simple
    advice from a friend.
  • Examples of how this can be accomplished include
  • 1. Identifying targets and charting progress in
    a brief follow-up sesson.
  • 2. At the end of the session, briefly moving away
    from the student/client to prepare a

Single-Session Counseling Research
  • These examples are drawn from
  • Jones, W.P., Kadlubek, R.M., Marks, W.J.
    (2006). Single-session treatment a counseling
    paradigm for school psychology. The School
    Psychologist, 60, 112-115.

Single-Session Counseling Research
  • Curtis, Whittaker,Stevens, and Lennon (2002)
    found the single session model viable in the
    context of a family systems model.
  • A single-session intervention was effective in
    treatment of earthquake-related posttraumatic
    stress disorder (Basoglu, Salcioglu, Livanou,
    Kalendar, Acar, 2005).
  • McCambridge and Strang (2004) found that a
    single-session treatment using motivational
    interviewing was effective in reducing substance

Single-Session Counseling Research
  • Patterson, Shaw, and Semple (2003) found that a
    single-session behavioral intervention increased
    the frequency of safe sex practices in persons
    who were HIV positive.
  • Paniak,Toller-Lobe, Reynolds, Melnyk, and Nagy
    (2000) found that a single-session reassurance
    and educational intervention was as effective as
    a more extensive counseling approach in treating
    patients with mild traumatic brain injury.

Single-Session Counseling Research
  • Littrell, Malia, and Vanderword (1995) studied
    the effectiveness of single-session counseling in
    a high school setting and reported success in
    perceived goal attainment and in reducing
    self-reported distress levels.

Single-Session Counseling Closing Thought
  • An assumption is a proposition taken for granted,
    treated as if it were known to be true.
  • In our discipline it is important, perhaps even
    essential, that we periodically challenge the
    assumptions that govern our work.

Selected References
  • Basoglu, M., Salcioglu, E., Livanou, M.,
    Kalender, D., Acar, G. (2005). Single-Session
    behavioral treatment of earthquake-related
    posttraumatic stress disorder A randomized
    waiting list controlled trial. Journal of
    Traumatic Stress, 18, 1-11.
  • Curtis, A., Whittaker, A., Stevens, S.,
    Lennon, A. (2002). Single session family
    intervention in a local authority family centre
    setting. Journal of Social Work Practice, 16,
  • Frank, J. D., Frank, J. B. (1991). Persuasion
    healing A comparative study of psychotherapy.
    Baltimore, MD Johns Hopkins University Press.
  • Fagan, T, K. (2004). School Psychologys
    Significant Discrepancy Historical Perspectives
    on Personnel Shortages. Psychology in the
    Schools, 41(4), 419-430.

Selected References
  • Jones, W. P., Crank, J. N., Loe, S. A.
    (2006). Extending specialist training in
    counseling The efficacy of self-instruction.
    College Student Journal, 40, 885-900.
  • Jones, W.P., Kadlubek, R.M., Marks, W.J.
    (2006). Single-ession treatment a counseling
    paradigm for school psychology. The School
    Psychologist, 60, 112-115.
  • McCambridge, J., Strang, J. (2004). The
    efficacy of single-session motivational
    interviewing in reducing drug consumption and
    perceptions of drug-related risk and harm among
    young people results from a multi-site cluster
    randomized trial. Addiction, 99, 39-52.
  • Paniak, C., Toller-Lobe, G., Reynolds, S.,
    Melnyk, A., Nagy, J. (2000). A randomized trial
    of two treatments for mild traumatic brain
    injury 1 year follow-up. Brain Injury, 14,

Selected References
  • Patterson, T.L., Shaw, W.S., Semple, S.J.
    (2003). Reducing the sexual risk behavior of HIV
    individuals Outcome of a randomized controlled
    trial. Annals of Behavioral Medicine, 25, 137-145
  • Sklare, G. B. (1997). Brief counseling that
    works A solution-focused approach for school
    counselors. Thousand Oaks, CA Corwin Press.
  • Talmon, M. (1993). Single-session solutions A
    guide to practical, effective, and affordable
    therapy. Reading, MA Addison-Wesley Publishing

A Single-Session Counseling Paradigm
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