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Table 1 Techniques in talking control to be used and avoided

From: Talking control sessions in people with advanced cancer: a qualitative analysis of sessions

Techniques to be utilised within Talking Control sessions

 

Sessions are client-led

The therapist shows enthusiasm and interest towards the client

The therapist is sympathetic towards the client, allowing him/her to ventilate their feelings

The therapist is non-judgemental

The therapist uses self-disclosure in moderation

The therapist uses neutral tone, words and body language

The therapist encourages the client to talk about their history/youth, encouraging them to reminisce

The therapist encourages the client to talk about their family and friends

The therapist encourages the patient to talk about any topic; this can include neutral topics such as hobbies, news, holidays, etc. or emotionally charged material

 

Things to avoid contaminating Talking control with therapeutic techniques

 

Setting an agenda for the session

Trying to conceptualise the case

Focusing on key problem areas

Trying to conceptualise the case

Applying specific ACT techniques

 Willingness to tolerate discomfort

 Mindfulness

 Cognitive fusion

 Conceptualising the problem in context

 Defining values

 Committed action

Applying specific cognitive or behavioural techniques

Asking for feedback about clients’ view/understanding of the session

Trying to collaborate with clients to solve problems

Trying to lead the client in a guided discovery to form new perspectives on problems

Exploring underlying belief systems

Encouraging healthy behaviours

Setting assignments for out of therapy time

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