Group Sessions
In an ideal situation, termination takes place at the juncture, wherein, mutually-established goals are reached, or the issue that brought the client to counseling gets resolved or, at least, more controllable. Termination marks the ultimate step in counseling, though this mustn't be mentioned in the final (or second-last) meeting with the patient. Doing so would inhibit both parties from having sufficient time to grasp the full significance of termination, cope with the counseling relationship's end (in the client's case), and decide upon transitioning or follow-up meetings required. Termination must be one of the foremost matters discussed between a client and counselor.
According to Kramer (1990), therapists have to explicitly state, right from the initial meeting with client, (unless mitigating circumstances exist), that the treatment goal is to facilitate the client's functioning without therapist aid. A counselor has the ethical responsibility of clarifying before clients the amount of time they will be able to receive counsel, openly discussing therapist-client relationship timeline, and making suitable recommendations or referrals during termination. The client has to be ready to face this phase of the counseling process; the therapist must, early into counseling, address this phase in order to prevent desertion (Moving toward termination of therapy, n.d).
Dropping out of counseling before the client's condition improves or gets completely cured may, in case of some clients, pose severe outcomes. Group agreements must explicitly outline all reporting prerequisites, as well as consequences determined by the referring party. Group members must have a clear understanding of the types of behaviors and actions that may result in premature termination. Group members may be summoned to look into a request of any member to quit. Furthermore, clients wishing to leave the group may be questioned by the leader to identify themselves as fleers, completers, or plateauers.
In case a client is labeled a 'fleer', he/she may be posed a conjectural question regarding what, according to their perception, they would have worked on had they not terminated. This sort of question may help reveal what issue the client fleeing from the group desperately wishes to avoid. No matter what steps a counselor may take to ensure that nobody quits prematurely, there are some clients suffering substance abuse issues who will ultimately quit group therapy hastily; the potential reasons are many. Groups must be warned beforehand of the unexpected changes that may transpire; group leaders must also be equipped to assist...
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