Steps towards an integration of basic therapeutic skills: a qualitative study of the development of the ideas of 15 social work students about being helpful to clients

Social work students ( n =39) were shown 10 videotaped client situations prior to and after participating in a communication skills training course. At both times, they were asked to write proposals for helpful answers for each of these situations. Proposals made by a sample of 15 students were analyzed with regard to patterns in their answers before and after the training course. These 15 were selected by using quantitative data identifying those students who changed their level of communicated empathy during the training course and those who did not. The communication course is described. Patterns in the proposals are examined and discussed in relation to central concepts of helping; such as acknowledging, empathic communication and working alliance. Three steps in the development of skillfulness are described and suggested as more general steps in the acquisition of therapeutic competence. The validity and reliability of the study are discussed, as well as possible implications of the findings for social work education.