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Addictions Exam > Communication > Flashcards

Communication Flashcards

1
Q

What is MI?

A

Client centered, directive style that targets the client’s ambivalence about change, naming it and resolving it.

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2
Q

What are the goals of MI?

A
  1. Change behavior.
  2. Develop an ongoing relationship.
  3. Resolve ambivalence.
  4. Develop discrepancies.
  5. Get a commitment to change.
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3
Q

What is OARS?

A

Open-ended questions, affirmations, reflective listening, and summaries.

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4
Q

Open-Ended Questions

A

Invites the client to go beyond one-word answers and actively engage in the therapeutic process.

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5
Q

Affirming

A

Affirming the client encourages ongoing communication, disclosure, and growth in the process.

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6
Q

Reflection

A

Directs the client toward areas for change or exploration of an issue. Roll with resistance, don’t confront it.

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7
Q

Summaries

A

A form of reflective listening, allows for feedback of a bigger picture of the client situation as it is understood by the practitioner in the session, giving space for the client to further clarify and gain insight.

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8
Q

6-Steps for an effective relationship with a nonvoluntary voluntary client

A
  1. Name the circumstance under which the meeting occurs.
  2. Validate legitimate concerns.
  3. Identify non-negotiable portions of the intervention.
  4. Identify what is and is not negotiable as part of the assessment and tx process.
  5. Negotiate a tx plan that includes the mandatory requirements of the referring authority, but also includes the client’s interests.
  6. Identify criteria for measuring progress toward the agreed-upon plan and tx goals.
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9
Q

Precontemplation stage

A

Individual does not even consider a change in his or her situation. Denies they have a problem.

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10
Q

Contemplation

A

Ambivalence toward change. Considering costs and barriers to change.

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11
Q

Preparation

A

Individual is experimenting with small changes, considering what it will be like when full change occurs.

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12
Q

Action

A

Person takes definitive steps to alter the behavior.

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13
Q

Maintenance and relapse prevention

A

Maintain new behaviors over the long term, preventing a return to using substances and embracing new and healthy habit.s

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14
Q

Close-Ended Questions

A

Responder is asked for specific, discrete information, such as identifying information. Good for self-administered questionnaires, quantitative research, and interview schedules.

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15
Q

Scaling Questions

A

Used in solution-focused brief therapy, used to track differences and progress in the client.

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16
Q

Strengths-focused questions

A

What have you done to get to this (higher score?)

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17
Q

Exception Questions

A

Have you ever been higher on the scale? What is different on the days when you are one point higher on the scale?

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18
Q

Future-focus questions

A

Where on the scale would be good enough for you?

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19
Q

(Diagnostic Interviewing Technique) Reflection

A

-Restate the client’s cognitive or emotional material.
-Identify and feedback the underlying emotional experience.
-Demonstrate empathic understanding.

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20
Q

(Diagnostic Interviewing Technique) Restatement/Paraphrasing

A

Rephrase what the client says, demonstrates you are actively listening. Provides a check on the accuracy of the perceptions of the session.

21
Q

(Diagnostic Interviewing Technique) Encouragers

A

Brief responses such as head nods, uh-huh, and single words.

22
Q

(Diagnostic Interviewing Technique) Clarification

A

Accompanied by other techniques such as questioning, paraphrasing, and restating.

23
Q

(Diagnostic Interviewing Technique) Confrontation

A

May be used to call a client out on discrepancies, breaks denial or rigid defenses

24
Q

(Diagnostic Interviewing Technique) Self-Disclosure

A

The sharing of personal experiences by the therapist to the client relative to the session with the purpose of helping the client understand.

25
Q

(Diagnostic Interviewing Technique) Silence

A

Provides both the client and therapist time to process what is being understood, timing is essential.

26
Q

(Diagnostic Interviewing Technique) Exploration

A

Therapist tests the limits of what the client is willing to process, can be used to determine the client’s level of insight.

27
Q

(Diagnostic Interviewing Technique) Reframing or Cognitive Reframing

A

Allows for a different perspective. Used to challenge negative self-concepts and harmful thinking patterns. Leads to behavior change.

28
Q

(Diagnostic Interviewing Technique) Summarization

A

Overall feedback of longer statement.

29
Q

Five Interview Stages

A
  1. Accentuate the positive.
  2. Be careful of only seeking war stories.
  3. Be careful of rescuing.
  4. If the therapist avoids hard issues, so will the client.
  5. Focus on the positive.
30
Q

Empathy

A

See, feel, and hear as the client does

31
Q

Cultural Empathy

A

Understanding the impact of a multicultural world.

32
Q

Goals of Initial Interview

A
  1. Establish rapport
  2. Discover problems and expectations of client
  3. Ascertain what therapy goals should be completed and create a contract with those in mind.
33
Q

Attending

A

Listen closely to the client, sitting forward and make eye contact.

34
Q

Paraphrasing

A

Take the statement the client has made and restate it in more condensed terms and in different words. Does not include emotional aspects of the statement.

35
Q

Reflecting

A

Restate the affective section of the client’s message. Demonstrate emotional awareness of the content so client feels understood.

36
Q

Clarifying

A

Define vague or perplexing words clients use in their conversations. Assists client in better understanding the actual meanings of statements.

37
Q

Leading

A

A response method whereby the counselor encourages the client to discuss a specific aspect of himself or an experience by directly or indirectly inviting a verbal response.

38
Q

Summarizing

A

Connects several topics and feelings, centers on themes the client mentions more than once. Brings focus to a counseling session.

39
Q

Supporting

A

Demonstrates the counselor has listened to what the client has said and does not believe the thoughts, feelings, or behaviors to be odd.

40
Q

Approving

A

Reinforces concrete and ideal alterations in a client’s feelings and behaviors.

41
Q

Confronting

A

Demonstrating to a client discrepancies found in single verbal message.

42
Q

Interpreting

A

Deals with implicit components of a client’s statement.

43
Q

Informing

A

Giving a client important information regarding alternatives, decisions, or plans the client is considering.

44
Q

Instructing

A

Enables client to identify behaviors suitable for certain circumstances. Can be useful when a client is striving to meet a goal or when they need to learn an adaptive reaction. Often done through role-playing.

45
Q

Assigning tasks and contracting

A

Formal or informal written or spoken contract, encourages the client to implement changes in real life that have been learned in counseling sessions.

46
Q

Two Categories of Client-Counselor Communication Barriers

A
  1. Communication that has immediate negative impact on counseling, resulting in inherently damaging verbal responses.
  2. Increasingly frequent communications that result in counterproductive patterns of verbal response.
47
Q

Moralizing and Sermonizing

A

Counselors who use should or ought messages to give their clients advice.

48
Q

Premature Advice

A

Advice given to a client before the client knows the counselor well enough tot take the advice given.

Addictions Exam (12 decks)

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