Ch. 8 - Clinical Interview Flashcards

Question

What is the hierarchy of interview skills (go from bottom to top)

Answer 1

1. Attending behavior (if you don’t have this, you have nothing) 2. Open & closed questions (might use close ended questions if the person tends to go off on a tangent) 3. Client observation skills (have to be able to react to the feel of the interview; you may be able to pick up on if they’re feeling down) 4. Encouraging, paraphrasing, summarizing, reflection of feelings

Answer 2

- Orienting toward client (leaned forward and focused on the client) - Encourages person to talk - Let’s client know you’re listening - Conveys empathy (think of the blink blink guy who did not convey empathy) - Important for rapport

Answer 3

``` Visual eye contact Vocal qualities (lower voice) Verbal tracking Body o Face other squarely o Head nods o Open posture o Lean toward o Relaxed ```

Answer 4

Poor Example: - Fidgeting, uninterested, relaxed posture, more interested on the room than the person Good Example: - Actively listening, leaned in, nodding, validating, asking questions that keep her talking, client is giving more information and more open, paraphrasing what the client said instead of asking a question to get her to elaborate and focused.

Answer 5

``` Verbal o Word or sounds to encourage client o Ex: “yeah”, “uh huh”, “go on”, “oh” o Used at natural break in speech Non-Verbal o Eye contact, smile, head nod Restatement o Repeat 2 or more of client’s exact words ``` Indicates what client is saying is important

Answer 6

Poor Example: - No facial expression Good Example: - Repeating the last word of a lot of her sentences, leaned in, nodding,

Answer 7

Begin interview Encourage elaboration (should not be talking more than the client) Elicit specific examples Motivate communication

Answer 8

Obtain specific information Identify parameters of problem Narrow topic of discussion Interrupt an over talkative client

Answer 9

Frowned upon Questions where client is guided to answer Usually Judgemental Ex: “You always check with your doctor before this right

Answer 10

Rephrase the content of client’s message

Answer 11

Conveys understanding Help client simplify, focus on crystallize what is said Encourage elaboration Provide a check of accuracy of your perceptions

Answer 12

- If you have hypothesis about what’s going on - When client is in a conflict - When client presented lots of material & you are confused

Answer 13

- Recall message & restate covertly - Identify key parts - Select a beginning, “Sounds like…” - Translate key content in own words - Confirm accuracy of paraphrase

Answer 14

- Tie together multiple elements - Identify common theme/pattern - Interrupt excessive rambling - Pace a session - Review progress - Serve as a transition when changing topics

Answer 15

At the start and end of a session

Answer 16

- Recall key content & affect messages - Identify patterns or themes - Use appropriate sentence stem “I sense…” - Summarize - Assess effectiveness

Answer 17

Rephrasing the affective/emotion aspect Reflection of feeling o Echo client’s emotions, even if not explicitly mentioned - Ex: “you are feeling sad about this”

Answer 18

- Feel understood - Express more feelings - Manage feelings - Discriminate among various feelings

Answer 19

``` 1. Listen closely & observe behavior o Watch nonverbal o Verbally reflect feelings back 2. Identify feeling category 3. Identify intensity 4. Match feeling and intensity of word 5. Feedback to client 6. Add component using the form o “you feel _____ because _____” 7. Check accuracy ```

Answer 20

- Encourage client elaboration - Check accuracy of what you heard - To clear up vague messages

Answer 21

- Identify element want elaborated - Use stems such as “Do you mean that” or “are you saying” - Follow up if necessary

Answer 22

Client’s world as he/she sees it and experiences it

Answer 23

Experience client’s world but remain separate

Answer 24

o Paraphrasing | o Reflection of feeling

Answer 25

Give back less than or distorts o “That’s not a very nice way to talk; you should consider his feelings too!” o Slightly: “Seems like you’ve just given up on him. You don’t want to try anymore.”

Answer 26

Interchangeable with that client says Accurate use of the BLS = basic empathy Not elaborating on it – not giving anything further o “You’re discouraged and confused, you’ve worked over your issues with hum but he doesn’t seem to understand. You don’t really care”

Answer 27

Adds something beyond what the client has said Give client something to think about, maybe reframing o Slightly: “You’ve gone over the problem with him and again to the point that you don’t really care right now. You’ve tried hard. What does this mean to you?

Answer 28

For discrepancies or inconsistencies in a client’s comments

Answer 29

- Not a direct harsh challenge - Not going against the client, but with the client - Is a supportive challenge

Answer 30

A lever for the activation of human potential

Answer 31

1. interpretation/reframe 2. logical consequences 3. self-disclosure 4. feedback 5. information/advice/opinion/suggestion 6. directive

Answer 32

- Re-story, guide the client to looks at the problem from a new perspective with a new frame of reference

Answer 33

Look at the possible results of alternative actions, anticipation of rewards/punishments

Answer 34

- Interview shares brief story, thoughts or experiences - I, Me, My, + verb (think, feel, have experienced) be genuine and cautious - Kept at a minimum - Should be related to specifically what they needed

Answer 35

- See/hear ourselves as others see/hear us, be touches as others touch us - Focus on strengths, be concrete & specific, lean & precise, nonjudgmental, use check-point

Answer 36

- Attend to client, be clear specific & concrete and use check-out - Should not suggest “you should meditate” it’s too broad, the more specific the more likely they will come back

Answer 37

Involve client as co-participation in strategy Be clear & concrete, use check out Need to make sure that the client is buying in or else they won’t do it

Answer 38

o Little consensus about note-taking | o Provide a reliable written record, but can be distracting to client and interviewer

Answer 39

o Also provide a reliable record, but can be inhibiting to clients Must obtain permission

Answer 40

To determine whether to “intake” the client into the agency or refer elsewhere ♣ A risk if the client was suicidal or family unit was at risk

Answer 41

To provide DSM diagnosis, Structured interviews often used ♣ Minimized subjectivity, enhanced reliability ♣ Semi-structured interviews include some structure but also some flexibility or opportunities to improvise Makes it hard to form relationship since it feels robotic

Answer 42

o Typically used in medical settings | o To quickly assess how a client is functioning at that time

Answer 43

o Assess problem and provide immediate intervention | o Clients are often considering suicide or other harmful act

Answer 44

o Social distance (boss) o Personal distance (friends) o Intimate distance (partner)

Answer 45

- Orientation - Posture - Physical contact

Answer 46

- Smile - Frown - Raised Eyebrow - Yawn - Sneer

Answer 47

- Regulation - Emphasis - Soothing gestures

Answer 48

- Feelings - Interest Connections

Answer 49

``` How you say it o Speed o Tone o Pitch Interest Affect ```

Answer 50

- Pausing for emphasis - Punishment - Uncertainty

Answer 51

Appreciating the cultural context o Knowledge of the client’s culture, as well as the interviewer’s own culture o For behaviour described or exhibited during interview Acknowledging cultural differences o Wise to discuss cultural differences rather than ignore o Sensitive inquiry about a client’s cultural experiences can be helpful

Ch. 8 - Clinical Interview Flashcards

(75 cards)