How to conduct a therapeutic interview

From Wikibooks, open books for an open world
Jump to: navigation, search

Expr-emo-exist.svg



Level
Responses
Questions


Experiences
  • The environment
  • What the client thinks during specific circumstances
  • How the client acts in reaction to them


  • The client’s reflection of the facts of his or her story may be
  • open-ended
  • fragmented
  • unpredictable


  • As the story unfolds
  • situations clarify


Initial steps

1.    communication

2.    understanding

Counsellor must

  • attend
  • encourage
  • connect
  • share similar experiences


Client encouragement

  • client should do the majority of talking
  • three feet of distance


Counsellor should use

  • encouragers
  • open questions
  • paraphrasing


Encourage talking to

  • go deeper
  • to give meaning to relevant  issues

so that the client feels

  • heard
  • understood


Feelings

  1. verbal (fluent)
  2. unconscious

expressed as

  1. talk
  2. body language

often in relation to

  • culture
  • environment












Meaning

Opening skills

tell me more...

  • encouragers
    • open questions
    • non-coercive
  • inviting
  • positive


  • what is bothering you?
  • why did you schedule a session?





Minimal Encouragers
utterances to urge the client to reveal more

  • uh huh
  • I see
  • I am following you


Shows counsellor  

  • attention
  • understanding
  • is on track

without disruption






Paraphrasing

sums up understanding (preferably as a question) to encourage client’s confirmation of it:

  1. I hear from what you are saying that you think...
  2. It sounds like...
  3. From what I can tell, you think...


It reflects counsellor understanding of client’s

  • thoughts
  • relevant experiences









Reflection of feelings

are fully fluent responses to  the client that

  • identify specific emotions (in relation to events and experiences)
  • verbalize feelings to point to them objectively to then approach meanings
  • careful use of thoughts vs. feeling vocabulary


You feel <these feelings>


Client response

  • confirms correct feelings from impressions
  • is disclosure


Reflection of meaning


Worldview/values from experiences

  • life
  • culture

about

  • self
  • others
  • world


When expressing feeling, client will often return to superficial facts as they “feel safer,” possibly cyclically


Summarizing statements focus

  • facts
  • experiences
  • thoughts
  • feelings
  • meanings


Summarizing types:


Focus

  • highlight issues
  • keep on track


Signal

  • that material is absorbed
  • move on with “story”


Thematic reflects

  • patterns
  • places to return to

that are certain to provide "inroads" to deeper meaning





Open Questions

  • invite expression
  • encourage the client to offer rich details
  • less coercive for clients who are inhibited


could you tell me about the <specific experiences>?





















Closed Questions

obtain specific information (increased granularity)

  • short
  • factual


How

  • often
  • many
  • long
  • strong












Leading questions

get to the

  • underlying beliefs that
  • create emotions  as a
  • fluent message that is probably
  • hidden, or unconscious



Citable reference (APA format)[edit]

Young, M. (2009). Learning the art of helping: Building blocks and techniques. Upper Saddle River, N.J: Merrill/Pearson.