CLINICAL INTERVIEWING PART 2 - Listening and relationship development
3 - Basic Attending, Listening and Action Skills
Difference between positive and negative attending behaviours
How ethnocultural background and diversity can affect how clients respond to attending and listening behaviours
How and why therapists use nondirective listening behaviours, including: silence, paraphrasing, clarification, relfection of feeling, and summarization
The natural inclination many therapists have toward reassuring clients
Therapists should use reflective, empathic listening regularly, whereas reassurance should come in carefully considered, small doses.
How and why therapists use directive listening behaviours, including: interpretive reflection of feeling, interpretation, feeling validation, and confrontation.
- Client-centered directives: focus in on exactly what the client is talking about, but are aimed at a deeper level.
- Therapist-centered directives: typically move clients away from what they're talking about and toward what the therapist deems important.
4 - Directives: Questions and Action Skills
5 - Evidence-Based Relationships
Silence
Paraphrase (or Reflection of Content)
The Simple Paraphrase
The Sensory-Based Paraphrase
The Metaphorical Paraphrase
Intentionally Directive Paraphrases
Clarification
Several forms of clarification:
- a restatement of what a client said and a closed question, in either order.
- a restatement imbedded in a double question (an either/or question including 2 or more choices of response for the client
- clarification used when you don't quite hear what a client said and you need to recheck
2 general guidelines for clarifying:
- Admit your confusion over what the client has said.
- Try a restatement or ask for clarification, repetition, or illustration. Asking for a specific example can be especially useful.
Reflection of feeling
Summarization
Guidelines: be informal, collaborative, supportive and hopeful.