Clinical Interviewing Midterm

Front 1

3 training models

Back 1

Scientist practitioner model: training that emphasizes the development of both research and clinical skills

Clinical scientist model: training in clinical psych that emphasizes empirical research

Practitioner scholar model: model of training that emphasizes clinical practice

Front 2

Active placebo

Back 2

Not the intervention thats making the difference but the belief in the intervention helping thats causing the difference, can be set influenced by the dress, setting, manner, style of helper or environment

Front 3

Active listening

Back 3

Empathetic listening, listening to understand not just respond, involves listener echoing, relating, and clarifying

Front 4

Scanning and focusing

Back 4

interviewers explore a wide range of relevant topics on clients mind and then select certain topics to pursue further

Front 5

Role of advice/suggestion

Back 5

Want to do as little as possible as it can disrupt progress of relationship, want to gently guide clients towards solving problems themselves

Front 6

Therapy

Back 6

Treatment for what is needed

Front 7

Psychotherapy

Back 7

Healing relationship between two or more people, including trained professional, built upon communication and aimed at maximizing mental health for those seeking treatment, occurs within ethical guidelines

Front 8

Reliability v validity

Back 8

Reliability: truth, accuracy, correctness of data, opposite of this is error

Validity: meaningfulness, usefulness, helpfulness of data, opposite of it is irrelevance

Front 9

Standardization

Back 9

Conducting assessment procedures the same way each time

Front 10

Clinical attitude

Back 10

Being warm, polite, curious, and non judgemental, trying to analyze client while being genuine

Front 11

4 types of questions

Back 11

Open ended: broad, allow for elaborations, thoughts & feelings

Close ended: narrow, limit to specific answers, usually facts

Direct: worded as straight inquires, end in a ?

Indirect: inquire without seeming to, usually don’t end in a question

Front 12

“Bad” questions

Back 12

Bombarding: asking too many questions, one after another, too quickly

Why questions: can come off as disapproving, may make client feel defensive

Double questions: limits client to one of two choices of questions, confuses both

Front 13

3 Ways to understanding

Back 13

about a person: read about them, hear about them from someone else, etc.

through our own eyes: understanding through your frame of reference using your own experiences to try and relate to their own experiences

through their own eyes: trying to understand how a person thinks, feels, behaves through their own lens

Front 14

Types of responses/leads (4)

Back 14

1. Client centered: responses to what client said, leading, “mhm”, restating, reflection (mirroring, deep empathy), clarification, all are appropriate to use

2. Therapist centered: encouragement (support/reinforcement), assurance-reassurance (tell client we believe in them), suggestion (mild form of advice), advice, urging, moralizing (advice and urging), top are sometimes okay and bottom not so much

3. Authority: agreement-disagreement, approval-disapproval, opposition and criticism, disbelief, ridicule, contradiction, denial and rejection, all not okay

4. Open use of authority: scolding, threat, command, punishment, NEVER okay

Front 15

Types of defenses

Back 15

1. Authority: client feels interviewer is superior, may be defensive

2. Test results: viewing as test results or diagnosis not getting to know them, not good

3. Judging: we dont want to judge clients, creates communication obstacles

Front 16

Obstacles

Back 16

Talking too much/little: try to talk less than client but over 10%

Cutting off: avoid interruptions, major obstacles

Responses: make sure there helpful not hindering

Forces & facets: most topics have multiple facets, forces push and pull client

Clients silence: not always bad but not too much

Self preoccupation and dealing with ones own needs: watch inner voice

Front 17

Helpful communication test

Back 17

Restates clients message and if they feel you restated it correctly it will show no obstacles

Front 18

Acceptance vs agreement

Back 18

Acceptance: does not show agreement or enforcement, just shows client we are accepting what they are saying or feeling as valid, respecting it

Agreement: complacency or same behavior

Front 19

Empathy vs sympathy

Back 19

Empathy: deeper, exploration, understanding clients reaction, often begins w question

Sympathy: more shallow, results more on assumption, your reaction to scenario, statement

Front 20

Crisis vs stress

Back 20

Crisis: sudden unpredictable state of being emotionally thrown off balance, usually temporary, unexpected often

Stress: more ongoing, daily struggles

Front 21

Forms of crisis intervention

Back 21

24/7 services like hotlines, drop ins, crisis clinics

Out reach services and counseling

Crisis of existing client and brief therapy

Front 22

Kinds of crises

Back 22

Dispositional: lack of info

Anticipated life transition: normal developmental crisis

Traumatic stress: unexpected events

Maturational/developmental: issues of sexuality, dependency, etc.

Psychopathological: based off pre existing disorder

Psychological emergencies: unsafe

Front 23

Open minded curiousity

Back 23

Taking genuine interest in client

Front 24

Notetaking

Back 24

Okay to do ensure its okay w client dont hide behind notes or interriate

Front 25

Notetaking

Back 25

Okay to do ensure its okay w client dont hide behind notes or interriate

Front 26

Triangulation

Back 26

Occurs when therapist takes sides

Front 27

Scapegoating

Back 27

Blaming another person for issues

Front 28

Scapegoating

Back 28

Blaming another person for issues

Front 29

Goal of therapy

Back 29

Help to affect change in client

Front 30

Types of therapy

Back 30

Individual: one on one

Group: similar age and issues often (homo) but can be different (hetero), 5-10 people usually

Couples: couple needing assistant married dating engaged

Family: whole fam system, three types of approaches

Front 31

3 fam therapy approaches

Back 31

Systems (fam viewed as organized system, enhance growth of everyone)

Structural (examine boundaries, effective communication)

Strategic (addressing specific issues, shorter, find everyone way to cope)

Front 32

Lazuarus basic id model

Back 32

Behavior

Affect

Sensation

Imagery

Cognition

Interpersonal

Diet/drugs

Front 33

3 stages of interview

Back 33

Initiation, development/exploration, closing