A Close-Ended Interaction Analysis

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In this interaction, I think it would have been more therapeutic if I had asked an opened ended question when the mother of Mr. S stated: “We’re feeling pretty sad today.” Instead, I could have asked, “what is causing you to feel sad today?” It would have been good opportunity to find out more detail about how Mr. S and his family were doing, and what caused Mr. S to be admitted to the hospital again. During this interaction, I became comfortable interacting with Mr. S, even though he was unable to respond to my questions.

During this interaction, I was attempting to engage with the ct. by asking about his food. I had become comfortable with speaking to the ct. even when the ct. did not respond. However, I continued to ask questions so the ct. knew that I was present
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First, I began by asking an opened ended question. However, the following question was closed ended. When I asked, “Did you feel sad last week?” I was attempting to have Mr. S disclose his past feelings, because I had remembered that his mother stated he was sad. Instead, I could have asked “How did you feel last week?” This open ended questions could have led to a deeper discussion.

I sought clarification when Mr. S stated, “there will have to be changes made when I go back home again.” However, asking for an explanation using “why” was not therapeutic because it could make the ct. become defensive. I could have rephrased the question without using the word “why.”

When the ct. disclosed his past suicidal ideation, I immediately asked in a direct manner if Mr. S wanted to kill himself. When Mr. S disclosed information about his “guardian angels,” I encouraged him to describe of hallucination. I also restated what the ct. said previously about coping mechanisms, and I offered self by offering to play the ct.’s card game. The goal was met during this interaction because the ct. disclosed his past feelings and disclosed past suicidal

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