Ch. 8 Lec Flashcards
have to … a client/… them when you first meet them to understand the form of treatment you will be providing
assess;
diagnose
assessment:
- …
- …
- …
reliability;
validity;
clinical utility
assessment:
- reliability: a test that can give us …
- validity: test should measure …
consistent results of a diagnosis;
what it’s supposed to
assessment:
clinical utility: can improve delivery of services through a … –> therapists can only work within scope of … and practice and must be …
competent licensed professional;
training;
licensed
have to appreciate … of clients, and understand and know our culture first, as well as what we think/feel and what we like/dislike about our own culture
- if something bothers you about someone else’s culture, you have to look … and figure out what it is that makes you uncomfortable with that culture. May also be an … like racism that you were raised with. Must work with that on your own.
cultural context;
inward;
unconscious force;
it’s ok to acknowledge …, even openly, with client
cultural differences
most frequently used tool by psychologist is the …. Involves specific skills and specific behaviors
clinical interview
(clinical interview - skills and behaviors) general skills: - ... - being ... - develop ... (i.e. ...)
quieting yourself;
being self-aware;
positive working relationship; therapeutic rapport
(clinical interview - skills and behaviors)
general skills - quieting yourself:
- must … when in therapy with client
- can’t allow … to interfere with client –> must focus on client
quiet your mind;
inner voice
(clinical interview - skills and behaviors)
general skills - being self-aware;
- being aware of one’s own …
- this is partly why therapists should be …
- recognizing how you felt when you were … can help understand how the client is feeling
unique traits;
in therapy as well;
in therapy
(clinical interview - skills and behaviors)
general skills - being self-aware
- also have to know how we … How do other people generally …? what is it about us that can impact how others …?
affect others;
react to you;
react to us
(clinical interview - skills and behaviors)
develop positive working relationship
- must be …, … –> this is why therapists …
attentive;
active listener;
take notes (occasional notes)
(clinical interview - skills and behaviors)
develop positive working relationship:
- have to demonstrate … - trying to feel what client feels
- genuine … - must be … with clients and respect them and their …
respect;
genuine;
culture
(clinical interview - skills and behaviors) specific behaviors: - ... - ... - ... - ...
eye contact;
body language;
vocal qualities;
verbal tracking
(clinical interview - skills and behaviors)
specific behaviors - eye contact:
- some cultures view eye contact as a sign of …
- it’s ok if client doesn’t want to …
- eye contacts shows that we are …
disrespect;
look them in the eye;
listening
(clinical interview - skills and behaviors)
specific behaviors - eye contact:
- if it’s not cultural, lack of eye contact can be due to …/…, they could be on … (specifically …)
embarrassment/shame;
autism spectrum;
Asperger’s
(clinical interview - skills and behaviors)
specific behaviors - body language:
- …
- appearing …
- using appropriate …
- therapists can … too (can’t deny …)
facing client; attentive; facial expressions; express their emotions; humanity
(clinical interview - skills and behaviors)
specific behaviors - vocal qualities:
- how our words …
- … is calming
sound to the client;
quiet talking
(clinical interview - skills and behaviors)
specific behaviors - vocal qualities:
- sometimes clients yell/escalate - responding in a … fashion can be helpful
- clients may be sensitive to …
- want to have a …/… voice when talking to them
quieter;
loud talking;
calm/soothing
(clinical interview - skills and behaviors)
specific behaviors - verbal tracking:
- shows client that we are following …
- … what client says - don’t …, though
their train of though;
paraphrase;
mechanically repeat
components of the interview:
- ….
- …
rapport;
technique
(components of the interview)
rapport:
- relationship with clients –> should be …, …, characterized by …/….
positive;
calming;
trust/genuineness
(components of the interview)
rapport:
- relationship with clients –> extremely important for …
- therapist must …
positive therapeutic outcomes;
create that therapeutic relationshp
(components of the interview)
rapport:
- good rapport = … and need to connect with clients in a …
good connection;
positive way
(components of the interview)
how to build rapport?:
- need to put client …. –> openly recognize if they’re showing signs of …
- can acknowledge … of the situation
at ease;
distress;
weirdness
(components of the interview)
how to build rapport?:
- can acknowledge weirdness of situation –> e.g. clients getting uneasy when asked about sexual abuse, therapist can say “this question seems very uncomfortable for you and we don’t have to answer it right now” –> recognizing … of situation
- pay attention to how client … as well
uniqueness;
uses language
(components of the interview)
how to build rapport?:
pay attention to how client uses language as well
-… as best we can
- can’t use … with clients
- follow their lead
- it’s ok to acknowledge if you don’t … (e.g. if they’re using slange, pop culture references, etc) –> can ask for …
speak their language;
psychological jargon;
know what they mean;
clarification
(components of the interview)
technique:
- what we do with client
- … vs … styles
directive;
nondirective
(components of the interview)
technique:
- directive: asks clients specifically … –> questions that are …
yes or no questions;
closed-ended
(components of the interview)
technique:
nondirective: allows clients to …. –> questions that are …
determine the course of the interview;
open-ended
(specific interview responses):
- … vs … questions
- ….
- ….
open ended; closed ended;
clarification;
confrontation
(specific interview responses):
- …
- …
- …
paraphrasing;
reflection of feeling;
summarizing
(specific interview responses):
open ended vs closed ended questions:
- open ended = … –> allow for …, … responses
nondirective;
individualized; spontaneous
(specific interview responses):
open ended qs:
- can use these to ask some questions in a more … way (e.g. instead of asking if you have delusions/hallucinations, can ask do you see/hear other things that other people don’t)
closed ended qs = … –> less …., less …
“user-friendly”;
elaboration;
self-expression
(specific interview responses):
clarification:
- have to make sure we understand what the client is saying, that we have an accurate understanding of their … and …
- can ask them to … if there’s a missing gap with anything too
comments; experiences;
clarify
(specific interview responses):
confrontation:
- when clients either … or …
- confronting ….
lie to you;
contradict themselves;
contradictory info
(specific interview responses):
paraphrasing:
- not used to …/…
- communicates to clients that we ….
new ground; get new ideas;
understand what they are saying
(specific interview responses):
paraphrasing:
- …, not …, what they said
- helps build …
summarizing;
repeating;
positive working relationship
(specific interview responses):
reflection of feeling:
- reflects feelings of their …
- “you seem angry. did you recognize that you were angry?” –> some people don’t …
emotions;
recognize their emotions
(specific interview responses):
summarizing:
- tying everything together and talking about …
- typically happens at …
what you want to follow up with;
end of session
pragmatics of the interview:
- …
- …. and …
- the …
- …
note-taking;
audio; video recording;
interview room;
confidentiality
pragmatics of the interview:
note-taking:
- depends on therapist –> some remember everything, some ….
- taking notes profusely the whole time can be a …; might make you miss … if not looking at client
- others write … until session is over
write a lot;
barrier;
nonverbal cues;
nothing
pragmatics of the interview: audio and video-recording: - generally, you don't do this - if you have to record, which is usually only for ..., must get ... from client and you have to explain to them what the recording is being used for - afterward, have to ...
training purpose;
written permission;
destroy the recording
pragmatics of the interview:
audio and video-recording:
- being recorded might cause …. - someone acting differently bc they know they’re being watched –> can hinder client’s … and willingness to …
reactivity;
openness;
disclose certain info
pragmatics of the interview: the interview room: - must strike a balance between ... and ... - earth tones/warm, ... tones on wall - not too many ..., etc
professional formality;
casual comfort;
neutral;
pictures
pragmatics of the interview:
the interview room:
- don’t want to have … in office –> these can interfere with therapy and may make the client …
personal things;
uncomfortable
pragmatics of the interview:
confidentiality –> have to inform clients of this
- explaining that confidentiality will be broken if they’re …/…, …/…
abusing someone/being abused;
suicidal/homicidal
pragmatics of the interview:
confidentiality:
explaining that confidentiality will be broken if they’re abusing someone/being abused, suicidal/homicidal:
- but also explaining that having … is normal and talking about it is ok –> it’s about having the … and …
suicidal/homicidal thoughts;
intent;
means to do so
pragmatics of the interview:
confidentiality
- but also explaining that having suicidal/homicidal thoughts is normal and talking about it is ok
- it’s about having the intent and means to do so (i.e. when ideations become …, there’s a … and a …)
too serious;
plan;
means to do it
types of interviews:
- … interview
- … interview
- … vs … interviews
- …
- … interview
intake; diagnostic; structured; unstructured; mental status exam; crisis interview
(types of interviews)
intake interview:
- determine if client needs … and which is best based on diagnosis
- sometimes patients may need to be …
treatment;
committed
(types of interviews)
intake interview:
sometimes patients may need to be committed:
- not only for …, but also for …/…
- determining if they’re appropriate to be in … or if they need to be in …
suicidality;
severe drugs/alcohol problems;
office;
hospital
(types of interviews) diagnostic interview: - includes questions related to .... - determines ... - diagnostic and intake interview are ... bc intake interview is what you use to ...
criteria of diagnoses;
diagnosis;
interchangeable;
form diagnosis
(types of interviews)
structured interviews:
- for … purposes
- … set of questions
- give us a … which can be reliable (i.e. two different therapists would arrive at the same one)
- give cue to further explore things along a diagnosis
diagnostic;
pre-determined;
diagnosis;
(types of interviews) unstructured interviews: - can use ... - no ... - interviewer decides ...
improvisation;
set questions;
what’s relevant
(types of interviews) mental status exam: - mostly used in ... settings - quickly assess how client is ... at the time of evaluation - like a ...
medical;
functioning;
quick mental snapshot
(types of interviews)
mental status exam:
- doesn’t give you a …
- just to ensure that they are … –> …, …, …
diagnosis;
oriented x 3;
time; place; person
(types of interviews)
mental status exam:
- paying attention to …
- …
facial affect;
general mood
(types of interviews)
- how’s their speech - do they speak …, …, etc
- testing … (e.g. what year did you graduate hs?)
- judgment/insight into their …
too fast;
too slow;
memory;
problems
(types of interviews)
crisis interview:
- things that need …, like …
- get ….
immediate intervention;
suicide;
a lot of info really quick
(types of interviews) crisis interview: - assessing how ... someone is, for instance - more depression = higher risk of ... - talking about/processing ...
depressed;
suicide;
suicidal ideation
(types of interviews)
crisis inteview:
- how … do they think of suicide/how … are the thoughts
- how much … does the client have. are they very …?
frequently;
intense;
self-control;
impulsive
(types of interviews)
crisis interview:
- looking if client has definite … or … –> are they preparing for …/preparing to …
suicidal; homicidal intentions;
death;
kill someone
