Engaging Skills

Question 1

Why do we care about engaing

Answer 1

Process of establishing and maintaining a connection
Therapeutic alliance - Quality of the relationship one of the strongest predictors in outcome.

Question 2

Engaging Skills Acronym

Answer 2

OARS

Question 3

Engaging Skills Acronym

Answer 3

OARS

Question 4

OARS

Answer 4

Open Ended Questions
Affirmations
Reflections
Summaries

Question 5

Open Ended Questions

Answer 5

Full range of possible answers.
Not yes/no/ MCQ/ or fact gather questions with specific answer.

Question 6

Affirmations - meaning

Answer 6

Noticing something positive about your client and bringing it forward in an explicit fashion

Question 7

Affirmation - example types (4)

Answer 7

Strength, Intent, accomplishment, characteristic

Question 8

Affirmation - example types (4)

Answer 8

Strength, Intent, accomplishment, characteristic

Question 9

Reflections meaning + how should reflection be delivered

Answer 9

Offer a guess about what the client is trying to say to you.
Offer the guess as a statement and not a question.

Question 10

Summaries

Answer 10

Let the client know youve been following by giving brief summary.

Question 11

Summaries

Answer 11

Let the client know youve been following by giving brief summary.

Question 12

Problem with Questions. What to do

Answer 12

Predicts poor outcomes if too many questions. Listen more than you as questions

Question 13

Listening Well requires 3 things

Answer 13

Restraint
A curious mind
making statement that demonstrate you understand their experience

Question 14

Reflection skills 3 types

Answer 14

Simple Reflection
Guessing
Complex Reflection

Question 15

Simple Reflection + voice reminder

Answer 15

Takes what your client has said and offers it back to them in a very similar fashion to which they gave it to you.
Make reflection a statement - ensure voice goes down at end. “eg, “You’re worried.”

Question 16

How to present guessing reflection

Answer 16

Make guess as a statement.
Get rid of the questions words. Start with you. Then inflect voice down at end.
Convert “do you mean that you are a personal who liked to live your life according to a predictable schedule?” to “You are a personal who liked to live your life according to a predictable schedule”

Question 17

Complex Reflection (What/Why)

Answer 17

Understanding of the clients perspective and adding something extra to it.
Create more momentum in conversation and it move forward and flows faster
Clients get stronger feeling of being understood.

Question 17

Complex Refelection - 5 types

Answer 17

Reflect the underlying feeling
Continuing the paragraph
Double sided reflection
Reframing
Amplified Reflection

Question 18

Reflect underlying feeling (meaning and example)

Answer 18

Can reflect the underlying __feeling__ under the facts instead of the details
E.g.
“It’s kind of a stuck feeling”
“You’ve really felt down for quite awhile”
“That is frightening”

Question 19

continuing the paragraph (meaning and example)

Answer 19

Give the next sentence in paragraph instead of repeating the last one
Not finishing the sentence for someone
E.g.
“you’re angry with your mother”
“you’ve been wondering if you have diabetes”

Question 20

Duble sided reflection (when and example)

Answer 20

You apply these when someone is feeling ambivalent and telling you two ways they feel about something
On the one hand X, and on the other hand…. but also don’t need to use these words, but can.
“You can see some reasons for concern, and also you are pretty comfortable living your life the way you have been”
__You use the word “and” instead of “but”.__

Question 21

Reframing (meaning -2 types, and example)

Answer 21

Suggest a slightly different meaning to what the person is saying
E.g. reframe “nagging” as “caring about you”
More assertive complex reflection. Can reframe negative to positive or vice versa.
E.g. reframe drinking “tolerance” as “danger due to risk factors”

Question 22

Amplified Reflection (what, example, consideration)

Answer 22

Amplify or extend the way the person is feeling
e.g. “ It’s hard for you to imagine even making any progress with weight loss”
“E.g.. reducing medication is something you can’t do right now or even want to think about.
Often people will correct you back down and say they can lose some weight etc.
Need to use thoughtfully and with care

Question 23

What to reflect?

Answer 23

During engagement reflect most things. Interest/reluctance etc. Can reflect sustain talk
During evoking reflect change talk

Question 24

Ration Reflections to Questions

Answer 24

2:1