Knowing you clients Flashcards
What mights the impairment experience involve in situational characteristics
social stigma, fatigue, pain, discomfort, anxiety, feeling of insecurity, uncertain about future
what might situational characteristics predispose the client to
feel overwhelmed, shocked, isolated, misunderstood, sad, helpless, nervous
heightened sensitivity to negativity
w/drawn
highly emotional
what is communication style
clients approach to spoken or signed language
What are potential problems w/ communication style
Does not communicate Refuses to Reluctant Hyperverbal rapid/slow
When are situational characteristics likely to occur
with new impairment or disease
exacerbated impairment or illness
Medically related crisis
What are potential problems to capacity for trust
Extremely cautious
shows lack of interest in therapist
questions therapists approach
engages in behaviors that test the therapists level of commitment
What is need for control
degree that a client attempts to direct a therapy session
What are potential problems in need for control
strive for unusually high level of control
indifferent, passive, or relinquishes control
What is capacity to assert needs
Ability to make needs known
What is the ideal in capacity to assert needs
able to discuss needs openly and directly
What are potential problems in capacity to assert needs
avoids recruiting assistance or asking for support
asserts needs in indirect, ambivalent, manipulative manner
asserts needs in excessive/demanding manner
What is response to change and challenge
The manner in which a client handles change in therapy
What is the ideal in response to change and challenge
Accept change, challenge and manage it independently
What are potential problems in response to change and challenge
become fearful/anxious
Self doubting
irritated angry
shits down or gives up
What is affect
reveals what the client is thinking and feeling and influences the therapists thoughts and emotions
What is the ideal of affect
reactions are consistent with circumstances and match the content of what is being communicated
What are potential problems of affect
highly emotional
regulation difficulties
doesn’t demonstrate expected level of emotion
inappropriate emotion
What is predisposition to giving feedback
Degree and comfortof giving therapist feedback
What are potential problems to predisposition to giving feedback
don’t provide feedback
onl provides feedback when positive
provides it in indrect manner
feedback is excessive or overly negative
What is predispoistion to receiving feedback
degree of comfort from receiving feedback
What are potential problems to reveving feedback
dismisses it
becomes self critical
becomes overly angry
becomes passive aggressive
What is response to human diverity
acceptance of differences
Potential problems to response to human diversity
refuse to work w/ others
questions therapist about characteristics
makes disrespectful remarks
What is orientation towards relating
what a client wants from their therapist
What are possible preferences for orientation towards relating
appears to be comforted by therapist
capable of self disclosure
desires high level of care
not prone to self disclosure
What is capacity for reciprocity
not interested or capable of having reciprocal relationship
capable of minimal level or reciprocity
capable of engaging in appropriate level
When can a mode be problematic
if used to frequently or inflexible
used with wrong client
when inconsistent w clients interpersonal needs
when timing is not right
How to broaden your modes
Locate your comfort zone
Genuinenesss-be yourself and the best person you can be
style needs to match your personality
