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Clinical Skills tentamen > Rijtjes PC > Flashcards

Rijtjes PC Flashcards

1
Q

What are the 5 skills of interpretation?

A
  1. Advanced accurate empathy
  2. Confrontation
  3. Positive relabelling
  4. Examples of one’s own
  5. Directness
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2
Q

Why is it important to not phrase interpretations right away (3)?

A
  1. Interpretations are often wrong.
  2. It is the goal to have the client make their own re-interpretations.
  3. It may not be appropriate in the client-clinician relationship yet.
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3
Q

Advanced accurate empathy. The clinician should (4):

A

a. Use the context of the story.
b. Pay attention to the tone of voice (i.e. tentative voice).
c. Make connections between several parts of the client’s story.
d. Summarize the content (i.e. newsprint summaries).

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4
Q

Confrontation. The clinical should (3):

A

a. Understand that the client will most likely initially disagree.
b. Present the confrontation in a quiet, professional, tentative and accepting voice. (PAQT)
c. Use both strength and weakness confrontations.

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5
Q

Positive relabelling. The clinician should (4):

A

a. Give a positive motive to what may be the cause of the problem (e.g. you do so because it fits your personality; you would be more tense if you did not do it)
b. Give a favourable meaning to the complaints and symptoms.
c. Aim to change the negative self-image of the client.
d. Use it when the client gives a negative explanation for behaviour or feelings leading to a worsening of the problematic situation or when the client cannot account for the problematic situation (e.g. “I don’t know why I said this”).

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6
Q

What are the 3 functions of examples of one’s own?

A
  1. Shows the client that the clinician understands.
  2. Increases the probability of the client disclosing more.
  3. May help the client put into words what they cannot express themselves.
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7
Q

Directness. The clinician should (4):

A

a. Use this when (s)he is uncomfortable about the progress of the interview and believes this can be improved by talking about it.
b. Use this when the clinician believes the client has difficulty putting certain thoughts and feelings into words.
c. Use a tentative tone.
d. Use this only after a relationship of mutual confidence has been established.

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8
Q

What are the 2 types of non-selective listening skills?

A
  1. Non-verbal behavior

2. Verbal following silences

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9
Q

What are the 4 skills of non-verbal behavior?

A
  1. Facial expression
  2. Eye contact
  3. Body language
  4. Encouraging gestures
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10
Q

What are the 2 skills of verbal following silences?

A
  1. Verbal following

2. Use of silences

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11
Q

What are the 7 selective skills?

A
  1. Closed questions
  2. Open questions
  3. Why questions
  4. Paraphrasing
  5. Reflection of feeling
  6. Concreteness
  7. Summarizing

(COW PRCS)

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12
Q

What are the 6 regulating skills?

A
  1. Starting the interview
  2. Making an initial contract
  3. Goal-setting and goal evaluation
  4. Situation clarification
  5. Thinking aloud
  6. Ending the counseling interview
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13
Q

What are the 3 disadvantages of closed questions?

A
  1. It restricts the client in their range of possible responses.
  2. The questions are often suggestive.
  3. It may steer the conversation to a question-answer format.
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14
Q

What are the 3 goals/functions of paraphrasing?

A
  1. It shows the clinician whether they understood the client correctly.
  2. It shows that the client is being listened to.
  3. It can give the client a clearer picture of the problem.
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15
Q

What are the 3 functions of reflection of feeling?

A
  1. It shows that the client is understood, accepted and worthy of attention.
  2. It gives the client a sense of security.
  3. It shows the clinician whether they understood the client correctly.
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16
Q

When is situation clarification neccesary (4)?

A
  1. When mutual expectations do not align anymore.
  2. When a client finds a particular topic difficult to talk about.
  3. When the dialogue goes in circles.
  4. When the client jumps from one topic to another.
17
Q

What are the 4 functions of thinking aloud?

A
  1. It may reduce anxiety
  2. It makes sure that the clinician does not get stuck
  3. Client may model thinking aloud
  4. It promotes joint cooperation
18
Q

What are the 2 types of goals?

A
  1. Process goals

2. Outcome goals

19
Q

The clinician needs to adopt a role and this role may change. What are the 4 roles?

A
  1. Confidant role
  2. Communicative detective role
  3. Teacher role
  4. Coach role
20
Q

What is important in the confidant role? Clinician needs to…

A 
1. create clarity and calmness during the session
& needs to
1. be attentive
2. be understanding
3. encourage the client to speak freely

Clinical Skills tentamen (7 decks)

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