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Microskills Hierarchy
Five-stage interview structure Reflection of feeling Encouraging, paraphrasing, and summarizing Client observation skills Open and closed questions Attending behavior Ethics and multicultural competence
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Anticipating the results of skill useage
The Ivey Taxonomy Anticipating the results of skill useage
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First Sections of Taxonomy
Ethics & Multicultural competence Attending Behaviors Basic Listening Sequence
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Ethics & Multicultural Competence
Present in all interviews Expected Outcome Clients learn, appreciate, respect your knowledge
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Attending Behaviors Individually & culturally appropriate visuals, vocals, verbals, and body language Expected outcome Clients talk more freely & respond openly especially about topics to which attention is given (selective attention)
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Basic Listening Sequence
Open and closed questions Observation Encouraging Paraphrasing Summarizing
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Open and closed questions
Open begin with who, what, when, where and why; Closed begin with is, and are Expected Outcome Open = more detail Closed = more specific Both = more talk
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Observation Observing self and other
Verbals & nonverbals plus discrepancies & incongruities Expected Outcome Use as foundation for when to apply microskills
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Encouraging Verbal (repeat key words) and nonverbal (head nods) to support continued talking Expected outcome Topics are elaborated
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Paraphrasing Feed back a shortened version of what client said
Expected outcome clients feel heard Further information given If inaccurate, allows corrective feedback
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Summarizing Longer time span than paraphrase Attention to feelings
Expected outcome Helps integrate thoughts, feelings, behaviors More centered discussion
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Reflection of feeling Identify key emotions; feedback to clarify affective experience Expected outcome Helpees go more deeply into feelings
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Empathic Understanding
The listening skills presented thus far form the behavioral basis on empathy. The qualitative dimensions such as concreteness, immediacy, and nonjudgmental attitude are also important.
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Levels of Empathy Basic empathy – responses roughly interchangeable with those of helpee (level 3, 4, 5 on rating scale) Additive empathy – adds to helpee statement by going beyond what is said to what is implied (level 6, 7 on rating scale)
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Positive Regard Responding to the clients as worthy human being
Being nonjudgmental
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Respect and Warmth Kinesthetic and nonverbal behaviors that demonstrate value to the client
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Concreteness Specific Thoughts Feelings Examples of actions
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Immediacy Being in the moment Here and now NOT there and then
Use present tense
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Nonjudgmental Attitude
Operating from a values neutral position Not imposing one’s own values on client Change is unlikely without trust
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Authenticity and Congruence
Are you who you say you are?
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Five Stages of Interview
Initiating Gathering Data Mutual Goal Setting Exploring Alternatives, Confronting Incongruities Terminating
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Initiating the Session
Rapport and Structuring Expected Outcome The client will feel at ease and know what to expect.
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Gathering Data Drawing out stories, concerns, problems, or issues
Expected Consequence: The client will share thoughts, feelings, and behavior. With the positive asset search, the client will also be expected to share strengths and resources that may be available for the problem.
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Mutual Goal Setting What do you want to work on today? / What do you want to happen? Expected Consequence: The client will discuss directions in which he or she might want to go, new ways of thinking, desired feeling states, and behaviors that might change. A more ideal story ending might be defined.
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Working Exploring Alternatives, Confronting Incongruities, restorying.
Expected Consequence: The client may reexamine individual goals in new ways and start the move toward new stories and action through confronting discrepancies, facing new challenges, and experiencing a variety of influencing skills form the interviewer.
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Terminating Generalizing and acting on new stories.
Expected Consequence: If all stages are completed successfully, expect the client to demonstrate change in behavior, thoughts, and feelings in daily life outside of the interview.
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