Chapter 11

The Clinical Interview and Communication Skills

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The reciprocal process of communication

Slide 11-2 B
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(Fig. 11-1) Menu F

Clinical Interview: Tactics to Avoid
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Arguing, minimizing, challenging Giving false reassurance Interpreting or speculating on the dynamics of client problems Probing sensitive areas “Selling” client on accepting treatment Participating in criticism of any staff member Joining any attacks led by client

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Clinical Interview Guidelines
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Speak briefly When you don’t know what to say, say nothing When in doubt, focus on feelings Avoid giving advice Don’t rely on asking questions Pay attention to nonverbal cues Focus on the client

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Help the Client
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Identify and explore problems relating to others Discover healthy ways of meeting emotional needs Experience satisfying interpersonal relationships Feel understood and comfortable

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Active Listening Components
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Observing nonverbal behaviors Listening to/understanding verbal messages Understanding in context of life Listening for inconsistencies Giving feedback

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Obstructive Techniques
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Asking close-ended questions Giving approval/disapproval Advising Asking “why” questions

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