Introduction to Clinical Psychology

1. �PND Training 1 Introduction to Clinical Psychology Discussion #6: Clinical Interviewing

2. �PND Training 2 Exercise: Read scenario about Carol What would you do?

3. �PND Training 3  Barriers to Effective Listening: Thinking about your own experience: �The same thing happened to me!� Thinking about something quite different whilst the person is talking. Thinking about what to say back. Feeling self conscious or anxious in the situation. Working out some advice to give based on your own experience. Judging the person, either negatively or positively: �Surely you didn�t want to do that?� or �I think you were quite right to say that�. Deep cultural issues. Ignorance and prejudice.

4. �PND Training 4 Roadblocks to Effective Listening: ordering, directing or commanding warning or threatening advising, suggesting or providing solutions persuading with logic, arguing or lecturing moralising, preaching or telling what to do disagreeing, judging, criticising or blaming agreeing, approving or praising shaming, ridiculing or labelling interpreting or analysing reassuring, sympathising or consoling questioning or probing withdrawing, distracting, humouring or changing the subject

5. �PND Training 5 Poor substitutes for empathy (that might seem appropriate) Saying nothing.................. Asking a question.................. Offering a clich�......................... Offering an interpretation................. Moving to action.......................���.

6. �PND Training 6 Exercise: Saying Nothing or Passive Listening Break into groups of two Select roles (presenter, listener) Presenter: describe a recent situation that was somewhat upsetting Listener: do not respond with verbal or nonverbal cues

7. �PND Training 7 Exercise: Using Roadblocks Break into groups of two Select roles (presenter and listener) Presenter: describe a mildly upsetting problem Listener: use as many roadblocks as you can

8. �PND Training 8 Objective Learn the use of simple listening techniques, called active reflective listening, to facilitate rapport in clinical interviewing

9. �PND Training 9 Active Reflective Listening Paraphrasing: rephrasing the content Reflecting feelings: explicit or implicit Clarification Summarising

10. �PND Training 10

11. �PND Training 11 Clarification, Reflection and Paraphrasing Hint�. Try (tentatively) - �you feel Emotion�. because Experience/ Behaviour�� Or (tentatively) - �because Experience/ Behaviour.... you feel Emotion�.�

12. �PND Training 12 More Hints����. Can I check I have got this right�..? Let me see if I have got this clear�.? I wonder if what you are saying is�..? You seem to be saying�.? As you see it then��? I guess what you mean is��.? Is this right��.?

13. �PND Training 13 Exercise 1: Reflective Listening See exercise sheet Using clarification, how would you respond to item # 1? Using paraphrasing, how would you respond to items # 2 and 3? Using reflection, how would you respond to items # 4-5? Using all three skills how would you respond to item # 6?

14. �PND Training 14 Exercise 2: Reflective Listening Break into groups of two people Select roles: presenter and listener Presenter: describe a mildly upsetting problem Listener: use empathic listening skills