Therapeutic Communications Chapter 3 The Helping Interview Changes in Healthcare Climate • • • • • More medical information available Media influences, advertisements Internet Second opinions Choices in healthcare plans Control Factor • In the following slide: • How is control an issue in the Helping Interview? • Who has greater affect on control? • Explain actions for health professionals to empower clients. Control Factor in the Helping Interview Giving Help Feels Needing Help Feels Important Unimportant or inadequate Useful Useless or depressed Powerful Powerless Gratified Frightened or embarrassed Happy Sad or angry Orientation in the Helping Interview • • • • Personal appearance and grooming Medical clinic appearance Meeting, greeting client Privacy of client Orientation • • • • • Risk and trust Warmth and caring Genuineness Sympathy and empathy Sincerity Problem Identification in the Helping Interview • • • • • Sharing observations Acknowledging feelings Clarifying, validating Reflecting, paraphrasing Levels of need Problem Identification: Questioning • Give examples of questioning techniques • Closed questions • Open-ended questions • Indirect questions Problem Identification: Roadblocks • Give examples of the roadblocks • • • • • • • • Reassuring clichés Giving advice, approval Requiring explanations Belittling, contradicting, criticizing Defending Changing, shifting the subject Moralizing, lecturing Shaming, threatening, ridiculing Resolution in the Helping Interview • A client wants to know • How will resolution affect my life? • How long will resolution take? • How will resolution impact my future? • Role of health professional • Written material, instructions Role of the Health Professional • • • • In orientation phase of Helping Interview? In identification of problem phase? In resolution phase? In what phase would you be most comfortable? Least comfortable? • How are your listening skills?