Running head: A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS A Critique and Analysis of Interpersonal Skills Dayle Lauren Stenberg College 1 A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 2 A Critique and Analysis of Interpersonal Skills After recording, listening and analyzing my own response to a counselling session with the subject-client, and by utilizing the TR Grid in this analysis, the writer was able to see the micro skills that were used as well as those that were lacking. The writer had decided that because she was unaware beforehand of what my subject wanted to discuss, that she would take more of a Supportive Intervention approach with her client during the session. These types of interventions “support, validate or offer encouragement” to the client in some way (Burnard, 2005, p. 32). Analysis: The writer began the session by introducing her subject, which is part of the Orientation phase of the therapeutic relationship process. What she failed to do during this phase was to define any goals or expectations for the session, from the client’s perspective. A question the writer could have asked regarding this was “What are you hoping to gain from our short session together today?” The writer was acutely aware of the SOLER technique during the attending phase of the session, and ensured that she was consciously aware of her body position, eye contact, relaxed state, etc. throughout the entire session. The writer posits that she was able to summarize what the client stated to her shortly after the session started, and the client was able to confirm that the writer had understood what she was saying by validating her statement. Continued active listening took place during what the client was saying, and the writer indicated that she was listening by interjecting small indicators such as ‘right’, ‘mmm’, or ‘yeah’. At one point, while the client was talking about feeling like the black sheep compared to her sister, the writer only responded with “right” at various points of her story: what should have transpired was a engagement in Positive Asset Search at this time, as it was obvious that the client had very strong feelings about being the black sheep. The writer should have asked “How do you think A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 3 that feeling like a black sheep affected your relationship with your sister?” This would have steered her towards some deeper reflections surrounding her feelings about this. The next portion of the recording was about her choice to stay involved in her church. During this moment of her story, the client consistently added the word “Right?” to the end of her statements. This indicated that she was seeking some sort of validation from the writer on her choices at that time: the writer only utilized the skills of active listening, interjecting occasionally with “mmm” and “yeah”. What she should have done was offer further reflection, perhaps with the following statement: “It sounds as though you feel judged because of your decision to stay connected to your church”. The client ended this portion of the story with a very strong question; “Right?” to which the writer responded “Right, yeah” followed by the client saying “’Kay.” This further illustrated the client’s need for validation at this moment, which the writer failed to offer on a deeper level. Her story then went further into detail about the popularity differences between herself and her sister through the teen years. The writer supported and showed empathy by interjecting “hmm” and joining her in a laugh at one point. These micro skills were Active listening, Mutuality and Unconditional positive regard. What was missing from this moment was the writer’s ability to link the content of what the client had stated to her feelings: the writer should have said “It seems you feel like you were unfairly projected or perceived or even judged by others in comparison to how your sister was perceived...” this would have forced the client to look inward to how she perceived the differences between herself and her sister from an emotionally attached perspective. Further along, the client began to talk about how her sister had popularity at school, and that she, in comparison, felt like a wallflower. During this statement, the writer sat silent in attendance, but should have used the moment to reframe the situation with A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 4 a question such as “How had you dealt with feeling like a wallflower around your sister in the past?” This reframing would have allowed the client to see the similarities that existed in other moments between her and her sister, and would have allowed her to recognize some parallels in her feelings and behaviours. When she continued in her story to tell her interviewer about how her sister had stolen her boyfriend, the writer was empathetic in her responses. This was a use of the skills of mutuality and empathy. However, again, the writer should have employed the ability to link the content of the client’s statement to her feelings, with a statement such as “You feel like your sister was constantly taking from you what little you thought you had in comparison.” The client wrapped up this segment of her story by reiterating how awful an experience it was for her, to which the author empathized and validated by stating “Yeah, wow. So it was almost a rivalry between the two of you for some reason.” to which the client responded “Very much so.” The story then continued to expose that her sister and the boy she had stolen continued to have an open dating relationship, of which was known throughout the neighborhood, but one in which the client was also part of. The writer’s response in her role of listening was to convey empathy and validation with interjections of ‘wow’. What she failed to do was link the client’s feelings to the content, and could have done so with a statement such as “So it was validating to you to continue to engage with this man, even though he was openly dating your sister, because she had stolen him from you in the first place.” I think this may have made her realize that she was in a position similar to that of her sister, but had justified her own actions and condemned those of her sister. The writer was aware of the sensitivity of the moment however, and was unsure of how to approach this without projecting her perception onto her client. Similarly, when the client continued to explain a moment when this man put his arm around the sister, but A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 5 use the same hand to caress the client’s thigh, the writer was empathetic with her statement of summarizing her feelings when she stated “Wow. So lot’s going on there. Was your sister aware of this at the time?” A more constructive approach would have been for the writer to link the content of this information to her client’s feelings again, perhaps by reframing it into a question: “How did you feel when he would do this?” Reflection: Looking back through the notes and the TR Grid for this session has really shown that there is much work to be done in order for the writer to be effective in the art of counselling. There is a real need to remain attentive, while also being acutely aware of the tools being used in the moment: it is as if one has to use both right and left sides of the brain simultaneously, almost like rubbing one’s tummy and patting the head at the same time! The writer’s inexperience in the counselling field is apparent. The session lacked direction and goal planning. Although it was supportive in nature, it would have been more effective if she had asked for the client’s goals at the beginning, therefore having something to work through and towards in the session. As it were, the session presented like a friend listening to a friend’s life story, rather than a therapeutic relationship between client and counselor. Further studying in the areas of different counselling methods and theories, and adopting some of them that the writer feels connected to would be of benefit for her in her nursing career. As the experiences come from clinical settings and eventually the nursing profession, she will be more capable of selecting appropriate methods of counselling clients that would be of value to them and their recovery. The writer’s predominant weakness, in her own opinion, was in being able to successfully link the content of what was being said to the emotions, and being able to relay that A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 6 back to the client in a manner that would allow further introspection on the client’s part. This is a skill that the writer believes comes with further experience in the counselling field. Further to these missing skills, the writer also feels that the ability to be confident in her counselling methodology would be portrayed as such with the client, and may facilitate a more structured approach to working with the client’s needs. The writer feels that the lack of confidence may have lead to the consistent seeking of validation from the client throughout the session. Conclusion: In conclusion, being able to counsel someone effectively and efficiently takes a series of macro skills that have to be strategized and implemented at precise moments during the counselling session. Actively attending, working towards the collaborative goal, assisting the client in reflections and subsequent actions as well as providing them with the support and resources to implement changes are all skills that the writer recognizes as being crucial to the therapeutic relationship. Some of the macro skills such as empathy, warmth, active listening, summarizing, and mutualization were easy for the writer to engage in, and felt natural for her to do so. When coupled with the skills that were lacking as noted above, the writer’s counselling ability will improve dramatically. This exercise has helped to illustrate to the writer what exactly is necessary to counsel in a productive manner, and is committed to working forward in her nursing career to gain the necessary skills to ensure that this is an area that she would be able to assist patients in, during their recovery. A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS References Burnard, P. (2005). Counselling Skills for Health Professionals (4th ed.). Cheltenham: UK: Nelson Thornes Ltd. 7 A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 8 Appendix Client Response Talking about sister’s use of FB to communicate.. “and she doesn’t go deep.” “I’ve always felt like a bit of a black sheep..” “ I was the oldest girl, right?”.. I had a lot of responsibilities in our teens, you know?” …”Then I sorta got into religion and that pissed them off, which… “Didn’t make any sense because we grew up in the Church, right?”… “But then everyone sorta left the church and I stayed in it.. right?” “talk about church or God… or anything.” “Right?” ‘Kay…” “even though I was the older one, I always felt less beautiful than her, I was less popular; I don’t know why she was so popular.. I mean she was cute, but she was a bitch!” (laughs) “ I was in a situation in high school… ‘she was a cheerleader, she had boyfriends, she was popular.. and I was a wallflower” Student Response Skill Used Skill Missed Better Phrase Introduction of interviewee at beginning of session Orientation Defining Goals and Expectations ‘What are you hoping to gain in this short session today?” ‘So you feel that’s part of the communication breakdown between the two of you: A). She’s not letting you in and when she does, its superficial” Summarizing Positive Asset Search: it was obvious that the client had strong feelings surrounding her being the black sheep “How do you think that feeling like the black sheep affected your relationship with your sister?” Reflection: “It sounds as though you feel judged because of your decision to stay connected to your church.” Active Listening: “Right” SOLER “Right” “Hmm” Active listening SOLER “yeah” ‘mmm” “Right, yeah” ‘hmm’ Client’s use of the question ‘right?” after her statements indicative of her need to hear some validation from me Validating Should have validated with a structured statement of acknowledgement Active Listening: Linking content to her feelings SOLER Mutuality (laughs) Unconditional Positive Regard Reframing: Active listening: (silent) Attending “It was unfair of them to be angry with you because you chose to stay in the church after they decided to leave.” “It seems you feel like you were unfairly projected or perceived or judged by others in comparison to how your sister was perceived..” “How had you dealt with feeling like a wallflower around your sister in the past?” A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS “couple that with the fact that…. “I had a boyfriend…”first boyfriend…”anyways, so she stole him from me. Seriously.” “She didn’t need my boyfriend, she had plenty of her own.. ‘so it was awful.” ‘yeah, very much so..” “He wanted both sisters.. he was dating her openly .. and flirting with me.. we started seeing each other behind her back… and this carried on all summer.” “He would put his arm around her… but would be rubbing my thigh at the same time..” “No! Devastating for you!” Mutuality 9 Linking content to feelings ‘You feel like your sister constantly took from you what little you thought you had in comparison” “yeah, wow.” “ So it was almost a rivalry between the two of you for some reason.” “wow” Empathy Validating Attending Linking content and feelings Validating “Wow.. a lot of mixed emotions” “Wow. So lot’s going on there.. Was your sister aware of this at the time?” Empathy Linking content to feelings Reframing “So it was validating to you in a sense to continue to engage with this man, even though he was openly dating your sister, because she had stolen him from you in the first place.” “How did you feel when he did that?” A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS Appendix 10 A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS Grade Graded on 11 29.00 / 30.00 Friday, 29 June 2012, 12:09 PM Graded by Mary Jordan Therapeutic Relationships & Communication Skills : Assignment #2 Marking Grid Student: Mark Assigned Mark Given Comments 20 18 Reflection and Critical Thinking 10 10 Some good coverage and analysis of your interview. For future essays, ensure that you add in more references. This provides the instructor with an idea of your knowledge of theory into application. Good efforts made to provide critical reflections made throughout the essay. Structure & Scholarly Presentation Grammar, 5 5 5 5 √ 10 10 Again,try and add in more references into your essay. These references can include evidence from theory to further support Dayle Lauren Analysis Feedback comments Syntax and Sentence Structure Use of References & APA format A CRITIQUE AND ANALYSIS OF INTERPERSONAL SKILLS 12 your understanding of the course concepts. Final Mark 50 48 Regarding APA format when using headings, please refer to the specific format for heading useage. Dayle, this assignment is worth 30% and you have earned 28%. You have done a great job with your analysis of this assignment. Keep up the great work!