Intentional Interviewing and Counseling Allen E . Ivey University of Massachusetts THE MICROSKILLS APPROACH Microskills are communication skill units of the interview that will help you develop a more intentional and rounded ability to interact with a client. They will provide specific alternatives for you to use with different types of clients . Micnoskills form the foundation of intentional interviewing . - Different theories have different patterns of skill usage . - Different situations call for different patterns of skill usage . - Different cultural groups have different patterns of skill usage. / SKILL INTEGRATION Five Stages of the Interview : l . Rapport/Stntcturing 2 . Defining the Problem SKILL SEQUENCING 3 . Defining a Goal AND STRUCTURING 4 . Explorations of Alternatives THE INTERVIEW and Confronting Incongmity 5 . Generalization to Daily Life CONFRONTATION (Discrepancies, Incongruity) INFLUENCING SKILLS Directive, Logical Consequences, Interpretation, Self-Disclosure, Advice/Information/Explanation/ Instruction, Feedback, Influencing Summary FOCUSING Client, Problem, Others, "We ; ' Intewiewer, CulturallEnvironmentaUContextual REFLECTION OF MEANING BASIC ATTENDING SKILLS REFLECTION OF FEELING ENCOURAGE, PARAPHRASE, AND SUMMARIZATION OPEN AND CLOSED QUESTIONS BASIC LISTENING SEQUENCE CLIENT OBSERVATION SKILLS ATTENDING BEHAVIOR Culturally appropriate eye contact, verbal tracking, body language, and vocal qualities Attending behavior and client observation skills form the foundation of effective communication, but are not always the appropriate place to begin training. The basic listening sequence of attending skills (open and closed questions, encouraging, paraphrasing, reflection of feeling, and summarization) is often found in effective interviewing, management, social work, physician diagnostic sessions, and many other settings. FIGURE 1-I The microskills hierardty. Copyright 1982 Allen E . Ivey, Box 641, N . Amherst, Mass. 01059 v°"c~'~cg<~~°~ INFLUENCING SKILLS FOCUS OO " ,n ~~+ " A O p ~, ~, ao ,~za 0~ ,:9 ~ O [n ~ ~ n a~~ e~O C ~.~ ~, ~~e ~ ~~ a Z a n ar ~r ~~ ..-. c Low o v~ c -^ ~ Feelings ,~ Medium Relationship ~c c O ~ ~ ~' ~ ~ ~ ~ C'b ~ n ~~ ~ ~ to ~ ] ~ ~ ~. ~° z ~O o ° 5 ~x C? ~ ~ ~ ~ ~ ^0 z ~ ~-~' ~ ~ ~ ,~ ~ ~ ~ ~ $ 7 ~ a ` c ~ "rf ~ .0+, ~ 0 cn ro ~ ro ~ ,~ ~~ 7. ~. ~ ~ ~'~~~<~ac~°~ ATTENDING SKILLS ~ 7 ~rv .°n .°n txf c~ O g A ~ ~ ~ . C '. ~. ~ N 7C a d O O O O O " O O O O O O O O O O " " O O O Nondirective O O O O O " O O O O O " O " O " " " O O O Modern Rogerian encounter y ~ c, ~. ~ p '~R b dq r"3 O .. ao "~ fP ~ fD . fD O ~*, ~ a+ 04 b ~ A~ ~ in ~ h Q~' c~ ~ y p ' .'t p1 y Y A K Q. ~ ~ ~ `~ O 0 O O " O O " O O O O O O O O O O " O Behavioral Low Unconscious motivation o O O O O " O O o O " O O 0 0 O O O O O O Psychodynamic Hi gh Here and now behavior O O O O O " " O " O " O O O O 0 O O O O " Gestalt High Problem solving O " O O 0 " O O O O O O " O O O O O O O " Trait and factor Low Authority, responsibility O O 0 " O O " O O 0 " O O O O O O O O O O Tavistock group High Future plans O " O O O 0 O " O O O O " O O 0 O O O O O Vocational group (such as life planning) High Problem solving 0 " 0 O O O O " " " O 0 " O O O O O O O O Business problem solving c9 R'~~ ~c' 7r ~~ High Diagnosis of illness O Medical diagnostic interview a~~ o Medium Information about crime ___ O O O O O O O " O O 0 O O O O O O O O " O O 0 " " O O " O O O O O O O O O " " Correctional interro ation " O o O 0 O O " " O O " O O o 0 O O " O Traditional teaching High Information/ facts Medium Student ideas/ infolfacts O " O O O " O O O O O O " " " O " " O O " Student-centered teaching Varies Varies O O O O O O O O O O O O O O O O O O O O O Eclectic (D ~~. p_ ~ h . O p G N Q1 ~ Behavior problem solving " v' ~°~eg~y~o~" gbo . High O O ~ 'J UO Q O ~ ~' h.'ty pi l~D h p f~D O O C <~ ¢' fF9 a O ~ .. . K O p ~ `t ~. frD~' "..~' f~9 ~' y ~. ~ ~ ~ ~° ti c~ fD ~ to C O :~ c~' ~ ~* o ~ n _ f~D~ H ~~' . CD ,~y to r> t~-r ~C a. c"'o ao