Therapeutic Interviewing: Essential Skills and Contexts of Counseling, 1st edition
Published by Pearson (August 8, 2007) © 2008
- Michael D. Reiter
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Part I The Context of Therapy
Ch. 1 Therapeutic Interviewing: Defining Therapy, Therapeutic Relationships, & the Interview
Dynamics of Interviews
The Therapeutic Interview
Defining Therapy
The Helping Process
The Therapeutic Alliance
Characteristics of Effective Therapeutic Relationships
The Goal of Therapeutic Interviews
The Therapeutic Contract
Are Therapeutic Interviews Effective?
Ch 2 The Therapy Client: Motivation & Understanding of Therapy
Definition of the Person Coming to Therapy
Motivation for Therapy
Characteristics of Clients
Help-Seeking Behavior
Media Presentations of Therapy
Societal View of Those who Seek Therapy
Opening Up in the First Session
The Client’s Experience in Therapy
Readiness for Change
Ch. 3 The Therapeutic Interviewer: Motivation & Impact of Being a Therapist
Motivations for Being a Therapist
Characteristics of Effective Therapists
Therapist Self-Care
Therapist and Mental Health
Therapy for the Therapist
Burnout
Supervision
Therapist Skill Growth
Use of Self in Therapy
Part II The Context of Skills of Therapy
Ch. 4 Beginning Conversational Skills: Use of Language for Joining & Maintaining an Interview Joining Skills
Framing the Purpose of Therapy
Informed Consent
Confidentiality
Therapeutic Distance
Door Openers
Basic Conversational Skills
Minimal Encouragers
Nonverbal Communication
Listening
Listening Barriers
Responding
Silence
Using the Client’s Language
Using Obscenities
Use of Humor
Confrontations
Ch. 5 Reflecting Skills: Exploring Content, Feelings & Meanings of the Client’s Story Exploring Content
Client Stories
What is Content
What is a Paraphrase
Building Paraphrases
General and Specific Paraphrases
Nonjudgmental Paraphrases
Rating Paraphrases
Connecting Paraphrases with the Basic Conversational Skills
Use of Metaphors
Advanced Reflecting Skills
Reflection of Feeling
Defining Empathy
Empathy in Practice
Curiosity
Content & Feelings
What are Feelings?
Intensity Levels of Feelings
Designing Reflections
Responding with Reflections
Ownership of Feelings
Phrasing Reflections
Statements or Questions
Paraphrase or Reflection
Reflection of Nonverbal Feelings
Keeping the Focus on the Client
Reflection of Meaning
Putting it All Together
Ch. 6 Questions & Goal-Setting Skills: Asking Purposeful Questions & Developing Collaborative Therapeutic Goals
Questions in the Therapeutic Interview
Why Use Questions
Functions of Questions
Open and Closed Questions
Swing Questions
Phrasing Questions
Pitfalls of Questions
Goal-Setting Skills
Are Goals Necessary?
Setting Goals with Clients
Components of Good Goals
Prioritizing Goals
Incorporating Goal Characteristics
Ch. 7 Endings in Therapy: Summarizing, Ending Sessions, & Termination
Summarizing Client Stories
Client-Initiated Endings
Therapist-Initiated Endings
Mutually-Initiated Endings
Forced Terminations
Termination as a Transition Point
Dealing with Dependency
Relapse Prevention
Referrals
Ch. 8 Pitfalls of Therapy: How to Avoid Being Ineffective
Common Microskills Mistakes
Why questions
Don’t you/Do you think
“I understand”
“Basically”
“How does that make you feel?”
“So”
Using Jargon
Common Intrapersonal Mistakes
Detachment
Moralizing
Going for quick solutions
Giving advice
Being Overresponsible
Unrealistic Expectations
False understanding
Giving reassurance
Confusing the Diagnosis for the Person
Not Accepting Mistakes
Negative Reactions to the Client
Therapist Emotional Distress
Common Interpersonal Mistakes
Friendship Rather than Therapy
Arguing with Clients
Boundary Violations
Other Interpersonal Mistakes
Learning from Mistakes
Ch. 9 Strength-Based Interviewing: Interviewing for Client Resources and Solutions
The Language of the Strengths Perspective
Empowerment
Membership
Resilience
Dialogue and Collaboration
Suspension of Disbelief
Client Competence
Strength-Based Interviewing
Strength-Based Practice
Compliments
Interviewing for Solutions
Utilizing the Client’s Position
Part III The Contexts of Clients
Ch. 10 Therapeutic Assessment Interviewing: Intake Interviewing, Mental Status Exams, and Crisis Counseling
Intake Interviewing
Identifying information
Presenting problem
History
History of the problem
Social History
Medical History
Previous therapy
Reason for coming to therapy now
Major areas of stress
Academic/work functioning
Substance Use
Social resources
Initial impressions
Treatment plan
Mental Status Exam
Appearance and behavior
Attitude toward interviewer
Psychomotor activity
Affect and mood
Speech and thought
Perceptual disturbances
Orientation
Attention, concentration, and memory
Intelligence
Reliability, judgment, and insight
Diagnostic Interviewing
Crisis Counseling
Defining Crises
Intervening in Crises
Suicide Assessment
Working with Suicidal Clients
Crisis Intervention over the Phone
Impact of Conducting Crisis Interviews
Ch. 11 Cross-Cultural Interviewing: Working with Diverse Clients
Orientation to Conducting a Cross-Cultural Therapeutic Interview
Defining Multiculturalism
Cultural Difference between Therapist and Client
Skills for Conducting a Cross-Cultural Therapeutic Interview
Objectives of Multicultural Competence
Multicultural Competencies (MCC)
Characteristics of Effective Multicultural Counselors
Culture-Based Interviewing Skills
Special Issues when Conducting a Cross-Cultural Therapeutic Interview
Barriers to Effective Multicultural Counseling
A Theory of Multicultural Counseling & Therapy
Limitations of the Cultural Sensitivity Construct
Ch. 12 Therapeutic Interviewing with Children
Orientation to Conducting a Therapeutic Interview with a Child
The Relationship
Language
Children’s Knowledge of the Therapist
Skills for Conducting a Therapeutic Interview with a Child
Explaining the Interview
Discussing Confidentiality and Informed Consent/Assent
Talking with Parents
Beginning the Session
Interview Length
Closing the Session
Goal Setting
Special Issues when Conducting a Therapeutic Interview with a Child
Who is the Client
Touch
Caring for Children
Self-Disclosure
Interviewing for Abuse and Neglect
Leading the Child
Handling Termination
Play Therapy
Documents and Awards
Ch. 13 Therapeutic Interviewing with Couples & Families
Orientation to Conducting a Therapeutic Family Interview
Individual versus Family Therapy
Neutrality Who is the Client
Content versus Process
Therapist’s Impact on the Family
Circular Epistemology Circular Questioning
Interactional Sequences
Skills for Conducting a Therapeutic Family Interview
Preliminary Information
Confidentiality
Joining
Explaining the Purpose of the Family Interview
Who to Start with in the Family Interview
The First Family Interview
Establishing Mutual Goals
Handling Emotionality
Special Issues when Conducting a Therapeutic Interview with Couples/Families
Triangulation Overtalkative Family Members
Absent Family Members
Inappropriate Topics for a Family Interview
Meeting Individually with Family Members
Seating Arrangements
Discipline in Session
Should the Whole Family Always Come
Private Meetings with an Individual Family Member
Ch. 14 Therapeutic Interviewing with Groups
Orientation to Conducting a Therapeutic Group Interview
Therapeutic Factors
Equality Among Members
Process instead of Content
Skills for Conducting a Therapeutic Group Interview
Core Competencies of Group Work
Effective Group Therapists
Group Leadership Styles
Beginning Group Therapy Interviews
Conducting Group Therapy Interviews
Ending Group Therapy Interviews
Special Issues when Conducting a Therapeutic Group Interview
Co-therapy
Confronting the Leader
Ethics and Group Counseling
Part IV The Contexts of Therapy
Ch. 15 Office-Based Therapy: Interviewing in the Therapist’s Domain
Orientation to Conducting a Therapeutic Interview in the Office
Waiting Room
The Office
Seating Arrangements
Interruptions
Telephone Calls between Sessions
No-Shows, Late Arrivals, and Late Departures
Skills for Conducting a Therapeutic Interview in the Office
Hierarchy
Termination
Special Issues when Conducting a Therapeutic Interview in the Office
Safety
The Business of Private Practice
Managed-Care
Ch. 16 Home-Based Therapy: Interviewing in the Client’s Domain
Orientation to Conducting a Therapeutic Interview in the Home
The Clientele
The Programs
Advantages of Home-Based Therapeutic Interviewing
Challenges of Home-Based Therapy
Skills for Conducting a Therapeutic Interview in the Home
Characteristics of Effective Home-Based Therapists
Becoming a Home-Based Therapist
What to do in the Home
Utilizing the Home Environment
Collaborative Hierarchy
Special Issues when Conducting a Therapeutic Family Interview
Phases of Home-Based Sessions
Handling Crises
Safety Issues
Ch. 17 Interviewing in Alternative Settings: Schools, Residential & In-Patient Facilities, & Online Counseling
School-Based Interviewing
School-Based Interviewer as Consultant
Dealing with Difficult Students
Ethics in School-Based Interviewing
Residential and In-patient Interviewing
Who is the Client
Online Counseling
Modes of Online Counseling
Is Online for Everyone
Specific Online Counseling Skills
Online Crises
Availability
Security Issues in Online Counseling
Ethical Issues in Online Counseling
References
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