Attending Skills in Counseling

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Questions and Answers

What is the primary purpose of attending skills in a conversation?

  • To present the listener's own experiences
  • To dominate the discussion
  • To tune in and help the client tell their story (correct)
  • To criticize the client

Attending skills are innate and do not require practice.

False (B)

What does the 'E' in the SOLER acronym stand for?

Maintain appropriate Eye contact

The four dimensions of attending behaviors include eye contact, physical focus, psychological focus, and minimizing __________.

<p>distractions</p> Signup and view all the answers

Match the attending behavior with its description:

<p>Eye Contact = Visual engagement with the client Vocal Qualities = Tone and speech rate used during conversation Verbal Tracking = Staying on the topic initiated by the client Attentive Body Language = Facial expressions and gestures that facilitate communication</p> Signup and view all the answers

During role-playing, what is one of the roles that every student must take?

<p>Social Work Student (SSW) (D)</p> Signup and view all the answers

Minimizing internal distractions is one of the key dimensions of attending behaviors.

<p>True (A)</p> Signup and view all the answers

Name one essential component of vocal qualities in attending behavior.

<p>Tone or speech rate</p> Signup and view all the answers

What type of questions encourage deeper discussion and provide broader information?

<p>Open Questions (C)</p> Signup and view all the answers

Closed questions are more effective for getting detailed narratives from a client.

<p>False (B)</p> Signup and view all the answers

What significant life event did John experience that led to his personality changes?

<p>Acquired Brain Injury</p> Signup and view all the answers

John's friends have been _______ but are becoming frustrated due to his changing circumstances.

<p>supportive</p> Signup and view all the answers

Match the following question types to their examples:

<p>What = An example of an open question Are you feeling okay? = An example of a closed question Could you tell me more about that? = An example of an open question Did you have a good day? = An example of a closed question</p> Signup and view all the answers

Which of the following is NOT a closed question?

<p>What would you like to achieve? (D)</p> Signup and view all the answers

John feels that his independence has increased since his accident.

<p>False (B)</p> Signup and view all the answers

What emotion does John commonly experience due to his condition after the accident?

<p>Anger and sadness</p> Signup and view all the answers

What symptom does Kathy experience during her panic attacks?

<p>Elevated heart rate (D)</p> Signup and view all the answers

Kathy expressed a desire to take medication openly to her husband.

<p>False (B)</p> Signup and view all the answers

What does Kathy fear might happen if her husband learns about her panic attacks?

<p>He might worry about her condition and it could add to his stress.</p> Signup and view all the answers

Kathy described her panic attacks as feeling like she is __________.

<p>going crazy</p> Signup and view all the answers

What did the emergency room staff tell Kathy after her first panic attack?

<p>There is nothing physically wrong with her. (B)</p> Signup and view all the answers

Match Kathy's concerns with their related topics:

<p>Panic attacks = Mental health issues Husband's job = Financial stress Medications = Fear of weakness Burnout = Emotional exhaustion</p> Signup and view all the answers

Kathy visits her family doctor for advice on how to cope with her panic attacks.

<p>True (A)</p> Signup and view all the answers

How frequently does Kathy experience panic attacks?

<p>One to two times a month</p> Signup and view all the answers

What is the primary impact of using encouragers in client conversations?

<p>To facilitate client talk and encourage elaboration (A)</p> Signup and view all the answers

What is the primary goal of paraphrasing in client exploration?

<p>To facilitate client exploration (D)</p> Signup and view all the answers

Paraphrasing is simply repeating what the client has said without any modifications.

<p>False (B)</p> Signup and view all the answers

Why is it important to paraphrase a client’s statement during a conversation?

<p>It conveys understanding and checks if the listener has accurately perceived the message.</p> Signup and view all the answers

Summarizing is only used at the end of an interview.

<p>False (B)</p> Signup and view all the answers

Encouragers can involve both verbal and ______ communication methods.

<p>non-verbal</p> Signup and view all the answers

What should be included in the paraphrase to ensure it reflects the client's ideas accurately?

<p>Key words from the client and a check-out for accuracy.</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Encouragers = Supportive verbal or non-verbal techniques to facilitate conversation Paraphrasing = Restating the essence of what the client has said in one's own words Parroting = Repeating a client's statements verbatim without modification Minimal verbals = Short verbal affirmations used to encourage client talk</p> Signup and view all the answers

The interviewer's aim with summarizing is to assist in __________ and thinking about what is happening in the interview.

<p>organizing</p> Signup and view all the answers

Match the following components with their definitions:

<p>Paraphrasing = Shortens and clarifies client comments Summarizing = Clarifies and distills information over time Check-out = Ensures accuracy of the paraphrase Feedback = Classifies statements made during the session</p> Signup and view all the answers

What might a client feel if they perceive they are unable to resolve their problems?

<p>Inadequate and overwhelmed (C)</p> Signup and view all the answers

During a role play, which question type should the Social Support Worker (SSW) primarily focus on?

<p>Open questions (A)</p> Signup and view all the answers

Using silence with appropriate nonverbal cues can enhance the communication between a client and a social worker.

<p>True (A)</p> Signup and view all the answers

It is unnecessary to check the accuracy of the summary with the client.

<p>False (B)</p> Signup and view all the answers

What is one example of minimal verbals that can be used to support client talk?

<p>Uh-huh or head nods.</p> Signup and view all the answers

What should observers do after the role play?

<p>Classify statements as encouragers, paraphrases, summarizations, or other.</p> Signup and view all the answers

Flashcards

Attending Skills

Active listening techniques used to engage with a client, including eye contact, body language, and vocal qualities.

SOLER

A model for attending behaviors emphasizing body positioning (Squarely facing, Open posture, Lean, Eye Contact, Relaxed).

Eye contact (Visual)

Maintaining appropriate eye contact to show active listening and empathy.

Open Questions

Questions that encourage detailed responses, allowing for more information and exploration.

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Physical Focus (Body language)

Using non-verbal cues (posture, gestures) to show engagement with the client.

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Psychological Focus

Concentrating on the client to minimize distractions both internal and external.

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Closed Questions

Questions that elicit short, specific answers (yes/no, or a single word).

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3 Vs + B

A framework for attending behaviors: Visual/eye contact, Vocal qualities (tone, rate), Verbal tracking (staying on topic), and Attentive Body Language.

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Interviewing Skill

The ability to ask effective questions and use active listening to gain insight and understanding.

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Case Study (John)

A real-life example of a client presenting with personality changes following an acquired brain injury.

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Verbal Tracking

Attending to the client's topic and staying focused on the conversation.

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Roleplay (Attending Skills)

Practicing attending skills by simulating real-life interactions with social work principles and objectives.

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Acquired Brain Injury

A brain injury that occurs after birth, not present at birth, potentially causing various impairments.

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Open-ended Question Example

Questions like "What are you feeling today?" or "Could you tell me more about that?"

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Closed-ended Question Example

Questions like "Are you feeling better today?" or "Did you have breakfast this morning?"

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Encouragers

Verbal and nonverbal cues that support continued client talking.

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Impact of Encouragers

Facilitate client talk and elaboration on topics.

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Paraphrasing

Restating the client's message in your own words, highlighting key points.

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Purpose of Paraphrasing

Demonstrate understanding and emphasize cognitive/objective content.

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Parroting

Repeating the client's exact words.

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Client Self-Esteem

Clients' feelings of worth and adequacy.

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Impact of Client Problems

Can lead to feelings of inadequacy.

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Simple Repetition

Repeating key client words to steer the conversation.

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Panic Attacks

Sudden episodes of intense fear and anxiety, often accompanied by physical symptoms like rapid heart rate and shortness of breath.

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Mental Health Concerns

Issues relating to emotional well-being and psychological stability, such as panic attacks.

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Impact of Job Stress

The effect of workplace pressures on personal well-being, including mental health.

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Supportive Husband

A husband who provides emotional support to his wife during challenging times.

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Fear of Medication

A client's reluctance to take medication, often due to fear of possible negative consequences or social perception.

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Active Listening

A communication technique focused on understanding the speaker's perspective, avoiding judgment in favour of listening to fully comprehend their views.

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Avoiding Worry

Not revealing the full extent of one's problems to avoid worrying others, often due to existing stress.

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Physical Symptoms of Stress

Bodily reactions caused by stress, anxiety, and panic attacks, such as troubled breathing or a rapid heartbeat.

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Paraphrasing Goal

To shorten and clarify client comments, reducing repetition.

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Paraphrasing Dimensions

Includes client's name/intro, key words, essence of their situation, and an accuracy check.

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Summarizing Definition

Clarifying and condensing client statements over a period of time, can begin, end, or transition topics, and include verbal and nonverbal cues.

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Summarizing Goal

Helps the interviewer and client organize and understand interview points, by thinking back to and capturing key issues.

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Role Play Plan

SSW uses open-ended questions to delve into client concerns, mixing open & closed questions focusing on paraphrasing and encouragement; ending with a summary and accuracy check.

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Feedback

Observers and SSW review the statements made, assessing them as encouragers, paraphrases, summaries or other. Goal is clear communication classification.

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Open-ended Question

Questions that encourage detailed and more elaborated responses in the client.

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Closed-ended Question

Questions that elicit specific answers or limited ranges of answers.

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Study Notes

Attending Skills

  • Attending skills are crucial for effective listening, not innate
  • They involve "tuning in" to the client
  • Attending behaviours help the client tell their story
  • Facilitates further information gathering
  • Demonstrate understanding and empathy
  • Provide emotional support

Attending Skills Components

  • Body Positioning: Squarely facing the client, open body posture and leaning slightly towards them
  • Eye Contact: Maintaining appropriate eye contact.
  • Head Movements: Subtle head nods and other movements to show engagement
  • Silence: Using silence appropriately to allow the client to continue without interruption
  • Mirroring: Matching the client's body language and tone
  • Tone of Voice: A supportive, non-judgmental tone
  • Furthering Responses: Encouraging questions and statements to encourage the client to continue sharing their story.

Attending Behaviors

  • Four Dimensions: Visual (eye contact), physical focus (body language, vocals, verbal tracking), psychological focus, minimizing distractions
  • 3 V's + B: Visual, Vocal (tone, speech rate), Verbal tracking (staying on topic), and Attentive Body Language
  • Visual implies eye contact
  • Vocal encompasses tone, speech rate, and volume
  • Verbal tracking means SSWs should stay on topic
  • Attentive body language includes body posture, facial expressions, and gestures

Role Plays, Feedback, & Client Tips

  • Role-playing is a practice to demonstrate attending skills
  • Step 1: Introductions
  • Step 2: Determine roles (client, SSW, observers)
  • Step 3: Role play for 5 minutes
  • Step 4: Feedback from observers for 5 minutes; role swap.
  • Appropriate client topics: personal feelings, career decisions, etc.
  • Clients should be genuine

Observer Feedback

  • Eye contact: Is it facilitative, or avoiding/sensitive?
  • Vocal qualities: Tone, speed, and volume?
  • Verbal Tracking: Stay on topic? Demonstrate selective attention?
  • Attentive Body Language: Learning? Facial expressions?

Open and Closed Questions

  • Closed Questions: Use words like can, did, are, have, is, will, would, do, was, when, which, who, where.
  • Open Questions: Use words like what, how, why, could you tell me more, given what you said. What would be your ideal solution.

Active Listening: Core Components & Purpose

  • Active listening is not about offering advice, judgment, or persuasion
  • Clients should not feel inadequate, but know that the interviewer is listening.
  • Discuss only the topics mentioned by the client.
  • The interviewer should also consider using simple repetition of client's word to maintain the direction of the conversation.

Encouragers, Paraphrasing, and Summarizing

  • Encouragers: A variety of verbal and nonverbal cues (e.g., head nods, repeating key words) to encourage continued conversation
  • Paraphrasing: Briefly restate the essence of what a client has said using different words. This shows you understand.
  • Summarizing: Condensing the main ideas from a longer conversation with correct facts to demonstrate understanding. It's like an "overall" paraphrase of many things said.

Additional Information

  • Four Dimensions of Paraphrasing: Sentence stem/intro, brief intro, Key words, Essence
  • There are specific examples of clients' situations to practice.
  • Practice summarization by planning a role play with open questions.

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