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A snapshot of the summary - Building Basic Therapeutic Skills: Practical Guide For Current Mental Health Practice
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0 introduction
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what are core therapeutic skills?-become an effective observer;
-establish rapport;
-manage an initial interview;
-communicate essential information;
-create therapeutic contracts;
-manage difficult moments;
-balance personal response and professional obligations;
-communicate effectively with superiors. -
1 developing observational skill
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which skill provides the basis for all other therapeutic skills?observational skills refers to what you see and hear and how you collect information to understand your clients. observation occurs for a large part unconsciously and as a therapist you also consciously observe what you otherwise take for granted.
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what is important when observing?not to take a too narrow perspective; try to be open for alternative explanations while forming a working hypothesis, don't get locked in on your first idea. revise and reevaluate your initial observations when therapy progresses.
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which four basic factors do you need to observe?1) non-verbal cues
2) verbal expression
3) relationship between spoken (verbal) and body (non-verbal) language
4) your reactions. -
1.1 observing non-verbal cues
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what are non-verbal cues?clothing, grooming, eye-contact, posture, mannerism, etc.
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1.1.1 general appearance
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what are aspects of general appearance?age, gender, height, weight, ability to move, complexion, eyes, race, etc.
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1.1.2 clothing and grooming
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what information can clothing and grooming provide?information on work, sub-culture and self-care (=important starting point).
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which mental disorders are connected to problems with self-care?depressions, psychosis, drug abuse
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what is the danger of making assumptions based on observed clothing and grooming?we may react based on stereotypes that we hold; so there is again a need to stay open for alternative interpretations.
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1.1.3 facial expression
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what are examples of facial expressions?smiles, frowns, grimaces, blank stares, etc.
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