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Therapeutic Communication


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Table of Contents

Preface Guidelines for Implementing Role-Play Exercises Acknowledgments Chapter 1: Defining the Therapeutic Relationship Therapeutic Figures The Therapeutic Process Selection Initial Contact Termination Time Goal Topic of Conversation Advice Perspective Social/Emotional Factors Emotional Involvement Objectivity Rescind Your Ego Personal Contact Involvement Professionalism Legal Confidentiality Scope of Practice Boundaries Time Commitment/Responsibility Respect Nonjudgmental Attitude Positive Regard Self-Disclosure Advantages of Self-Disclosure Disadvantages of Self-Disclosure Self-Disclosures Must Be Honest Self-Disclosure Guidelines Role-Play Exercises Chapter 2: Getting Started Preappointment Review Facilitating a Conducive Environment Rapport Fostering Sensitive Disclosure Initial Contact Introduction and Ground Rules Presenting Problem Coping With Silence Start Where the Client Is Respect the Client's Boundaries Matching Vocal Features Underlying Problem Role-Play Exercises Chapter 3: Following Listening Attending Observational Cues Nonverbal Attending Brief Verbals Pausing Verifying Perception Reflection/Paraphrasing Reverse Reflection Summarizing Clarification Role-Play Exercises Chapter 4: Emotional Communication Emotional Language Positive Feelings Negative Feelings Emotional Communication Empathy Validation Normalizing Self-Awareness Recognizing Your Perspective Monitoring Your Feelings Managing Countertransference Coping With Prejudices Role-Play Exercises Chapter 5: Leading Gathering Details Furthering Prompting Open-Ended Requests Questioning Ask One Question at a Time Buffering Re-asking a Question Close-Ended and Open-Ended Questions Avoid Asking Accusatory Questions Avoid Asking "Why?" Questions Avoid Asking Multiple-Choice Questions Avoid Asking Biased Questions Directing Returning Resuming Redirecting Specificity Focusing Proposing Alternative Perspectives Reframing Interpreting Generalizing Identifying and Resolving Discrepancies Challenging Confronting Educating Informing Advising Role-Play Exercises Video Interview Self-Critique Exercise Overview Setup Role-Play Partner Staging Implementation Role-Play Debriefing Self-Evaluation Guidelines Section I: Characteristics of the Client Section II: Goals of the Interview Section III: Skills Used Section IV: Overall Impression of the Interview Overview of Appendixes A, B, and C Skill Integration Short-Term Therapy Termination Appendix A. Session With Dusty---Week 1: Initial Session Appendix B. Session With Dusty---Week 5: Midtherapy Appendix C. Session With Dusty---Week 10: Termination Appendix D. Ethical Standards of Human Service Professionals--National Organization for Human Services--Council for Standards in Human Service Education Glossary References Index About the Author

About the Author

Herschel Knapp, PhD, MSSW, has more than 25 years of experience as a health care professional in a variety of domains. In addition to his clinical work as a psychotherapist, primarily in hospital settings, he has provided project management for innovative implementations designed to improve the quality of patient care via multisite, health science implementations. He teaches master's-level courses at the University of Southern California; he has also taught at the University of California, Los Angeles and California State University, Los Angeles. Dr. Knapp has served as the lead statistician on a longitudinal cancer research project and managed the program evaluation metrics for a multisite, nonprofit children's center. His clinical work includes emergency/trauma therapy in hospital settings. Dr. Knapp has developed and implemented innovative telehealth systems, utilizing videoconferencing technology to facilitate optimal health care service delivery to remote patients and to coordinate specialty consultations among health care providers, including interventions to diagnose and treat people with HIV and hepatitis, with special outreach to the homeless. He is currently leading a nurse research mentorship program and providing research and analytic services to promote excellence within a health care system. The author of numerous articles in peer-reviewed health science journals, he is also the author of other textbooks, including Introductory Statistics Using SPSS (2nd ed., 2017), Practical Statistics for Nursing Using SPSS (2017), Therapeutic Communication: Developing Professional Skills (2nd ed., 2014), and Introduction to Social Work Practice: A Practical Workbook (2010).

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