The First Helping Interview: Engaging the Client and Building Trust / Edition 1

The First Helping Interview: Engaging the Client and Building Trust / Edition 1

ISBN-10:
0803971400
ISBN-13:
9780803971400
Pub. Date:
07/16/1996
Publisher:
SAGE Publications
ISBN-10:
0803971400
ISBN-13:
9780803971400
Pub. Date:
07/16/1996
Publisher:
SAGE Publications
The First Helping Interview: Engaging the Client and Building Trust / Edition 1

The First Helping Interview: Engaging the Client and Building Trust / Edition 1

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Overview

Providing a practical handbook for the helping professions, The First Helping Interview is a highly useful, easy-to-understand guide for both experienced and novice practitioners. This book reveals the steps involved in the crucial first meeting with a client. The authors approach the task of an initial interview by providing an overview of what the therapeutic process is and what to expect from clients, both those who seek help voluntarily and those who are required to get help. The book also covers the practical basics of therapy -- counselor/client roles, physical settings, communication dynamics, assessment and diagnosis, record keeping, goals and contracts, and trust building. Separate chapters discuss special topics such as working with couples and families, the role of culture and ethnicity, when and how to refer clients with serious problems, and legal and ethical issues. Although this book is general enough to be used by any practitioner, the authors pay particular attention to specific settings, such as child protective services, crisis intervention, and corrections.

Product Details

ISBN-13: 9780803971400
Publisher: SAGE Publications
Publication date: 07/16/1996
Series: SAGE Human Services Guides Series , #70
Pages: 205
Product dimensions: 5.91(w) x 9.06(h) x (d)

Table of Contents

Dedicationxi
Introduction: On Writing About the First Helping Interviewxv
A Note About the Use of Pronounsxviii
About the Formatxviii
1.What Makes Therapy Happen?1
Establishing a Pattern2
Letting the Client Know You Know3
The Therapist as Teacher4
2.Who Are Our Clients?7
Voluntary Clients7
Involuntary Clients12
The Role of Anxiety in Acceptance of Therapy13
Clients and Trust14
What's Next?15
3.Getting Started16
Setting the Appointment16
Your Own Anxiety18
Greeting the Client20
What Shall We Call Each Other?21
Should the Client Be Comfortable?22
The Physical Arrangement23
Distractions Come in Many Shapes24
Starting the Interview25
The Home Visit27
Client Records29
Note Taking29
The Business of Therapy: Fees, Appointments and Telephone Calls30
Your First Meeting With the Client31
A Guide to Observing the Client33
Establishing Your Role35
And What of the Client?36
What's Coming Next?36
4.Getting to Know the Client38
Listening, the Heart of Therapy38
Alerts, Red Alerts and Stop Signs39
What If You Miss Something--and It's Important?42
When the Client Is More Than One42
Other Perspectives on Understanding the Client: Cognitive Processes45
How Much Structure--When and Why45
Linear and Circular Thinking46
Concrete and Abstract Thinkers47
Gathering Formal Information48
Getting Essential Information48
Reviewing Relevant Aspects of the Client's Present Environment50
The Use of History51
Putting It Together--Defining the Problem53
The Written Assessment or Diagnostic Statement54
The Client's Response to the Practitioner55
What Does the Client Bring to Therapy?56
Where Do We Go From Here?57
5.Communication Dynamics of the Helping Interview58
The Sounds of Therapy58
A Quick Review of the Basic Therapeutic Responses61
Responses That Don't Work64
Other Responses That Help66
The Dynamics of Questions: Thou Shalt Not Ask the Wrong Questions67
Turn-Around Questions70
Dealing With Silence70
Other Difficult Moments or Games Clients Play in the First Interview72
Other Pitfalls of the First Interview74
The Dynamics of Intimacy75
Concluding the Interview76
Moving Along ...78
6.On Rules, Goals and Contracts79
The Rules of the Game79
Whose Problem Is It?80
How Much Structure?82
Understanding More About the Problem82
Specifying and Setting Goals86
Who Sets the Goals?87
Setting Priorities for Attention88
Specifying the Means of Change89
The Contract90
The Precontract90
Structuring the Therapeutic Contract91
The First Interview and the Contract--Implications for Success92
Where Do We Go Next?92
7.Trust93
The Psychological Side of Trust93
Trust and Confidentiality94
How Is Trust Built?97
Back to Trust--and How You Know You're Getting There104
And What Now?104
8.Special Issues in Working With Couples and Families105
The Physical Setting106
The Family at Home107
Getting Started108
Redefining the Problem110
Keeping Confidences111
The Group Composition in the First Interview112
The Absent Family Member114
Homework Assignments116
Closing the Interview116
What's Next?117
9.Working With Clients Who Are Different118
Culture and Ethnicity: What Makes a Client Different?120
Class122
Gender Issues123
Oppressed Groups125
Reification128
Know Thyself129
What the Practitioner Should Know130
How to Find Out What You Don't Know: The True Meaning of Acceptance132
One Last Point: On Being a Professional133
What's Ahead?134
10.Serious Problems: When and How to Refer135
Making a Referral: When, How and Who136
The Referral File136
Physical Symptoms and Complaints138
Physical Abuse or Neglect of a Child or Adult141
Special Issues for Protective Service Workers144
Irrational Behavior and Threats of Violence146
What's Next?148
11.Legal and Ethical Issues In the First Helping Interview149
Professional Ethics149
Whose Values Are Better?150
The Ethics of Confidentiality151
The Worker-Client Contract Revisited154
The Ethics of Means and Ends156
The Problem of Rules156
Accountability158
Some Closing Thoughts on Ethics and the Misuse of Power161
12.Afterthoughts163
On Self-Disclosure163
Who Helps the Helper?164
On Protecting Yourself167
On Rules, Suggestions and Contradictions169
On Becoming a Professional170
After the First Interview170
A Conclusion of Thoughts172
Once More With Feeling173
References175
Index179
About the Authors187
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