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SKILLMODELSKILL CRITERIALINK TO DP EXERCISE
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Empathic UnderstandingCommon factor1) Reflect a core meaning and/or feelings expressed by the client.
2) Use a tone that is tentative and exploratory.
https://docs.google.com/document/d/1ra870-aGhoTZb-sZuhvPlgsRrNvpj-nV/edit?usp=share_link&ouid=117921126234924237576&rtpof=true&sd=true
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Eliciting Change TalkMotivational Interviewing1) Ask an open-ended question to elicit Change Talk, for example:
- Ask for concerns over a behavior/habit.
- Ask for the downsides to a behavior/habit.
- Ask how the client would like things to be different.
- Ask why the client might want to change.
https://docs.google.com/document/d/18BrZZlkTr_lsXnMEuHfC0eZyqeJKwQgX/edit?usp=share_link&ouid=117921126234924237576&rtpof=true&sd=true
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Double Sided ReflectionsMotivational Interviewing1) First reflect the client’s Sustain Talk, then reflect the client’s Change Talk.
2) The Sustain Talk and Change Talk are linked with the word “and”.
https://docs.google.com/document/d/16Zp-MMygENZrkm2EKLL8u_H8koVa-jby/edit?usp=share_link&ouid=117921126234924237576&rtpof=true&sd=true
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Reflecting Conflicting Parts of SelfExperiential
1) Clearly reflect the two parts of the client that are in conflict with each other regarding an important decision or potential change.
https://docs.google.com/document/d/1_syxtXItBksWmW1wEeU_A7q24gHnYbmR/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Presenting Outcome MonitoringCommon factor1) Redirect the conversation to introducing the use of the OQ before each session.
2) Explain that it will help you better understand how the client is feeling.
3) Explain that it will help both of you track progress and stuck points in therapy.
4) Convey that use of the OQ is a requirement for therapy (not optional).
https://docs.google.com/document/d/1k6Rq2JL_poqjj2JJVkv-g21kigcWWQTL/edit?usp=share_link&ouid=117921126234924237576&rtpof=true&sd=true
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Schema Education and ExplorationSchema Therapy1) Identify the presence of a painful core belief (“schema”).
2) Suggest this belief originates from early unmet needs.
3) Invite the client to elaborate on the possible origins of their painful belief.
https://docs.google.com/document/d/1WjpELNHNrNXpQcg1pR7tOMvbJpb0lmti/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Reflecting Schema Modes (Parts)Schema TherapyReflect what the client just expressed using schema modes (parts) language.
- Main parts include: Critical parts; Coping/protector parts; and Vulnerable (child) parts
https://docs.google.com/document/d/14TmCN3nrI9RdDfe5Xa2Z15Zsr1c0pQOa/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Empathic Confrontation for the Maladaptive Coping Modes
Schema Therapy1) Point out and validate the client’s coping mode as an old protective response.
2) Suggest that an alternative behavior is now needed to get the client’s needs met.
https://docs.google.com/document/d/1GuIV_1woymX9QWDZ_l9PfqoQYPYPJSZg/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Limited Reparenting for the Vulnerable Child ModeSchema Therapy1) Validate the client’s triggered Vulnerable Child mode.
2) Take one of the following actions to meet the need within professional boundaries:
- Action #1: Remind the client of your connection and emotional support.
- Action #2: Suggest an imagery exercise that meets the need.
https://docs.google.com/document/d/1PfBl8CFyJaw4542IFK5nBfvJYQr_QxGJ/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Imagery Rescripting - Therapist RescriptsSchema TherapyMock therapy exercise, check instructions
https://docs.google.com/document/d/1r5EnOZ2l3yNKcOGoOoqwEyrIcCmV8Z8v/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Imagery Rescripting - Client (Healthy Adult Mode) Rescripts
Schema TherapyMock therapy exercise, check instructions
https://docs.google.com/document/d/1U11bIBz6m_9mH7mwDQpDJg5X9UF_2UQi/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Providing Rationales for Focusing on EmotionEmotion-Focused1) Give a rationale for why focus on emotion in therapy. Common rationales include:
- Emotions give us information about what is most meaningful to you;
- Emotions let us know about what you are needing and not getting in your life;
- Unprocessed painful emotions are at the core of your concerns and are what needs to be transformed in therapy.
2) Practice verbal fluency: keep rationales clear, articulate, and not too long.
https://docs.google.com/document/d/1JD7MMVIrhhikjcdDhjfgr4mdIZWYcSLk/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Invite to Stay with Emotional ExperienceEmotion-Focused
1) Focus the client on their emotional experience in the here-and-now.
2) Validate the client’s emotions.
3 Invite the client to stay with their emotional experience. (Tip: Emotions are often explored by focusing on here-and-now bodily sensations)
https://docs.google.com/document/d/1ihNVBEPDOTfYxjHgpJQyj1jxlY7P0qE1/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Evocative Inquiry
Emotionally Focused Couples Therapy
1) Ask an open-ended question inviting Partner 1 to explore:
Their feelings (Option 1) OR their body sensations (Option 2) about what they just said.
2) Ask an open-ended question inviting Partner 2 to explore:
Their feelings (Option 1) OR their body sensations (Option 2) about what Partner 1 just said.
https://docs.google.com/document/d/1moouu4TKf7ahALZV3P980ey4JfKLXkic/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Catching a Bullet Early in Therapy
Emotionally Focused Couples Therapy
1) Interrupt the interaction, matching the partners’ tone.
2) Validate the reasonableness of the couple’s reactivity.
3) Inform the couple of an in-session boundary.
https://docs.google.com/document/d/1RisvcZYJ34aQQ-I9ZCG4O8Qe4UkRzDsv/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Parts Work: Reflecting parts and InvitationEmotion-Focused1) Reflect what the client just expressed using parts language.
2) Ask the client if they want to focus and work on this part(s).
https://docs.google.com/document/d/1-8UVHrkkVDBZRSTihPbSgMkGuVtoggjm/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Parts Work: Initiating Work with Self-CriticismEmotion-Focused(Multiple sets of criteria, see exercise)
https://docs.google.com/document/d/1quo0MT4QXP55dbz2wpnNda6mosdtQQB5/edit?usp=share_link&ouid=117921126234924237576&rtpof=true&sd=true
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Parts Work: Initiating Work with Unfinished BusinessEmotion-Focused(Multiple sets of criteria, see exercise)
https://docs.google.com/document/d/1FJK7NorqI4jsIe2I_1bItkEdDNu8Tsdj/edit?usp=share_link&ouid=117921126234924237576&rtpof=true&sd=true
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Parts Work: Initiating Work with Self-InterruptionEmotion-Focused(Multiple sets of criteria, see exercise)
https://docs.google.com/document/d/1aySgAFQ64kqU5VNk7LQnrH_DSekZ-c62/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Soliciting Client FeedbackCommon factor1) Begin with a short acknowledgement, reflection or validating comment.
2) Ask the client for feedback about some aspect of therapy that is related to the subject of the client statement.
https://docs.google.com/document/d/15tcBG6VxF3DW6GlsfLUjHaOww4UzJ-QD/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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ValidationCommon factor1) Accurately reflect the client’s stated or implied experience (i.e. thoughts, feelings, or actions).
2) Communicate what makes sense about the client’s statement.
https://docs.google.com/document/d/1Xjzihzd-_A-Mn47v-0rA5wGNsk9vZSIo/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Reflecting Client Strengths and ResourcesCommon factor1) Validate the client’s perspective.
2) Point out the strengths and/or resources communicated in the client statement.
3) Invite the client into a dialogue about the identified strengths and/or resources.
https://docs.google.com/document/d/1ke-6RfitGoQsRmsD0zKD00eLvIFwFN9P/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Collaborative Goal SettingCommon factor1) Begin with a short response, reflection, or validating comment.
2) Invite the client’s input on the goals of therapy, focusing on goals that are specific and actionable.
https://docs.google.com/document/d/1_CLRFtSD3Qm-KUCyn1-Lv5RPZI4Rzh6w/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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Identifying Goals: Specific and MeasurableCommon factor1) Ask the client to be more specific about their goal.
2) Ask a question on how this goal could be measured.
https://docs.google.com/document/d/1ACUZVKPz1pL17ZrzuJF90nxr-FSr5hq5/edit?usp=sharing&ouid=117921126234924237576&rtpof=true&sd=true
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MetacommunicationCommon factor1) State what appears to be taking place between the client and therapist but has not yet been explicitly acknowledged.
2) Ask about the client’s perspective of the suggested client-therapist dynamic.
https://docs.google.com/document/d/1tl4WXvO61Me1qit_Xlg9WR6RH65tNw2DxSs_L3PIaHA/edit?usp=sharing
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Inquiring about Cultural Implications of ProblemMulticultural Orientation1) Using the client’s phrasing/ expressions, acknowledge/reflect the client's main concern.
2) Tentatively ask an open ended question about possible intersectionality issues in the client’s presenting problem.
https://drive.google.com/file/d/1rJcMz3DtfJiFeAdrZbRQ9O3JFlQE0STc/view?usp=share_link
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