Interview

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Interview

• in the Context of
• Medical Counseling

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Constantine

• Skarvelis

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Visual Keys Providing Access to the Internal
Representations
Visual Memory
Visual Creation
Auditory Memory
Auditory Creation
Kinesthetic
Internal Dialogue
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What is NOT a Counseling Interview

• A simple meeting between two people
• A simple dialogue between two people
• A journalistic interview (intending to gather
  information)
• A police interview
• A monologue or a confession
• Counseling Interview is

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the Means for Physicians to Help the Patient

• to understand his problem
• to make the necessary changes (behavior, aims,
  methods, means) that will get him/her to cure

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Good Intention

• is not enough for a
• successful interview
• METHOD TECHNIQUE
• are needed

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Types of Interview

• Informational interview
• Diagnostic interview
• Negotiating interview
• Counseling interview

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Types of Questions

• Open questions
• Close questions
• Alternative-choice questions
• Multiple-choice questions
• Direct questions
• Indirect questions
• Projective questions

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To be Effective, a Question Should

• target on one problem only
• be direct and avoid the use of negative
  expressions
• be stated in a neutral way without suggesting a
  specific answer
• not restrict the problem and should be related to
  the patients life-style
• be stated briefly
• include concepts that are clear and comprehensive
  to both the physician and the patient

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Informational Levels

• The Facts
• I see, hear, sense, observe
• The Feelings
• I experience, I have intuition
• The Opinion
• I believe, know, reflect, judge

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Interview Strategy

• Description of the problematic situation (facts,
  feelings, opinion)
• Project it on a new, non-problematic situation
  (desirable, realistic)
• Lead patient to detect
• barriers and potentials
• phases of materialization
• elements indicative of materialization

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Physician Will Use

• D.D.A.E.
• Description of the situation
• Desirable new situation
• Acts
• Evaluation
• Therapeutical Triangle
• Desire, Protection,
• Fulfillment

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Seven Essential Questions

• What do you want What do you desire
• How would this benefit you?
• How would you know that your goal was achieved?
• Is there any trouble for your goal to be
  achieved? For you? For the others?
• Are there barriers? If yes, of what kind?
• What are the means you need?
• How are you going to organize the materialization
  of your goal?

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Its self-evident for the Physician that

• patient has autonomy that renders him/her able to
  find into him/herself the necessary resources and
  solutions to his/her problem
• s/he will remain neutral, he will avoid every
  moral judgment, interpretation or evaluation that
  would be destroy communication or strengthen
  patients defense mechanisms.

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Its self-evident for the Physician that

• effective listening and availability (mental
  emotional) is needed
• s/he will try to remain on the same wavelength as
  the patient (similar types of communication)
• s/he will lead the interview through positive
  reinforcement and desensitization

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Techniques for a Successful Interview

• GENE EARLYs Communication Scheme
• Socratic Method
• Feedback

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Barriers to a Successful Interview

• The interview context
• Duration and time of conduct
• Language levels of communication
• Restrictive attitudes and behaviors of the
  interlocutors (defense mechanisms, restrictive
  and prohibitive messages, ineffective and
  negative feelings, ineffective listening)

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Gene Earlys Communication Scheme
Establish retain the relationship
Gathering information
Establish the context
Specify the exact goal
Elaborate the situation
Evaluate ecology
Bridge future
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Establish the Relationship
Adjust to the behavior (mimetism and synchronism)
Direct or crossed reflection of the posture
Synchronization of the respiration rhythm
Synchronization of the voice tone, rhythm and
volume
Adjustment to the sensory representation system
(interpret)
Direct and/or crossed reflection of the gestures
Direct or crossed reflection of the posture
Direct and/or crossed reflection of the gestures
Synchronization of the respiration rhythm
Synchronization of the voice tone, rhythm and
volume
Adjustment to the sensory representation system
(interpret)
Standardization of verbal and non-verbal behavior