Taylor Ch. 3

Interpersonal characteristic generally inconsistent with how a client typically behaves; instead reflect acute reaction to a specific situation

Situational

Interpersonal characteristic that represents more stable and consistent aspects of the client's interpersonal behavior

Enduring

Interpersonal characteristic example: A hyperverbal client talks so much that the therapist feels that there is no room for a response.

Communication style

Interpersonal characteristic example: An authoritative client speaks in a low and tense voice, clipping her words.

Tone of voice

Interpersonal characteristic example: A client folds his arms and casts his eyes downward.

Body language

Interpersonal characteristic example: A client's lips are pursed and her shoulders are tight when she recollects a conflict that occurred with her daughter just before the accident.

Affect

Interpersonal characteristic example: Each time he is presented with something new, a client admits that he is not sure he will be able to perform the task.

Response to change and challenge

Interpersonal characteristic example: A client watches the therapist with a cautious expression and occasionally appears uncomfortable with certain personal hygiene activities, questioning the purpose of engaging in these activities.

Level of trust

Interpersonal characteristic example: A client appears unconcerned about therapy, does not have any goals, and passively complies with all instructions.

Need for control

Interpersonal characteristic example: A client is cold and would be more comfortable if she had her sweater, which she left in another room. She shivers through the rest of the session because she does not want to impose on or interrupt the therapist.

Approach to asserting needs

Interpersonal characteristic example: A client drops hints about what he would rather be doing but cannot come out and suggest to the therapist that they do something different.

Predisposition to giving feedbacl

Interpersonal characteristic example: A client has been disruptive and disrespectful toward others during a group therapy session. When the therapist informs the client of how she is experiencing the client's behavior, the client bursts into tears and abruptly leaves the room.

Response to feedback

Interpersonal characteristic example: A client comments to the therapist that he looks very young and, despite the therapist having introduced himself as "Dr. Yamamoto," the client asks him when he will be graduating and to whom he is reporting.

Response to human diversity

Interpersonal characteristic example: A client does not respond to the therapist's attempts to break the ice with small talk and, instead, asks the therapist about the treatment agenda and expected outcomes.

Orientation toward relating

Interpersonal characteristic example: A therapist innocently places a hand on a client's shoulder in an attempt to reassure her during a cooking task. The client immediately recoils from the therapist's touch.

Preference for touch

Interpersonal characteristic example: At the beginning of the session, a client asks the therapist how her day is going, and at the end of the session, the client reminds the therapist of how instrumental she has been during the rehabilitation process.

Interpersonal reciprocity

Naturally occurring communication, reaction, process, task, or general circumstance that occurs during therapy and that has the potential to distract from or strengthen the therapeutic relationship.

Interpersonal event

Interpersonal capacities needed by a therapist to optimize the therapeutic relationship with clients

Interpersonal skill base, styles/modes, and reasoning

Interpersonal event example: An elderly client begins crying during transfer training or a child client runs up to the therapist and hugs her in the midst of sensory motor activity.

Expression of strong emotion

Interpersonal event example: A client reveals something personally significant.

Intimate self-disclosures

Interpersonal event example: A client insists on a goal that the therapist believes is not attainable, or the therapist recommends a goal that the client rejects.

Power dilemmas

Interpersonal event example: A client communicates something significant through body language.

Nonverbal cues

Interpersonal event example: A client makes a general statement about "how young all of the health-care staff seem these days."

Verbal innuendoes

Interpersonal event example: Something critical occurs in the client's personal life or something about the client's health status changes, and it has an effect on the client's ability to engage in therapy.

Crisis points

Interpersonal event example: A client is unwilling to engage in therapy.

Resistance and reluctance

Client's active or passive refusal to participate in therapy to some extent, with reasons linked to problems in the therapeutic relationship

Resistance

Client is not inclined to participate in some aspect of therapy for a reason which is understandable given the client's situation.

Reluctance

Interpersonal event example: The client is offended by a seemingly innocent comment made by the therapist.

Empathic breaks

Interpersonal event example: A client is embarrassed because of losing bladder control or becomes frustrated or fearful in the midst of an activity.

Emotionally charged therapy tasks or situations

Interpersonal event example: A client needs a piece of equipment that is unavailable within the therapeutic environment.

Limitations of therapy

Interpersonal event example: The location of the therapy session changes.

Contextual inconsistencies

Specific way of relating to a client.

Therapeutic mode

6 therapeutic modes

Advocating, collaborating, empathizing, encouraging, instructing, and problem-solving

Underlying principles of the IRM: #1

Critical self-awareness

Underlying principles of the IRM: # 2

Interpersonal self-discipline

Underlying principles of the IRM: # 3

Head before heart

Underlying principles of the IRM: # 4

Mindful empathy

Underlying principles of the IRM: # 5

Expanding interpersonal knowledge base

Underlying principles of the IRM: # 6

Wide range of therapeutic modes

Underlying principles of the IRM: # 7

Client defines successful relationship

Underlying principles of the IRM: # 8

Balance of activity and interpersonal focusing

Underlying principles of the IRM: # 9

Apply model using core values and ethics

Underlying principles of the IRM: # 10

Apply model using cultural sensitivity