How to Coach Yourself and Others Coaching and Counseling in Difficult Circumstances | Page 101

This book is in B&W, not color - Print page in Grayscale for Correct view! APPENDIX – The interview schedule In this interview we are particularly interested in hearing about the ways experienced staff communicate with patients during their spells of acute psychosis. We want to hear about the verbal and non verbal techniques you use (or those you have witnessed others using). We’d like to hear about the ones you think work and those that don’t (or those that sometimes do!). We don’t particularly want to hear about the textbook communication skills things like paying attention to people, giving feedback, reflecting, etc. – unless you have a particular angle or different use (or view) of such things. 1. Can you tell me a bit about your experience of looking after acutely psychotic patients? What sort of things do you like or not like about it? The following questions I am about to ask fall into seven domains. First I’m going to ask about patients who are apathetic or withdrawn, then I’m going to ask in turn about patients who are hallucinating, deluded, thought disordered, upset or distressed, agitated or overactive, and finally aggressive or irritable. Is that OK, are you clear about that? First domain. Patients who are APATHETIC and/or WITHDRAWN 1.1 If you want to just spend some time with a patient who is very apathetic and/or withdrawn, how do you go about doing that? 1.2 How do you try to build a relationship with a patient who is very apathetic and/or withdrawn? 1.3 Do any of these things (or anything other kind of communication or conversation with them) reduce the degree of apathy/withdrawal? 1.4 What about when you need to accomplish some kind of task with a patient in this condition, say get them up in the morning, get them to have a bath, or eat something, or take their medication? 1.5 Are there any other strategies you use or have tried with apathetic and/or withdrawn patients? 1.6 Is there anything else you’ve seen others try, successfully or unsuccessfully? 1.7 Is there anything that shouldn’t be tried with people who are apathetic and/or withdrawn? 1.8 Is there anything else you can tell us about working successfully with patients who are like this? I’d like to ask you now about patients with positive symptoms – firstly about those who are hearing voices or who have other sorts of hallucinations. Second domain. Patients who are HALLUCINATING 2.1 If you want to just spend some time with a patient who is hallucinating, how do you go about doing that? 2.2 How do you build a relationship with hallucinating patients? 2.3 Is there a way of talking with them that might reduce their hallucinations during the conversation? 2.4 How about accomplishing some kind of task with such a person, say getting them to wash, or go to bed, or eat a meal. How do you go about doing that? 2.5 Are there any other strategies you use or have tried with actively hallucinating patients? 2.6 Is there anything you’ve seen others try, successfully or unsuccessfully? 2.7 Is there anything that shouldn’t be tried with people who are hallucinating? 2.8 Is there anything else you can tell us about working successfully with patients who are in this state? I’m now going to ask you a similar set of questions about very deluded patients. For [email protected] Property of Bookemon, do NOT distribute 103