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Microskill Hierarchy - Ivey, Ivey, Zalaquett 2014

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Alec Hamilton

on 23 August 2014

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Transcript of Microskill Hierarchy - Ivey, Ivey, Zalaquett 2014

The 5 Stage Interview Structure
The Microskills Hierarchy
Client Observation Skill
Open & Closed Question
Encouraging, Paraphrasing & Summarising
Reflection of Feeling
Empathic Confrontation
Reflection of Meaning & Interpretation/Reframe
Self-Disclosure & Feedback
Action Strategies for Change
Skill Integration
Determine Personal Style & Theory
Attending Behaviour & Empathy
Ethics, Multicultural Competence & Wellness
Basic Listening Sequence
5 Stages:
Empathic Relationship
Story & Strengths
Seven Dimensions of Microskill Focus Analysis

Client focus
Family focus
Problem/Main Theme Focus
Counsellor Focus
Other focus

Heron, J. (2001). Confrontational Interventions. In Helping the Client : A Creative Practical Guide. Sage
If you are unable to take charge you can skew the
intervention in one of two opposite ways:
Pussyfoot with the client:
go round the mulberry bush, dodge the issue, never square up to the real agenda and at worst simply avoid the confrontation altogether;
Clobber the client:
become aggressive and wounding about the issue, leaving the person unnecessarily hurt and defensive.
Raising consciousness about the agenda
Identify the agenda
Explain how it is you see the client falling foul of this agenda.
Explain why you think it is relevant and appropriate to raise this matter with the client in this way at this time.
Give the client plenty of space to react to what you have said.
Follow through.
Negative feedback
Educative feedback
Direct question
Rattle and shake
Correcting and disagreeing
Changing the story
From what to how
From then and there to here and now
Holding up a mirror
Interrupt the record
Disarming the body
Appropriate anger
Discharge feedback
Confronting validation
Loving attention
Paradoxical confrontation
Moral confrontation
Factual confrontation
Spiritual/Religious confrontation
The transition from Focusing to Confrontation is:
Listening to identify the incongruities, discrepancies, ambivalence and mixed messages
Summarising these in the appropriate manner
Discussed in Heron's work (next slide)
Once the confrontation has occurred we then need to examine the path out of the current situation.
The Client Change Scale
Full transcript