Interviewing strategies with sexually abusive youth

Adolescents who have sexually abused may pose a serious problem for both the community and the treatment provider concerning the management of risk and the application of effective intervention strategies. Fundamental to providing good clinical treatment is an assessment that results in an individualized treatment plan specifically tailored to the young person's needs. An integral but often overlooked part of this involves interviewing clients in a way that elicits accurate information and facilitates the development of a therapeutic relationship upon which effective therapy can be undertaken. This article will describe interviewing strategies and highlight the importance of the client-therapist relationship in providing effective therapeutic interventions.     

Recognizing Abuse and Neglect in People with Severe Cognitive and/or Communication Impairments

ABSTRACT

It is widely acknowledged that physical abuse of persons with severe developmental disabilities is prevalent, usually perpetrated by a residential care provider and is rarely reported. However, no solid research on the topic has been reported. This article notes the lack of information about protective services directed to the developmentally disabled population and lack of coordination between agencies serving people with developmental disabilities and those providing protective services. The signs and symptoms of abuse in the developmentally disabled population, the alternative communication strategies required when interviewing, and the special skills needed for case assessment are presented. The author ends with a series of federal, state, and community level policy recommendations.     

Reverse interviewing: a white adoptive mother engaging with black birth mothers and vice versa

Abstract

Researcher reflexivity, meaning the revealing of the researcher’s assumptions and her position vis-à-vis those researched, has by now become commonplace. This article explores such issues in the context of a larger study of transnational adoption for which I conducted interviews with South African birth mothers as both a researcher/interviewer and an adoptive mother. Instead of seeking to eliminate researcher bias, I propose using it as data that could reveal novel aspects of the phenomenon under study. This article specifically explores the use of reverse interviewing, which in this case meant disclosing my double positionality and inviting the interviewees to ask me questions. It is not a matter of merely extracting information: the technique allows participants to air their concerns, and facilitates investigation of the researcher’s reactions to them. All this, in turn, carries implications with regard to how the study area is conceptualised.     

Facilitating interviews with children who may have been sexually abused

The introduction of the Memorandum of Good Practice on interviewing children who have been sexually abused has had an important unifying effect on professional practice. However, because of the traumatic nature of sexual abuse there will be a group of children about whom there are high levels of suspicion and where arrangements need to be made for their future care, protection and treatment. These include children who have learning disabilities or communication problems, have psychiatric disorders associated with abuse, or where there have been considerable delays since allegations were first made. Such children require a second-stage facilitative assessment interview. These include different forms of questioning, and the use of a wide range of prompting materials including art work, free and structured play context and the use of anatomically correct dolls. These approaches are reviewed and illustrated through case studies.     

The Critical Incident Interview and Ethnoracial Identity

ABSTRACT

The Critical Incident Interview is a technique used to help social work students assess the client's ethnic and racial identity development. Students gain confidence exploring sensitive ethnic issues with clients from contrasting cultures when they focus systematically on specific events that made informants aware of being ethnically different. Using examples from student interviews, the author presents the steps involved in teaching the Critical Incident Interview which include guidelines for selecting and interviewing informants, analysis of critical incidents and the interview process, three scales used to help assess ethnoracial identity, the students' narrative report, and the use of classroom discussion to provide closure. A brief review of the students' favorable evaluation of the assignment is provided. The paper ends with suggestions for improvement and further uses of the technique in education and practice.     

Psychotherapy with Deaf and Hard of Hearing Individuals

ABSTRACT

This qualitative study explored the subjective experiences of deaf and hard-of-hearing individuals in psychotherapy. Which culturally syntonic considerations are necessary for effective psychotherapy with deaf and hard-of-hearing individuals? The findings support the literature on multiculturalism and deafness that entail effective communication, empowerment processes, cultural sensitivity, therapist role flexibility, the imparting of information, and the development of a positive therapeutic relationship. The data focuses on the experience of communicating rather than focusing solely on the acquisition of content as well as the understanding the clinical dynamics of the transcultural relationship in order to make effective use of the social work relationship in treatment. The findings of this study add richness and depth to the existing literature on psychotherapy, with emphasis on the experiential processes of treatment.     

Reducing High-Risk Drinking Among Student-Athletes: The Effects of a Targeted Athlete-Specific Brief Intervention

Abstract

Objective: This study examined the effects of a single-session motivational interviewing–based in-person brief alcohol intervention that contained student-athlete–specific personalized drinking feedback. Participants: Participants were 170 National Collegiate Athletic Association Division I student-athletes meeting screening criteria for heavy episodic drinking. Methods: Baseline assessments of alcohol use frequency and quantity, norm perceptions of peers' alcohol use, experiences of negative consequences, and use of protective behaviors were administered to student-athletes prior to a 1-session brief intervention containing personalized feedback highlighting the relationship between alcohol use and athletic performance. Follow-up assessment was conducted 3 months post intervention. Results: Student-athletes participating in the athlete-specific brief intervention showed significant reductions in their alcohol use and alcohol-related negative consequences, increases in use of protective behavioral strategies, and corrections in norm misperceptions at 3 months post intervention relative to a no-treatment comparison group. Conclusions: Student-athlete–specific brief alcohol interventions show promise in addressing high-risk drinking, reducing associated harms, and supporting health.     

The Marijuana Check-Up: A Brief Intervention Tailored for Individuals in the Contemplation Stage

ABSTRACT

A brief intervention tailored for marijuana users in the contemplation stage of change is presented. This “no pressure to change” approach employs principles of motivational enhancement. Empirical support for brief interventions is reviewed. Rollnick and Miller's motivational interviewing principles are outlined, with particular emphasis on stage-specific tasks faced by individuals at early stages of readiness for change based on Prochaska and DiClemente' s Transtheoretical Model of Change. The history and utility of the “check-up” as a viable intervention for individuals in earlier stages of change is also described. The Marijuana Check-Up makes use of a personalized diagrammatic feedback report on the individual's personal use, providing a focus for the one session interview. Clinical challenges and therapeutic response are illustrated with typical case vignettes germane to the Marijuana Check-Up.     

Reviewing challenges and the future for qualitative interviewing

ABSTRACT

In this article, we consider challenges for the existence and practice of qualitative research interviews. We review key features of qualitative interviewing, in particular the debate over the radical critique of interviewing and the nature of the data it generates, to set the scene for our arguments about the current standing and future prognosis for the method of generating data and the technologies that enable this. We look at qualitative interviewing in the context of the political project of neoliberalism and the regime of austerity associated with it, and the linked turn to what is known as ‘big data’, a feature of digital technological developments in garnering data. Qualitative researchers using interview methods have been creative in working with and resisting features of neoliberal austerity pragmatically and politically, and we provide some examples. We also consider an epistemological challenge and resistance from outside of the dominant framework – interviewing in indigenous methodologies. We argue that it is the relationship between the interview as a method of data generation for research and the ways of knowing about the world, that is the epistemology that the interview-based research proceeds from, that is crucial in considering the potentials for the method’s practice.     

Clinicians' Perspectives on Motivational Interviewing-Based Brief Interventions in College Health

Brief interventions based on motivational interviewing (MI) are emerging as effective strategies for behavior change in college students. However, implementation of MI-based brief interventions may be challenging in the college health environment, and their practicality is controversial. The author explored college health clinicians' perspectives on the use of MI brief interventions in a college health study to reduce alcohol harms among high-risk college students. The author describes the challenges, benefits, and practicality of using this health promotion strategy in college health. Although MI-based brief interventions may be adapted and implemented and are beneficial in the college health setting, clinician education and further research is warranted.     

Going the distance: 'Closeness' in qualitative data analysis software

This study about researchers' transitions to using qualitative data analysis (QDA) software identified three stages of 'closeness to the data': the tactile-digital divide; the coding trap; and the metacognitive shift. The 'tactile-digital divide' involves adapting to working on screen instead of paper, an initially distancing process. As users gain comfort with the software, they experience 'the coding trap'--an issue of too much closeness to the data. Users warned that there was a tendency to become 'bogged down' in coding, and developed strategies to provide analytical distance. 'The metacognitive shift' involves learning to think about software processes with the same level of reflectivity that should accompany qualitative research processes in general, including developing strategies for error recognition. These transitions invite reflections on the nature of 'cognitive tools' and expertise with them, which lead to implications for evaluating research and considering trustworthiness.     

An Examination of Influences on Body Dissatisfaction Among Asian American College Females: Do Family,Media, or Peers Play a Role?

Abstract

Objective: The etiology of body dissatisfaction and its correlates (eg, disordered eating) among ethnic minorities is generally unknown. The purpose of this study was to replicate the tripartite model of influence in an Asian American college female sample in order to examine this relationship. Participants: Participants were 80 undergraduate Asian American females between the ages of 18 and 25. Methods: Participants completed a survey that included the Tripartite Influence Scale, Body Parts Satisfaction Scale, and Sociocultural Attitudes towards Appearance Questionnaire–3. Results: Mediation analyses indicated that thin-ideal internalization fully mediated the relationship between media influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Family influence did not significantly predict body dissatisfaction. Conclusions: Asian American college females experience body dissatisfaction through mechanisms that have not been examined in detail. These factors must be considered when creating targeted health promotion strategies and developing best practices for eating disorder assessment and treatment protocols at university health centers.     

Making ideas “app”-en: the creation and evolution of a digital mobile resource to teach social work interviewing skills

ABSTRACT

This paper describes the processes involved in the design, delivery, and evolution of a mobile app.’ The initial app’ was funded by an institutional Teaching Award to update the delivery of Egan interviewing skills to social work students. The article charts the progress of development, beginning with the initial rationale for the app’ and its subsequent evolution into a Motivational Interviewing resource for social workers within a designated local authority. Arguing for the increasing importance of digital resources, within social work training and practice, the article draws from theories of digital pedagogy, as well as highlighting the work of some prominent figures within this emerging field. The article is written as a collaboration between the lead author and the app’ developers, who have contributed technical detail and emphasized the need for collaboration. Whilst the article touches briefly on the mechanics involved with app creation, its chief aim is to act as a guide to the practical, financial and relational aspects of development – in order that other social work practitioners and educators are inspired to progress their own ideas into innovative digital resources. To facilitate this, the article concludes with a practical list of suggestions for successful digital development.     

Understanding engagement in the Program of Assertive Community Treatment (PACT) from the perspectives of individuals receiving treatment

ABSTRACT

Engagement of individuals with serious mental illnesses in community mental health services is a significant challenge. The Program of Assertive Community Treatment (PACT) is an individual-centered and self-contained mental health program that provides psychiatric treatment, rehabilitation, and support services to persons with serious mental illness who have a history of or likelihood of disengagement with services. Understanding what helps and hinders consumers’ involvement in PACT services may provide information on how to tailor engagement strategies to individuals based on their treatment needs and preferences. The current study builds on existing studies by exploring factors that help and hinder engagement in PACT services from the perspectives of individuals receiving treatment. We conducted open-ended, semi-structured interviews with 17 individuals receiving PACT services. Nine themes were identified through thematic analysis: Desirable qualities of PACT, Focusing on positive outcomes, PACT as a safety net, Recovery orientation, Practical barriers, Conflictual relationships, and Medication side-effects. We conclude that the development of a trusting, therapeutic relationship that is collaborative and person-centered and that is facilitated by both practical and emotional support is critical to engaging individuals in treatment and maximizing positive outcomes.     

Interviewing victims of sexual abuse with an intellectual disability: a dutch single case study

The approaching to use with people with an intellectual disability who are (suspected) victims of sexual abuse is a challenge for social professionals. Being at the mercy of professional facilities, the victims are in a vulnerable position. They have limited capacities to defend themselves against the intimidations of perpetrators and to deal with the consequences of the terrifying happenings. Finally, sexual abuse is a criminal offence. Much depends on the quality of the interviews. In the Dutch practice of forensic reactions to (suspected) sexual abuse of people with an intellectual disability, experience has been acquired with different types of interviewing.

With the help of a single case study between a health professional and a victim, these forms of interviewing are demonstrated. The professional pursuit is to let the client disclose what has happened in their own words. The study shows that in social health and welfare practices the professional task is to navigate between, on the one hand, the communicative space for the client to provide free recall and, on the other hand, the need to provide help to clients with an intellectual disability to verbalize inner cognitions and emotions.     

College students coping with interpersonal stress: Examining a control-based model of coping

Objective: The ways that college students cope with stress, particularly interpersonal stress, may be a critical factor in determining which students are at risk for impairing mental health disorders. Using a control-based model of coping, the present study examined associations between interpersonal stress, coping strategies, and symptoms. Participants: A total of 135 undergraduate students from 2 universities. Methods: Interpersonal stress, coping strategies, depression, anxiety, and somatization were assessed via self-report. Results: Students reporting more interpersonal stress reported more depression, anxiety, and somatization, and they reported less use of engagement coping strategies and greater use of disengagement coping strategies. Engagement coping strategies accounted for a significant portion of the association between interpersonal stress and mental health symptoms. Unexpectedly, coping strategies did not moderate the association between stress and mental health symptoms. Conclusion: Interventions designed to improve students' coping strategies may be an effective way to reduce mental health problems on college campuses.     

Telehealth for Patients with Chronic Pain: Exploring a Successful and an Unsuccessful Outcome

Abstract

Cognitive-behavioral therapy (CBT) is effective for treating chronic pain, but little is known about the mechanisms that might facilitate or hinder its utility when delivered by videoconference. In a single-case experimental design, we explored the outcomes of two adults with chronic pain who were provided with videoconference-based CBT. The goal was to examine the relationship between therapeutic alliance as well as presence felt and clinical outcomes. Therapeutic alliance was high overall for both participants; however, only the successful case’s alliance ratings significantly increased over treatment. Levels of presence felt in videoconferencing were also high, but were not related to therapy outcome.