Therapy
3 years ago
25
AppendixL_RecordingAnalysis1.pdf
Recording.docx
AppendixL_RecordingAnalysis1.pdf
Appendix L: Recording Analysis Your recording analysis should be done from a recording or verbatim, written transcript from a counseling session you had with a client. If you use a recording, make sure the recording is clearly audible. Listen to the entire session before doing the analysis and select a 10-15 minute segment of the recording that you wish to analyze and submit. Select that portion of the session that would be most helpful for you to critique and discuss (e.g., portion that you wish specific feedback on, was a trouble spot for you, and/or was a significant transition, etc.). You will be typing verbatim everything that the client and you ACTUALLY said. Analyze the 10-15 minute segment according to the following steps:
1. Counter #: Write down the counter number (minute, second) for EACH client statement throughout the 10-15 minute segment. Start listening to the recording and indicate the counter number when the transcription begins;
2. Record client material verbatim in writing. After typing ALL that the CLIENT says in one response, (i.e., this could be one sentence or several sentences long), pause the recording before your ACTUAL response comes on the recording. Replay the client statement as often as you need to in order to type all that s/he/they is/are saying. You may infer a feeling from the client’s tone of voice or facial expression, etc.; indicate an inferred feeling by [brackets];
3. While the recording is paused and just as you did in your Basic Skills course, type your IDEAL counselor response to the client’s response. Use this opportunity to reflect upon the client’s statement, voice tone, etc. and think of and type your IDEAL (i.e., more helpful and/or appropriate) response;
4. Start to listen again to the recording and type YOUR ACTUAL response to the
client;
5. Pause the recording again;
6. Analyze 3 and 4 (i.e., compare the two, choose/type the response you prefer and why this response is more preferable to you, and identify skills that you used in your ACTUAL response);
7. Continue steps 2-6 for each client statement and therapist response in the 10-15 minute session segment you are analyzing.
Recording analysis is a painstaking and time-consuming process. Do not leave it for the last minute. Allow yourself time to go through the process in a manner that is beneficial for you (not just to complete the assignment). Such an analysis can enhance your listening and discernment skills, teach you the potency of interchangeable responses, and offer you a vehicle to critique your own work and to grow under your own supervision.
Example of Recording Analysis Format: Speaker/Action Quote Context and Reflection Transcribed 5:25-6:30 Client (5:25)
“It was weird, like, how I remembered that because I have dyslexia and, like, when I’m reading things, I… Someone made fun of me for this today, too, which I got mad at. Okay, but I was reading something during… what is it called… English language arts. I was reading something to the class. And… and, um, I accidentally, like, read, like, two lines, together. And then I was like ‘aw, dang it.’ And someone laughed at me. It was not nice.”
The client was previously talking about some of her successes in school, such as being good at history, math, and memorizing numbers. She starts this statement by saying it was “weird” that she remembered several digits of pi because of her dyslexia. As she talks about making a mistake when reading today, there is a bit of hesitation and shame in her voice.
Counselor Ideal Response: “So, because of your dyslexia, it can be difficult for you to read out loud to the class. It sounds like it was hurtful to have that person laugh at you when you made a mistake today. It was not ok for your peer to do that. You said earlier that it made you mad. Why do you think it made you mad?” Skills Used in Ideal Response: Paraphrasing, reflection of meaning and feeling, validation, and open question Actual Response: “Yeah, how did you feel?” Skills Used in Actual Response: Questioning
Preferred Response: I prefer the ideal response because it asks a similar open question to my actual response, but also adds in paraphrasing to let the client know I was listening to her story, reflection of meaning and feeling to let her know I understood how it may have emotionally impacted her to be mocked by a peer beyond feelings of anger, and validation that being made fun of or mocked is not appropriate. Using these combination of skills would have been important here because I could sense some hesitation and shame in her voice as she talked about this. In my actual response, I used an open question to encourage her to draw out the story and process her feelings related to it, but I think it could have helped her to hear her story paraphrased back to her, to be validated and to feel understood.
Recording.docx
Hello!
0:05 Hello!
Hi, how are you today?
0:08 I'm good how are you?
Good. Nice to see you again for our third session, umm how is your last week?
0:19 Well, it's been okay.
Good. Anything new?
0:31 In what regard?
The week in general. Food intake in particular?
0:42 Yeah nothing has really changed I mean Im trying to eat it's just still hard to do.
And did you have your three meals?
1:01 Ah no. Maybe one or two, it depends.
Okay and as we mentioned in our last session, the nutritionist asked you to have three meals consistently every day, and three snacks. How is that going?
1:34 Not well. Like I said one to two meals maybe, a couple of snacks but it just kinda depends on the day. I mean I know what she said but, thats a lot of food.
Okay, why do you think that's a lot of food?
1:59 Well I haven't been eating so to go from nothing to eating six times a day is a lot
And even if you have a small portion of each time?
2:14 Yeah because I think it's hard to know what it is Im supposed to be eating or when because I don't feel like I know when im Hungry so if im not hungry why should I be eating
So, what I understand is and correct me if im wrong, you dont feel the hunger and the fullness cues?
2:47 Right, like I don't know when im hungry I don't feel hungry ever and to eat six times a day is a lot when I don't feel hungry at all
And um I think she also mentioned that regardless if you're hungry or not. Try to eat the 3 meals on time and if that's going to be your routine, then eventually you're going to feel the hunger cues and fullness. So, what do you think about that?
3:38 I mean I suppose but Im not at a point where I feel like I can really one hundred percent agree with that just because I haven't been able to eat. So I don't see that yet
Could you tell me more about the things that are getting in the way to bne able to eat?
4:10 I mean I don't really want to go grocery shopping umm because I don't really want to eat because I'm not hungry so that could be in the way and then theres just other stuff I'd rather be doing during the day
Such as what? Can you explain?
4:35 Like watching tv or movies and that sort of thing sometimes hanging out with my friends. It depends on the day.
Do you think if you taking your meal or snack during as you watch tv or with any other activities with your friends would help?
5:17 Um it could I guess I just haven't thought about it
And do you think that it's easy for you or have any problem eating in front of your friends?
5:35 Um no they dont really say anything whether I eat in front of them or not so I don't mind eating with them when I have to
So you don't have any thoughts around eating in front of your friends
5:48 No. I just don't do it
Um do you and your family usually getting meals together? Or Sitting at one table together or eating at a certain time?
6:11 usually only dinners and that's not every day um otherwise im pretty much on my own
And dinners usually around what time
6:30 At 6 o clock
Okay. And who is usually preparing the dinner
6:40 It depends maybe my dad and step mom
Okay and then breakfast and lunch you do by yourself
6:51 Yeah
And sometimes you said you have two meals. Could you explain which one you have more? Do you have your breakfast more? OR your lunch more?
7:13 Um I usually do my lunch more cause I like to sleep in. So then I miss breakfast and so the next meal would be lunch since it is around that time
And what about the snack? Do you have a snack before your lunch? Or after?
7:41 I don't necessarily have a snack. I'm not really good at the snacks right now. Since im just waking up right away in the morning I either have lunch and not really a snack time.
So you're not eating anything when you wake up in the morning?
8:07 No not usually. I'll be sleeping in
Could you tell me the first thing that you do when you wake up in the morning?
8:24 Usually look at my phone for a while and then maybe get up, get dressed, will sometimes go down and make a lunch
So you wake up in the morning, get on your phone right away, use it for a while, then get up from your bed, and what else?
8:53 get dressed, and then go to the kitchen floor and eat lunch if i feel like it
Okay. what if you don't feel like it? To have the lunch
9:08 What do you mean?
Like after you dress up, is it that some days you feel like not getting lunch? What do you do?
9:22 watch TV, go hang out with my friends, and sometimes go back to sleep after a little while.
Do you take anything in between during that time in between lunch and dinner? Have a snack? Anything
10:07 Ummm not really I mean I try but it doesn't always work cause I don't feel hungry and I don't wanna have a snack so I might have a few bites but its not everyday
Could you tell me what type of snacks that you usually would get?
10:30 Usually a fruit of some sort like probably an apple or grapes. Something simple. Sometime crackers
And after dinner, do you feel like you can eat any snacks after? Do you feel hungry after?
11:00 No
Okay. Do you eat anything later?
11:06 No I mean I know that the dietician told me I had to but I don't really feel hungry so then i don't really force myself so then Im usually back in my room watching tv or with my friends so I don't really think about it
Okay. What do you think could help you to add more meals and add more snacks?
11:53 Hmm I don't know I mean it's been so long since I've really liked food. I don't even know what I wanna eat. I think I need to just tell myself that I'm going to do it.
Okay. What do you think will help you to say that "I wanna do it"?
12:27 Umm like what do I need to do?
Yes to remind yourself
12:38 I mean I could set reminders on my phone. It's the following through once the reminder goes off.
Okay and are you that type of person to where an alarm goes off you and right away go do the thing? Or do you need to set another alarm?
13:07 it depends if im in the middle of something ill probably just snooze it or shut it off
So, my understanding now is that you will be able to set an alarm for a reminder
13:33 I can do that yeah
And that's going to be for two snacks? Or one snack? Or three snacks?
13:46 Well I don't get up in the morning so I don't know how I'd get a snack in the morning. And im not hungry after dinner so I could try to have it in the afternoon between when I wake up and when I have dinner.
Okay so that's going to be between lunch and dinner
14:06 Yes
Okay. What type of snacks can you take?
14:15 A fruit
A fruit. And as we said before, the nutritionist said she wants you to take two types of snacks. Also, she wants you to have a dessert after the dinner.
14:34 Okay
So let's add another thing to the snack you're gonna take between the lunch and dinner along with the fruits
14:49 So I could have two fruits?
Could we add something more besides the fruit? You can take two types of fruit, but if it's one type of fruit, what else you'll be able to take with the fruit
15:13 I could maybe do some nuts
Nuts? Okay good. Any certain types of nuts? Or a mix?
15:21 just like a mix
Great. What about the dessert? What dessert will you be able to add?
15:38 I think it depends on what my dad and stepmom end up getting?
Do you feel like you could ask them for certain things?
15:50 I mean I could but they end up getting what my brother and sister want. So I could just ask if I could have that
I think that would help and I think that'd be great if you could ask them if they could add more desserts for you.
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