Конспект деловой игры « Диагностическое интервью» для студентов ,

будущих педагогов-психологов по курсу изучения иностранного языка

Автор - Кутушева Регина Александровна, студентка 4 курса Санкт-

Петербургского государственного института культуры

Diagnostic interview

Тема: Дистанционное консультирование.

Цель: развитие навыков аудирования и быстрой вербальной реакции.

2. Ход занятия

Этап 1. Лексический

-

intake interview - первичное интервью

-

background - предыстория, бэкграунд

-

family history - семейная история

-

medical history - медицинская история

-

current issue - текущая проблема

-

onset - начало (заболевания/проблемы)

-

frequency - частота

-

duration - продолжительность

-

severity - тяжесть, серьёзность

-

impact - влияние, воздействие

-

daily functioning - повседневное функционирование

-

sleep pattern - режим сна

-

appetite - аппетит

-

social life - социальная жизнь

-

coping mechanisms - механизмы совладания

-

support system - система поддержки

-

goal setting - постановка целей

-

treatment plan - план терапии

После ввода новой лексики студентам предлагается текст с новыми

терминами - необходимо найти новые лексические единицы и подчеркнуть

их.

Psychologist: Good morning! Thank you for coming in today. This is your

first meeting with me, so I will ask you some questions. We call this an intake

interview. It helps me understand your situation better. Let's start with some

general questions.

First, I would like to know a little about your background. Where did you

grow up? Tell me about your family. Is there any family history of mental health

problems? For example, did your parents or grandparents have depression or

anxiety?

Also, I need to ask about your medical history. Do you have any health

problems? Do you take any medicine? Have you visited a doctor recently?

Now, let's talk about your current issue. What problem brought you here

today? Can you describe it?

Client: I have been feeling very sad and tired all the time. I don't enjoy

things I used to love. I think it started about three months ago.

Psychologist: Thank you for sharing. So the onset of the problem was about

three months ago. And what about the frequency? How often do you feel this way?

Every day? A few times a week?

Client: Almost every day. Some days are better, but most days I feel low.

Psychologist: I understand. And the duration? When you feel sad, how long

does it last? A few hours? The whole day?

Client: Usually the whole day. I wake up feeling tired and the feeling stays

with me.

Psychologist: On a scale from 1 to 10, how would you rate the severity of

your problem? One means very mild, ten means extremely severe.

Client: I would say 7 or 8.

Psychologist: That is quite high. Now let's talk about the impact of this

problem on your life. How does it affect your daily functioning? For example, can

you go to college, do homework, meet friends?

Client: It's very hard. I miss classes sometimes because I can't get out of bed.

I stopped doing homework. I don't want to see anyone.

Psychologist: What about your sleep pattern? Do you sleep well?

Client: No, I sleep very badly. I wake up at 4 a.m. and can't fall asleep

again.Psychologist: And your appetite? Have you noticed any changes?

Client: I don't feel hungry. I lost some weight.

Psychologist: What about your social life? Do you spend time with friends?

Client: Not anymore. I avoid them. I don't answer messages.

Psychologist: Let's talk about how you usually cope with difficult feelings.

What are your coping mechanisms? What do you do when you feel sad or

stressed?

Client: I used to draw and listen to music. But now nothing helps. I just stay

in bed and scroll on my phone.

Psychologist: I see. And your support system? Who can you turn to when

you need help? Family? Friends?

Client: My mother, maybe. But I don't want to worry her.

Psychologist: It's important to have people you can talk to. Now, let's think

about the future. I would like us to do some goal setting together. What would you

like to achieve from our sessions?

Client: I want to feel better. I want to enjoy life again.

Psychologist: That is a very good goal. Based on everything you told me

today, I suggest we create a treatment plan. We will meet once a week. In our

sessions, we will work on your coping skills, talk about your feelings, and find

small steps to improve your daily routine. Does that sound good?

Client: Yes. Thank you.

Для закрепления предлагается задание на заполнение пропусков:

Заполнение пропусков (10 баллов)

1.

Вставьте подходящее слово из списка в каждый пропуск.

2.

Список

слов: intake, background, frequency, severity, impact,

appetite, support, coping, goals, treatment

3.

The first meeting with a client is called an ______ interview.

4.

The psychologist asks about the client's family ______ and medical

history.

5.

The ______ of the problem means how often it happens.

6.

The client rated the ______ of the problem as 7 out of 10.

7.

The problem has a negative ______ on the client's daily life.

8.

The client has lost their ______ and doesn't feel hungry.

9.

The client's ______ system includes their mother.

10.

The client's old ______ mechanisms don't work anymore.

11.

The psychologist and the client do some ______ setting together.

12.

At the end, they agree on a ______ plan.

Этап 2. Ввод фраз-шаблонов.

Для психолога:

1.

Thank you for coming in today. I'd like to ask you some questions to

understand your situation better.

2.

Can you tell me about your current issue? When did it start?

3.

How often does this happen?

4.

On a scale from 1 to 10, how severe is it?

5.

How does this affect your daily life? Work? Relationships?

6.

Can you tell me a little about your family background?

7.

Have you noticed any changes in your sleep or appetite?

8.

Who do you turn to when you need support?

9.

What have you tried so far to cope with this?

10.

What would you like to achieve from our sessions?

11.

Based on what you've told me, I suggest we focus on...

Для клиента:

1.

I've been feeling... for about...

2.

It happens... (every day / a few times a week / once a month).

3.

I would say it's a... (7 out of 10).

4.

It affects my... (sleep / work / relationships).

5.

In my family, there is a history of...

6.

I usually cope by... (talking to friends / exercising / ignoring it).

7.

I want to feel... (calmer / more confident / less anxious).

Этап 3. Деловая игра

Студенты работают в парах: психолог и клиент.

Клиент получает карточку с подробной легендой:

Карточка 1. You are 22 years old. For the last 4 months you have felt

constantly worried. Your heart races, your hands sweat. It happens 4–5 times a

week, usually at work. You have trouble falling asleep. Your appetite is normal.

You stopped going out with friends because you are afraid of having a panic attack

in public. Your mother had depression. You tried yoga, but it didn't help much.

Карточка 2. You are 18 years old. You have been feeling very sad and

empty for about 6 weeks. You cry almost every day, sometimes for no reason. You

sleep 10–11 hours but still feel exhausted. You lost 4 kg because you don't feel like

eating. You stopped answering messages from friends. You used to love drawing,

but now nothing interests you.

Психолог проводит интервью, записывая информацию. Время – 10

минут. Затем студенты меняются ролями

После деловой игры студенты пишут отчет об услышанном по схеме:

-

The client reports that...

-

The main symptoms are...

-

The problem affects...

-

The client's support system includes...

-

I recommend...

Для промежуточного теста по дисциплине предлагается расширенный

тест с лексическими единицами из первых четырех уроков.

Задание 1.

Соотнесение термина и перевода

Соотнесите английское слово с русским переводом. Запишите ответы в

формате: 1 – буква, 2 – буква.

Термины:

-

intake interview

-

background

-

onset

-

frequency

-

duration

-

severity

-

impact

-

daily functioning

-

sleep pattern

-

appetite

-

coping mechanisms

-

support system

-

goal setting

-

treatment plan

-

family history

-

medical history

Перевод:

А. частота

Б. продолжительность

В. предыстория, бэкграунд

Г. первичное интервью

Д. влияние, воздействие

Е. начало (проблемы)

Ж. семейная история

З. механизмы совладания

И. тяжесть, серьёзность

К. режим сна

Л. повседневное функционирование

М. аппетит

Н. план терапии

О. медицинская история

П. система поддержки

Р. постановка целей

Ключ: 1 Г, 2 В, 3 Е, 4 А, 5 Б, 6 И, 7 Д, 8 Л, 9 К, 10 М, 11 З, 12 П,

13 Р, 14 Н, 15 Ж, 16 О

Задание 2. Выбор правильного слова

Выберите правильный вариант и запишите его.

1.

The first meeting with a client is called an ______.

a) treatment plan

b) intake interview

c) coping mechanism

2.

The psychologist asks about the client's ______ to understand their

past.

a) background

b) appetite

c) goal setting

3.

The word «onset» means ______ of the problem.

a) the end

b) the middle

c) the beginning

4.

«How often does the problem happen?» is a question about ______.

a) duration

b) frequency

c) severity

5.

«How long does it last?» is a question about ______.

a) impact

b) onset

c) duration

6.

On a scale from 1 to 10, we measure the ______ of the problem.

a) severity

b) appetite

c) background

7.

«How does the problem affect your life?» is a question about ______.

a) sleep pattern

b) impact

c) family history

8.

«Do you sleep well?» is a question about ______.

a) daily functioning

b) appetite

c) sleep pattern

9.

«Who can you turn to when you need help?» is a question about

______.

a) coping mechanisms

b) support system

c) treatment plan

10.

Drawing, listening to music, and exercising are examples of ______.

a) coping mechanisms

b) intake interviews

c) medical histories

Ключ:

Задание 2:

1 - b, 2 - a, 3 - c, 4 - b, 5 - c, 6 - a, 7 - b, 8 - c, 9 - b, 10 - a

Задание 3. Заполнение пропусков

Вставьте подходящее слово из списка. Одно слово лишнее. Список

слов: onset, frequency, duration, severity, impact, pattern, appetite, support, goals,

treatment, background

1.

The psychologist asked about the ______ of the problem: When did it

start?

2.

The ______ of the panic attacks is three times a week.

3.

The ______ of each episode is about 30 minutes.

4.

The client rated the ______ of her anxiety as 8 out of 10.

5.

The problem has a serious ______ on his work and relationships.

6.

Her sleep ______ is very irregular: she goes to bed late and wakes up

tired.

7.

He has lost his ______ and eats very little.

8.

The client's ______ system includes his wife and his best friend.

9.

During the session, the psychologist and the client did some ______

setting.

10.

At the end of the intake interview, they agreed on a ______ plan.

Ключ: 1 onset, 2 frequency, 3 duration, 4 severity, 5 impact, 6 pattern, 7

appetite, 8 support, 9 goals, 10 treatment

Лишнее слово: background

Оценивание: первое задание - 16 баллов, второе и третье - 10 баллов.

Всего студент при успешном и безошибочном выполнении теста может

получить - 36 баллов. После письменной части проводится деловая игра -

которая дает 14 баллов за успешное выполнение. Всего за промежуточный

тест студент может получить 50 баллов. Тест засчитывается, если студент

набирает больше 26 баллов за все.

Промежуточная деловая игра: студенты работают в парах: один –

психолог, второй – клиент. Клиент получает карточку с ситуацией (одну на

выбор преподавателя):

Карточка 1. You are 20 years old. You have constant conflicts with your

parents. They want you to study economics, but you want to be a designer. Every

conversation turns into an argument. You feel angry, frustrated, and guilty. You

cry often. You have lost interest in your hobbies. This has been happening for

about a year. You don't know how to explain to your parents what you really want.

You feel lonely even when you are with friends.

Карточка 2. You are 18 years old. You have been feeling very anxious for

two months. Your heart beats fast, your hands shake. You are afraid to speak in

class. You have stopped meeting friends. You feel lonely and helpless. You sleep

badly – you wake up at 4 a.m. and can't fall asleep. You tried breathing exercises

but they didn't help much. Your mother had depression. You worry that the same

thing is happening to you.

Карточка 3. You are 22 years old. You feel exhausted all the time. You

have no energy. You don't enjoy anything – even things you used to love. You

have lost your appetite and lost 3 kg. You avoid people. You think that you are not

good enough and that you will never succeed. You sleep 10 hours but still feel

tired. This has been happening for about three months. You used to cope by

drawing and running, but now nothing helps.

Карточка 4.

You are 19 years old. You had a panic attack during an exam last week. You

ran out of the room. Now you are afraid it will happen again. You feel ashamed

and scared. You think everyone is judging you. You can't concentrate on your

studies. You avoid talking about it with your family because you don't want to

worry them. You feel very alone.

Структура сессии:

1.

Opening

–

поприветствовать,

представиться,

объяснить

конфиденциальность.

2.

Gathering information – задать

3–4 вопроса

(onset, frequency,

duration, severity, impact, sleep, appetite, support system).

3.

Showing empathy – минимум 2 эмпатические фразы, отразить

эмоции клиента.

4.

Recommendation – дать 1 конкретную рекомендацию (coping

strategy).

5.

Closing – подвести итог, договориться о следующей встрече.

Оценивание промежуточной деловой игры (см. табл. 6):

Таблица 6 – Структура ответа (сессии) 0-3 балла

Баллы

Описание

0

Структура нарушена, этапы пропущены

1

2 этапа из 5 соблюдены

2

3-4 этапа из 5 соблюдены

3

Все этапы соблюдены

Таблица 7– Лексический диапазон (0-4 балла

Баллы

Описание

0

Использовано

менее

3

слов

из

лексического минимума уроков 1-4

1

Использовано 3-5 слов

2

Использовано 6-8 слов

3

Использовано 9-11 слов

4

Более 12 слов использовано

Таблица 8 – Активное слушание 0-3 балла

Баллы

Описание

0

Нет фраз, выражающих эмпатию

1

Одна фраза

2

2 фразы, отражение эмоций клиента

3

Три

и

более

фраз,

перефразирование

эмоций клиента.

Таблица 9 – Качество вопросов. 0-2 балла

Баллы

Описание

0

Короткие вопросы или их вообще нет

1

Задано 2-3 вопроса

2

Задано 4 и более вопросов

Таблица 10 – Завершение сессии и рекомендации. (0-2 балла)

Баллы

Описание

0

Сессия

не

завершена,

рекомендация

отсутствует

1

Сессия

завершена,

но

рекомендация

размытая или неконкретная

2

Сессия

завершена

корректно,

дана

конкретная

coping

strategy,

назначена

следующая встреча

Таблица 11 – Сводная таблица критериев

Критерий

Максимум

1

Структура сессии

3

2

Лексический диапазон

4

3

Активное слушание

3

4

Качество вопросов

2

5

Завершение и рекомендация

2

Всего 14 баллов за деловую игру - за промежуточный тест максимально

можно набрать 50.