What did the practitioner do well?
The practitioner began the session by informing the client about confidentiality and about the client’s rights. The practitioner asked if the client was a student, how he was doing in school. He was also asked about after school activities and recreation. The practitioner elaborated on instances where there are exceptions to confidentiality such as verbalization of self-harm or towards others, The practitioner asked an open-ended question to inquire why the client was in therapy.
In what areas can the practitioner improve?
The practitioner failed to introduce himself when he sat with the client. When a practitioner meets with a client especially for the first time, there is the need for the practitioner to introduce himself so that the client knows whom he is talking to. This creates a sense of trust and will help the client to be truthful and be willing to be more engaged during sessions. The practitioner appeared to be judgemental also made statements that seemed like he was taking sides and asking leading questions which made the client go along with answers instead of being sincere about the real problem.
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
My concerns are that the client talks about his behavior towards his mother, such as not controlling his temper. Anger is probably one of the most debated basic emotions, owing to difficulties in detecting its appearance during development, its functional and affective meaning (is it a positive or a negative emotion?), especially in human beings. Behaviors accompanied by anger and rage serve many different purposes and the nuances of aggressive behaviors are often defined by the symbolic and cultural framework and social contexts. Nonetheless, recent advances in neuroscientific and developmental research, as well as clinical psychodynamic investigation, afford a new view on the role of anger in informing and guiding many aspects of human conduct. Developmental studies have confirmed the psychophysiological, cognitive, and social acquisition that hesitate in the pre-determined sequence appearance of anger and rage in the first two years of life. Anger is often triggered by frustration or interpersonal provocation. It can also vary in duration from minutes to hours and range in intensity from mild annoyance to rage and fury (Williams, 2017).
What would be my next question and why?
My next question would be; “has there been any time in your life that you have had thoughts of harm towards your mother when she keeps talking and you get upset? You mentioned that your mother annoys you. What do you do to control your anger when you think that your mother annoys you by talking to you even when you do not want to listen? This to assess if he poses any danger to himself or his mother during his moment of anger, it is also important to recognize the use of a positive coping mechanism that the client can utilize.
Williams R. (2017). Anger as a Basic Emotion and Its Role in Personality Building and Pathological Growth: The Neuroscientific, Developmental and Clinical Perspectives. Frontiers in psychology, 8, 1950. https://doi.org/10.3389/fpsyg.2017.01950