Developing observational skill - observing verbal expression

9 important questions on Developing observational skill - observing verbal expression

What are characteristics of verbal expression?

volume, inflection, rate of speech, fluency, laughter, pauses, silences

What are verbal cues for education, developmental level and culture?

dialect, vocabulary, phrasing

Which changes in speech does anxious or nervous behaviour (or other strong feelings) trigger?

stuttering, stammering and problems with some sounds
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What does fluency on subject matter refer to?

-can refer to negative memory triggering another negative memory and patient jumping from one to the next
-can result from avoidance to focus on uncomfortable feelings, then client shifts to a less emotional topic (i.e. avoiding discomfort)

When can laughter be used as a cover?

when someone is worried, nervous or anxious

Wanneer lache mensen?

Om iets grappigs of om nervositeit, angst of zorgen te verbloemen.

How can the therapist react to nervous or otherwise strange laughter?

point out what you have observed and ask for clarification

What may be causes of silence while you expect the client to talk?

-she is thinking
-she is overwhelmed with emotion
-she doesn't want to talk about what is on her mind
-she is scared of your reaction
-she is fearful of being overheard
-she want to tell something but then betrays someone else
-she can't find the right words
-she is trying to regain composure

What can a lack of silence (keeping talking) signal?

not wanting to experience feelings

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