I need an explanation for this Psychology question to help me study.
What invitational skills did you see the clinician use? What additional skills might have been helpful to enhance the therapeutic alliance at this phase of therapy? Are there any that might have interfered with the clinical intake and interview?
the transcript to answer the questions:
Hi.
Welcome in. I know that we had a chance to talk a little bit on the phone. But I want to use our first session here to get a little bit more background information and history and a little bit more of the story of what exactly prompted your seeking therapy at this time.
Yeah. So we spoke a little bit on the phone. But basically, my boss suggested I come in and talk to you. I’ve never really had therapy before. So I never really thought that I would need therapy. But I don’t know if I told you a little bit of the incident of what happened. But I just started, I guess, crying at work a little. And so he just was like, you know what? You should go talk to someone because I’m letting it interfere with my work. And I get that. So I’m here.
OK.
Yeah.
OK. So yeah. So you’ve never been to therapy before. So this may be brand new and you’re not sure exactly what’s going to happen or how it’s going to go. But I am curious about the breakdown at work. I sense that it may be a little uncomfortable. But can you tell me exactly what was going on?
Yeah. Well, so do you want to know about the actual breakdown or what led to it, or–
Yeah, a little bit of both.
OK.
So you want to tell me maybe what led up to it?
Yeah. Sure. So I have been dating this guy, Joaquin, for about five months. We’re very much in love. But I like to say that we’re very passionate.
OK.
But with that comes a lot of arguments. We fight a lot. We bicker a lot.
OK.
And that particular day at work, we were in a fight. And what happens with us is we have a hard time communicating. We both have a little bit of a temper. So I went to work. And, well, we had gotten in a fight. And we hadn’t been talking for about three or four days. And it just was eating away at me.
And then one day at work, I just– I was messing up here and there, like I forgot to put my boss’s– a huge meeting in for him. And he lost it on me. And it’s a pretty high up– he’s a high-up exec. So it’s not really– you can’t let anything slip through the cracks. And it was just dropping the ball, dropping the ball. And so he just pulled me in his office. And he said, you’ve been messing up on a lot of things. And then I just started hysterically crying.
OK.
I couldn’t really control myself. And then I spent the rest of the day kind of in the bathroom crying. And he was like, you need to go home.
OK. Has something like that happened before?
Yeah.
OK.
Yeah. Whenever we don’t talk, I just– I can’t– I don’t like the feeling of someone being mad at me or being mad at each other. And I’m always the one that’s trying to fix things. And I just feel like in this relationship, it’s very one-sided. And I feel like I’m seeking someone’s approval, approval. And he just– this guy that I’m seeing, Joaquin, he just– it’s nothing to him. We get in a fight. And he’s OK not talking for four or five days. And it’s like, OK. Well, that’s not normal to me.
Yeah.
So it really affects me. Yeah. I put a lot of me into my relationships. I almost put everything into it. So to not have the other person give me everything is kind of hard.
And this dynamic between you and Joaquin– has that been present in other relationships that you’ve had?
Yeah.
OK.
Yeah. I moved out here about eight years ago. I’m originally from Sacramento.
OK.
And I think that I can be really– it’s really lonely out here. It’s Los Angeles. Sometimes, it can feel like you’re alone. And so I think I just cling on to relationships. I think I– every relationship I’ve had has been, like, two years.
OK.
I haven’t had anything longer than two years, although I was engaged once.
Oh, OK. When was that?
That was three years ago.
Three year ago? OK.
Yeah. So that one was tough.
Yeah?
Yeah.
Yeah. What happened there in terms of why did the engagement break up?
[UNCOMFORTABLY CHUCKLING]
I think I have– I accused him of cheating on me, which I later found out he didn’t do.
OK.
I think a lot of my relationships have ended that way.
OK. OK. So thank you for sharing that with me. I know it’s not easy to kind of open up about some of this the first time you meet someone.
Yeah.
And I think what we can maybe do in future sessions is kind of begin to see where there’s some similarities across different relationships and that dynamic because it sounds like it’s starting to go outside those relationships that interfere with work a little bit as well.
Yeah.
And so we can think about things you’ve done in the past to kind of manage those emotions when they come up, different strategies. You mentioned sort of clinging to relationships and sometimes being lonely out here.
Yeah.
So I’ve gotten some information. I’ll probably have to ask a few more questions to get more history and background.
Yeah.
But if this feels OK, I’d like to schedule another appointment and continue discussing.
Yeah. Sure.
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