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Message: <blockquote data-quote="ClinicalTrainee" data-source="post: 8467205" data-attributes="member: 270904">I think the process of learning to do clinical interviews and learning to do therapy are a bit different, though clearly related.My university has an applied track for undergraduates headed toward the helping professions, and as such, we have an interviewing class for upper level undergraduates.  I taught the class last year, and as part of the course the students had to interview subject pool students and write up what they learned and their process in a final paper.  (Clearly, these were not real clinical interviews, as the population was primarily not a clinical population).The question was about how we are taught to do clinical interviews, and as is clear from other responses, it varies across training programs.  But some of the main skills are learning attending behaviors (non-verbals), different types of questions (open-ended, leading, etc) and how these types may elicit different responses, and how to reflect/paraphrase, both content and feeling.A good intake clinician also needs to have a solid understanding of diagnosis and what content areas are important for a comprehensive understanding of the client and his/her issues.  The above skills are to help facilitate information gathering and to help build the theraputic alliance.The original poster said "After you have the understanding of psychology down, how exactly do you know what to ask the patient to get them where you want them to be?"  The answer is.....I don't believe that anyone alive has psychology "down" because there is so much that we don't yet know, and everyone is different.  Second, I also don't think you can ever *know* exactly what to ask the patient to get them where you want them to be.  There have been moments when I've asked a question I thought was brilliant and received a vapid response, and other times I've said things without hardly thinking and seen a thoughtful change-producing response.  There are studies that show discrepancies between what clients think is important compared to what therapists think. I find this work fascinating!Basically, I feel that interviewing/therapy skills are taught by didactic instruction, by modeling (older students, supervisors, videos), through direct feedback (supervision) and through experience.  The last two have been especially valuable for me, though I think many supervisors could use some lessons in how to give useful, constructive feedback.  I still think I've learned the most from trusting myself and my training, and using my own internal barometer to realize when something I said didn't go over as planned.  Self-awareness is, in my opinion, probably the most critical skill needed to be a good clinician.</blockquote>

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