4/14/2023 0 Comments Types of moods and affects![]() Open: The client openly and straightforwardly discusses problems and concerns. This behavior is also called op-positional. The client may refuse to answer questions or be completely silent throughout an interview. The client may disagree with reflections, paraphrases, or summaries that are clearly accurate. Negativistic: The client opposes virtually everything the examiner says. Statements such as "His behavior isn't fair, is it Doctor?" are efforts to solicit agreement and may represent manipulation. He or she may interpret examiner statements to represent own best interests. Manipulative: The client tries to use the examiner for the client's own purpose or edification. ![]() The client is the opposite of indifferent. Client voice volume may be loud and voice tone forceful. Intense: The client's eye contact is constant, or almost so the client's body leans forward and listens intensely to the interviewer's every word. There may be excessive head nodding, eye contact, and smiles. He or she may try to present self in an overly positive manner, or may agree with everything and anything the interviewer says. Ingratiating: The client is obsequious and overly solicitous of approval and interviewer reinforcement. ![]() The client could also be described as apathetic. The client may yawn, drum fingers, or become distracted by irrelevant issues or details. Indifferent: The client's appearance and movements suggest lack of concern or interest in the interview. There may be associated hostility and competitiveness in the case of Type A personality styles. He or she may make statements about wanting an answer to concerns immediately. The client is not very tolerant of pauses or of times when interviewer speech becomes deliberate. Impatient: The client is on the edge of his or her seat. Sommers-Flanagan & Sommers-Flanagan, 1998). This behavior pattern is especially common among delinquent teenagers (J. ![]() Sarcasm, rolling back one's eyes in apparent disgust over an interviewer comment or question, or staring off with a sour grimace may represent subtle, or not so subtle, hostility. Hostile: The client is indirectly nasty or biting. Frequent head nods and receptive body posture are common. He or she may openly try to work with the interviewer in an effort to gather data or solve problems. The client may "flip off" the examiner or simply say in reply to an examiner response, "That's a stupid question" or "Of course I'm feeling angry, can't you do anything but mimic back to me what I've already said?"Ĭooperative: The client responds directly to interviewer comments or questions. Descriptors of Client Attitude Toward the ExaminerĪggressive: The client attacks the examiner physically or verbally or through grimaces and gestures. In contrast, clenching fists, gritted teeth, and strong language will bring you to the conclusion that your client is displaying an "angry" affect. For example, when you see tears in your client's eyes, accompanied by a downcast gaze and minimal movement (psychomotor retardation), you will likely conclude your client has a "sad" affect. Is it sadness, euphoria, anxiety, fear, anger, or something else? Affective content indicators include facial expression, body posture, movement, and your client's voice tone. Each of these descriptive terms is discussed further.Īffect Content To begin, you should identify what affective state you observe in the client. AffectĪffect is usually described in terms of its (a) content or type, (b) range and duration (also known as variability and duration), (c) appropriateness, and (d) depth or intensity. In contrast, mood is the client's self-reported mood state. Affect is defined as the prevailing emotional tone observed by the interviewer during a mental status examination.
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