Process Recording Example1
Process Recording Example1
Clients Name: JS
Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pts health and emotional state, refer Pt. to a mental health center, help him cope with the
seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt.
was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the
list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this
help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT
(I said, she said)
STUDENTS GUT
LEVEL FEELINGS
CLIENTS
FEELINGS/AFFECT
Smiling.
IDENTIFY
INTERVENTIONS &
MAJOR THEMES
Clarifying the situation and
getting another perspective
on Joses stories. Pts stories
contradict mothers stories a
bit. In the intervention, I
attempted to help both the pt.
and his mother see and
understand each other.
Major themes covered were:
Jose doesnt sleep on the
sofa, instead he sleeps in a
trailer; according to the
mother Jose bumped into his
brother-in-law on purpose
and provoked the brawl;
Joses sisters have helped
him; his parents do love him,
but he rejects them; once
when he was taken to the
hospital for anemia, a doctor
recommend for Jose to be
taken to psychiatric facility
because Jose had traumatic
problems; Jose claims that
Gets emotional.
Really sad.
Defensive.
32 of 3
3 of 3
IMPRESSIONS/ASSESSMENT: 1) What did you observe throughout the session -- behavior and affect; 2) was the behavior/affect
appropriate, explain; 3) how does this behavior/affect fit with what you know about the client=s past behavior/affect; and 4) identify the major
themes/issues that emerged.
1) Based on my observations the pt. was not being sensitive towards his mothers feelings. During the session the pt. either looked away or smiled why the
mother was pouring out her heart. It seemed like the pt. was indifferent to his mothers feelings and just wanted to focus on his own feelings. Whenever his
mother brought up a situation in which Jose had told me a different version, he attempted to change the way his mother worded the story to make it correlate to
his version of the story. 2) The affect/behavior was appropriate by the pts mother; she cried and poured her heart out during the session when needed. She talked
about her strengths as well as her weaknesses. Jose never talked about his weaknesses; he always blamed someone for his behavior. His behavior was not
appropriate to his mothers stories and feelings because he dismissed her feelings instead he focused on his feelings. 3) The pts behavior does fit to his past
behavior in pervious sessions. He is not very expressive towards his feelings. 4) Major themes that emerged were: Jose initiated fight with brother-in-law; pts
family does love him and attempt to get involved; pt. isolates himself from family activities; doctor once recommended for pt to be taken to a psychiatric
hospital; mother found out about pts asthma the same day of session; pt is resentful towards mother and family; pt paid a friend of his to convince his mother
that she was going to marry the pt.
IV.
V.
USE OF PROFESSIONAL SELF: Choose two significant interventions you made: 1) identify/describe; 2) what was your impression of your
effectiveness; and 3) what would you change.
1).To allow the pt and his mother recognize their strengths and allow for each other to better communication between both. For each one I intervened and pointed
out each others feelings and see if they were able to acknowledge each other. 2) There was hardly any effectiveness. There seems to be wall in between both.
Both like to discuss their feelings, but do not acknowledge each others feelings. 3) Maybe intervened more and pointed out more strengths.
VI.
PLANS: (Brief statement of your plans for the next session, long range goals, short range goals that are relevant for this client.)
Plans for next session are to focus on what was discussed in this session with pt. Obtain clarifications on the pts behalf on the stories and further explore the
story of the spirit. For the last session pt. wants to bring in both parents. Continue with strengthen pt, however not sure if this is sufficient to help pt. seems like
maybe he might need some other type of help. Long range is for the pt to have a higher self esteem by continuing to highlight his strengths.
VII.
ISSUES, QUESTIONS OR PROBLEMS: (To explore in supervisory sessions.) Areas to explore in your supervisory conference: include issues of
diversity, value dilemmas, counter-transference etc.
Dilemmas: I had difficulty with this session because each one was interrupting one another, but I did my best to intervene.