The following ideas are intended to be used following the ideas presented in this post.
Once they can identify the emotions based on facial expressions and body
posture it is time to begin perspective taking. Ask the patient, "What
is something that would make you feel that way?", "What else would make
you feel that way?" "Tell me about a time that you felt this way."
Have the patient answer these questions for a variety of emotions ex:
sad, mad, happy, confused, bored, surprised, annoyed, etc.
Next, identify some important people in their lives and esp. those that
they have problems getting along with. (Parents, teachers, siblings,
friends, classmates, etc). Have the patient choose one of these people
to focus on (you will work your way through the list over several
sessions).
Hold up a picture and ask, "What might make (fill in out of the
important people) feel this way?" "Tell me about a time that you think
(important person) felt this way." Go through a variety of emotions.
At the next session hold up the pictures and ask "Have you felt this way since our last visit?" "Tell me about it."
Choose another important person and ask the questions above. Do this
until the patient has identified plausible reasons for several people in
their lives. Assist as needed so that the patient is successful.
Once the person is able to identify possible causes of the feelings talk
about what the patient could to do change the situation for themselves
to work through the negative emotions. Then, talk about what they could
do to help others change negative feelings in a particular situation.
Example 1: SLP holds up a picture of a person who is sad and asks, "Why might your mom feel sad?"
Patient: "She lost her shoe."
SLP: What could you do to help her not feel so sad is she lost her shoe?"
Example 2: SLP holds up a picture of a person who is angry and asks, "Why might your brother feel mad?"
Patient: "He didn't win his video game."
SLP: What could you do to help him to not feel so mad?
If the patient struggles to thing of an appropriate answer, discuss
several appropriate and helpful responses. Then, ask the patient which
one(s) they would try.
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