Transcript Video Interaction Guidance - Centre for Evidence Based Early

Video Interaction Guidance
Dr. Caroline White
Consultant Clinical Psychologist
Head of CAPS Early Intervention
Manchester, UK
Aims
• To develop an understanding of VIG and it’s key
principles
• To develop an understanding of what VIG looks
like when we work with families
Overview
• What is VIG?
• The Contact Principles: principles of attuned
interactions
• The VIG method
• Who is it for?
What is VIG?
• Uses short video of parent & child for reflection
•
• Developed to help families build successful
communication
• Helps parents to identify their strengths and build on
them
• Safe and empowering
What is VIG?
• Edit clips demonstrating good communication between
parent and child
• If the building blocks for effective communication are
working well this builds their relationship
• Strong communication skills also help parents to
manage difficult situations with their child
• Based on the work by Colwyn Trevarthen
DOES PARENT RECEIVE CHILD’S INITIATIVE?
Parent receives
child’s initiative
Parent misses
child’s initiative
YES
NO
Child receives
parent’s turn
Child misses
Parent’s turn
ATTUNED CYCLE
DISCORDANT CYCLE
The core principle for attuned interaction
1.
Child‘s Initiative
2.
Parent‘s Reception
Vigorous nod
And returns
look from
ball to parent
4.
Child‘s Reception
3.
Parent‘s Response
(new initiative)
Pulls parent
towards ball
And points
again looking
back at parent
5.
Child‘s Response
(second turn)
Eg child points
at ball
and looks back
at parent
Returns look to
child, smiles
and then looks
towards ball
saying ‘ball’
Context
6.
Parent‘s Reception
Saying ‘Yes, you
can see the ball up
high. I think you
want it’.
In approving tone,
looking from ball to
child
Parent gets ball down
for child
and gives it saying
‘there you are’ .
With friendly look
and tone
.
Interaction can continue
Possible impact of each block
for child as care-seeker
Building blocks for
parent as care-giver
Is helped to manage difficult
situations or learn new things
DEEPENING
DISCUSSION
Parent led
GUIDING
Enjoys being helped and learning
from their parents
ATTUNED
INTERACTION
RECEIVING INITIATIVES
ENCOURAGING INITIATIVES
BEING ATTENTIVE
Enjoys interacting with their
parent
Experiencing being received,
parent commenting on what
they are doing and their
wishes
Knows their parents are
interested in what they
are doing and their
wishes
Feels love,
recognized and
important
Video examples
• Can you spot when this parent is being
attentive or encouraging initiatives?
• What are they doing/saying?
• What impact does this have on the child?
VIDEO: ATTUNED
VIG Method 1: Initial meeting
• Initial meeting: Listening carefully to
worries and concerns
• Establish hope for the future
• Explain VIG: What it involves and how VIG
links with the family’s goals for change
• Setting interactive goal(s)
VIG Method 1: Take and edit
the video
• Take video clip (10-15 minutes) of parent
and child doing something together that
involves communication
• Sometimes activate (coach) families to
ensure success
• Choose 3 short clips (30-60 seconds of
their best bits) to look at in the ‘shared
review’
VIG Method 2: The shared review
VIG Method 2: The shared review
• Feedback sessions last 45-60 mins
• Edited clips based on ‘attuned interaction’ and parents
goals
• Show the clip and ask questions to ‘activate’ the parent:
– What did you see?
– How do you think your child felt?
– What does that mean?
Own hopes,
beliefs,
thoughts,
motives and
experience
VIG
GUIDER
Naming,
exploring, reflecting,
appraising,
challenging
Watching
VIDEO-CLIP
Own hopes,
beliefs,
thoughts,
motives and
experience
CLIENT
New views, ideas
and possibilities
appear
The experience of shared review
• VIG guiders use same principles of ‘attuned
interactions’ to guide feedback
• This gives parents a direct experience of
successful communication with another person
• Parents experience the feedback sessions
positively
Examples of feedback questions
• What are you thinking / feeling there?
• How would you describe the way you're
looking at him now?
• Where does this idea come from?
• How do you think that makes the child
feel?
• Is that important? Why?
Scaffolding the meanings during the feedback
What ideas
for change
are here?
What does it mean
for you,
for your daughter....
What do you think
about it now....
How do you feel, when.....
What can you see here.....
The steps of the dance
Sharing of turns in successful feedback - Anderson
2000
Television turns
Shared turns
Guider turns
Client turns
Client
Guider
Television
Shared
VIDEO: SHARED REVIEW
How many sessions?
• Standard package of 3-4 video’s plus 3-4
feedbacks
• On completion review: either discharge or
contract for a further block of sessions
• However, if there is no change after 3-4
sessions it may be best to reconsider
Who is it for?
• Can help anyone if they have the capacity to reflect!!!
• For families where relationship between parent and child
has broken down or not developing adequately
• Babies- get it right from the start
• Parents who are ‘missing’ their child’s initiatives
(proposals/ communications) or under-responding
Who is it for?
• Parents who are finding it hard to build relationship with
their child
• Parents who are not giving their child time and space to
respond (over-controlling/involved)
• Parents who are misinterpreting their child’s cues
• Where ‘listening’ is a key issue within the family
• For professionals? – Video Enhanced Reflective Practice
- VERP
VIDEO: ENDING
Summary
• Video Interaction Guidance (VIG) is an empowering
therapeutic intervention for families to help develop
communication skills
• Short, edited video clips of interaction are used for
parents to reflect on and develop new understandings of
their relationship with their child
• Many applications for infants
6th Video Interaction Guidance
International Conference
Video Interaction Guidance:
“An Intervention Whose Time Has Arrived”,
(Jane Barlow)
15th October 2014
Manchester Town Hall
Albert Square
Manchester
Tel: Max on 0161 203 3263 for enquiries
References
• Video Interaction Guidance: A
Relationship- Based Intervention to
Promote Attunement, Empathy and
Wellbeing, Edited by Hilary Kennedy,
Miriam Landor, and Liz Todd
• videointeractionguidance.net