Clinical Resources

Session 1: Witnessing & Observing 

As a part of the lab meeting clinical chat, the labbies went "back to the basics" of clinical skills, so we did exactly what clinicians-in-training do when they first enter a program: observing, noticing, and discussing. The job was simply watch a role play together and pause frequently to ask questions and discuss what folks are seeing, wondering, thinking, etc. in regards to the interaction. 

View the Zoom recording and transcript here: Clinical Skills Discussions

Developed in a clinical context for therapists to use throughout their psychotherapeutic work, the process-based flexibility notes reflect the foundational emphasis on in-session behavioral processes seen in Acceptance and Commitment Therapy and Clinical Behavior Analysis (Sandoz, 2020). The flexibility notes allow therapists to track client behavior in terms of aversive and appetitive control through the use of therapist prompts for the client to engage in different target behaviors (Sandoz, 2020). One of the clinical goals of ACT and CBA is to build client repertoires in the presence of functionally aversive stimuli, and the flexibility notes facilitate this process. The flexibility notes are presented in worksheet format and provide therapists with a series of target behaviors that are observed during a therapy session with a client (Sandoz, 2020). 

View the Flexibility Notes Worksheet here: Flexibility Notes Worksheet

One of the labbies recently used the flex notes as a component of their Master's thesis project, and in the process, collaborated with Dr. Sandoz and other labbies to create an unofficial manual for folks who wish to know more about using the flex notes in clinical work. The manual is intended to guide therapists when using the flexibility notes in their psychotherapeutic work. This manual includes a conceptual overview of the development of the flexibility notes, the flexibility notes worksheet, and a brief guide of different client behaviors that can be targeted during a therapy session.

View the Flexibility Notes Manual here: Flexibility Notes Manual

The first iteration of the flexibility notes manual did not include the "brief guide of different client behaviors that can be targeted during a therapy session." Instead, the first version of the manual contained a brief guide that provides examples of prompts relevant to each target behavior. This prompting guide may be useful for folks who are interested in learning the different levels of prompting (i.e., scaffolding) that therapists may provide clients during a session and the corresponding target behavior that the prompt served to elicit.

View the Flexibility Notes Manual + Prompting Guide here: Flexibility Notes Manual + Prompting Guide