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Re-establishing rapport

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Author	Topic: Re-establishing rapport
markus9 Junior Member	posted 05-08-2000 08:27 AM Some patients take these questions in the wrong way, and can be very upset that you're asking them to rate a statement like..."In most ways, my life is close to my ideal." This is especially true for patients who are one to two years post injury. How should an interviewer re-establish rapport after administering the SWLS? IP: Logged
jwright Administrator	posted 05-17-2000 07:54 AM I am posting this reply for John Corrigan, PhD Dear Markus9, I have been waiting to see if anyone else responded to your inquiry. Frankly, I can't say that I'm aware of respondents having the reaction you describe. I posed your question to our most experienced interviewer (who also supervises other interviewers) and this is what he said: "I'm somewhat surprised by this - it has never been an issue with anyone I've interviewed--and that's a lot of interviews. I've never had any of the other interviewers come to me with this as an issue, either. In my experience with the SWLS, the one thing that stands out is the last question which asks, "If I could live my life over, I would change almost nothing." Subjects usually are a little more thoughtful with this question, and a good number will reply in a light hearted way "I know one thing I'd change - the injury/accident. But I can honestly say that I can't recall anyone ever reacting angrily or being upset in any way." I'd have to say that the negative experience you had with the SWLS may be atypical. --John Corrigan IP: Logged
debbieburdsall Junior Member	posted 05-17-2000 09:10 AM In my 10 years experience as an interviewer, I have found that more cognitively intact individuals do in fact have difficulty with the SWLS questions. Individuals that lack insight into their disability may not find these questions as emotionally laden. In the case of the TBI National Database, caregivers may have more issues with the SWLS questions due a greater level of insight into how their loved one's injury has impacted his or her life. Additionally, in my experience, the SWLS questions are not taken lightheartedly, except in cases where the individual is severely impaired. IP: Logged
Mary Lou Gustafson Member	posted 05-25-2000 02:51 PM I would agree with Debbie. If the individual is cognitively more intact, many times it takes longer and is more frustrating for them to answer the SWLS statements. This is particularly true for significant others, especially those with more education. I have had a few say to me, "What kind of questions are these?", and they are generally irritated. The question was, however, "How does one re-establish rapport after asking such questions?" Our center is now beginning our 11th year of follow-up and the patients are still willing to complete the questions. I think it is important to make resources and support available to them both at the time of the interview as well as throughout the year. IP: Logged
MartyF Junior Member	posted 07-18-2000 09:00 AM I guess I have partial agreement. I haven't seen anger/frustration directed towards interviewers. What I have seen is a incredulousness with the last question about changing almost nothing. Some find this question to be absurd for us to ask, (and us perhaps to be a little out of touch to be asking). This goes away, however, by informing these subjects that in fact there are a variety of responses to this question - not everyone feels the way that they do. In the several hundred SWLS' that we have administered, I'm only aware of a couple of cases in which subjects who felt that the answer was obvious that they felt strongly that they would change something (their trauma), responded on the other end of the spectrum - due to their lack of respect for the question. Because of the mixed response that these subjects gave, e.g.; "Are you kidding? My life was messed up in a single moment. Sure I wouldn't change anything, I strongly agree", a VERY brief query resulted in a congruent response. IP: Logged
Barnard Junior Member	posted 09-10-2001 04:49 AM If you have published any artickels on this subject, please correspond with me! Greatings A.J. Barnard Fptajb@puknet.puk.ac.za IP: Logged

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