Question
What can you suggest when a parent responds negatively when asked if they understood the instructions/explanation by saying something like, "You are making me feel stupid."?
Answer
This sounds as if the developing relationship is off to a rocky start. My first inclination would be to go back to square one, providing a quick overview of "how I'd like to work together for the benefit of the client". If there is acceptance of the premise, revisiting the working relationship and need(s) for good communication can be rationalized. I'd once again be careful about the language I'm using in going back and forth while appreciating that keeping the parent informed is a terribly important professional goal.
The clinician in this case may be the target of misdirected anger at whatever the clinical issue is - I suspect our colleagues who work in acute care or otherwise medically challenging workplaces can attest to this possibility as representative of what humans do, sometimes.
What can be done is to demonstrate our focus on the individual receiving service. I have had situations where the early going was challenging and while I continued to be conscious of the relationship, I believe it was the parent (or family member) who ultimately changed their perspective. Had I earned their trust? Perhaps. Did they begin to move past the initial hurt? This may be the more likely explanation. In this instance, keep the faith and continue to provide your best service.
Michael Flahive is a forty year member of the profession, holding clinical certification in both speech-language pathology and audiology. He is a university professor who has provided clinical services across his work career. Areas of interest include counseling, aural rehabilitation, issues of professional preparation and the applications of technology in our work. Flahive is a Fellow of ASHA.
Michael Flahive ., Ph.D,CCC
Related Courses
1https://www.speechpathology.com/slp-ceus/course/counseling-in-stuttering-treatment-practical-11022Counseling in Stuttering Treatment: Practical StrategiesThe use of counseling strategies in stuttering treatment is described in this course. Focus is placed on targeting negative reactions to stuttering.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comCounseling in Stuttering Treatment: Practical StrategiesThe use of counseling strategies in stuttering treatment is described in this course. Focus is placed on targeting negative reactions to stuttering.11022OnlinePT60M
2https://www.speechpathology.com/slp-ceus/course/acceptance-and-commitment-therapy-introduction-10771Acceptance and Commitment Therapy: An Introduction for SLPsAn introduction to Acceptance and Commitment Therapy (ACT), a modern evidence-based counseling approach, is provided in this course. Research support for ACT is discussed, and case studies to illustrate how ACT techniques can help patients and their families with the psychosocial consequences of living with communication disorders are presented.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comAcceptance and Commitment Therapy: An Introduction for SLPsAn introduction to Acceptance and Commitment Therapy (ACT), a modern evidence-based counseling approach, is provided in this course. Research support for ACT is discussed, and case studies to illustrate how ACT techniques can help patients and their families with the psychosocial consequences of living with communication disorders are presented.10771OnlinePT60M
An introduction to Acceptance and Commitment Therapy (ACT), a modern evidence-based counseling approach, is provided in this course. Research support for ACT is discussed, and case studies to illustrate how ACT techniques can help patients and their families with the psychosocial consequences of living with communication disorders are presented.
3https://www.speechpathology.com/slp-ceus/course/social-isolation-and-loneliness-relevance-10800Social Isolation and Loneliness: Relevance to Those Working in the Health ProfessionsThe COVID-19 pandemic augmented both the challenges and awareness of social isolation and loneliness for healthcare professionals, families, & at-risk individuals. This course differentiates social isolation and loneliness, describes risk factors and signs of these conditions, and identifies effective ways to reduce their occurrence while promoting improved mental and physical health outcomes for clients and professionals.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comSocial Isolation and Loneliness: Relevance to Those Working in the Health ProfessionsThe COVID-19 pandemic augmented both the challenges and awareness of social isolation and loneliness for healthcare professionals, families, & at-risk individuals. This course differentiates social isolation and loneliness, describes risk factors and signs of these conditions, and identifies effective ways to reduce their occurrence while promoting improved mental and physical health outcomes for clients and professionals.10800OnlinePT90M
The COVID-19 pandemic augmented both the challenges and awareness of social isolation and loneliness for healthcare professionals, families, & at-risk individuals. This course differentiates social isolation and loneliness, describes risk factors and signs of these conditions, and identifies effective ways to reduce their occurrence while promoting improved mental and physical health outcomes for clients and professionals.
4https://www.speechpathology.com/slp-ceus/course/brain-health-basics-strategies-for-9785Brain Health Basics: Strategies for SLPs to Support Healthy Aging for Adult PatientsThis Back to Basics course focuses on the preventative aspect of improving brain health with adult patients, with emphasis on elements that SLPs can target during instruction or counseling aspects of patient treatment and caregiver support. Additional information is provided on advocacy for these services and community outreach to organizations working with older adults.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comBrain Health Basics: Strategies for SLPs to Support Healthy Aging for Adult PatientsThis Back to Basics course focuses on the preventative aspect of improving brain health with adult patients, with emphasis on elements that SLPs can target during instruction or counseling aspects of patient treatment and caregiver support. Additional information is provided on advocacy for these services and community outreach to organizations working with older adults.9785OnlinePT60M
This Back to Basics course focuses on the preventative aspect of improving brain health with adult patients, with emphasis on elements that SLPs can target during instruction or counseling aspects of patient treatment and caregiver support. Additional information is provided on advocacy for these services and community outreach to organizations working with older adults.
5https://www.speechpathology.com/slp-ceus/course/young-children-s-negative-attitudes-8764Young Children's Negative Attitudes toward Peers with Communication Disorders: What SLPs Can Do to HelpAt a young age, children with communication disorders are at high risk for social punishment from their communicatively typical peers. This course provides an overview of the emergence of bias in young children, explains the impact of negative attitudes on children with communication disorders, and offers recommendations on how to productively address negative peer attitudes.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comYoung Children's Negative Attitudes toward Peers with Communication Disorders: What SLPs Can Do to HelpAt a young age, children with communication disorders are at high risk for social punishment from their communicatively typical peers. This course provides an overview of the emergence of bias in young children, explains the impact of negative attitudes on children with communication disorders, and offers recommendations on how to productively address negative peer attitudes.8764OnlinePT60M
At a young age, children with communication disorders are at high risk for social punishment from their communicatively typical peers. This course provides an overview of the emergence of bias in young children, explains the impact of negative attitudes on children with communication disorders, and offers recommendations on how to productively address negative peer attitudes.