isrid oct. 23, 2015 invisible boundaries in mental health interpreting adan r. penilla, ii phdadan...
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ISRIDOct. 23, 2015
Invisible Boundaries in Mental Health Interpreting
Adan R. Penilla, II PhD
NAD IV, NIC, CI/CT, SC:L, ASLTA
Colorado State Univ.- Adjunct Professor
Aslworldmatters.com
Visible Boundaries IRID Tenets
• Confidentiality • Professional
skills/knowledge • Conduct• Respect colleagues
and consumers• Ethical business
practices (monetary and professional)
• GOOD JUDGEMENT
Visible Boundaries II
• HIPPA: Health Insurance Portability and Accountability Act 1996
• United States Department of Health and Human Services---www.hhs.gov/ocr/hippa
Service Models of Interpreting:Hindrance or Help?
• The Helper Model• The Facilitator• The Conduit• The Bi-Bi Method• The Ally
Discussions: Judgment and Ethics
• When you assume control, you assume the responsibility
Characteristics of a Mental Health Interpreter
• Others centered
• Patient but respectful
• Team player
• Confident
• Focused
• Anticipating what is next
The Dangers of Detours
• Bonding and friendship
• Staff steps out of the room, so does the interpreter?
• Gifts, jokes and community bonds
• Position of trust
Assignment Preparation: The Judgment Call• Dress appropriately
• Greeting before/after assignment
• Meeting with the doctor, staff
• Getting information
• Invoicing
• The criminal mind
• Is a Deaf interpreter needed?
Personal Boundaries: From Shoes to Tattoos
• Whose view is a priority?
• Your view
• The doctor’s view
• The patient’s view
• The agency view
Boundaries not Bridges: Manipulation
• What is the criminal mind?
• MANIPULATION • Passive
Aggressive personalities
• Volunteering information: questions/your answers
On Assignment: Boundaries or Bear hugs
• A hug to a conflicted mind
• A handshake to a conflicted mind.
• Eye gaze to a conflicted mind
• Self- Adapter to a conflicted mind
Making the Invisible, Visible:Information Gathering• Get as much
information as possible
• Staff may have daily encounters with the client
• Staff complaints about the last interpreter
Visible Boundaries: The Buck Stops Here
• Invoicing
• Have paperwork filled out
• Knowing all you need to know prior to meeting the client
Orientation on Assignment:Fence Me In
• Meeting staff
• What type of power do you hold?
• How should you use your power?
• Staff knowing some sign
Invisible Boundaries Revealed
• How do you know when a Deaf interpreter is needed?
• What is at stake?
• Can you be called into testify for your decisions?
• Court interpreting: Agent of the Defense
Family Therapy
• If family members sign, this may be helpful or hurtful
One on One Therapy
• Where to be seated
• Consecutive and simultaneous interpreting
Group Therapy
• Dealing with patients’ comments
• Mocking the interpreter
• Flirting patients
• Angry patients, intimidation
Self Analysis and Validation
• Keeping the perspective in perspective
• Your best ally or your worst critic
Preparing in Settings I: Demand and Control
Are You Informed?
Are You Comfortabl
e?
Are You situated?
What are Your
Obstacles?
What are Your
Solutions?
Preparing in Settings II: Demand and Control
• Male/ female clients
• Mental Institutions- forensic unit• Adult unit• Juvenile unit
• County jails/state prisons• minimum security• maximum
security
Preparing in Settings III: Demand and Control
Social Behavior and Professional
Behavior
Where is Your Eye Contact?
Where are You Mentally?
What is Making You
Uneasy?
What are You doing about
the Uneasiness?
Integrity
• Private (Moral) Issues• Biased against
an illness• Religious beliefs
and work• Professional Issues
• Are you a good match, over your head?
• How do you know?
Feminist-Rationalist Model
Listening and non judgment
Consensus building for agreement, buy-in before proceeding
Cooperation for the greater good, no competition
Empowerment to the person in question
Experience not science as truth
Misdiagnosis and the Truth
• Do not misinterpret for the sake of being nice
• An interpreted session does not define the interpreter
Misdiagnosis and the Deaf
• Deaf facial expression
• Deaf voice intonation
• Deaf emotional signing
Misdiagnosis and the Interpreter
• False starts and miscues
• Interpreter not matching
• Interpreter not clear
• Interpreter not understanding Deaf culture
Misdiagnosis and the Therapist
• Therapist has no training with interpreters
• Therapist allies with interpreter
• Therapist does not understand Deaf culture
A Happy Ending or the End of Happiness
• Many sessions are on-going and may continue after you are gone
• Leave the assignment at the assignment
Conclusion
….and when the day has ended and pausing to reflect, know that what the heart has said are words they won’t forget. B. Derfler