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Video Interaction GuidanceVideo Interaction Guidance
Dr. Caroline WhiteDr. Caroline WhiteConsultant Clinical Psychologist Consultant Clinical Psychologist Head of CAPS Early InterventionHead of CAPS Early Intervention
Manchester, UKManchester, UK
AimsAims
• 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
OverviewOverview
• What is VIG?
• The Contact Principles: principles of attuned interactions
• The VIG method
• Who is it for?
What is VIG?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?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
DISCORDANT CYCLEATTUNED CYCLE
DOES PARENT RECEIVE CHILD’S INITIATIVE?
YES NOChild receives parent’s
turnChild missesParent’s turn
Parent receives child’s initiative
Parent misses child’s initiative
5. Child‘s Response (second turn)
6. Parent‘s Reception
4. Child‘s Reception
1. Child‘s Initiative
2. Parent‘s Reception
3. Parent‘s Response
(new initiative)
Eg child points at balland looks back at parent
Vigorous nodAnd returns look fromball to parent
Pulls parent towards ballAnd points again looking back at parent
Returns look to child, smiles
and then looks towards ballsaying ‘ball’
Parent gets ball down for child
and gives it saying ‘there you are’ .
With friendly look and tone
.
Saying ‘Yes, you can see the ball up
high. I think you want it’.
In approving tone, looking from ball to
child
Interaction can continue
Context
The core principle for attuned interaction
BEING ATTENTIVE
ENCOURAGING INITIATIVES
RECEIVING INITIATIVES
ATTUNED INTERACTION
GUIDING
DEEPENING DISCUSSION
Par
ent
led
Building blocks for parent as care-giver
Possible impact of each block for child as care-seeker
Feels love, recognized and
important
Knows their parents are interested in what they
are doing and their wishes
Experiencing being received, parent commenting on what
they are doing and their wishes
Enjoys interacting with their parent
Enjoys being helped and learning from their parents
Is helped to manage difficult situations or learn new things
Video examplesVideo 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: VIG Method 1: Initial meetingInitial 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 editVIG Method 1: Take and editthe video 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 reviewVIG Method 2: The shared review
VIG Method 2: The shared reviewVIG 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?
VIG GUIDER
CLIENT
Naming,exploring, reflecting,
appraising,challenging
New views, ideas and possibilities
appear
WatchingVIDEO-CLIP
Own hopes, beliefs,
thoughts, motives and experience
Own hopes, beliefs,
thoughts, motives and experience
Own hopes, beliefs,
thoughts, motives and experience
Own hopes, beliefs,
thoughts, motives and experience
The experience of shared reviewThe 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 questionsExamples 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?
What ideas What ideas for changefor change are here? are here?
What does it mean What does it mean for you, for you,
for your daughter....for your daughter....
What do you think What do you think about it now....about it now....
How do you feel, when.....How do you feel, when.....
What can you see here.....What can you see here.....
Scaffolding the meanings during the feedback
The steps of the danceThe steps of the dance
Sharing of turns in successful feedback - Anderson 2000 Television turns
Shared turns
Guider turns
Client turns
Television
Client
Guider Shared
VIDEO: SHARED REVIEW
How many sessions?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?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?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
SummarySummary
• 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 6th Video Interaction Guidance International ConferenceInternational 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
ReferencesReferences
• Video Interaction Guidance: A Relationship- Based Intervention to Promote Attunement, Empathy and Wellbeing, Edited by Hilary Kennedy, Miriam Landor, and Liz Todd
• videointeractionguidance.net