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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
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Visible Boundaries IRID Tenets
• Confidentiality • Professional
skills/knowledge • Conduct• Respect colleagues
and consumers• Ethical business
practices (monetary and professional)
• GOOD JUDGEMENT
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Visible Boundaries II
• HIPPA: Health Insurance Portability and Accountability Act 1996
• United States Department of Health and Human Services---www.hhs.gov/ocr/hippa
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Service Models of Interpreting:Hindrance or Help?
• The Helper Model• The Facilitator• The Conduit• The Bi-Bi Method• The Ally
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Discussions: Judgment and Ethics
• When you assume control, you assume the responsibility
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Characteristics of a Mental Health Interpreter
• Others centered
• Patient but respectful
• Team player
• Confident
• Focused
• Anticipating what is next
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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
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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?
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Personal Boundaries: From Shoes to Tattoos
• Whose view is a priority?
• Your view
• The doctor’s view
• The patient’s view
• The agency view
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Boundaries not Bridges: Manipulation
• What is the criminal mind?
• MANIPULATION • Passive
Aggressive personalities
• Volunteering information: questions/your answers
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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
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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
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Visible Boundaries: The Buck Stops Here
• Invoicing
• Have paperwork filled out
• Knowing all you need to know prior to meeting the client
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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
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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
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Family Therapy
• If family members sign, this may be helpful or hurtful
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One on One Therapy
• Where to be seated
• Consecutive and simultaneous interpreting
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Group Therapy
• Dealing with patients’ comments
• Mocking the interpreter
• Flirting patients
• Angry patients, intimidation
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Self Analysis and Validation
• Keeping the perspective in perspective
• Your best ally or your worst critic
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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?
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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
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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?
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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?
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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
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Misdiagnosis and the Truth
• Do not misinterpret for the sake of being nice
• An interpreted session does not define the interpreter
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Misdiagnosis and the Deaf
• Deaf facial expression
• Deaf voice intonation
• Deaf emotional signing
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Misdiagnosis and the Interpreter
• False starts and miscues
• Interpreter not matching
• Interpreter not clear
• Interpreter not understanding Deaf culture
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Misdiagnosis and the Therapist
• Therapist has no training with interpreters
• Therapist allies with interpreter
• Therapist does not understand Deaf culture
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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
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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