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Video Interaction Guidance

Video Interaction Guidance. Dr. Caroline White Consultant Clinical Psychologist Head of CAPS Early Intervention Manchester, UK. Aims. 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. Overview.

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Video Interaction Guidance

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  1. Video Interaction Guidance Dr. Caroline White Consultant Clinical Psychologist Head of CAPS Early Intervention Manchester, UK

  2. Aims • 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

  3. Overview • What is VIG? • The Contact Principles: principles of attuned interactions • The VIG method • Who is it for?

  4. 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

  5. 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

  6. DOES PARENT RECEIVE CHILD’S INITIATIVE? Parent receives child’s initiative Parent misses child’s initiative YES NO Child receives parent’s turn Child misses Parent’s turn ATTUNED CYCLE DISCORDANT CYCLE

  7. The core principle for attuned interaction 2. Parent‘s Reception 1. Child‘s Initiative Returns look to child, smiles and then looks towards ball saying ‘ball’ Eg child points at ball and looks back at parent Context Saying ‘Yes, you can see the ball up high. I think you want it’. In approving tone, looking from ball to child 4. Child‘s Reception 3. Parent‘s Response (new initiative) Vigorous nod And returns look from ball to parent Parent gets ball down for child and gives it saying ‘there you are’ . With friendly look and tone . 6. Parent‘s Reception Pulls parent towards ball And points again looking back at parent 5. Child‘s Response (second turn) Interaction can continue

  8. Possible impact of each block for child as care-seeker Building blocks for parent as care-giver Is helped to manage difficult situations or learn new things DEEPENING DISCUSSION Enjoys being helped and learning from their parents GUIDING Enjoys interacting with their parent ATTUNED INTERACTION Parent led Experiencing being received, parent commenting on what they are doing and their wishes RECEIVING INITIATIVES Knows their parents are interested in what they are doing and their wishes ENCOURAGING INITIATIVES Feels love, recognized and important BEING ATTENTIVE

  9. Video 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?

  10. VIDEO: ATTUNED

  11. VIG Method 1: Initial 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)

  12. VIG Method 1: Take and editthe 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’

  13. VIG Method 2: The shared review

  14. VIG 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?

  15. WatchingVIDEO-CLIP Own hopes, beliefs, thoughts, motives and experience Own hopes, beliefs, thoughts, motives and experience CLIENT VIG GUIDER Creating space for attuned dialogue Naming,exploring, reflecting, appraising, challenging Co-creating new meaningssolutions, change New views, ideas and possibilities appear

  16. The 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

  17. Examples 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?

  18. Scaffolding the meanings during the feedback

  19. The steps of the dance Client Television Shared Guider

  20. VIDEO: SHARED REVIEW

  21. 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

  22. 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

  23. 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

  24. VIDEO: ENDING

  25. Summary • 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

  26. 6th Video Interaction Guidance International 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

  27. References • Video Interaction Guidance: A Relationship- Based Intervention to Promote Attunement, Empathy and Wellbeing, Edited by Hilary Kennedy, Miriam Landor, and Liz Todd • videointeractionguidance.net

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