Interpersonal Recording Paper

Interpersonal Recording Paper

Interpersonal Recording Paper

*Please follow instructions: A blanch interpersonal record attached.

*All information should be on Interpersonal record.

*Two pages-Only-for each week. A total of three weeks log.

* A total of six pages. Have different dates on each week.

*The student will choose a child in the community of approximately 2 ½ years of age to 4 years of age to interact with on an ongoing basis.

* There must be an opportunity to do at least one home visit and interact with primary caregiver and family.

*A genogram and cultural assessment will be included with the theory paper, based on this experience.

*Logs will be kept of time of interaction, verbatim interactions and

*analysis with a classical theorist: Freud, Erickson, Klein, Sullivan, Peplau, etc.  *Using a different theorist on each log may provide the student with exposure to many ways of looking at behaviors.  Logs will be submitted weekly.


Clinical Requirements:

1. Choose a child- (Make it up)  2 1/2 -4 years

2. Make at least one home visit and interact with primary caregiver, family.

3. Construct a genogram.

4. Include a cultural assessment of family.

5. Maintain a log of time, verbatim interactions, and submit monthly.

6.   Perform a Denver Developmental Survey with Child.

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Date: Student Name________________________ Child’s Initial______________

Childs age: years_____ months_______



ENVIROMENT Child States Therapist/NP Student Analysis of Interaction and Theoretical Verbatim Verbatim Support


Nonverbal behaviors of Child & Nurse Therapist Reflective thoughts & Feelings of Nurse Therapist

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.